Concessions in audiology

Matthews, Ben and Heinemann, Trine (2015). Concessions in audiology. In Fabienne H. C. Chevalier and John Moore (Ed.), Producing and managing restricted activities: avoidance and withholding in institutional interaction (pp. 337-367) Amsterdam, The Netherlands: John Benjamins Publishing Company. doi:10.1075/pbns.255

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Author Matthews, Ben
Heinemann, Trine
Title of chapter Concessions in audiology
Title of book Producing and managing restricted activities: avoidance and withholding in institutional interaction
Place of Publication Amsterdam, The Netherlands
Publisher John Benjamins Publishing Company
Publication Year 2015
Sub-type Research book chapter (original research)
DOI 10.1075/pbns.255
Series Pragmatics and beyond new series
ISBN 9789027256607
ISSN 0922-842X
Editor Fabienne H. C. Chevalier
John Moore
Volume number 255
Chapter number 11
Start page 337
End page 367
Total pages 31
Total chapters 11
Collection year 2016
Language eng
Abstract/Summary Previous studies of clinical settings show that patients exhibit an orientation towards an institutional restriction against them proposing treatment solutions for their medical condition. In this paper we demonstrate how that restriction is relaxed in a particular clinical setting, that of audiology. Focusing on video-recorded interactions in a Danish audiology clinic, we show how patients freely offer suggestions for their own treatment, even in cases where a treatment solution has already been provided by the audiologist. We further illustrate how audiologists respond to patients' treatment proposals with concessions, through which the audiologist manages to accept the patient's treatment proposal as a possibility, while withholding any professional endorsement of the proposed treatment. Furthermore, we show how patients in response to such concessions from the audiologist pursue a stronger professional ratification of their treatment solution. The lifting of the restriction on patients proposing their own treatments thus brings into relief two other institutional restrictions within the audiology clinic: (a) a restriction on audiologists rejecting patients' treatment suggestions outright, and (b) a restriction on patients' straightforward acceptance of treatments that are not fully endorsed by the audiologist.
Q-Index Code B1
Q-Index Status Confirmed Code
Institutional Status UQ

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Created: Thu, 13 Nov 2014, 16:14:47 EST by Ben Matthews on behalf of School of Information Technol and Elec Engineering