A ENTREVISTA PSIQUIÁTRICA: A ROTINA, O FAZER CLÍNICO E AS REPRESENTAÇÕES / THE PSYCHIATRIC INTERVIEW: THE DOCTOR´S ROUTINE, HIS CLINICAL PRACTICE AND HIS REPRESENTATIONS

AUTOR(ES)

TANIA CONCEICAO PEREIRA

DATA DE PUBLICAÇÃO

2005

RESUMO

The purpose of this study consists of an accurate analysis of the psychiatric interview, by combining three perspectives: analysis of the doctor´s routine or interview agenda, which has a standard format and guides the doctor throughout his clinical practice; frame analysis of the doctor´s clinical practice with a focus on the here and now in doctor-patient interviews; and analysis of the doctor´s representations regarding his practice, revealed during interviews with the researcher. Interactional Sociolinguistics, Ethnographic Research and Social Psychology provide the theoretical framework for this study. Hence, a distinction was made between doctor-centered interviews, denoting the voice of medicine, and patient-centered interviews, denoting the patient´s account of his world of experience. The results showed that there are two kinds of interview agendas: those which tend to control the course of the interview, and others which tend to set a high value on the patient´s stories and experiences, providing more spontaneous interactions. During doctor-patient interviews, the doctor introduces framings, which shift from the investigatory/exploratory to the co- construction of the patient´s world of experience, provoking changes in the asymmetrical relationship. Therefore, the doctor adopts a hybrid discourse behavior, that is, on the one hand he controls the patients´ flow of talk in the encounter, and on the other, he fosters a state of talk where patients may express how they represent their world of experience. As the doctor-researcher interviews were analysed, it became clear that the doctor valued patient-centered interviews, moving away from the procedures in the pre-established agenda. The results suggest, however, that+ the doctor establishes an informationcontrolled meta-frame during the here and now in the interview. He manages the information by controlling the turn structure and summing up the patient´s talk, ignoring, many times, the patients´ contributions. In doing so, the doctor ends up using a legitimated institutional power.

ASSUNTO(S)

identidade psychiatric interview frames enquadres identity narrativa entrevista psiquiatrica representation narrative representacao

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