Building (dis-)affiliative medical relationships through interactional practices of knowledge management
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Minka Džanko
Abstract
The goal of the current contribution is to consider and compare different aspects of (dys-)functional knowledge management indexed by a conflict involving epistemics in Bosnian and German language. My research draws on 42 audiotaped conversations of Bosnian and German doctors with their patients. The data was analyzed using Conversation Analysis.
This paper focuses first on the Bosnian data in which patients display an inability to provide the requested information or display reduced access to information they are accountable for (Heritage 2012). Interactional practices of dysfunctional knowledge management lead to misunderstandings, a break in the progressivity of the interaction, or face threatening actions such as criticism and disciplining of the patient (Holly 2001). In contrast, a focus on the German data shows a more patient-centered approach which entails more active patient participation. Furthermore, German patients display higher medical knowledge and more personal responsibility.
Abstract
The goal of the current contribution is to consider and compare different aspects of (dys-)functional knowledge management indexed by a conflict involving epistemics in Bosnian and German language. My research draws on 42 audiotaped conversations of Bosnian and German doctors with their patients. The data was analyzed using Conversation Analysis.
This paper focuses first on the Bosnian data in which patients display an inability to provide the requested information or display reduced access to information they are accountable for (Heritage 2012). Interactional practices of dysfunctional knowledge management lead to misunderstandings, a break in the progressivity of the interaction, or face threatening actions such as criticism and disciplining of the patient (Holly 2001). In contrast, a focus on the German data shows a more patient-centered approach which entails more active patient participation. Furthermore, German patients display higher medical knowledge and more personal responsibility.
Chapters in this book
- Prelim pages i
- Table of contents v
- Practices of relationship management in organized helping 1
- Forging relationships in psychotherapeutic interaction 27
- Doing We – Working alliance in psychotherapeutic relationships 51
- What about you? 79
- So let’s say men can’t understand that much 105
- Relationship management by means of solution-oriented questions in German psychodiagnostic interviews 127
- The role of semi-responsive answers for relationship building in coaching 151
- Working alliance and client design as discursive achievements in first sessions of executive coaching 171
- Relationship building in oncological doctor-patient interaction 195
- Practices of relationship building in Hungarian primary care 221
- Building (dis-)affiliative medical relationships through interactional practices of knowledge management 243
- How are you getting on with these? 265
- Twitter as a helping medium 287
- Relational dimensions of organized helping 315
- Index 329
Chapters in this book
- Prelim pages i
- Table of contents v
- Practices of relationship management in organized helping 1
- Forging relationships in psychotherapeutic interaction 27
- Doing We – Working alliance in psychotherapeutic relationships 51
- What about you? 79
- So let’s say men can’t understand that much 105
- Relationship management by means of solution-oriented questions in German psychodiagnostic interviews 127
- The role of semi-responsive answers for relationship building in coaching 151
- Working alliance and client design as discursive achievements in first sessions of executive coaching 171
- Relationship building in oncological doctor-patient interaction 195
- Practices of relationship building in Hungarian primary care 221
- Building (dis-)affiliative medical relationships through interactional practices of knowledge management 243
- How are you getting on with these? 265
- Twitter as a helping medium 287
- Relational dimensions of organized helping 315
- Index 329
