Interaction and conversational constrictions in the relationships between suppliers of services and immigrant users: Carmen Valero-Garcés

Carmen Valero-Garcés
Abstract

This article deals with aspects of interaction between doctors and immigrant users whose native language is not Spanish (immigrant non-native speakers of Spanish: INNSS) in healthcare centers in Spain. The methodological focus is based on institutional conversation analysis following Drew and Heritage’s studies (Drew & Heritage 1992; Heritage 1997; Drew and Sarjonen 1997), and ethnographic research (Cicourel 1992). It is my intention to examine the characteristics and peculiarities -if any- of doctor-patient interaction when the participants are immigrants and non-native speakers of Spanish who are not fluent in the language of interaction, in this case Spanish. The study is based on quantitative and qualitative data which come from surveys and recordings carried out in healthcare centers in northern Madrid, Spain, during 2000 - 2001.

Keywords:
Quick links
A browser-friendly version of this article is not yet available. View PDF
Atkinson, J. Maxwell, and Paul Drew
(1979) Order in Court: The Organisation of Verbal Interaction in Judicial Settings. London: MacMillan. DOI logoGoogle Scholar
Atkinson, J. Maxwell, and John Heritage
(eds.) (1984) Structures of social action: Studies in conversation analysis. Cambridge: Cambridge University Press.  BoPGoogle Scholar
Atkinson, Paul
(1999) Medical discourse, evidentiality and the construction of professional responsibility. In Srikant Sarangi & Celia Roberts (eds.), Talk, Work, and Institutional Order: Discourse in Medical, Mediation and Management Settings. New York: Mouton de Gruyter, pp. 75-106. DOI logoGoogle Scholar
Borrell I Carrio, F
(1999) Manual de entrevista clínica. Barcelona: Doyma.Google Scholar
Cicourel, Aaron
(1987) Cognitive and organizational aspects of medical diagnostic reasoning. Discourse Processes 10: 346-367. DOI logo  BoPGoogle Scholar
(1992) The interpenetration of communicative contexts: Examples from medical encounters. In Charles Goodwin & A. Duranti (eds.), Rethinking Context. Cambridge: Cambridge University Press.Google Scholar
(1995) Medical speech events as resources for inferring differences inexpert-novice diagnostic reasoning. In U.M. Quasthoff (ed.), Aspects of Oral Communication. Berlin: W. de Gruyter. DOI logoGoogle Scholar
Conley, J.M., and W.M. O ΄Barr
(1990) Rules versus Relationships: The Etnography of Legal Discourse. Chicago: University of Chicago Press.Google Scholar
Coupland, J., J.D. Robinson, and N. Coupland
(1994) Frame negotiation in doctor-elderly patient consultations. Discourse and Society 5.1: 89-124. DOI logo  BoPGoogle Scholar
Coupland, N., H. Giles, and J.M. Wiemann
(eds.) (1991) Miscommunication and Problematic Talk. London: Sage.Google Scholar
Diaz, Félix
(1999) Asimetría profesional en la consulta de oncología: Algunas constricciones conversacionales de la clínica. Discurso y Sociedad 1.4: 35-68.Google Scholar
Drew, Paul, and Marja-Leena Sorjonen
(1997) Institutional dialogue. In Teun A. Van Dijk (ed.), Disourse as Social Interaction. Londres: Sage, pp. 92-118.Google Scholar
Drew, Paul, and John Heritage
(eds.) (1992) Talk at work. Cambridge: Cambridge University Press.  BoPGoogle Scholar
Fisher, S
(1983) Doctor talk/patient talk. In S. Fisher & A.D. Todd (eds.), 1993. The Social Organization of Doctor-Patient Communication. 2nd edition a edc. Norwood, NJ: Ablex.  BoPGoogle Scholar
Frankel, R.M
(1990) Talking in interviews: A dispreference for patient-initiated question in physician-patient encounters. In G. Pasathas (ed.), Interaction Competence. Washington DC: University Press of America, pp. 231-62.Google Scholar
Giles, H., and P. Powesland
(1997) Accommodation theory. In N. Coupland and A. Jaworski (eds.), Sociolinguistics. A Reader Coursebook. London: Routledge, pp. 232-239.Google Scholar
Hak, Tony
(1994) The interactional form of professional dominance. Sociology of Heart and Illness 16: 469-488. DOI logoGoogle Scholar
Heritage, John
(1997) Conversation analysis and institutional talk. In David Silverman (ed.), Qualitative Research: Theory, Method and Practice. Londres: Sage, pp. 161-182.Google Scholar
Heritage, John, and Marja-Leena Sorjonen
(1994) Constituting and maintaining activities across sequences: and-prefacing as a feautre between health visitors and first time mothers. Language in Society 23.1: 1-19. DOI logo  BoPGoogle Scholar
Heritage, John, and D. Greatbach
(1991) On the institutional character of institutional talk: The case of news interviews. In D. Boden & D. Zimmerman (eds.), Talk and Social Structure. Studies in Ethnomethodology and Conversation Analysis. Cambridge: Cambridge University Press, pp. 359-417.  BoPGoogle Scholar
Heritage, John, and A.L. Roth
(1995) Grammar and institution: Questions and questioning in broadcast media. Research on Language and Social Interaction 28.1: 1-60. DOI logo  BoPGoogle Scholar
Long, A
(1983) Linguistic and conversational adjustments to non-native speakers. Studies in Second Language Acquisition 5.2: 177-193. DOI logoGoogle Scholar
Maynard, D.W
(1984) Inside Plea Bargaining: The Language of Negotiations. New York: Plenum Press. DOI logoGoogle Scholar
(1989) On the ethnography and analysis of discourse in institutional settings. Perspectives on Social Problems 1: 127-146.Google Scholar
(1992) On clinicians co-implicating recipients΄ perspective in the delivery of diagnostic news. In Paul Drew & John Heritage (eds.), Talk at Work. Cambridge: Cambridge University Press.Google Scholar
Mishler, Elliot
(1984) The Discourse of Medicine: Dialectics of Medical Interviews. Norwood, NJ: Ablex.Google Scholar
(1994) The struggle between the voice of medicine and the voice of the lifeworld. In P. Conrad & R. Kern (eds.), The Sociology of Health and Illness: Critical Perspectives. New York: St. Martin’s, pp. 288-300.Google Scholar
Sarangi, Srikant, and Celia Roberts
(1999) Talk, work and institutional order. Berlin: Mouton de Gruyter. DOI logo  BoPGoogle Scholar
Silverman, David
(1987) Communication and Medical Practice: Social Relations in the Clinic. London: Sage.Google Scholar
Valero Garcés, Carmen
(2002) Análisis conversacional de las interacciones entre proveedores de servicios y usuarios inmigrantes en los centros de salud. Oralia 52002: 265-296.Google Scholar
Ventola, E
(1987) The structure of social interaction: Systematic approach to the semiotics of service encounters. London: Francis Pinter.  BoPGoogle Scholar
West, C
(1984) Routine complications: Troubles with talk between doctors and patients. Bloomington, IN: Indiana University Press.Google Scholar
(1990) Not just ‘doctors’ orders. Discourse & Society 1.1: 85-112. DOI logoGoogle Scholar
Wodak, R
(1996) Disorders of discourse. London: Longman.  BoPGoogle Scholar
Zuengler, John
(1991) Accommodation in native-non-native interactions: Going beyond the 'what' to the 'why' in second language research. In H. Giles, J. Coupland & N. Coupland (eds.), Contexts of Accommodation. Cambridge: Cambridge University Press, pp. 223-244. DOI logoGoogle Scholar