Formulating another’s report of troubles in peer support
Issue: Vol 16 No. 1 (2019)
Journal: Communication & Medicine
Subject Areas: Healthcare Communication Linguistics
DOI: 10.1558/cam.41613
Abstract:
This study stems from an interest in peer support talk, an underexplored area of research, and in how supportive actions such as formulated summaries function in comparison to more professional healthcare settings. Using conversation analysis, this study explores 35 instances of formulations within 65 calls to four different ‘warm lines’, a term for peer-to-peer telephone support within the community mental health system in the United States. Formulations can be characterized across two related axes: client versus professional perspective, and directive versus nondirective. The findings show that formulations within peer support were overwhelmingly nondirective, in terms of meeting institutional agendas to let callers talk. However, formulations ranged from client-oriented ones that highlight or repeat caller reports to those which transform caller reports through integrating past caller experiences or implicit caller emotions. These tactics are found to have similarities to how formulations function in professional healthcare settings.
Author: Christopher Pudlinski
References :
Antaki, Charles (2007) Mental-health practitioners’ use of idiomatic expressions in summarizing clients’ accounts. Journal of Pragmatics 39 (3): 527–541. https://doi.org/10.1016/j.pragma.2006.07.009
Antaki, Charles (2008) Formulations in psychotherapy. In Anssi Peräkylä, Charles Antaki, Sanna Vehvilainen and Ivan Leudar (eds) Conversation Analysis and Psychotherapy, 26–42. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511490002.003
Antaki, Charles (2012) Affiliative and disaffiliative candidate understandings. Discourse Studies 14 (5): 531–547. https://doi.org/10.1177/1461445612454074
Antaki, Charles, Rebecca Barnes and Ivan Leudar (2005) Diagnostic formulations in psychotherapy. Discourse Studies 7 (6): 627–647. https://doi.org/10.1177/1461445605055420
Barnes, Rebecca (2007) Formulations and the facilitation of common agreement in meetings talk. Text & Talk 27 (3): 273–296. https://doi.org/10.1515/TEXT.2007.011
Beach, Wayne and Christie N. Dixson (2001) Revealing moments: Formulating understandings of adverse experiences in a health appraisal interview. Social Science and Medicine 52 (1): 25–44. https://doi.org/10.1016/S0277-9536(00)00118-0
Bercelli, Fabrizio, Federico Rossano and Maurizio Viaro (2008) Clients’ responses to therapists’ re-interpretations. In Anssi Peräkylä, Charles Antaki, Sanna Vehvilainen and Ivan Leudar (eds) Conversation Analysis and Psychotherapy, 43–62. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511490002.004
Deppermann. Arnulf and Thomas Spranz-Fogasy (2011) Doctors’ questions as displays of understanding. Communication & Medicine 8 (2): 111–122. https://doi.org/10.1558/cam.v8i2.111
Drew, Paul (2003) Comparative analysis of talk-in-interaction in different institutional settings: A sketch. In Phillip J. Glenn, Curtis D. LeBaron and Jenny Mandelbaum (eds) Studies in Language and Social Interaction: In Honor of Robert Hopper, 293–307. Mahwah, NJ: Lawrence Erlbaum.
Fitzgerald, Pamela and Ivan Leudar (2012) On the use of formulations in person-centered, solution-focused short-term psychotherapy. Communication & Medicine 9 (1): 13–22. https://doi.org/10.1558/cam.v9i1.13
Garfinkel, Harold and Harvey Sacks (1970) On formal structures of practical actions. In John C. McKinney and Edward A. Tiryakian (eds) Theoretical Sociology: Perspectives and Developments, 337–366. New York: Appleton-Century-Crofts.
Hak, Tony and Fijgie de Boer (1996) Formulations in first encounters. Journal of Pragmatics 25 (1): 83–99. https://doi.org/10.1016/0378-2166(94)00076-7
Heritage, John C. (1985) Analyzing news interviews: Aspects of the production of talk for an overhearing audience. In Teun A. van Dijk (ed.) Handbook of Discourse Analysis, Volume 3, 95–119. London: Academic Press.
Heritage, John C. (2015) Well-prefaced turns in English conversation: A conversation analytic perspective. Journal of Pragmatics 88: 88–104. https://doi.org/10.1016/j.pragma.2015.08.008
Heritage, John C. and D. Rod Watson (1979) Formulations as conversational objects. In George Psathas (ed.) Everyday Language: Studies in Ethnomethodology, 123–162. New York: Irvington Press.
Heritage, John C. and D. Rod Watson (1980) Aspects of the properties of formulations in natural conversations: Some instances analyzed. Semiotica 30 (3–4): 245–262. https://doi.org/10.1515/semi.1980.30.3-4.245
Hutchby, Ian (2005) ‘Active listening’: Formulations and the elicitation of feelings-talk in child counseling. Research on Language & Social Interaction 38 (3): 303–329. https://doi.org/10.1207/s15327973rlsi3803_4
Jefferson, Gail (2004) Glossary of transcript symbols with an introduction. In Gene Lerner (ed.) Conversation Analysis: Studies from the First Generation, 14–31. Amsterdam: John Benjamins. https://doi.org/10.1075/pbns.125.02jef
Landmark, Anne Marie Dalby, Jan Svennevig and Pal Gulbrandsen (2016) Negotiating treatment preferences: Physicians’ formulations of patients’ stance. Social Science & Medicine 149 (1): 26–36. https://doi.org/10.1016/j.socscimed.2015.11.035
Pomerantz, Anita and Barbara J. Fehr (1997) Conversation analysis: An approach to the study of social action as sense making practices. In Teun A. van Dijk (ed.) Discourse as Social Interaction: Discourse Studies 2 – A Multidisciplinary Introduction, 64–91. Thousand Oaks, CA: Sage.
Pudlinski, Christopher (2003) The multiplicity of response options in social support situations. Qualitative Research Reports in Communication 4: 23–30.
Pudlinski, Christopher (2012) The pursuit of advice on US peer telephone helplines: Sequential and functional aspects. In Holger Limberg and Miriam A. Locher (eds) Advice in Discourse, 233–252. Amsterdam: John Benjamins. https://doi.org/10.1075/pbns.221.14pud
Stommel, Wyke and Fleur Van der Houwen (2013) Formulations in ‘trouble’ chat sessions. Language@ Internet 10 (3). Available online: http://nbn-resolving.de/urn:nbn:de:0009-7-36966
ten Have, Paul (2007) Doing Conversation Analysis: A Practical Guide. London: Sage. https://doi.org/10.4135/9781849208895
Tiitinen, Sanni and Johanna Ruusuvuori (2014) Using formulations and gaze to encourage parents to talk about their and their children’s health and well-being. Research on Language & Social Interaction 47 (1): 49–68. https://doi.org/10.1080/08351813.2014.871805
Weiste, Elina (2016) Formulations in occupational therapy: Managing talk about psychiatric outpatients’ emotional states. Journal of Pragmatics 105 (1): 59–73. https://doi.org/10.1016/j.pragma.2016.08.007
Weiste, Elina and Anssi Peräkylä (2013) A comparative conversation analytic study of formulations in psychoanalysis and cognitive psychotherapy. Research on Language & Social Interaction 46 (4): 299–321. https://doi.org/10.1080/08351813.2013.839093
Weiste, Elina, Liisa Voutilainen and Anssi Peräkylä (٢٠١٦) Epistemic asymmetries in psychotherapy interaction: Therapists’ practices for displaying access to clients’ inner experiences. Sociology of Health & Illness 38 (4): 645–661. https://doi.org/10.1111/1467-9566.12384