Maharani, Annisa (2017) ANALYSIS OF CONVERSATIONAL ORGANIZATIONS OF DOCTORS AND PATIENTS’ DIAGNOSIS TALKS. Other thesis, Unika Soegijapranata Semarang.

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Abstract

A conversation between a doctor and a patient in Indonesia usually involves not only two people, but also three or more people. This means the doctor and the patient are not the only participants in the conversation. Therefore, the conversational organizations may be different from the usual doctor-patient talk which only involves two people. Previous studies from Drew, Collins, and Chatwin showed that patient participation is important in doctor’s discussion regarding the patient’s treatment option, while Heritage and Maynard’s study concluded with suggestions for how to apply CA in their study to determine doctor-patient relationship. As Conversation Analysis (CA) study, particularly in doctor-patient talk, is still considered rare in Indonesia, the writer chose this topic for her thesis. This thesis aims to explain the conversational organizations of doctor-patient talk in establishing diagnosis by using CA approach. The participants for this study were doctors and patients in Pekalongan. By analyzing 10 original recordings of doctor-patient interactions, she focused on four aspects of conversational organizations in order to find the establishing diagnosis in doctor-patient talk: opening-closing, turn-taking, pauses, and overlaps. The analysis showed a unique pattern for opening-closing and turn-taking aspects. The conversation between doctor and patient in Indonesia did not conform to standard greetings such as “good morning”. Meanwhile, a situation where the patients’ guardians were involved in the talk was the stand-out part for the turn-taking aspect. Despite being the patients in the conversation, the patients had fewer turns compared to the guardians or even the doctors. In sum, the analysis of conversational organizations of doctor-patient talk in establishing diagnosis indicated the doctors’ authority and power, especially when they need to deliver their diagnosis to the patients.

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