title: ‘What Brings Him Here Today?’: Medical Problem Presentation  Involving Children with Autism Spectrum Disorders  and Typically Developing Children.
abstract: Conversation and discourse analyses were used to examine medical problem presentation in pediatric care.Healthcare visits involving children with ASD and typically developing children were analyzed. We examined how children’s communicative and epistemic capabilities, and their opportunities to be socialized into a competent patient role are interactionally achieved. We found that medical problem presentation is designed to contain a ‘pre-visit’ account of the interactional and epistemic work that children and caregivers carry out at home to identify the child’s health problems; and that the intersubjective accessibility of children’s experiences that becomes disrupted by ASD presents a dilemma to all participants in the visit. The article examines interactional roots of unmet healthcare needs and foregone medical care of people with ASD.
authors.forename: Olga
authors.initials: O
authors.lastname: Solomon
authors.forename: John
authors.initials: J
authors.lastname: Heritage
authors.forename: Larry
authors.initials: L
authors.lastname: Yin
authors.forename: Douglas W
authors.initials: DW
authors.lastname: Maynard
authors.forename: Margaret L
authors.initials: ML
authors.lastname: Bauman
mesh_terms: D000067877:Autism Spectrum Disorder / Q000523:psychology*; D016022:Case-Control Studies; D002648:Child; D003142:Communication; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D066107:Social Skills