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Control in communication between eld...
~
Phillips, Gary Lee.
Control in communication between elderly patients and physicians: A formalized approach to conversational topics.
紀錄類型:
書目-電子資源 : 單行本
正題名/作者:
Control in communication between elderly patients and physicians: A formalized approach to conversational topics./
作者:
Phillips, Gary Lee.
面頁冊數:
262 p.
附註:
Source: Dissertation Abstracts International, Volume: 54-08, Section: A, page: 2799.
Contained By:
Dissertation Abstracts International54-08A.
標題:
Gerontology. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9403108
Control in communication between elderly patients and physicians: A formalized approach to conversational topics.
Phillips, Gary Lee.
Control in communication between elderly patients and physicians: A formalized approach to conversational topics.
- 262 p.
Source: Dissertation Abstracts International, Volume: 54-08, Section: A, page: 2799.
Thesis (Ph.D.)--Southern Illinois University at Carbondale, 1993.
Topic placement and topic development are two primary indicators of control and influence in conversations. This study has examined the use and effectiveness of specific Topic Influence Devices (TIDs) in the physician-patient context. A typology of sixteen such TIDs was developed. After a pilot study, it was applied to a set of twenty-four audio-taped physician-patient visits.Subjects--Topical Terms:
168436
Gerontology.
Control in communication between elderly patients and physicians: A formalized approach to conversational topics.
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Control in communication between elderly patients and physicians: A formalized approach to conversational topics.
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262 p.
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Source: Dissertation Abstracts International, Volume: 54-08, Section: A, page: 2799.
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Major Professor: Michael Parkinson.
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Thesis (Ph.D.)--Southern Illinois University at Carbondale, 1993.
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Topic placement and topic development are two primary indicators of control and influence in conversations. This study has examined the use and effectiveness of specific Topic Influence Devices (TIDs) in the physician-patient context. A typology of sixteen such TIDs was developed. After a pilot study, it was applied to a set of twenty-four audio-taped physician-patient visits.
520
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Five hypotheses were presented. The first stated that individuals would favor certain TIDs more than others. This was addressed by identifying the devices that were favored most, and by identifying variation among individuals. This variation was explored further in hypothesis two which stated that there would be a difference because of the role of the individual (physician or patient). Both hypotheses were supported.
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The third hypothesis speculated that, because of the greater power and status of physicians, they would be more successful in placing topics than patients. This hypothesis was confirmed. However, status and power were found to be less important than understanding the rules governing conversation in the visit.
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The fourth and fifth hypotheses were based on the importance physician power was thought to have in hypothesis three. The expectation was that, because of the power imbalance, patients would adapt to physicians, but physicians would not adapt to patients. These hypotheses were not confirmed. The reverse appeared to be true. Because physicians understood the communication rules for this situation, they knew how to adapt to the patient to achieve their goals more quickly and easily.
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This study adds to the body of literature in physician-patient communication related to topic control, communication impacts and effectiveness for elderly patients, and adaptation. The traditional three segments of the physician-patient visit are discussed according to the devices used to achieve the desired purpose.
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