Doctor-patient communication is pivotal for the delivery of effective health care, patient satisfaction and retention, and the development of patient loyalty to the provider. However, the ...interactional dynamics of loyalty in real-life communication are left underexplored. In this regard, this study aims to examine and analyze loyalty in naturally occurring routine chronic encounters. Based on audio-recordings collected in a state-run tier-three hospital in China, the study uses conversation analysis to examine the sequential placement of loyalty display and its interactional functions in different environments. The findings report two sequential environments where loyalty display emerges: the opening and closing phases. The findings also show that loyalty is mainly produced by the patient to display affiliation and commitment, indicate their preferred treatment options, and rekindle a disconnected relationship. This work contributes to a more nuanced understanding of loyalty display in service and institutional encounters.
•Patient loyalty often occurs in medical openings and closings.•It displays affiliation and commitment.•It may suggest a particular treatment.•It may be provided to repair a relationship.
Actions in practice Clift, Rebecca; Raymond, Chase Wesley
Discourse studies,
02/2018, Letnik:
20, Številka:
1
Journal Article
Recenzirano
Odprti dostop
Several of the contributions to the Lynch et al. Special issue make the claim that conversation-analytic research into epistemics is ‘routinely crafted at the expense of actual, produced and ...constitutive detail, and what that detail may show us’. Here, we seek to address the inappositeness of this critique by tracing precisely how it is that recognizable actions emerge from distinct practices of interaction. We begin by reviewing some of the foundational tenets of conversation-analytic theory and method – including the relationship between position and composition, and the making of collections – as these appear to be primary sources of confusion for many of the contributors to the Lynch et al. Special Issue. We then target some of the specific arguments presented in the Special Issue, including the alleged ‘over-hearer’s’ writing of metrics, the provision of socalled ‘alternative’ analyses and the supposed ‘crafting’ of generalizations in epistemics research. In addition, in light of Lynch’s more general assertion that conversation analysis (CA) has recently been experiencing a ‘rapprochement’ with what he disparagingly refers to as the ‘juggernaut’ of linguistics, we discuss the specific expertise that linguists have to offer in analyzing particular sorts of interactional detail. The article as a whole thus illustrates that, rather than being produced ‘at the expense of actual, produced and constitutive detail’, conversation-analytic findings – including its work in epistemics – are unambiguously anchored in such detail. We conclude by offering our comments as to the link between CA and linguistics more generally, arguing that this relationship has long proven to be – and indeed continues to be – a mutually beneficial one.
The present study contributes to a well-established line of applied linguistics research in educational contexts on how teachers can make connections between their students' out-of-school knowledge ...and experiences and what they learn in the classroom by examining a hitherto under-explored context, namely English-medium-instruction (EMI) mathematics classes in Hong Kong (HK). Adopting a translanguaging perspective, the study examines how fluid and dynamic meaning-making practices afford opportunities for teachers to bring the outside into the EMI classroom in order to support the students' learning of new academic knowledge. The data for the present paper is based on a linguistic ethnography project in a HK secondary school where EMI is practised. Multimodal Conversation Analysis is carried out on the classroom interactional data, triangulated with the video-stimulated-recall-interview data analysed using Interpretative Phenomenological Analysis. The findings demonstrate how the teacher constructs a translanguaging space by integrating the students’ everyday life experience in an institutional learning space. It is argued that translanguaging thus helps to transform the EMI classroom into a lived experience, which in turn enhances content learning. The theoretical and pedagogical implications for EMI in other contexts are explored.
This study uses conversation analysis to investigate how drawings made by artists while explaining stage design for performing arts productions are organized through interactional practices to ...influence how the drawings are seen. When producing theatrical art, artists often draw pictures, such as of stage design elements or animations to be projected onto the stage, to share their ideas with others. The present study analyzes how participants visualize relationships between objects using drawing practices. The findings demonstrate that drawn pictures are differentially structured as preliminary and main in combination with speech, body movements, and the arrangement of tools. Furthermore, these practices of producing pictures can be used for the hierarchization of objects with respect to the distinction between the background and foreground. In addition, the findings show that seeing multilayered structures is linked to the construction of procedures for setting the stage.
Denne artikel præsenterer etnometodologisk konversationsanalyse (EMCA) som en tilgang til at studere arbejdslivspraksisser i realtid. Den tager udgangspunkt i den aktuelle diskussion af, hvordan et ...praksisteoretisk perspektiv kan informere arbejdslivsforskningen, men fokuserer på de metodologiske implikationer af dette perspektiv. Den introducerer de grundlæggende principper i EMCA, og den diskuterer de praktiske konsekvenser for produktionen og bearbejdningen af empirisk materiale. Den eksemplificerer de analytiske principper i EMCA med udgangspunkt i en analyse af organiseringen af arbejdstid i fleksibelt vidensarbejde, og den diskuterer de mulige begrænsninger ved EMCA som en tilgang til at studere arbejdslivspraksisser med udgangspunkt i en diskussion af kontekstbegrebet.
This volume concerns the structure and use of fixed expressions in a range of typologically, genetically and areally distinct languages. The chapters consider the use contexts of fixed expressions, ...at the same time taking seriously the need to account for their structural aspects. Formulaicity is taken here as a central feature of everyday language use, and fixed expressions as a basic utterance building resource for interaction. Our crosslinguistic investigation suggests that humans have the propensity to automatize ways to handle various discourse-level needs for specific sequential contexts by creating (semi-)fixed expressions based on frequent patterns. The chapters examine topics such as the degrees and types of fixedness, the emergence of fixed expressions, their connection to social action, the new understanding of traditional linguistic categories in light of fixedness, crosslinguistic variation in types of fixed expressions, as well as their non-verbal aspects. The volume situates the notion of 'units' of language at the intersection of interaction and formal structure as part of a larger effort to replace rule-based conceptions of language with a more dynamic, realistic and pragmatically based model of language. The articles are based on naturally occurring data, mostly everyday conversation, in English, Estonian, Finnish, Japanese, Mandarin, and Swedish, with some crosslinguistic comparison.
Abstract
This paper presents a study of Arabic waḷḷāhi (lit. 'by God') and English really when they are used interactionally as newsmarks. The literature has claimed that the role of newsmarks in ...conversation is to treat prior talk as news, to open up a slot for further talk, to express doubt or disbelief, and to implement requests for confirmation. A close analysis of waḷḷāhi and really shows that they do not necessarily follow the patterns described by previous research. Instead, the data suggest that newsmarks primarily contribute to the construction of prior talk as remarkable, that is, tellable and noteworthy; and that some previously described functions are epiphenomenal of this more basic property. The data are recordings of naturally occurring everyday conversations in British English and Egyptian Arabic, with English translations.
This study explores aspects of experiencing space, focusing on uses of the Japanese proximal spatial deictic expressions (JPSDs). These expressions may or may not be accompanied by a pointing ...gesture. In the analysis of interactions between the driver and passengers during a car trip, this study compares the uses of JPSDs and investigates how the participants organize their spatial experiences. It makes three observations: (1) a JPSD used with a pointing gesture differentiates a spatial feature as its referent in the environment, (2) a JPSD without a pointing gesture refers to the participants' current location and organizes the location as experienced in the temporal unfolding of the ongoing driving activity, and (3) a pointing gesture, accompanying a JPSD referring to the participants’ current location, positions this location in its geographical relationships with other landmarks. How spatial experiences are organized varies according to what activity the participants are currently engaging in. Spatial experiences involve temporal and social dimensions.
•This study focuses on the uses of Japanese proximal spatial deictic terms (JPSDs).•Spatial experiences vary according to the different uses of JPSDs.•JPSDs may differentiate a location in the landscape as a site for a specific action.•JPSDs may position the current location in temporality.•JPSDs may position the current location in geographical relationships.
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