Verbal exchanges in medical interviews: Concepts and measurement

William B. Stiles and Samuel M. Putnam

Social Science & Medicine, 1992, vol. 35, issue 3, 347-355

Abstract: The verbal exchange theory of medical interviews (consultations) proposes that patients and clinicians employ a joint repertoire of exchanges to accomplish their goals in the encounter. The skeleton of each exchange is a set of speech acts that tend to be used together in interviews, for example, (a) clinician questions and patient yes/no answers, or (b) clinician directives and patient agreements to comply. We describe seven principal exchanges, each of which has been identified empirically in multiple studies of interviews: Exposition, Closed Question, Checking, Direction, Inquiry, Explanation, and Instruction/ Contracts.

Keywords: medical; interview; medical; consultation; verbal; interaction; patient-clinician; relationship (search for similar items in EconPapers)
Date: 1992
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