Negotiation of the Reactional Factors in the Patient’s Constitution in Korean Oriental Medical Discourse
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Purpose:The purpose of the present study is to explore what reactional factors for the identification of, or treatment suggestions for the patient’s constitution are negotiated in Korean Oriental medical (KOM) doctor-patient communication, how they structure the emerging interaction, and how sufficiently they are highlighted as medically relevant in the consultations. Methods:The consultations that the present study explores are selected from a data set of approximately fifteen hours of naturally occurring consultations between KOM doctors and their patients. It is qualitative, and more specifically, discourse analytic and partly ethnographic in nature. The reactional factors that it identifies regularly re-emerge, and accordingly, are recognizable to an ethnographically-motivated participant observer. Results:Overall, the findings demonstrate that most of the reactional elements are negotiated not only as a factor to identify the patient’s constitution with, but also as a treatment consideration. The two chemical stimuli that the participants negotiate include medications and food, and the two physical stimuli, exercises and sweating patterns in a sauna or steam room. All the factors are used either as a test to identify the patient’s constitution with or as a constitutionally compatible treatment recommendation, although the latter is more prominent in the data for the current study. Conclusion:When the four reactional factors were negotiated both as a factor to identify the patient’s constitution with and as a treatment consideration (albeit with varying emphases according to the consultation phases), their medical relevance is not necessarily sufficiently highlighted to the patients. The findings leads the study to propose that KOM doctors give more heads-up to their constitutional identification and recommendation when they inquire about the reactional factors.
Abstract
Purpose:The purpose of the present study is to explore what reactional factors for the identification of, or treatment suggestions for the patient’s constitution are negotiated in Korean Oriental medical (KOM) doctor-patient communication, how they structure the emerging interaction, and how sufficiently they are highlighted as medically relevant in the consultations. Methods:The consultations that the present study explores are selected from a data set of approximately fifteen hours of naturally occurring consultations between KOM doctors and their patients. It is qualitative, and more specifically, discourse analytic and partly ethnographic in nature. The reactional factors that it identifies regularly re-emerge, and accordingly, are recognizable to an ethnographically-motivated participant observer. Results:Overall, the findings demonstrate that most of the reactional elements are negotiated not only as a factor to identify the patient’s constitution with, but also as a treatment consideration. The two chemical stimuli that the participants negotiate include medications and food, and the two physical stimuli, exercises and sweating patterns in a sauna or steam room. All the factors are used either as a test to identify the patient’s constitution with or as a constitutionally compatible treatment recommendation, although the latter is more prominent in the data for the current study. Conclusion:When the four reactional factors were negotiated both as a factor to identify the patient’s constitution with and as a treatment consideration (albeit with varying emphases according to the consultation phases), their medical relevance is not necessarily sufficiently highlighted to the patients. The findings leads the study to propose that KOM doctors give more heads-up to their constitutional identification and recommendation when they inquire about the reactional factors.
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