Developing Interactional Competence: A Conversation-Analytic Study of Patient Consultations in Pharmacy

281 Pages·2012·1.512 MB·English

by  Hanh thi Nguyen

Developing Interactional Competence
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Developing Interactional
Competence
A Conversation-Analytic Study of Patient
Consultations in Pharmacy
Hanh thi Nguyen
Hawaii Pacific University, USA
Foreword by
Cecilia E. Ford
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© 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.
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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.
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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,
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Palgrave Macmillan in the US is a division of St Martin’s Press LLC,
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Palgrave Macmillan is the global academic imprint of the above companies
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the United Kingdom, Europe and other countries.
ISBN 978–0–230–27669–7
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for
Ba Me.
Guy, Liam, and Shen
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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
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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
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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
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