Openings in Korean Primary Care Discourse: Where Does It Hurt?
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The opening phase ininteraction is an important avenue for study because it allows each party tocoordinate entry into the activity (Schegloff 1968, Robinson 1998). This paperuses conversation analysis to investigate the opening phase of videotapedKorean acute primary care consultations that ends with the doctor’s solicitationof the patient’s concerns. First, the structure of openings in Korean primarycare interaction consists of a reduction of activities geared towards anas-early-as-possible occasioning of the solicitation question. Second, byanalyzing the sequential structure of the solicitation strategy that is mostfrequently employed —eti-ka apha-se wasse-yo? “where does it hurt?”, itargues that the grammatical structure of this solicitation strategy as well as itspragmatic force (through its sequential placement) limit the possible scope ofpatients‘ responses to a single turn. The findings suggest that the patient andthe doctor both orient to this type of opening as preferring a single turnresponse consisting of a location of the chief problem. Resources that patientsemploy to reject the agenda of the question are also provided.
Abstract
The opening phase ininteraction is an important avenue for study because it allows each party tocoordinate entry into the activity (Schegloff 1968, Robinson 1998). This paperuses conversation analysis to investigate the opening phase of videotapedKorean acute primary care consultations that ends with the doctor’s solicitationof the patient’s concerns. First, the structure of openings in Korean primarycare interaction consists of a reduction of activities geared towards anas-early-as-possible occasioning of the solicitation question. Second, byanalyzing the sequential structure of the solicitation strategy that is mostfrequently employed —eti-ka apha-se wasse-yo? “where does it hurt?”, itargues that the grammatical structure of this solicitation strategy as well as itspragmatic force (through its sequential placement) limit the possible scope ofpatients‘ responses to a single turn. The findings suggest that the patient andthe doctor both orient to this type of opening as preferring a single turnresponse consisting of a location of the chief problem. Resources that patientsemploy to reject the agenda of the question are also provided.
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