Small talk in Arabic medical encounters

A conversation analytic study

Authors

  • Rula Ahmad Mahmoud Abu-Elrob Independent scholar

DOI:

https://doi.org/10.1558/cam.17885

Keywords:

conversation analysis, forms and functions of small talk, medical talk, small talk

Abstract

Small talk (ST) refers to talk that is seen as space filling or aimless because of its non-goal-oriented purpose in comparison with work-related talk. This article examines ST in Jordanian medical encounters to explore the sequence structure in which ST occurs in combination with goal-oriented talk and the different forms and contexts of its occurrence. The framework of conversation analysis is used to analyze naturally occurring data, in particular exploring how talk orients to and departs from the medical agenda. The findings reveal both the forms and functions of ST in the dataset. The findings show various aspects related to ST: compliments, joking, laughter and ST linked to personal biography. This study offers insights into Arabic medical interaction in terms of the occurrence of ST, and it offers the possibility of designing training courses to employ ST as a communication technique in medical encounters.

Author Biography

  • Rula Ahmad Mahmoud Abu-Elrob, Independent scholar

    Rula Ahmad Mahmoud Abu-Elrob received her PhD in Linguistics from the University of Huddersfield (UK). Her research interests include conversation analysis, discourse analysis, sociolinguistics and pragmatics. she has extensive teaching experience at tertiary level and has taught several courses in linguistics. She has published a book titled Gender Differences in Using English Writing Strategies: Cognitive, Metacognitive, and Socio-affective Strategies (2012, Lambert Academic Publishing).

References

Abu-Elrob, Rula (2019) Doctor-Patient Interaction at a Jordanian University Hospital. Unpublished doctoral dissertation, University of Huddersfield, UK.

Al-Harahsheh, Ahmad M. (2015) A conversation analysis of self-initiated repair structures in Jordanian spoken Arabic. Discourse Studies 17 (4): 397–414. https://doi.org/10.1177/1461445615578898

ALBashtawy, Mohammed, Manar Al-Azzam, Ahmad Rawashda, Abdul-Monim Batiha, Ibrahim Bashaireh and Mohammad Sulaiman (2015) Workplace violence toward emergency department staff in Jordanian hospitals: A crosssectional study. Journal of Nursing Research 23 (1): 75–81. https://doi.org/10.1097/jnr.0000000000000075

Aronsson, Karin and Ann-Christin Cederborg (1997) A love story retold: Moral order and intergenerational negotiations. Semiotica 114 (1–2): 83–110. https://doi.org/10.1515/semi.1997.114.1-2.83

Chester, Emily C., Natalie C. Robinson and Lisa C. Roberts (2014) Opening clinical encounters in an adult musculoskeletal setting. Manual Therapy 19 (4): 306–310. https://doi.org/10.1016/j.math.2014.03.011

Coupland, Justine (ed.) (2000) Small Talk. London: Pearson.

Coupland, Justine, Nikolas Coupland and Jeffrey Robinson (1992) ‘How are you?’: Negotiating phatic communion. Language in Society 21 (2): 207–230. https://doi.org/10.1017/S0047404500015268

Heritage, John (1984) Garfinkel and Ethnomethodology. Cambridge: Polity Press.

Heritage, John (1998) Oh-prefaced responses to inquiry. Language in Society 27 (3): 291–334. https://doi.org/10.1017/S0047404500019990

Heritage, John and Douglas W. Maynard (2006) Problems and prospects in the physician- patient interaction: 30 Years of research. Annual Review of Sociology 32: 351–374. https://doi.org/10.1146/annurev.soc.32.082905.093959

Heritage, John and Jeffrey Robinson (2006) The structure of patients’ presenting concerns: Physicians’ opening questions. Health Communication 19 (2): 89–102. https://doi.org/10.1207/s15327027hc1902_1

Holmes, Janet (2000) Doing collegiality and keeping control at work: Small talk in government departments. In Justine Coupland (ed.) Small Talk, 32–61. London: Pearson. https://doi.org/10.4324/9781315838328-3

Holmes, Janet and Maria Stubbe (2003) Small Talk and Social Chat at Work. Power and Politeness in the Workplace: A Sociolinguistics Analysis of Talk at Work. London: Longman.

Hudak, Pamela L. and Douglas W. Maynard (2011) An interactional approach to conceptualising small talk in medical interactions. Sociology of Health and Illness 3 (4): 634–653. https://doi.org/10.1111/j.1467-9566.2011.01343.x

Jefferson, G. (2004) Glossary of transcript symbols with an introduction. In Gene H. Lerner (ed.) Conversation Analysis: Studies from the First Generation, 13–31. Amsterdam: John Benjamins. https://doi.org/10.1075/pbns.125.02jef

Jenks, Christopher (2011) Transcribing Talk and Interaction. Amsterdam: John Benjamins. https://doi.org/10.1075/z.165

Laver, John (1975) Communicative functions of phatic communion. In Adam Kendon, Richard M. Harris and Mary R. Key (eds) Organization of Behaviour in Face-to-Face Interaction, 215–238. The Hague: Mouton publishers. https://doi.org/10.1515/9783110907643.215

Macdonald, Lindsay M. (2016) Expertise in everyday nurse–patient conversations: The importance of small talk. Global Qualitative Nursing Research 3: 1–9. https://doi.org/10.1177/2333393616643201

Maynard, Douglas W. and Pamela L. Hudak (2008) Small talk, high stakes: Interactional disattentiveness in the context of prosocial doctorpatient interaction. Language in Society 37 (5): 661–688. https://doi.org/10.1017/S0047404508080986

Robinson, Jeffrey D. (2012) Overall structural organization. In Jack Sidnell and Tanya Stivers (eds) The Handbook of Conversation Analysis, 257-280. Chichester, UK: Wiley-Blackwell. https://doi.org/10.1002/9781118325001.ch13

Robinson, Jeffrey D. and John Heritage (2006) Physicians’ opening questions and patients’ satisfaction. Patient Education Counseling 60 (3): 279–285. https://doi.org/10.1016/j.pec.2005.11.009

Seedhouse, Paul (2005) Conversation analysis and language learning. Language Teaching 38 (4): 165–187. https://doi.org/10.1017/S0261444805003010

Sidnell, Jack (2010) Conversation Analysis: An Introduction. Chichester, UK: Wiley-Blackwell.

Ten Have, Paul (2002) Sequential Structures and Categorical Implications in Doctor- Patient Interaction: Ethnomethodology and History. Revised version of paper presented at Structure and Emergence of Professionalized ‘Praxis’, Goethe Universität, Frankfurt, 26–28 September 2001. Online: http://www.paultenhave.nl/seqstruct.htm

Turner, George W. (1973) Stylistics. Harmondsworth, UK: Penguin.

Xi, Luo (2015) An overview of classification of doctors’ questioning in doctor-patient conversations. Canadian Social Science 11 (6): 80–84.

Published

2021-09-01

Issue

Section

Articles

How to Cite

Abu-Elrob, R. A. M. (2021). Small talk in Arabic medical encounters: A conversation analytic study. Communication and Medicine, 17(1), 4-16. https://doi.org/10.1558/cam.17885