Members Forum Newsletter #4 Jan 2021

Happy New Year! And more importantly, welcome to the second year of the ISCA Newsletter. We have left a strange year behind us. With the emergence of the COVID-19 pandemic, academic life has been turned upside down: research projects have been temporarily suspended, online teaching has become the norm, most have to work from home, and ICCA 2022 had to be postponed. And while there is light at the end of the tunnel, the immediate outlook is still pretty bleak, with many countries dealing with new and extended lockdown measures.

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“The lung, from the disease you know”, Epistemic Asymmetry from a Chemotherapy Clinic in Saudi Arabia: A Case Study

By Maha Alayyash, Assistant Professor, English Department, Jeddah University

The Saudi society is based on strong family ties rather than patient autonomy (Aljubran, 2010). Therefore, the disclosure of cancer diagnosis is still related to the misconception of incurability (Khalil, 2013). To facilitate the misconception of cancer as a life-threatening illness, physicians tend to disclose cancer diagnosis to chaperones and conceal from, or even modify the unfavourable information given to the patients. Some patients have no right to know the reality of their illness nor to report on their illness. In short, epistemic asymmetry is conceptualised here as violating knowledge norms including the patient’s epistemic primacy (i.e. right to know) (Heritage, 2013). Therefore, the aim of this paper is to describe the epistemic resources that are used by the oncologist and chaperone to share epistemic access regarding the patient’s illness. Thus, this study attempts to answer the following research question:

How do the oncologist and the chaperone share epistemic access regarding the patient’s illness without involving the patient?

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Embodying resistance and disaffiliation in healthcare interactions

By Dr Daniela Andrade, associate professor at Universidade do Vale do Rio dos Sinos

CA-based research (e.g., Bergen et al., 2017, Koenig, 2011, Stivers, 2006, Street et al., 2005) has demonstrated how patients use the interactional machinery to resist healthcare providers’ recommendations (i.e., deontic actions, determining how the world should be, Stevanovic, 2011). Those might comprise medication, lifestyle, or health conditions monitoring. A recent study (Ostermann, in progress) shows that patients’ reluctance to accept healthcare-providers’ recommendations resides in a continuum between passive resistance and outright rejections.However, research on patient acceptance and resistance in this context has mostly concentrated on verbal actions – including the absence of verbal responses. Patients’ embodied responses to healthcare-providers recommendations received much less attention. Adopting a multimodal interactional approach that seeks to scrutinize visible conducts (Hepburn, Bolden, 2017) in this context may illuminate how the “complex organization of multimodal Gestalts” (Mondada, 2014a) materializes on the unfolding sequences of interest.

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SPAC Data Session Report

By Verónica González Temer, UMCE; and Katherina Walper Gormáz, UACh.

The Permanent Seminar for Conversation Analysis (SPAC for its acronym in Spanish) was born in the middle of 2020 from the need to establish a community that brings together academics interested in working with Spanish interactions from a CA perspective. As part of their activities, they hold regular data sessions run entirely in Spanish.

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Evaluating a conference of firsts: ECCA 2020

By Marije van Braak on behalf of the ECCA 2020 Organizing Committee

There is always a first time for everything – and, well, ECCA 2020 surely was a conference of first times in many respects. A first European Conference of Conversation Analysis, a first junior CA-conference, and one of the first online EMCA-conferences. It was also a conference of firsts in terms of new connections, sharing of initial analyses, prerecorded presentations, password protected data, game time, asynchronized birthday singing… and much more.

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