Journal of Applied Linguistics and Professional Practice, Vol 11, No 1 (2014)

Structure and texture in historical medical records: Professional accounting practices concerning loss of life

Julie Feilberg, Srikant Sarangi
Issued Date: 30 Apr 2018

Abstract


Although the forms and functions of medical records – also called patient records – have long been a topic of research, there are few longitudinal and historical studies of examples pre-dating their modern form. In this paper we examine a set of records from a medical journal of an immigrant ship in the nineteenth century as a case study. Our focus is on the structure and texture of a selected sample of child patient records. The framework is theme-oriented discourse analysis, especially account analysis, as we characterise the surgeon superintendent’s accounting practices with regard to entries involving child patients (n = 28), comprising ‘cure’ and ‘loss of life’ scenarios. The findings, based on a selective corpus of seven cases, demonstrate that entries in the ‘loss of life’ cases, as opposed to the straightforward ‘cure’ cases, not only retain a loose structure but also display a ‘subjective experiential’ texture, contrary to the findings of many studies which report the prevalence of objective, technical language characteristic of contemporary patient records. We suggest that the narrative structure and rhetorical texture of the entries index the institutional function of the patient record, even beyond healthcare delivery concerning the individual patient.

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DOI: 10.1558/japl.30601

References


Anspach, R. (1988) Notes on the sociology of medical discourse: The language of case presentation. Journal of Health and Social Behavior 29 (4): 357–375. https://doi.org/10.2307/2136869

Antaki, C. (ed.) (1988) Analysing Everyday Explanation: A Casebook of Methods. Thousand Oaks, CA: Sage.

Atkinson, P. (1999) Medical discourse, evidentiality and the construction of profession responsibility. In S. Sarangi and C. Roberts (eds) Talk, Work and Institutional Order: Discourse in Medical, Mediation, and Management Settings, 75–107. Berlin: Mouton de Gruyter.

Barrett, R. J. (1988) Clinical writing and the documentary construction of schizophrenia. Culture, Medicine and Psychiatry 12 (3): 265–299. https://doi.org/10.1007/BF00051971

Berg, M. (1996) Practices of reading and writing: The constitutive role of the patient record in medical work. Sociology of Health & Illness 18 (4): 499–524. https://doi.org/10.1111/1467-9566.ep10939100

Boerhaave, H. (1745) Medical Correspondence. London: John Nourse.

Buttny, R. (1993) Social Accountability in Communication. London: Sage.

Charmaz, K. (1991) Good Days, Bad Days: The Self in Chronic Illness and Time. New Brunswick, NJ: Rutgers University Press.

Charon, R. (2001) Narrative based medicine: A model for empathy, reflection, profession, and trust. Journal of the American Medical Association 286 (15): 1897–1902. https://doi.org/10.1001/jama.286.15.1897

Charon, R. (2006) Narrative Medicine: Honoring the Stories of Illness. Oxford: Oxford University Press.

Cicourel, A. V. (1974) Police practices and official records. In R. Turner (ed.) Ethnomethodology, 85–95. Harmondsworth, UK: Penguin.

Cicourel, A. V. (1983) Hearing is not believing: Language and the structure of belief in medical communication. In S. Fisher and A. D. Todd (eds) The Social Organization of Doctor-Patient Communication, 221–240. Washington, DC: Centre for Applied Linguistics.

Donnelly, W. J. (1997) The language of medical case histories. Annals of Internal Medicine 127 (11): 1045–1048. https://doi.org/10.7326/0003-4819-127-11-199712010-00035
Foucault, M. (1973) The Birth of the Clinic. London: Tavistock Publications.

Frank, A. W. (1995) The Wounded Storyteller: Body, Illness and Ethics. Chicago: University of Chicago Press. https://doi.org/10.7208/chicago/9780226260037.001.0001

Garfinkel, H. (1967) Studies in Ethnomethodology. Englewood Cliffs, NJ: Prentice-Hall.

Geertz, C. (1973) The Interpretation of Cultures. New York: Basic Books.

Goffman, E. (1983) The interaction order. American Sociological Review 48: 1–17. https://doi.org/10.2307/2095141

Hall, C., Slembrouck, S. and Sarangi, S. (2006) Language Practices in Social Work: Categorisation and Accountability in Child Welfare. London and New York: Routledge.

Hunter, K. M. (1991) Doctors’ Stories: The Narrative Structure of Medical Knowledge. Princeton, NJ: Princeton University Press.

Mishler, E. G. (1984) The Discourse of Medicine: Dialectics of Medical Interviews. Norwood, NJ: Ablex.

Pettinari, C. J. (1988) Task, Talk, and Text in the Operating Room: A Study in Medical Discourse. Norwood, NJ: Ablex.

Prior, L. (2010) Documents in health research. In I. Bourgeault, R. Dingwall and R. De Vries (eds) The SAGE Handbook of Qualitative Methods of Health Research, 417–432. London: Sage. https://doi.org/10.4135/9781446268247.n22

Prior, L. (2011) Using documents in social research. In D. Silverman (ed.) Qualitative Research. Third Edition, 93–110. London: Sage.

Reiser, S. J. (1978) Medicine and the Reign of Technology. Cambridge: Cambridge University Press.

Reiser, S. J. (1991a) The clinical record in medicine Part 1: Learning from cases. Annals of Internal Medicine 114 (10): 902–907. https://doi.org/10.7326/0003-4819-114-10-902

Reiser, S. J. (1991b) The clinical record in medicine Part 2: Reforming content and purpose. Annals of Internal Medicine 114 (11): 980–985. https://doi.org/10.7326/0003-4819-114-11-980

Risse, G. B. and Warner, J. H. (1992) Reconstructing clinical activities: Patient records in medical history. Social History of Medicine 5 (2): 183–205. https://doi.org/10.1093/shm/5.2.183

Roberts, C. and Sarangi, S. (2005) Theme-oriented discourse analysis of medical encounters. Medical Education 39 (6): 632–640. https://doi.org/10.1111/j.1365-2929.2005.02171.x

Rylance, R. (2006) The theatre and the granary: Observations on nineteenth-century medical narratives. Literature and Medicine 25 (2): 255–276. https://doi.org/10.1353/lm.2007.0016

Sarangi, S. (2010) Practising discourse analysis in healthcare settings. In I. Bourgeault, R. Dingwall and R. De Vries (eds) The SAGE Handbook of Qualitative Methods in Health Research, 397–417. London: Sage. https://doi.org/10.4135/9781446268247.n21

Sarangi, S. and Brookes-Howell, L. (2006) Recontextualising the familial lifeworlds in genetic counselling case notes. In M. Gotti and F. Salager-Meyer (eds) Advances in Medical Discourse Analysis: Oral and Written Contexts, 197–225. Bern: Peter Lang.

Scott, M.B. and Lyman, S. (1968) Accounts. American Sociological Review 33 (1): 46–62. https://doi.org/10.2307/2092239

Weed, L. (1971) Medical Records, Medical Education and Patient Care. Cleveland, OH: Press of Case Western Reserve.

Wilson, J. (2012) The voyage out – Journeys to New Zealand, Te Ara: The Encyclopaedia of New Zealand. Available online: http://www.TeAra.govt.nz/en/the-voyage-out/page-1

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