Article published in:
Narratives as Social Practice in Organisational ContextsEdited by Dorien Van De Mieroop, Jonathan Clifton and Stephanie Schnurr
[Narrative Inquiry 32:1] 2022
► pp. 36–65
Narrative accounts and their influence on treatment recommendations in medical interviews
Amy Fioramonte | Emory University
Previous research exploring the use of narratives in medical interviews has primarily examined the history-taking phase to
illustrate the ways in which physicians and patients discursively collaborate to organize and interpret patients’ illness experiences (Eggly, 2002; Halkowski, 2006; Stivers & Heritage, 2001). In this paper, the scope will be expanded to demonstrate that narrative accounts are
interwoven and unfold across various phases of the medical interview, not only the history-taking phase, and are utilized in a variety of
ways to collaboratively accomplish specific social practices. A narrative as talk-in-interaction approach is used to examine narrative
accounts using audio-recordings of naturally occurring medical interview data (US, American English). This paper examines the ways in which
narratives are locally occasioned to do a variety of things (e.g., raise difficult topics, actively resist treatment,
reinforce identities), including influencing the treatment decision making process.
Keywords: narratives, accounts, narrative as talk-in-interaction, physician-patient interactions, treatment recommendations, narrative medicine, healthcare communication
Article outline
- Introduction
- Background
- Narrative medicine
- Narratives in physician-patient interactions
- Intertextuality and repetition
- Methodological approach
- Narrative as talk-in-interaction
- Data
- Analysis
- Discussion and conclusions
- Notes
-
References
Published online: 27 October 2020
https://doi.org/10.1075/ni.20028.fio
https://doi.org/10.1075/ni.20028.fio
References
Antaki, C., & Widdicombe, S.
Bakhtin, M.
Blakemore, D.
Bortfeld, H.
Boyd, E., & Heritage, J.
Charon, R.
Chen, P-J., Huang, C-D., & Yeh, S-J.
Cieślicka, A. B.
Clark, J. A., & Mishler, E. G.
Curl, T. S.
De Fina, A.
De Fina, A., & Johnstone, B.
Dunmire, P.
Eggly, S.
Fioramonte, A.
Frankel, R. M.
Galatolo, R., & Drew, P.
Gordon, C.
Gordon, C., Barton, E., Meert, K. L., Eggly, S., Pollack, M., Zimmerman, J., Anand, K. J. S., Carcillo, J., Newth, C., Dean, J. M., Willson, D., & Nicholson, C.
Halkowski, T.
Hamilton, H. E.
Heritage, J., & Clayman, S.
(2010) Talk in action: Interactions, identities, and institutions. Retrieved from http://www.usf.eblib.com/patron/FullRecord.aspx?p=819449. 
Heritage, J., & Maynard, D.
Hodges, A.
Hojat, M.
Holmes, J.
Jones, C. M.
Koenig, C. J.
Kristeva, M.
Labov, W., & Waletzky, J.
Landmark, A., Gulbrandsen, P., & Svennevig, J.
Lin, S. Y., Mahoney, M. R., & Sinsky, C. A.
Lindström, A., & Weatherall, A.
Maynard, D. W.
Ong, L. M., de Haes, J. C., Hoos, A. M., & Lammes, F. B.
Pilnick, A., & Coleman, T.
Riessman, C. K.
Robinson, J. D.
Schiffrin, D.
Sharf, B.
Silverman, D.
Stivers, T.
Stivers, T., & Heritage, J.
Stivers, T., Heritage, J., Barnes, R., McCabe, R., Thompson, L., & Toerien, M.
Tannen, D.
ten Have, P.
Todd, A.
Waitzkin, H.
Webb, H.
Whalen, M. R., & Zimmerman, D. H.