Verbal exchanges in medical interviews: concepts and measurement.

  title={Verbal exchanges in medical interviews: concepts and measurement.},
  author={William B. Stiles and Sean M Putnam},
  journal={Social science & medicine},
  volume={35 3},
The verbal exchange theory of medical interviews (consultations) proposes that patients and clinicians employ a joint repertoire of exchanges to accomplish their goals in the encounter. The skeleton of each exchange is a set of speech acts that tend to be used together in interviews, for example, (a) clinician questions and patient yes/no answers, or (b) clinician directives and patient agreements to comply. We describe seven principal exchanges, each of which has been identified empirically in… CONTINUE READING