Article published in:Discourses of Helping Professions
Edited by Eva-Maria Graf, Marlene Sator and Thomas Spranz-Fogasy
[Pragmatics & Beyond New Series 252] 2014
► pp. 289–314
Neurologists' approaches to making psychosocial attributions in patients with functional neurological symptoms
Doctors perceive consultations with patients with functional neurological symptoms (FNS) as challenging because of the dichotomy between the psychosocial nature of the symptoms and patients’ perceptions that their condition is essentially physical. Through conversation analysis, we describe some communicative strategies neurologists employ to make psychosocial attributions, ranging from unilateral to more bilateral approaches. In unilateral approaches doctors employ general explanations about the psychosocial aetiology, thereby pre-empting any potential resistance. In bilateral approaches, doctors actively involve patients in discussing potential psychosocial causes, by also making direct and specific psychosocial attributions. These practices display doctors’ great caution in this communicative task; and they exhibit an hybridization with those employed by psychologists, which might be strictly linked to this type of patients.
Published online: 18 December 2014
Antaki, Charles, Rebecca Barnes, and Ivan Leudar
2004 “Trouble in Agreeing on a Client’s Problem in a Cognitive-Behavioural Therapy”. Rivista di Psicolinguistica Applicata 4: 127–138.
Bergmann, Jörg R.
1992 “Veiled Morality: Notes on Discretion in Psychiatry.” In Talk at Work. Interaction in Institutional Settings, ed. by Paul Drew, and John Heritage, 137–62. Cambridge, UK: Cambridge University Press.
Burbaum, Christina, Anne-Maria Stresing, Kurt Fritzsche, Peter Auer, Michael Wirsching, and Gabriele Lucius-Hoene
Carson, Alan J., Brigitte Ringbauer, Jon Stone, Lesley McKenzie, Charles Warlow, and Michael Sharpe
Collins, Sarah, Paul Drew, Ian Watt, and Vikki Entwistle
Duncan, Roderick, Saif Razvi, and Sharon Mulhern
Hall-PatchLindsey, Richard Brown, Allan House, Stephanie Howlett, Steven Kemp, Gemma Lawton, Rebecca Mayor, Phil Smith, and Markus Reuber
Heritage, John, and Raymond Geoffrey
Howlett, Stephanie, Richard Grünewald, Aijat Khan, and Markus Reuber
2007 “Engagement in Psychological Treatment for Functional Neurological Symptoms – Barriers and Solutions.” Psychotherapy: Theory, Research, Practice , Training 44 (3): 354–360.
1988 “Notes on a Possible Metric Which Provides for a ‘Standard Maximum’ Silence of Approximately One Second in Conversation.” In Conversation: An Interdisciplinary Perspective, ed. by Roger Derek, and Peter Bull, 1–83.Clevedon, UK: Multilingual Matters[Expanded Version in Tilburg Papers in Language and Literature, No. 42, (1983).].
1991 “List Construction as a Task and Resource.” In Interactional Competence, ed. by George Psathas, 63–92. New York, NY: Irvington Publishers.
Joosten, Alard, Harrie Mazeland, and Betty Meyboom-de Jong
Kanaan, Richard A., David Armstrong, and Simon C. Wessely
Marchant-Haycox, Susan, and Peter Salmon
Maynard, Douglas W.
Mayor, Rebecca, Richard Grunewald, and Markus Reuber
Monzoni, Chiara M., Duncan Roderick, Richard Grünewald, and Markus Reuber
Monzoni, Chiara M., Duncan Roderick, Richard Grünewald, Sharrack Basil, and Markus Reuber
2012 Psychogenic Non-epileptic Seizures: How Doctors Use Labels When they Communicate and Explain the Diagnosis. Sheffield, UK: MIMEO University of Sheffield.
1984 “Agreeing and disagreeing with assessments: Some features of preferred/dispreferred turn shapes." In Strucures of Social Action, ed. by John Maxwell Atkinson, and John Heritage, 57–101. Cambridge: Cambridge University Press.
Reuber, Markus, Alex J. Mitchell, Stephanie Howlett, and Christian E. Elger
Reuber, Markus, Christine Burness, Stephanie Howlett, John Brazier, and Richard Grünewald
Risør, Mette B.
1987 “On the Preferences for Agreement and Contiguity in Sequences in Conversation.” In Talk and Social Organization, ed. by Graham Button, and John Re Lee, 54–69. Clevendon: Multilingual Matters.
Schegloff, Emmanuel A.
Stivers, Tanya, and Federico Rossano
Teas-Gill, Virginia, and Douglas-W. Maynard
2007 “What is it Like to Receive a Diagnosis of Non-Epileptic Seizures.” Unpublished D.Phil dissertation. University of Sheffield, United Kingdom.