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