ETDs @PUC-Rio
| Título: | THE PSYCHIATRIC INTERVIEW: THE DOCTOR´S ROUTINE, HIS CLINICAL PRACTICE AND HIS REPRESENTATIONS | ||||||||||||||||||||||||||||||||
| Autor: |
TANIA CONCEICAO PEREIRA |
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| Colaborador(es): |
MARIA DAS GRACAS DIAS PEREIRA - Orientador BRANCA MARIA TELLES RIBEIRO - Coorientador |
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| Catalogação: | 11/OUT/2005 | Língua(s): | PORTUGUESE - BRAZIL |
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| Tipo: | TEXT | Subtipo: | THESIS | ||||||||||||||||||||||||||||||
| Notas: |
[pt] Todos os dados constantes dos documentos são de inteira responsabilidade de seus autores. Os dados utilizados nas descrições dos documentos estão em conformidade com os sistemas da administração da PUC-Rio. [en] All data contained in the documents are the sole responsibility of the authors. The data used in the descriptions of the documents are in conformity with the systems of the administration of PUC-Rio. |
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| Referência(s): |
[pt] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=7231&idi=1 [en] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=7231&idi=2 |
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| DOI: | https://doi.org/10.17771/PUCRio.acad.7231 | ||||||||||||||||||||||||||||||||
| Resumo: | |||||||||||||||||||||||||||||||||
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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.
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