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Two sources of miscommunication in oncology consultations: An observational study using conversation analysis

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journal contribution
posted on 16.12.2021, 10:24 by Marco PinoMarco Pino, Marilena Fatigante, Francesca Alby, Cristina Zucchermaglio
This paper investigates miscommunication in sequences of talk where an oncologist asks about patients’ comorbidities, that is, their other illnesses beyond cancer. Using conversation analysis, we examine ways in which the participants make observable and manage two sources of miscommunication: a divergence in the doctor’s and the patient’s understandings about the scope of the question; and a divergence in the doctor’s, the patient’s (and sometimes their companion’s) understandings about the matters that the question targets. Our findings have implications for practice, highlighting practices that clinicians and patients can use to manage these sources of miscommunication. These include practices to retrospectively or preemptively manage ambiguities and to check the accuracy of patients’ answers. Additionally, our study addresses some theoretical and methodological problems in the study of miscommunication. Our data consist of twenty-five outpatient first consultations video-recorded in an Italian hospital; the participants speak Italian.

History

School

  • Social Sciences and Humanities

Department

  • Communication and Media

Published in

Applied Linguistics

Volume

43

Issue

2

Pages

249 - 270

Publisher

Oxford University Press (OUP)

Version

VoR (Version of Record)

Rights holder

© The authors

Publisher statement

This is an Open Access Article. It is published by OUP under the Creative Commons Attribution 4.0 Unported Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/

Acceptance date

22/06/2021

Publication date

2021-12-14

Copyright date

2021

ISSN

0142-6001

eISSN

1477-450X

Language

en

Depositor

Dr Marco Pino. Deposit date: 22 June 2021