chapter  12
32 Pages

Preserving and Constraining Options: “Okays” and ‘Official’ Priorities in Medical Interviews Wayne A. Beach

Beginning an analysis with an initial consideration of physician-identified problems is a somewhat unique point of departure for researchers attempting to understand the practical organization of institutional conduct (e.g., Boden & Zimmerman, 1991; Drew & Heritage, 1992). Yet such a move seems particularly warranted for purposes of this study. First, considering the wide spectrum of interactions comprising work settings, it is indeed rare for professionals to rely on the details of interactional involvements as resources for understanding (and attempting to improve the daily operations) of the very bureaucracies in which they are integrally involved. Second, and relatedly, it is also uncommon for social scientists concerned with everyday language use to be in a position to contrast their observations with those institutional members treat as significant-and to do so by relying on similar methodologies (i.e., recordings and transcriptions) for gaining access to naturally occurring interactions.