Childbirth as Fault Lines: Justifications in Physician–Patient Interactions About Postnatal Rehabilitation

Health Care Analysis 32 (4):312-337 (2024)
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Abstract

Research on justifications has shown their significance in advice-giving, decision-making and children disputes. However, the majority of studies gloss over practical functions of justifications in patient-physician interactions as they are often expected and pursued by patients and in turn, are adopted by physicians to support their stance and authority. This study, through conversation analysis (CA), aims to explore a) what are pragmatic functions of justifications in patient-physician interaction? b) how and when do physicians unfold their justifications for treatment recommendations? c) how do physicians deal with different responses based on their epistemic and deontic domains?. A total of 32 video-recordings between postpartum women and physicians are collected and studied. Four pragmatic functions of justifications drawn upon by physicians are explored: justifications as face-saving, reassurance, risk discussion and clarification-seeking. Despite physicians’ attempts to justify their positions as less challenged by patients, this is not the entire picture as they demonstrate their desire to resolve patients’ concerns and coordinate their viewpoints to achieve the best practice that facilitates patients’ well-being.

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Lectures on Conversation.Harvey Sacks & Gail Jefferson - 1995 - Human Studies 18 (2):327-336.
Philosophical Medical Ethics.R. S. Downie & Ranaan Gillon - 1987 - Philosophical Quarterly 37 (149):461.
Responding to alternative and polar questions.María Biezma & Kyle Rawlins - 2012 - Linguistics and Philosophy 35 (5):361-406.
Epistemics in social interaction.Paul Drew - 2018 - Discourse Studies 20 (1):163-187.

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