Conversation Analysis

5. CA in Action

Exercise 4

Determine whether each of the statements below is True or False

Statement 1: The value of perspective display sequences is to allow clinicians to avoid explicit questioning by a patient.
False. Perspective display sequences (i) allow clinicians to gauge the likelihood that a patient will resist a diagnosis and address that, and (ii) to build diagnoses, where possible, as in agreement with patient understandings.

Statement 2: 'Candidate diagnosis' problem presentations anticipate a diagnosis, whereas 'symptom only' presentations do not.
True. 'Candidate diagnosis' problem presentations, by anticipating a diagnosis, convey patients' health beliefs and can exert pressure for particular prescribing decisions. 'Symptoms only' presentations do not.

Statement 3: Questioners end their questions with the word 'or' to reduce biasing the response in a specific direction.
True. This approach is used to reduce the extent to which a question is 'tilted' to invite a 'yes' or 'no' answer.