The purpose of this study consists of an accurate analysis of the psychiatric interview, by combining three perspectives: analysis of the doctor´s routine or interview agenda, which has a standard format and guides the doctor throughout his clinical practice; frame analysis of the doctor´s clinical practice with a focus on the here and now in doctor-patient interviews; and analysis of the doctor´s representations regarding his practice, revealed during interviews with the researcher. Interactional Sociolinguistics, Ethnographic Research and Social Psychology provide the theoretical framework for this study. Hence, a distinction was made between doctor-centered interviews, denoting the voice of medicine, and patient-centered interviews, denoting the patient´s account of his world of experience. The results showed that there are two kinds of interview agendas: those which tend to control the course of the interview, and others which tend to set a high value on the patient´s stories and experiences, providing more spontaneous interactions. During doctor-patient interviews, the doctor introduces framings, which shift from the investigatory/exploratory to the co- construction of the patient´s world of experience, provoking changes in the asymmetrical relationship. Therefore, the doctor adopts a hybrid discourse behavior, that is, on the one hand he controls the patients´ flow of talk in the encounter, and on the other, he fosters a state of talk where patients may express how they represent their world of experience. As the doctor-researcher interviews were analysed, it became clear that the doctor valued patient-centered interviews, moving away from the procedures in the pre-established agenda. The results suggest, however, that+ the doctor establishes an informationcontrolled meta-frame during the here and now in the interview. He manages the information by controlling the turn structure and summing up the patient´s talk, ignoring, many times, the patients´ contributions. In doing so, the doctor ends up using a legitimated institutional power.