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Verbal exchanges in medical interviews: Concepts and measurement

Author

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  • Stiles, William B.
  • Putnam, Samuel M.

Abstract

The verbal exchange theory of medical interviews (consultations) proposes that patients and clinicians employ a joint repertoire of exchanges to accomplish their goals in the encounter. The skeleton of each exchange is a set of speech acts that tend to be used together in interviews, for example, (a) clinician questions and patient yes/no answers, or (b) clinician directives and patient agreements to comply. We describe seven principal exchanges, each of which has been identified empirically in multiple studies of interviews: Exposition, Closed Question, Checking, Direction, Inquiry, Explanation, and Instruction/ Contracts.

Suggested Citation

  • Stiles, William B. & Putnam, Samuel M., 1992. "Verbal exchanges in medical interviews: Concepts and measurement," Social Science & Medicine, Elsevier, vol. 35(3), pages 347-355, August.
    • Handle: RePEc:eee:socmed:v:35:y:1992:i:3:p:347-355
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    Cited by:

    1. McCormack, Lauren A. & Treiman, Katherine & Rupert, Douglas & Williams-Piehota, Pamela & Nadler, Eric & Arora, Neeraj K. & Lawrence, William & Street Jr., Richard L., 2011. "Measuring patient-centered communication in cancer care: A literature review and the development of a systematic approach," Social Science & Medicine, Elsevier, vol. 72(7), pages 1085-1095, April.

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