Are patients passive, or merely deferent? How does gender affect questioning and topic control in medical encounters? What does it sound like when physician and patient co-construct a diagnosis through storytelling? Nancy Ainsworth-Vaughn, a sociolinguist, ethnographer, and cancer survivor, answers questions such as these in a study of 100 medical encounters, with balanced numbers of men and women among physicians as well as patients. Ainsworth-Vaughn draws upon linguistics and medical ethics to develop a comprehensive theory of types of power. She engages critical problems in discourse theory, expanding our understanding of topic transitions, questions, ambiguity, and co-construction.

An Outline of Sociology as Applied to Medicine, Third Edition provides an understanding of the origins, nature, and context of illness in society. This book discusses the relationship between health care and the society in which it occurs. Organized into 15 chapters, this edition begins with an overview of some deficiencies of the biomedical model of illness. This text then explores the traditional medical model, which holds that disease is a lesion inside the human body that produces two types of indicator of its presence, namely, the signs and symptoms. Other chapters consider the difference of perspectives between doctor and patients. This book discusses as well the presence of various biological causes of illness that is strongly influenced by social factors. The final chapter deals with the social significance of medicine. This book is a valuable resource for sociologists. Primary care physicians and specialists will also find this book extremely useful.

Designed to synthesize a growing international and interdisciplinary body of experience, this volume provides a mandate and a charge to medicine to fundamentally transform the traditional clinical method and the social relations it fosters between doctor and patient and between student and teacher. The contributors challenge the medical establishment to change their clinical method from that of a disease-centred to a patient-centred one. Four sections deal with issues related to the doctor's own transformation, the medical interview, teaching and learning, and validation.