The interaction order and clinical practice: Some observations on dysfunctions and action steps (original) (raw)

This paper examines three dysfunctional communication processes in primary care consultations through conversation analysis: issues in problem presentation, restrictive medical questioning, and discordance in treatment recommendations. The author proposes that these dysfunctions result from misapplied normative conversational conventions that hinder effective medical communication. Emphasizing the need for physicians to recognize these dysfunctional practices rooted in everyday life, it suggests that awareness and understanding can lead to significant improvements in communication within medical settings.