This book introduces a unique model of medical discourse that identifies the forms of talk – voices – that doctors and patients use during the consultation, and studies the dynamic interaction as it unfolds particularly in follow-up visits. Natural recordings, semi-structured interviews, questionnaires and ethnographic observations provide the data for the research, which was carried out in an Outpatient Clinic in Santiago, Chile. Using an interactional sociolinguistic approach, analysis of the data identifies doctor–patient communication as a micro-performance of broader socio-cultural realities, in which social status, power, knowledge and personal beliefs and values all find expression in the consultative setting. Importantly, while both doctor and patient voices are shown to contribute to an essentially asymmetrical exchange, the study also identifies the holistic and empathic Fellow Human voice, which places doctors and patients on a more equal footing. In connection with this voice, the Spanish concept of simpatía is also discussed.While the model in this study was developed within a specific socio-cultural framework, it is hoped that it will be adapted and modified more widely and contribute to a better understanding between doctors and their patients.

Unique resource detailing the day-to-day activity of doctors who work on “the coal face” of psychiatry in an acute setting Dynamic Consultations With Psychiatrists is the outcome of a collaboration between the psychiatrists of a certain hospital and the author, which has continued successfully for more than ten years, containing a number of patient consultations and cases where psychiatry was used successfully to solve a patient’s problem. The presentation of each case, and particularly of the consultation, is meant to demonstrate the process by which insights were gained. Each consultation is written in plain English with the deliberate avoidance of terminology and especially psychoanalytic jargon. Naturally, all identified features of the patients have been deleted or changed so that the patients’ privacy is not compromised. The format is near to a transcript so that the work demonstrates how the understanding evolves and emerges from the process. The structure of the book is not according to a diagnosis but according to “presenting problem” (in other words, the most prominent feature), allowing for easy and efficient accessibility. Sample concepts and learning resources covered and included in Dynamic Consultations With Psychiatrists are as follows: How a doctor is faced with a patient who is suffering in their own particular way and how the clinician gets to develop a deeper understanding of their predicament Difficulties the “coal face” doctors encounter and the challenges they will face in their personal emotional wellbeing Relationships with the other professionals both within their hospital and other agencies Curtailed histories so that there is a seamless exposition of how the conclusions of the consultation have been reached Psychiatrists, psychotherapists, and students/instructors in related programs of study can use Dynamic Consultations With Psychiatrists to gain valuable insight into the thought process of practicing psychiatrists in relation to a myriad of patient problems, allowing them to learn vicariously and become better at dealing with their own patients’ problems.

Providing counseling professionals with a solid grounding in the primary theories, skills, and models used by professional consultants, Counselor as Consultant is the first text that explicitly addresses the new CACREP core standards for consultation. The book’s strong focus on intentionality, reflection, and wellness helps readers develop a strong sense of counselor identity, while its structure and exercises reinforce learning. Abundant exercises and case illustrations help counselors-in-training translate theory into practice and learn the essential skills needed for consultation positions.

The industry of management consulting is vast and extremely diverse. The scope of expertise and provisions encompassed by this designation is vast. The distinction between the work of the most expensive strategy agencies and that of a project management consultant is of such magnitude that the two may fail to identify one another as practitioners of the same field. Certain publications aim to discuss particular aspects of this industry. They frequently describe a variety of consulting instruments and methods. Knowing the most effective tools and techniques does not automatically transform one into an effective consultant, as their applicability is contingent upon specific circumstances. Regarding the provision of services to the client, national management consultancy institutes and professional associations, which are entrusted with and encouraged to uphold the utmost level of accountability, should prioritise accountability for the performance of management consultants in numerous respects. The consulting approaches and methodologies utilised for a wide range of management and business problems, organisations, and environments are detailed in this book. A vast array of consulting approaches, techniques, methods, modalities, and styles exist. This variety is among the most stimulating aspects of management consulting. This implies that even clients who possess highly specific issues and personalities can typically locate a consultant who is a good match for their organisation and persona. On the contrary, consulting also demonstrates specific shared principles and methodologies. Certain ones are indispensable and are employed by an overwhelming majority of consultants.

In clinical work, an awareness of patients' subjective experiences, particularly their perceptions of interpersonal relationships, is indispensable. The aim of this book is to improve care and treatment planning by describing a structured approach to eliciting patients' core relationship patterns. These patterns consist of the roles and scenarios into which they repeatedly cast themselves and others with whom they interact. Maladaptive patterns, in which vicious cycles and self-fulfilling prophecies of misperception, misunderstanding or provocation escalate, cause pain and havoc in personal relationships and can adversely affect both professionals' decisions and the overall delivery of treatment. This book shows how to use vital information that is often not made available to treatment teams in order to understand such potential pitfalls rather than succumb to them.

This book explores the issue of politeness phenomena and socially appropriate behavior in two societies, Mexico and the United States, in three different contexts: refusing invitations, requests, and suggestions. In addition to a state-of-the-art review of the speech act of refusals in numerous languages, the book provides a rigorous analysis of data collection methods utilized to examine speech act behavior at the production and perception levels. Many examples of native speaker interactions illustrate the similarities and differences observed in the realization patterns and the perception of refusals by Mexicans and Americans in formal and informal situations. The data are analyzed in terms of refusal sequences and pragmatic strategies which are strategically used to carry out relational work during the negotiation of face. The results of the quantitative and qualitative analyses are interpreted in light of the notions of face, politeness, and relational work in Mexico and the United States. This publication will be of interest to researchers and students in pragmatics and discourse analysis, cross-cultural communication, and sociology.

This book brings together a collection of articles characterized by two main themes: the contrastive study of parallel phenomena in two or more languages, and an essentially functional approach in which language is regarded, first and foremost, as a rich and complex communication system, inextricably embedded in sociocultural and psychological contexts of use. The majority of the studies reported is empirical in nature, many making use of corpora or other textual materials in the language(s) under investigation. The book begins with an introductory section in which the editors provide surveys of the state of the art in both functional and contrastive linguistics. The other five sections of the volume are devoted to (i) a cognitive perspective on form and function, (ii) information structure, (iii) collocations and formulaic language, (iv) language learning, and (v) discourse and culture.