Developing Interactional Competence: A Conversation-Analytic Study of Patient Consultations in Pharmacy PDF
Preview Developing Interactional Competence: A Conversation-Analytic Study of Patient Consultations in Pharmacy
Developing Interactional Competence 99778800223300227766669977__0011__pprreexxvvii..iinndddd ii 1111//1177//22001111 1100::0055::5544 AAMM This page intentionally left blank Developing Interactional Competence A Conversation-Analytic Study of Patient Consultations in Pharmacy Hanh thi Nguyen Hawaii Pacific University, USA Foreword by Cecilia E. Ford 99778800223300227766669977__0011__pprreexxvvii..iinndddd iiiiii 1111//1177//22001111 1100::0055::5544 AAMM © Hanh thi Nguyen 2012 Foreword © Cecilia E. Ford 2012 All rights reserved. No reproduction, copy or transmission of this publication may be made without written permission. No portion of this publication may be reproduced, copied or transmitted save with written permission or in accordance with the provisions of the Copyright, Designs and Patents Act 1988, or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, Saffron House, 6–10 Kirby Street, London EC1N 8TS. Any person who does any unauthorized act in relation to this publication may be liable to criminal prosecution and civil claims for damages. The authors have asserted their rights to be identified as the authors of this work in accordance with the Copyright, Designs and Patents Act 1988. First published 2012 by PALGRAVE MACMILLAN Palgrave Macmillan in the UK is an imprint of Macmillan Publishers Limited, registered in England, company number 785998, of Houndmills, Basingstoke, Hampshire RG21 6XS. Palgrave Macmillan in the US is a division of St Martin’s Press LLC, 175 Fifth Avenue, New York, NY 10010. Palgrave Macmillan is the global academic imprint of the above companies and has companies and representatives throughout the world. Palgrave® and Macmillan® are registered trademarks in the United States, the United Kingdom, Europe and other countries. ISBN 978–0–230–27669–7 This book is printed on paper suitable for recycling and made from fully managed and sustained forest sources. Logging, pulping and manufacturing processes are expected to conform to the environmental regulations of the country of origin. A catalogue record for this book is available from the British Library. A catalogue record for this book is available from the Library of Congress. 10 9 8 7 6 5 4 3 2 1 21 20 19 18 17 16 15 14 13 12 Printed and bound in Great Britain by CPI Antony Rowe, Chippenham and Eastbourne 99778800223300227766669977__0011__pprreexxvvii..iinndddd iivv 1111//1177//22001111 1100::0055::5544 AAMM for Ba Me. Guy, Liam, and Shen 99778800223300227766669977__0011__pprreexxvvii..iinndddd vv 1111//1177//22001111 1100::0055::5555 AAMM This page intentionally left blank Contents List of Illustrations viii List of Tables ix Foreword by Cecilia E. Ford x Acknowledgments xiii Transcription Conventions xiv 1 Introduction 1 Part I The Patient Consultation in Pharmacy 2 Historical Background and Impact on Healthcare 17 3 Sequential Organization 20 4 Topics and Topic Management 59 5 Formulation of Objects and Processes 79 6 Participation Frameworks 92 Part II The Development of Interactional Competence 7 Action Sequencing 123 8 Topic Management 157 9 Recipient Design in Formulation 173 10 Self-Positioning in Participation Frameworks 199 11 Discussion and Conclusion 225 Notes 238 Bibliography 247 Index 260 vii 99778800223300227766669977__0011__pprreexxvvii..iinndddd vviiii 1111//1177//22001111 1100::0055::5555 AAMM List of Illustrations 3.1 Reference to doctor’s prescription 32 3.2 The pharmacist’s advice 33 3.3 Closing up focal object 49 6.1 Orientation to text 112 7.1 Problematic opening 131 7.2 Non-problematic opening 133 7.3 Non-verbal projections of several contradicting actions 152 9.1 Formulation of medicine by its physical appearance 179 9.2 Formulation of internal process with specific hand gesture 183 9.3 Formulation of internal process with non-specific hand gesture 185 viii 99778800223300227766669977__0011__pprreexxvvii..iinndddd vviiiiii 1111//1177//22001111 1100::0055::5555 AAMM List of Tables 7.1 Change in advice sequence elements by Mai 127 7.2 Change in the placement of reasons in advice sequences by Jim 129 11.1 The novices’ changes in patient consultations over time 226 ix 99778800223300227766669977__0011__pprreexxvvii..iinndddd iixx 1111//1177//22001111 1100::0055::5555 AAMM
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