published_or_final_version / Linguistics / Master / Master of Philosophy

This thesis examines interactional dimensions of the 2008 U.S. presidential debates based on the conversation analytic concepts of sequence organization and turn management. Drawing on the video recordings of the three 2008 presidential debates, I investigate features of turn design and interactional strategies that candidates employ during the debates and compare stylistic differences between John McCain and Barack Obama. I first examine how candidates design their first-turn responses to the moderator’s question in terms of placement of two different actions, answer and attack. Secondly, I focus on design of the second-turn responses and examine how candidates show responsiveness to both the moderator’s question and the opponent’s prior turn by incorporating multiple actions (e.g., attack, defense, and answer) in their second turns. I also examine direct exchanges between McCain and Obama, particularly concerning their strategic use of the record and their interactional practices in claiming turns and managing overlapping talk in confrontation sequences. My analysis shows that some stylistic differences exist between McCain’s and Obama’s turns. I provide detailed description of how Obama makes a systematic transition from answer to attack in his first-turn responses, which is distinguished from McCain’s first turns in which attacks are inserted in his answer as relevant topics are brought up. My analysis of the second-turn responses shows that McCain frequently produces an attack at turn beginning or responds to an attack with a reciprocal attack before producing a defense, while Obama tends to produce a defense first and then move to an attack. Lastly, I discuss how both Obama and McCain manage their turns and use turn-taking techniques to avoid direct references to their own record and shift the focus of the talk to the opponent’s stance on a related issue. / text

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This thesis is an ethnography of the phenomenon of self-help. It begins by noting a problematic at the centre of the topic: the term self-help connotes, on the one hand, an autonomous agent ("self'), and on the other, a reliance on other agents ("help"). More substantively, the term attaches itself to two opposing ideological positions, individualism and collectivism. This strange splitting of the term is reproduced in a contemporary context, where we see the genre of self-help books, which is built around the highly individualistic activity of reading as a quest for self-help, and self-help groups, which are built around the collective, co-presence of members as they mutually help one another. But the phenomenon is engaged by separate, non-overlapping literatures that treat self-help books as having a status independent of self-help groups; one attends to self-help books, but disregards self-help groups, while the other attends to self-help groups, but disregards self-help books. Thus self-help books and self-help groups get polarized. This effectively makes the original problematic around the term itself disappear, because it' simply ignores it. This research turns this character of self-help into a topic for study. It looks at what holds the term together, that is to say, self-help books and self-help groups, when they appear to be entirely independent phenomena, and yet still share the term self-help. It is interested in the significance of the term, why it gets invoked as a description of particular activities and what that entails as a practical matter. It wants to see how self-help is performed. It identifies a hybrid of self-help books and self-help groups - a self-help workshop. This third site of self-help brings individual readers of self-help books into a context of collective, social activity. It uses this as a strategy with which to examine the relationships between self-help books and self-help groups, self and help. It undertakes a detailed empirical analysis of a corpus of self-help books, a selfhelp workshop and a range of self-help groups, drawing on textual, discursive and ethnographic modes of inquiry. It then uses this empirical work to map self-help and engage it as a wider, cultural phenomenon in the modem period.

This thesis used fifty hours of naturally occurring video and audio taped data from the ‘weigh-in' section of four commercial weight management groups in the East Midlands of England. This thesis is a discursive psychological and conversation analytic investigation of the turn-taking organization of the talk, examining what the group leaders and members make relevant in their talk about food and dieting. The data was transcribed using the Jeffersonian method. Group members attend the group weekly, and are weighed - their weight gain, loss or maintenance is recorded on a membership card. The analytic chapters follow the format of the ‘weigh-in' section of the meeting exploring firstly how the group leaders and members manage the practices of getting ready to be weighed; then how the ‘news' of weight gain, loss or maintenance is told and receipted; before exploring how ‘advice-giving' is constructed and the final analytic chapter deals with the issues of morality and accountability in the leaders' and members' talk. Analysis shows that the ‘pre-weigh in practices' involved before the group members are weighed consists of two robust patterns, 1) the practice of getting undressed is not oriented to by either the group members or group leaders and the group leaders avoided direct eye contact and concerned themselves with other business or 2) when no undressing practices took place, the group leaders were much more comfortable with direct eye contact. These sequences show how the body and its practices are constructed in particular ways within, and as part of the practices of getting ready to be weighed. Analysis showed the telling and receipting of weight news gets done differently depending on whether the group members have gained, lost or maintained weight. When the news concerned weight gain, the sequence included a ‘pre-announcement' and the news TCU was punctuated with marked trouble. When the news concerned weight loss, only the group members produced a pre-account and the news TCU contained no marked trouble. Finally, when the group members had maintained weight, the news TCU was delivered bluntly, and there was no evidence of trouble. In relation to advice-giving, analysis showed that group members repeatedly worked to assert their epistemic priority to avoid having to acknowledge the advice and the advice was receipted minimally. Finally, analysis showed that group members produced accounts with reference to a moral evaluation, such as blame or culpability. Sometimes an account was produced to circumvent being held publicly accountable for the event or action. It became apparent that both the group leaders and group members could not orient to themselves, their behaviour or food without it being constructed within a moral or accountable framework. Therefore, the thesis is an exploration of how group leaders and members manage the ‘dieting-practices' involved in getting weighed in a commercial weight management group and how using DP and CA can show the intricate turn by turn organization of such practices.

This thesis is a conversation analytic investigation of the social organisation of talk in telephone and computer-mediated calls to NHS Direct, a telephone health helpline in England. The data represent fifty-six routinely audio recorded telephone consultations between nurses and callers between June 2003 and June 2004 at one NHS Direct call centre. Data were transcribed using the Jefferson (2004) transcription system. Data analysis follows the broad trajectory of the call. Chapter three illustrates the overall structural organisation of the call as mediated by the Clinical Assessment System (CAS); Chapter four examines how CAS prompted history taking questions are tailoured and delivered by the nurse; Chapter five examines the delivery by the nurse, of the CAS output in the form of the 'disposition' or course of action the caller may take to manage their concern, and Chapter six examines caller's responses to the disposition. The results draw attention to the complexities of telephone and computer-mediated help in which nurses and callers must design their talk to take account of the CAS as a 'third party'. Analysis reveals that nurses typically orient to the CAS output as potentially troublesome. First nurses regularly deviate from and modify CAS prompted questions which works to 'cushion' the system and build rapport between the nurse and the caller. Second nurses regularly simultaneously produce and labour to deny hearably candidate diagnoses. Third callers regularly respond to the CAS produced disposition as dispreferred. In conclusion, this research has revealed how nurses and callers employ a range of interactional practices which work to skilfully tailor and fashion 'embodied help' from an otherwise disembodied CAS technical system. Thus, we can observe nurses and callers artfully displaying through talk the ordinary practical methods for accomplishing telephone and computer-mediated help in this setting.

This thesis explores the social construction of birth by analyzing the interaction between the participants present in the delivery room. The data is drawn from 79 video recordings of birth. Six are unedited research recordings and the remaining 73 were edited for pedagogical, documentary and entertaining purposes. The theoretical and analytical perspective is Conversation Analysis. With this microanalytic method, a detailed insight is given to the interaction in the delivery room which should be of linguistic, anthropologic and midwifery interest. The thesis demonstrates how different situations are shaped during labor and the first 15 minutes after birth. It reveals how the identities child, girl, boy, mother, father, woman and man are constructed and negotiated in the unfolding interaction between the participants. In this sense, the thesis uncovers the construction of family roles in the delivery room during a delicate interaction between the private persons and the institutional representatives. The latter are charged with the complex task of safeguarding the physical wellbeing of mother and child while also promoting the development of parental identities. The thesis highlights the existence of a social birth work; the institutional interactants make use of a range of linguistic resources to demarcate the progression from second stage labor to birth and to position the newborn as an endeared social creature. Birth is an important liminal situation and is therefore forcefully spoken forth, and, as the thesis shows, enhanced with more or less ritual utterances and actions. Birth is also a matter of bodies, the body in labor, the supporting body of the partner and the appearance of the body of the newborn. The thesis gives insight into how these bodies are managed and stylized in interaction. Further the thesis makes visible the midwife’s use of interactional resources to instill strength into the body of the woman in labor. The results are discussed in light of the socio-cultural circumstances for hospital birth in Sweden.

The Swedish Bildtelefoni.net is a service that people who use Swedish Sign Language (SSL) through a video phone can call in order to get in touch with people who speak through a telephone, or vice versa. In relayed calls via the Swedish video relay service (FBT), the interlocutors have different access to the visual arena and the auditive space. They are also physically separated from each other. An interpreter, working in a studio, enables the interaction across the different media, and the interpreter is the only person who has direct contact with both users of the service. FBT has been provided in Sweden since 1996, and is administrated by The Swedish Post and Telecom Authority (PTS). The overall aim of the dissertation is to describe, analyse and discuss participants’ interaction and their joint construction of meaning within FBT. The theoretical and methodological frameworks for the dissertation are dialogism and Conversation Analysis (CA). The dissertation is based on twenty-five authentic calls from FBT, recorded during two periods of time: in the years 2009–2010, and in 2013. One stimulated recall is also made with one interpreter, concerning a call from the second collection. The project has been ethically approved by the Swedish Ethical Review Board. The interaction within FBT is dynamic and dependent on different media, modalities, resources, and also related to several conventions specific for the setting. All this influences the interlocutors, their actions as well as the entire activity. This kind of complexity has not previously been studied in the regular service. Analysis of the recordings focuses on the actions and activities of the participants who interact in the FBT, on a moment-to-moment basis. As results of the research, four phenomena are addressed, and presented as papers: I: the organisation of turns; II: the headset as an interactional resource; III: positioning and bimodal mediation with a focus on the interpreter; IV: the co-creation of communicative projects among the interlocutors. A main conclusion of the results is that the interaction is a joint construction of meaning among all of the interlocutors, although, the interpreter has a key function. Further research of interaction within FBT needs to be conducted, since investigations on this institutional interaction are rare despite the fact that this kind of service is widespread all over the world.

In this thesis, conversation analysis (CA) is applied to study “risk strategies” in parent-teacher-student conferences in the Swedish nine-year compulsory school. The material consists of 80 conferences collected at two different points in time: 45 from the period 1992–93 (at that time called kvartssamtal, lit. “quarter of an hour conference”) and another 35 collected in 2004 (at the present time, and since the latest curriculum from 1994, called utvecklingssamtal, lit. “development conference”). All conferences in the material concern students in the 5th grade, i.e. when students are 11–12 years old. Each year, approximately 2.6 million student conferences in total are held in the Swedish compulsory school and upper-secondary school, involving about 5.5 million participants. Yet, we have virtually no knowledge of what actually happens in these conferences, i.e. how they are conducted. Hence, this study contributes to “filling the gap” and to meeting this want, the how of the student conference as a practical achievement. The aim of the study is to analyze conversational strategies in use to handle “risk”, i.e. a moment whose outcome is uncertain and that could possibly lead to a problem. Here, strategy refers to recurrent line of action and does not necessarily comprise speaker awareness. Strategies are part (and the materialization) of everyday cultural norms, rules of social behavior and habitualized “ways of practice”. They are used “for self”, “for someone else” or “for all” and should be considered in the light of Goffman’s notion of “face-work”, i.e. what the speaker does in order to counteract possibly face-threatening acts. The study is aimed at three particular situations of considerable analytic value: (i) the opening of the conference, (ii) the initiation of talk about trouble (problem), and (iii) the closing of the conference, or more immediately, the possibility for students and parents to raise their own issues. The results show that the conference opening is a coordinated achievement and to a great extent oriented to meet the possibility of the student being nervous. The conference is an “ordinary conference” and the opening questions are “what I ask any student”. When a speaker initiates talk about possible trouble, the pace decreases and utterances very often comprise “perturbations of delivery”, i.e. filled and unfilled pauses, mitigating expressions, abandoned turn beginnings and restarts, “repairs”, etc. These and other circumstances make it possible to forecast the action as (possibly) a trouble-initiating action. At the closing of the conference, students and parents are commonly offered the opportunity to raise their own issues. However, when analyzing the different ways of offering a prolongation of the conference, the study shows that the opportunity is strongly restricted, e.g. due to the design of the question. / I denna avhandling används samtalsanalys (”conversation analysis”) för att studera ”riskstrategier” i samtal mellan lärare, elever och föräldrar i grundskolan. Materialet består av 80 samtal som insamlats vid två olika tidpunkter: 45 st. inspelade 1992–93 (kvartssamtal, eller den mer formella benämningen enskilda samtal) och ytterligare 35 st. inspelade 2004 (utvecklingssamtal, den benämning som gäller sedan den senaste läroplanen). I avhandlingen används elevsamtal som ett samlingsnamn. Alla elevsamtal i materialet gäller elever i årskurs 5, dvs. när eleverna är 11–12 år gamla. Varje år genomförs ca. 2,6 miljoner elevsamtal i grundskolan och gymnasieskolan sammantaget, möten som involverar ca. 5,5 miljoner samtalsdeltagare. Även om elevsamtalen förekommer flitigt, vet vi nästan ingenting om vad som egentligen händer i dessa möten, dvs. hur de genomförs. Denna avhandling kan därför betraktas som ett bidrag till ambitionen att fylla detta tomrum något; hur samtalsdeltagarna genomför elevsamtal. Avhandlingens syfte är att studera kommunikativa strategier som tas i bruk för att hantera ”risk”, dvs. ett moment vars utgång är oviss och som potentiellt kan skapa eller leda till problem. Med strategi avses återkommande tillvägagångssätt och omfattar inte nödvändigtvis talarens medvetenhet. Strategier är en del (och materialiseringen) av vardagskulturella normer, umgängesregler och habitualiserade ”sätt att göra”. De används ”för talaren själv”, ”för någon annan” eller ”för alla” och bör betraktas i ljuset av Goffmans begrepp ”face-work”, dvs. vad talaren gör för att motverka potentiellt ansiktshotande ”incidenter”. I avhandlingen fokuseras tre specifika talsituationer av väsentligt analytiskt värde: (1) hur samtalet startas, (2) hur man initierar tal om problem och (3) hur samtalet avslutas, eller närmare, möjligheten för elever och föräldrar att lyfta egna ”övriga frågor”. Resultaten visar att elevsamtalets inledning är en koordinerad prestation som i synnerhet är orienterad mot eventualiteten att eleven är nervös. Elevsamtalet är ett ”vanligt samtal” och lärarens inledande frågor är ”vad jag brukar fråga alla andra elever”. När en talare inleder tal om ett potentiellt problem (problemmoment) går tempot ner och yttrandena omfattar ofta ”störningar och upphakningar”, dvs. pauser, pausfyllnader, förmildrande uttryck, övergivna turstarter och omstarter, ”reparationer”, etc.. Dessa egenskaper (och andra) gör det möjligt att ”förutse” handlingen som (potentiellt sett) en probleminitierande handling. Vid elevsamtalets avslutning är det vanligt att eleverna och föräldrarna erbjuds möjligheten att lyfta sina egna frågor och funderingar. En analys av lärarnas olika sätt att erbjuda möjlighet att förlänga samtalet visar emellertid att sådan möjlighet ofta är starkt begränsad, t.ex. beroende på frågeyttrandets form. / <p>Avhandlingen är publicerad med tillstånd av Arbetslivsinstitutet (http://www.arbetslivsinstitutet.se/publikationer/detaljerad.asp?ID=1632).</p>

The role of diabetes specialist nurses in delivering diabetes consultations has been recognised for more than a decade, particularly since the publication of the Standards for Specialist Education and Practice by the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) in 2001. However, evidence on how the consultation is delivered, together with patients’ experiences, is somewhat limited. This study examined diabetes specialist nurses’ and patients’ consultation experiences in primary care. It also investigated the process and outcome of these diabetes consultations. This research utilised a sequential mixed methods single approach design in which qualitative was followed by quantitative investigation. In the qualitative stage, 7 diabetes specialist nurses and 7 patients were interviewed separately, followed by observations of 7 nurse-patient consultations. The data from the interviews were analysed thematically, whereas the data from nurse patient consultations were examined though conversation analysis (CA). The investigation continued quantitatively, where the questionnaires were developed based on the qualitative findings and adaptation of the Consultation Quality Index (CQI-2). Following on from a pilot study, the questionnaires were sent to adult patients with diabetes (n=150) and 40 completed questionnaires were returned for statistical analysis. The qualitative and quantitative findings were then merged in a matrix diagram to reveal holistic findings on consultation experiences. The thematic analysis of patients’ interviews produced five themes which were: ‘I don’t like living with diabetes’, ‘Daily problems’, ‘Coping with my diabetes’, ‘How the nurses approach me’ and ‘My expectations toward the diabetes specialist nurses’ . In contrast, the themes from the nurses focused not only on the diabetes consultation but also care management issues: ‘Current problems’, ‘My expectations towards the patients’, ‘Consultation approaches’, ‘Personal development’ and ‘Team working’. Details on the sequence and scope of consultations were obtained from conversation analysis which highlighted the approaches commonly used by the diabetes specialist nurses. The statistical analysis showed associations between partnership and empathy (P=0.01), empathy and outcome (P= 0.005), information giving and consultation time (P= 0.05). The integration of qualitative and quantitative findings suggested ‘Consultation stages’ as a theme, and also four themes related to consultation experiences: ‘Day to day hurdle’, ‘Knowing each other’, ‘Shared expectations’and ‘Working together’. This study has identified the value and processes of the nurse-patient consultation in diabetes care from a nursing context. In general, the patients experienced their consultations with the DSNs positively. They highlighted key personal characteristics of the nurses. Similarly, the nurses considered their role in delivering consultation as crucial. Some challenges were evident including patients’ behaviours, the diabetes knowledge of other health care professionals and the lack of administrative support. The association between the nurses’ empathetical approaches and the patients’ outcomes needs further investigation.