Artículos de revistas
The public, the private and the intimate in doctor-patient communication: admission interviews at an outpatient mental health care service
Fecha
2013-07Registro en:
Bonnin, Juan Eduardo; The public, the private and the intimate in doctor-patient communication: admission interviews at an outpatient mental health care service; Sage Publications; Discourse Studies; 15; 6; 7-2013; 687-711
1461-4456
Autor
Bonnin, Juan Eduardo
Resumen
This article analyzes doctor–patient communication at admission interviews in an outpatient mental health care service at a public hospital in Buenos Aires, Argentina. These interviews are the first contact between professionals and patients, and they result in the admission or rejection of the latter into the medical institution. In particular, we observe how context, understood as a sociocognitive and scalar concept, is reshaped with gaze direction and agenda-setting through interaction, resulting in three hierarchical spaces which can be represented as degrees in a scale: the public, the private, and the intimate level. This description will allow us to understand a series of communicative difficulties that may result from scale maladjustments, in which professionals interact with patients at different levels and therefore cannot give adequate feedback to satisfy mental health care needs.