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Part of
Discourses of Helping Professions
Edited by Eva-Maria Graf, Marlene Sator and Thomas Spranz-Fogasy
[Pragmatics & Beyond New Series 252] 2014
► pp. 179–203

Professional roles in a medical telephone helpline

This paper deals with the professional roles of medical advisors working in a medical help line. The analysis focuses on telephone calls with questions about the swine flu epidemic in 2009. A number of calls have been collected from the help line database and analyzed with the purpose of examining the advisors’ role shifts and adaption to the changes of the situation and the callers’ needs. This study is mainly instructed by the concept of hybridity as a main characteristic of counseling as an interaction type. Different sub-types, i.e. interaction formats, have been identified, connected to the shifting contexts of the call. Communicative tasks performed during a call can, to some degree, be regarded as typical subtypes in a modern medical help line. Phenomena such as hybridity and role shifts are thus viewed as reflections of the participants’ roles and their adaption to context, and as such a necessary trait of an advisor’s professional communicative competence.

Published online: 18 December 2014
DOI logo
https://doi.org/10.1075/pbns.252.08lan
References
Adelswärd, Viveka, and Britt-Marie Öberg
1995 “The Function of Laughter and Joking in Negotiation Activities.” In Negotiation Processes as Talk and Interaction: Interaction Analysis of Informal Negotiations, ed. by Britt-Marie Öberg, 123–142. Linköping: Tema, Linköping University.Google Scholar
Allen, Graham
2000 Intertextuality. London: Routledge.Google Scholar
Antaki, Charles
1998 “Identity Ascriptions in their Time and Place: Fagin” and “The terminally Dim”.” In Identities in Talk, ed. by Charles Antaki, and Sue Widdicombe, 71–86: London: Sage.Google Scholar
Bäck, Monica Anderson
2008 Conceptions, Conflicts and Contradictions in the Introduction of a Swedish Health Call Centre. Göteborg: Skrifter från institutionen för arbetsvetenskap 4. Gothenburg University.Google Scholar
Baker, Carolyn D., Michael Emmison, and Alan Firth
2005 Calling for Help: Language and Social Interaction in Telephone Helplines. Amsterdam: John Benjamins Publishing Co. DOI logoGoogle Scholar
Barge, Kevin J., and Martin Little
2008 “A Discursive Approach to Skillful Activity.” Communication Theory 18 (4): 505–534. DOI logoGoogle Scholar
Boyd, Elizabeth, and John Heritage
2006 “Taking the History. Questioning during Comprehensive History-Taking.” In Communication in Medical Care: Interaction between Primary Care Physicians and Patients, ed. by John Heritage, and Douglas Maynard. Cambridge: Cambridge University Press.Google Scholar
Culpeper, Jonathan, Robert Crawshaw, and Julia Harrison
2008 “‘Activity Types’ and ‘Discourse Types’: Mediating ‘Advice’ in Interactions Between Foreign Language Assistants and Their Supervisors in Schools in France and England.” Multilingua 27 (4): 297–324. DOI logoGoogle Scholar
Fairclough, Norman L
1992 Discourse and Text: Linguistic and Intertextual Analysis within Discourse Analysis. Discourse Society, Vol. 3 no. 2. pp. 193–217. DOI logoGoogle Scholar
Halkowski, Timothy
2006 “Realizing the Illness: Patients’ Reports of Symptom Discovery in Primary Care Visits.” In Communication in Medical Care: Interaction between Primary Care Physicians and Patients, ed. by John Heritage, and Douglas Maynard, 86–114. 
Cambridge: Cambridge University Press. DOI logoGoogle Scholar
Harris, Sandra
2003 “Politeness and power: Making and responding to ‘requests’ in institutional settings”. Text 23 (1): 27–52.DOI logoGoogle Scholar
Haskard, Kelly B., Williams, Summer L., DiMatteo, M. Robin, Heritage, John, and Rosenthal, Robert
2008 “The provider’s voice: Patient satisfaction and the content-filtered speech of nurses and physicians in primary medical care”. Journal of Nonverbal Behavior 32 (1): 1–20. DOI logoGoogle Scholar
Haskard, Kelly, Robin DiMatteo, and John Heritage
2009 “Affective and Instrumental Communication in Primary Care Interactions: Predicting the Satisfaction of Nursing Staff and Patients.” Health Communication 24 (1): 21–32. DOI logoGoogle Scholar
Heritage, John
1984 Garfinkel and Ethnomethodology. Cambridge/New York: Polity Press.Google Scholar
Heritage, John, and Douglas Maynard
(eds) 2006 Communication in Medical Care: Interaction between Primary Care Physicians and Patients. Cambridge: Cambridge University Press. DOI logoGoogle Scholar
Heritage, John, and Sue Sefi
1992 “Dilemmas of Advice: Aspects of the Delivery and Reception of Advice in Interaction between Health Visitors and First-Time Mothers.” In Talk at work. Interaction in Institutional Settings, ed. by Paul Drew, and John Heritage, 359–417. Cambridge: Cambridge University Press.Google Scholar
Hutchby, Ian, and Robin Wooffitt
1998 Conversation Analysis: Principles, Practices and Applications. Malden: Blackwell.Google Scholar
Kamberelis, George
2001 “Producing of Heteroglossic Classroom (Micro) cultures Through Hybrid Discourse Practice.” Linguistics and Education 12 (1): 85–125. DOI logoGoogle Scholar
Landqvist, Håkan
2001 Råd och ruelse: moral och samtalsstrategier i Giftinformationscentralens telefonrådgivning. Uppsala: Acta Universitatis Upsaliensis.Google Scholar
Landqvist, Mats
2006 Förhandlares kommunikativa kompetens [Communicative competence of negotiators]. V:a Frölunda: Örebro University.Google Scholar
2011 Samtal i kris. Projektrapport. Myndigheten för samhällsskydd och beredskap [report from the Swedish agency of contingency]. Stockholm: MSB.Google Scholar
2012 “Expertkunskap i praktisk krisberedskap – en sjukvårdsrådgivare argumenterar.” Rhetorica Scandinavica 61: 58–76.Google Scholar
Leach, Joan
2011 “How Do You Talk to a Patient? A Question of Decorum.” In Rhetorical Questions of Health and Medicine, ed. by Joan Leach, Deborah Dysart-Gale, Carol Berkenkotter, 
Monika Cwiartka, Colleen Derkatch, Lisa Keränen, Judy Z. Segal, and Philippa Spoel, 181–194. Plymouth: Lexington books.Google Scholar
Leppänen, Vesa
2002 Telefonsamtal till primärvården. Problem, utforskning, åtgärd. Lund: Stockholm.Google Scholar
Levinson, Stephen C
1979 “Activity Types and Language.” Linguistics 17 (5–6): 365–400. DOI logoGoogle Scholar
Linell, Per
2009 Rethinking Language, Mind, and World Dialogically: Interactional and Contextual Theories of Human Sense-making. Charlotte: Information Age Publishing.Google Scholar
Mishler, Eliot G
1984 The Discourse of Medicine: Dialectics of Medical Interviews. New Jersey: Ablex Publishing Corporation. Google Scholar
Pilnick, Alison, Jon Hindmarsh, and Virginia Teas Gill
2010 Communication in Healthcare Settings: Policy, Participation and New Technologies. Hoboken: Wiley-Blackwell. DOI logoGoogle Scholar
Potter, Jonathan
1996 Representing Reality: Discourse, Rhetoric and Social Construction. Los Angeles: Sage Publications. DOI logoGoogle Scholar
Roberts, Celia, and Srikant Sarangi
2003 “Uptake of Discourse Research in Interprofessional Settings: Reporting from Medical Consultancy.” Applied Linguistics 24 (3): 338–359. DOI logoGoogle Scholar
Runius, Lena
2008 “Sjukvårdsrådgivning – det goda samtalet.” In Telefonrådgivning inom hälso- och sjukvård, ed. by Inger Holmström, 63–78. Inger Lund: Studentlitteratur.Google Scholar
Sahlsten, Monika
2008 Ömsesidighet i förhandling. Sjuksköterskors förutsättningar för och erfarenheter av att främja patientdelaktighet. Göteborg University: Sahlgrenska Academy.Google Scholar
Sarangi, Srikant
2000 Activity types, discourse types and interactional hybridity. The case of genetic counselling. In Discourse and social life, ed. by S. Sarangi & M. Coulthard (eds.), 1–27. London: Pearson.Google Scholar
2010a Practicing discourse analysis in health care settings. The SAGE handbook of qualitative research. Cornwall: SAGE.Google Scholar
2010b “Healthcare Interaction as an Expert Communicative System.” In New Adventures in Language and Interaction, ed. by Ian Streeck, 167–197. Amsterdam: John Benjamins. DOI logoGoogle Scholar
Sarangi, Srikant, and Stef Slembrouck
1996 Language, Bureaucracy, and Social Control. 
London: Longman.Google Scholar
Sarangi, Srikant, and Celia Roberts
1999 Talk, Work and Institutional Order: Discourse in Medical, Mediation, and Management Settings. Berlin: de Gruyter. DOI logoGoogle Scholar
Sarangi, Srikant, and Christopher N. Candlin
2011 “Applied Linguistics and Professional Practice: Mapping a Future Agenda.” Journal of Applied Linguistics & Professional Practice 7 (1): 1.Google Scholar
Schegloff, Emanuel
1992 “On Talk and its Institutional Occasions.” In Talk at Work. Interaction in Institutional Settings, ed. by Paul Drew, and John Heritage, 101–136. Cambridge: Cambridge University Press.Google Scholar
Schryer, Catherine F., and Philippa Spoel
2005 “Genre Theory, Health-care Discourse, and Professional Identity Formation.” Journal of Business and Technical Communication 19 (3): 249. DOI logoGoogle Scholar
Sorjonen, Marja-Leena, Liisa Raevaara, Markku Haakana, Tuukka Tammi, and Anssi Perikylä
2006 “Lifestyle Discussions in Medical Interviews.” In Communication in Medical Care: Interaction between Primary Care Physicians and Patients, ed. by Paul Drew, and John
 Heritage, 340–481. Cambridge: Cambridge University Press. DOI logoGoogle Scholar
Spoel, Philippa
2011 “How Do Midwives Talk With Women? The Rhetorical Genre of Informed Choice in Midwifery.” In Rhetorical Questions of Health and Medicine, ed. by 
Deborah Dysart-Gale, 97–128. Plymouth: Lexington Books.Google Scholar
Steensig, Jakob
2012 Conversation Analysis and Affiliation and Alignment. Cambridge: Wiley-Blackwell.Google Scholar
Ström, Mayvor
2008 Telefonrådgivning - en verksamhet i tiden: studier ur ett patient och sjuksköterskeperspektiv. Göteborg: University of Gothenburg. Sahlgrenska Academy.Google Scholar
Teas Gill, Virginia, and Douglas Maynard
2006 “Explaining Illness: Patients’ Proposals and Physicians’ Responses.” In Communication in Medical Care: Interaction between Primary Care Physicians and Patients, ed. by John Heritage, and Douglas Maynard, 115–150. 
Cambridge: Cambridge University Press. DOI logoGoogle Scholar
Tutton, Elizabeth M.M
2005 “Patient Participation on a Ward for Frail Older People.” Journal of Advanced Nursing 50 (2): 143–152. DOI logoGoogle Scholar
van Dijk, Teun
2009 Society and Discourse: How Social Contexts Influence Text and Talk. 
Cambridge: Cambridge University Press. DOI logoGoogle Scholar
Wahlberg, Anna Carin, Elisabet Cedersund, and Regina Wredling
2003 “Telephone Nurses’ Experience of Problems with Telephone Advice in Sweden.” Journal of Clinical Nursing 12 (1): 37–45. DOI logoGoogle Scholar
Weathersby, Elisabeth, and Douglas Maynard
2010 “Dialling for Donations: Practices and Actions in the Telephone Solicitation for Human Tissues.” In Communication in Healthcare Settings: Policy, Participation and New Technologies, ed. by Alison Pilnick, Jon Hindmarsh, and Virginia Teas Gill, 17–30. London: Wiley-Blackwell. DOI logoGoogle Scholar
Webb, Helena
2010 “I’ve Put Weight on Cos I’ve Bin inactive, Cos I’ve ‘ad me Knee Done: Moral Work in the Obesity Clinic.” In Communication in Healthcare Settings: Policy, Participation and New Technologies, ed. by Alison Pilnick, Jon Hindmarsh, and Virginia Teas Gill, 66–82. London: Wiley-Blackwell. DOI logoGoogle Scholar