Verbal exchanges in medical interviews: concepts and measurement.
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.
Stiles
W B
WB
Department of Psychology, Miami University, Oxford, OH 45056.
Putnam
S M
SM
D006801:Humans; D008487:Medical History Taking; D010808:Physical Examination / Q000523:psychology; D010817:Physician-Patient Relations; D012803:Sick Role; D014705:Verbal Behavior