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12. Sociocultural Complexities of Interpretation Activities and Discourse Frameworks

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1. Title Title of document 12. Sociocultural Complexities of Interpretation Activities and Discourse Frameworks - Understanding and Interaction in Clinical and Educational Settings
2. Creator Author's name, affiliation, country Barry Saferstein; California State University, San Marcos;
3. Subject Discipline(s) Linguistics; Applied Linguistics; Communication
4. Subject Keyword(s) patient-practitioner interaction; clinical consultations; learning; understanding; Mendelian genetics; professional culture; process narratives; grey boxes; discourse frameworks; coherence based reasoning; mental models
5. Subject Subject classification Discourse
6. Description Abstract Chapter Twelve considers the sociocultural variables related to discourse frameworks and the production of understanding. Discourse frameworks can incorporate components reflecting the cultural and social systems affecting participants. The chapter presents examples of commonplace complexities related to the contemporary social and cultural realities of many clinical and educational settings. It describes the diversity of the research participants and settings in the context of earlier chapters’ discussion of their interpretation activities. Topics discussed include: socioeconomic categories, gender and interpretation activities, and recognizing agency by analyzing processes of understanding. Rather than emphasizing behavioral or status differences that precede interaction as determinants of understandings, analysis of discourse frameworks, process narratives, and grey boxes explains the role of interpretation activities in producing and reproducing professional culture and professional authority. The radiology consultation data show how changes to traditional organizational routines and professional culture can occur and benefit all patients’ understandings of medical information relevant to treatment decisions. Removing negative effects of organizational environments and professional cultures on patients' understandings of their medical conditions and treatment options requires recognizing the components of interpretation activities.

7. Publisher Organizing agency, location Equinox Publishing Ltd
8. Contributor Sponsor(s)
9. Date (YYYY-MM-DD) 30-Nov-2016
10. Type Status & genre Peer-reviewed Article
11. Type Type
12. Format File format PDF
13. Identifier Uniform Resource Identifier
14. Identifier Digital Object Identifier 10.1558/equinox.27844
15. Source Journal/conference title; vol., no. (year) Equinox eBooks Publishing; Understanding and Interaction in Clinical and Educational Settings
16. Language English=en en
18. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.) Contemporary
19. Rights Copyright and permissions Copyright 2014 Equinox Publishing Ltd