是「限定病情敘述」而非「打斷病情敘述」:從言談分析詮釋Beckman and Frankel (1984)並應用於「開放式問診」之教學

Translated title of the contribution: 'Redirect' rather than 'interrupt': Re-interpretation of findings from Beckman and Frankel (1984) and its implication to the training of 'open style' interviewing

Research output: Contribution to journalArticlepeer-review

Abstract

Two highly-cited statistic numbers from the research by Beckman and Frankel (1984) had alerted both the medical professional and the general public with two surprising statements: doctors 'interrupted' patients' narration of their health problem on an average of '18 seconds' after the patient began to talk and only '23%' of the time were patients provided the opportunity to complete their story at the beginning of the interview. One form of interruption described by Beckman and Frankel was repetition of the patient's last statement. Medical professionals may feel confused as to how repetition of the patient's words gets interpreted as an 'interruption of patient narration' rather than encouragement. In my judgment, the use of the term 'interruption' by Beckman and Frankel might have caused readers to miss a more important message: what types of response tokens by doctors 'redirect' patient narration? In this paper, I will clarify two concepts: 'interruption' vs. 'redirection' and describe how findings from Beckman and Frankel can be applied to the discourse training of open style interviews.
Translated title of the contribution'Redirect' rather than 'interrupt': Re-interpretation of findings from Beckman and Frankel (1984) and its implication to the training of 'open style' interviewing
Original languageChinese (Traditional)
Pages (from-to)1-31
Journal人文社會與醫療學刊 = Journal of Humanities, Social Sciences and Medicine
Volume10
Publication statusPublished - 2023 May 1

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