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Conversation Analysis: An Introduction to Methodology, Data Collection, and Analysis

  • Sarah J. White
Living reference work entry

Abstract

Conversation analysis is a qualitative research methodology with roots in sociology, and, in particular, ethnomethodology. Over the past 50 years, it has developed not only within sociology but across the fields of linguistics, anthropology, and psychology. In health care research, conversation analysis has been successfully applied in researching interactions in primary care, surgery, pediatrics, and psychotherapy, to name a few examples. Conversation analysis allows the researcher to analyze the structures of interaction at a micro level, focusing on how the participants make sense of each other in conversation through shared interactional norms. In this chapter, I begin by surveying the history and development of conversation analysis. I consider methods of data collection and explore aspects of analysis in everyday conversation and in institutional interaction. I review key conversation analytic research in health care and consider its application and use for health care researchers.

Keywords

Conversation analysis Qualitative Interaction 

References

  1. Albert S. How to explain #EMCA collections to quants [Twitter moment]. 2017. Retrieved from https://twitter.com/i/moments/900684578066759680
  2. Antaki C. Six kinds of applied conversation analysis. In: Antaki C, editor. Applied conversation analysis: intervention and change in institutional talk. London: Palgrave Macmillan; 2011.CrossRefGoogle Scholar
  3. Barton J, Dew K, Dowell A, Sheridan N, Kenealy T, Macdonald L, Stubbe M. Patient resistance as a resource: candidate obstacles in diabetes consultations. Sociol Health Illn. 2016;38(7):1151–66.CrossRefGoogle Scholar
  4. Clayman SE, Gill VT. Conversation analysis. In: Byman A, Hardy M, editors. Handbook of data analysis. Beverly Hills: Sage; 2004. p. 589–606.Google Scholar
  5. Drew P, Heritage J, editors. Talk at work. Cambridge: Cambridge University Press; 1992.Google Scholar
  6. Drew P, Chatwin J, Collins S. Conversation analysis: a method for research into interactions between patients and health-care professionals. Health Expect. 2001;4:58–70.CrossRefGoogle Scholar
  7. Ekberg K, Reuber M. Can conversation analytic findings help with differential diagnosis in routine seizure clinic interactions? Commun Med. 2016;12(1):13–24.  https://doi.org/10.1558/cam.v12i1.26851.CrossRefGoogle Scholar
  8. Gardner R. When listeners talk: response tokens and listener stance. Amsterdam/Philadelphia: John Benjamins Publishing Company; 2001.CrossRefGoogle Scholar
  9. Gardner R. Conversation analysis. In: Davies A, Elder C, editors. The handbook of applied linguistics. Oxford: Blackwell; 2004. p. 262–84.CrossRefGoogle Scholar
  10. Gill VT, Roberts F. Conversation analysis in medicine. In: Stivers T, Sidnell J, editors. The handbook of conversation analysis. Chichester: Wiley; 2013. p. 575–92.Google Scholar
  11. Hepburn A, Bolden GB. The conversation analytic approach to transcription. In: Stivers T, Sidnell J, editors. The handbook of conversation analysis. Chichester: Wiley; 2013. p. 57–76.CrossRefGoogle Scholar
  12. Heritage J. Garfinkel and ethnomethodology. Cambridge: Polity Press; 1984.Google Scholar
  13. Heritage J. Conversation analysis and institutional talk: analyzing data. In: Silverman D, editor. Qualitative research: theory, method, and practice. 2nd ed. London: Sage; 2004. p. 222–45.Google Scholar
  14. Heritage J. The interaction order and clinical practice: some observations on dysfunctions and action steps. Patient Educ Couns. 2011;84(3):338–43.  https://doi.org/10.1016/j.pec.2011.05.022.CrossRefGoogle Scholar
  15. Heritage J, Clayman S. Talk in action: interactions, identities, and institutions. West Sussex: Wiley-Blackwell; 2010.CrossRefGoogle Scholar
  16. Heritage J, Maynard DW. Introduction. In: Heritage J, Maynard DW, editors. Communication in medical care: interaction between primary care physicians and patients. Cambridge: Cambridge University Press; 2006a. p. 1–21.CrossRefGoogle Scholar
  17. Heritage J, Maynard DW, editors. Communication in medical care: interaction between primary care physicians and patients. Cambridge: Cambridge University Press; 2006b.Google Scholar
  18. Heritage J, Robinson JD, Elliot MN, Beckett M, Wilkes M. Reducing patients’ unmet concerns in primary care: the difference one word can make. J Gen Intern Med. 2007;22(10):1429–33.CrossRefGoogle Scholar
  19. Hudak P, Clark S, Raymond G. In the shadow of surgery: treatment recommendations and the institutionality of orthopaedic surgery. Paper presented at the 2nd international meeting on conversation analysis and clinical encounters, Plymouth. 2009.Google Scholar
  20. Jefferson G. Glossary of transcript symbols with an introduction. In: Lerner GH, editor. Conversation analysis: studies from the first generation. Amsterdam: Benjamins; 2004. p. 13–31.CrossRefGoogle Scholar
  21. Jenkins L, Reuber M. A conversation analytic intervention to help neurologists identify diagnostically relevant linguistic features in seizure patients’; talk. Res Lang Soc Interact. 2014;47(3):266–79.  https://doi.org/10.1080/08351813.2014.925664.CrossRefGoogle Scholar
  22. Jenkins L, Cosgrove J, Ekberg K, Kheder A, Sokhi D, Reuber M. A brief conversation analytic communication intervention can change history-taking in the seizure clinic. Epilepsy Behav. 2015;52(Part A):62–7.  https://doi.org/10.1016/j.yebeh.2015.08.022.CrossRefGoogle Scholar
  23. Jepson M, Salisbury C, Ridd MJ, Metcalfe C, Garside L, Barnes RK. The ‘One in a Million’ study: creating a database of UK primary care consultations. Br J Gen Pract. 2017;67(658):e345–51.  https://doi.org/10.3399/bjgp17X690521.CrossRefGoogle Scholar
  24. Jones A. Nurses talking to patients: exploring conversation analysis as a means of researching nurse–patient communication. Int J Nurs Stud. 2003;40(6):609–18.  https://doi.org/10.1016/S0020-7489(03)00037-3.CrossRefGoogle Scholar
  25. Jones D, Drew P, Elsey C, Blackburn D, Wakefield S, Harkness K, Reuber M. Conversational assessment in memory clinic encounters: interactional profiling for differentiating dementia from functional memory disorders. Aging Ment Health. 2016;20(5):1–11.  https://doi.org/10.1080/13607863.2015.1021753.CrossRefGoogle Scholar
  26. Jorm C, White SJ, Kaneen T. Clinical handover: critical communications. Med J Aust. 2009;190(11):S108–9.Google Scholar
  27. Kelly A. Articulating tacit knowledge through analyses of recordings: implications for competency assessment in the vocational education and training sector. In: Wyatt-Smith C, Cumming JJ, editors. Educational assessment in the 21st century: connecting theory and practice. Dordrecht: Springer Netherlands; 2009. p. 245–62.CrossRefGoogle Scholar
  28. Maynard DW. On clinicians co-implicating recipients’ perspective in the delivery of diagnostic news. In: Drew P, Atkinson J, editors. Talk at work. Cambridge: Cambridge University Press; 1992. p. 331–58.Google Scholar
  29. Maynard DW. Everyone and no one to turn to: intellectual roots and contexts for conversation analysis. In: The handbook of conversation analysis: Wiley; 2012. p. 9–31.CrossRefGoogle Scholar
  30. Mirheidari B, Blackburn D, Harkness K, Walker T, Venneri A, Reuber M, Christensen H. Toward the automation of diagnostic conversation analysis in patients with memory complaints. J Alzheimers Dis. 2017;58(2):373–87.  https://doi.org/10.3233/JAD-160507.CrossRefGoogle Scholar
  31. Mondada L. The conversation analytic approach to data collection. In: Stivers T, Sidnell J, editors. The handbook of conversation analysis. Chichester: Wiley; 2013. p. 32–56.CrossRefGoogle Scholar
  32. Mondada L. Operating together: the collective achievement of surgical action. In: White SJ, Cartmill JA, editors. Communication in surgical practice. Sheffield: Equinox; 2016. p. 206–33.Google Scholar
  33. Parry RH. The interactional management of patients’ physical incompetence: a conversation analytic study of physiotherapy interactions. Sociol Health Illn. 2004;26(7):976–1007.  https://doi.org/10.1111/j.0141-9889.2004.00425.x.CrossRefGoogle Scholar
  34. Parry R, Pino M, Faull C, Feathers L. Acceptability and design of video-based research on healthcare communication: evidence and recommendations. Patient Educ Couns. 2016;99(8):1271–84.  https://doi.org/10.1016/j.pec.2016.03.013.CrossRefGoogle Scholar
  35. Peräkylä A. Conversation analysis and psychoanalysis: interpretation, affect and intersubjectivity. In: Peräkylä A, Antaki C, Vehviläinen S, Leudar I, editors. Conversation analysis and psychotherapy. Cambridge: Cambridge University Press; 2008. p. 170–202.CrossRefGoogle Scholar
  36. Peräkylä A. Validity in research on naturally occurring social interaction. In: Silverman D, editor. Qualitative research. 3rd ed. London: Sage; 2011. p. 365–82.Google Scholar
  37. Pino M. Knowledge displays: soliciting clients to fill knowledge gaps and to reconcile knowledge discrepancies in therapeutic interaction. Patient Educ Couns. 2016;99(6):897–904.  https://doi.org/10.1016/j.pec.2015.10.006.CrossRefGoogle Scholar
  38. Raymond CWC. Remember also that single case analyses bring findings from other *collections* to bear on the analysis of the single case. [Tweet]. Retrieved from https://twitter.com/ChaseWRaymond/status/899656562242863104. 2017.
  39. Reuber M, Monzoni C, Sharrack B, Plug L. Using interactional and linguistic analysis to distinguish between epileptic and psychogenic nonepileptic seizures: a prospective, blinded multirater study. Epilepsy Behav. 2009;16(1):139–44.  https://doi.org/10.1016/j.yebeh.2009.07.018.CrossRefGoogle Scholar
  40. Robinson JD. Soliciting patients’ presenting concerns. In: Heritage J, Maynard DW, editors. Communication in medical care: interaction between primary care physicians and patients. Cambridge: Cambridge University Press; 2006. p. 22–47.CrossRefGoogle Scholar
  41. Robinson JD. The role of numbers and statistics within conversation analysis. Commun Methods Meas. 2007;1(1):65–75.  https://doi.org/10.1080/19312450709336663.CrossRefGoogle Scholar
  42. Robinson JD. Overall structural organization. In: Stivers T, Sidnell J, editors. The handbook of conversation analysis. Chichester: Wiley; 2013. p. 257–80.CrossRefGoogle Scholar
  43. Robinson JD, Heritage J. Intervening with conversation analysis: the case of medicine. Res Lang Soc Interact. 2014;47(3):201–18.  https://doi.org/10.1080/08351813.2014.925658.CrossRefGoogle Scholar
  44. Roger P, Dahm MR, Cartmill JA, Yates L. Inter-professional clinical handover in surgical practice. In: White SJ, Cartmill JA, editors. Communication in surgical practice. Sheffield: Equinox; 2016. p. 333–54.Google Scholar
  45. Roter D. Patient participation in the patient-provider interaction: the effects of patient question asking on the quality of interaction, satisfaction and compliance. Health Educ Behav. 1977;5(4):281–315.Google Scholar
  46. Sacks H, Schegloff EA, Jefferson G. A simplest systematics for the organization of turn-taking for conversation. Language. 1974;50(4):696–735.CrossRefGoogle Scholar
  47. Schegloff EA. Between micro and macro: contexts and other connections. In: Alexander JC, Giesen B, Munch R, Smelser NJ, editors. The micro-macro link. Los Angeles: University of California Press; 1987. p. 207–34.Google Scholar
  48. Schegloff EA. Goffman and the analysis of conversation. In: Drew P, Wootton A, editors. Erving Goffman: exploring the interaction order. Oxford: Polity Press; 1988. p. 9–135.Google Scholar
  49. Schegloff EA. Reflections on quantification in the study of conversation. Res Lang Soc Interact. 1993;26(1):99–128.CrossRefGoogle Scholar
  50. Schegloff EA. Confirming allusions: toward an empirical account of action. Am J Sociol. 1996;102(1):161–216.CrossRefGoogle Scholar
  51. Schegloff EA. Sequence organization in interaction, vol. 1. Cambridge: Cambridge University Press; 2007.CrossRefGoogle Scholar
  52. Sidnell J. Basic conversation analytic methods. In: Stivers T, Sidnell J, editors. The handbook of conversation analysis. Chichester: Wiley; 2013. p. 77–99.CrossRefGoogle Scholar
  53. Silverman D. Harvey sacks: social science and conversation analysis. Cambridge/New York: Polity/Oxford University Press; 1998.Google Scholar
  54. Silverman D. Interpreting qualitative data. 2nd ed. London: Sage; 2001.Google Scholar
  55. Silverman J, Kurtz SM, Draper J. Skills for communicating with patients. 3rd ed. Oxford: Radcliffe Publishing; 2013.Google Scholar
  56. Stivers T, Sidnell J. Introduction. In: The handbook of conversation analysis. Chichester: Wiley; 2013. p. 1–8.Google Scholar
  57. Stokoe E. Simulated interaction and communication skills training: the ‘Conversation-analytic role-play method’. In: Antaki C, editor. Applied conversation analysis. Basingstoke: Palgrave Macmillan; 2011. p. 119–39.CrossRefGoogle Scholar
  58. ten Have P. Doing conversation analysis. London: Sage; 1999.Google Scholar
  59. ten Have P. Doing conversation analysis. 2nd ed. London: Sage; 2007.CrossRefGoogle Scholar
  60. White SJ. Closing clinical consultations. In: Busch A, Spranz-Fogasy T, editors. Sprache in der Medizin [Language in Medicine]. Berlin: De Gruyter; 2015. p. 170–87.Google Scholar
  61. White SJ, Casey M. Understanding differences between actual and simulated surgical consultations: a scoping study. Aust J Linguist. 2016; 1–16.  https://doi.org/10.1080/07268602.2015.1121534.
  62. White SJ, Stubbe MH, Dew KP, Macdonald LM, Dowell AC, Gardner R. Understanding communication between surgeon and patient in outpatient consultations. ANZ J Surg. 2013;83(5):307–11.  https://doi.org/10.1111/ans.12126.CrossRefGoogle Scholar
  63. White SJ, Stubbe MH, Macdonald LM, Dowell AC, Dew KP, Gardner R. Framing the consultation: the role of the referral in surgeon-patient consultations. Health Communication. 2014;29(1):74–80.  https://doi.org/10.1080/10410236.2012.718252CrossRefGoogle Scholar
  64. Yule S, Flin R, Paterson-Brown S, Maran N. Non-technical skills for surgeons in the operating room: a review of the literature. Surgery. 2006;139(2):140.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.Macquarie UniversitySydneyAustralia

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