The journey to advice
Balancing certainty and uncertainty in doctor delivery of expert opinion
The paper deals with the formulation of advice delivered by the doctor in routine gynecological consultations with pregnant patients. We analyze episodes in which the patients solicit advice for a number of concerns related to their health and overall life habits during their pregnancy. We show how the doctor’s formulation of the advice is sequentially elaborated through rounds and how it changes from its initial delivery to the final formulation. In these rounds, we show that the doctor’s advice may progressively lose certainty and coherence, encountering changes from its initial delivery to the final formulation. This is sequentially dealt as a strategic resource to adjust to the patient’s expression of resistance and to solicit her to choose the preferred course of action.
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Cited by
Cited by 1 other publications
Caronia, Letizia & Federica Ranzani
2024.
Epistemic Trust as an Interactional Accomplishment in Pediatric Well-Child Visits: Parents’ Resistance to Solicited Advice as Performing Epistemic Vigilance.
Health Communication 39:4
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