Date of Award

December 2012

Degree Type

Dissertation

Degree Name

Doctor of Philosophy

Department

Communication

First Advisor

Mike Alleb

Committee Members

Mike Allen, Nancy Burrell, Tae-Seop Lim, Edward Mabry, Hayeon Song

Keywords

Concordance Theory, Diagnostic Discourse, Hypothetico-Deductive Reasoning, Script Theory

Abstract

This study examines how participants interpret physicians' diagnostic discourse and physician interruptions during the patient's disclosure of problems and concerns. Using medical diagnostic scripts written for upper respiratory infections, participants' reactions to physician attentiveness and physician interruptions were measured. When physicians interrupt patients during the patient's disclosure of problems and concerns, interruptions violate patient's social script expectations and negatively affect patient satisfaction. Physicians' demonstrations of attentiveness and explanations of the purposes for the interruptions do not compensate for interruption's effects, and satisfaction with physician behavior is reduced.

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