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“this is WONderful” Positive normality : Informing patients about blood test results in routine HIV encounters

Title data

Groß, Alexandra:
“this is WONderful” Positive normality : Informing patients about blood test results in routine HIV encounters.
Event: CACE 2017 – 6th International Meeting on Conversation Analysis and Clinical Encounters , 12.-14. Juli 2017 , Bristol/England.
(Conference item: Conference , Speech )

Abstract in another language

Since antiretroviral medication has become available for HIV patients in the mid 1990s, HIV has evolved into a chronic infection and no longer ineviteably ends in AIDS defining diseases. In the course of the lifelong HIV therapy, the success of the antiretroviral medication is controlled at regular intervals. The core activity of the encounters of doctors and patients is the informing patients about their current blood test results (“virus load” and amount of CD4 helper cells as well as HIV-unspecific blood count). A sequential analysis of the activity disclosed recurrent doctors’ practices of evaluating the current HIV-specific blood parameters, which turned out to be an obligatory action before or after the informing: Doctors sometimes normalize “good news”, i.e. a constantly low virus load and high amount of CD4 cells. In other cases they evaluate them in an emotionalized, enthusiastic manner by means of lexic features as well as prosody. Patients align and affiliate (e.g. Stivers & Mondada 2008) according to the doctors’ normalizing or emotionalizing evaluations. In rare cases of “bad news”, i.e. evaluating slight to moderate increases of virus load and/or decrease of CD4 cells, doctors tend to orient to the normality of frequently occurring inconspicuous blood parameters. But in contrast to normalizing good news, normalizing bad news requires increased interactional efforts doctorside. Asymmetries identified between the announcement of good news vs. bad news (e.g. Maynard 2003) thus become apparent in a specific manner in the context of blood count evaluations in routine HIV encounters: by co-constructing a normality of an impeccable HIV therapy and the less of a threat by the HIV infection.
A corpus of 71 audiotaped interactions between physicians and HIV-patients form the data base for the study. The data was collected in an outpatient clinic in Germany, which specializes in the treatment of HIV.

Further data

Item Type: Conference item (Speech)
Refereed: No
Institutions of the University: Faculties > Faculty of Languages and Literature > Chair Modern German Literature
Faculties > Faculty of Languages and Literature > Chair Germanic Linguistics
Graduate Schools > University of Bayreuth Graduate School
Faculties > Faculty of Languages and Literature
Graduate Schools
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences > 300 Social sciences, sociology and anthropology
400 Language
400 Language > 400 Language
400 Language > 410 Linguistics
600 Technology, medicine, applied sciences > 610 Medicine and health
Date Deposited: 24 Jul 2017 08:50
Last Modified: 24 Jul 2017 08:50