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" Participation and Conversational Involvement in Brokered Medical Interviews: A case of Iraqi Patients in Southern California "
Document Type
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Latin Dissertation
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Language of Document
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English
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Record Number
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802767
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Doc. No
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TL47943
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Call number
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1617971025; 3637621
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Main Entry
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Kim, Elli Sua
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Title & Author
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Participation and Conversational Involvement in Brokered Medical Interviews: A case of Iraqi Patients in Southern California
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\ Afaf Nash
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Thompson, Katrina Daly; Goodwin, Charles
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College
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University of California, Los Angeles
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Date
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2014
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Degree
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Ph.D.
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student score
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2014
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field of study
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Applied Linguistics
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Page No
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197
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Note
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Committee members: Cooperson, Michael; Goodwin, Marjorie H.; Ochs, Elinor; Orellana, Marjorie F.
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Note
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Place of publication: United States, Ann Arbor; ISBN=978-1-321-20522-0
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Abstract
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Employing the theoretical foundations of conversation analysis, this dissertation examines the actions of patients with limited English ability who depend on family members to mediate their medical interaction. Analysis shows how patients seek immediate contact with their interlocutors despite limited English competencies. Using a variety of semiotic resources, non-English speaking patients are found to override the brokering process and construct their patienthood independently. The study discusses communicative competence, conversational commitment, asymmetries of participation, and decision-making in brokered medical encounters. It demonstrates the complexity of participation and decision-making in triadic interactions in the medial setting, in which roles of participation intersect and overlap in non-conventional ways. The dissertation's findings lay significant claims on novice communicative competence, brokered medical discourse, and doctor-non-English-speaking patient relationship. It also suggests future research direction and provides recommendation to improve interaction in cross-linguistic medical encounters.
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Subject
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Communication; Sociolinguistics; Conversation analysis; English; Patients; Medical ethics; Communicative competence; Semiotics
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Descriptor
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Social sciences;Communication and the arts;Health and environmental sciences;Communicative competence;Iraqi-arab patients;Language brokering;Medical interaction;Novice communication;Social interaction
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Added Entry
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Thompson, Katrina Daly; Goodwin, Charles
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Added Entry
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University of California, Los Angeles
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Applied Linguistics
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