The Dynamic Consultation -- Editorial page -- Title page -- LCC page -- Dedication page -- Table of contents -- Preface -- Note -- References -- Acknowledgments -- 1. Introduction -- 2. Discourse, society and doctor-patient communication -- 2.1. A multi-disciplinary approach: Interactional socio-linguistics -- 2.1.1. Footing -- 2.2. Power, society and discourse -- 2.2.1. Discourse, power and simpatía -- 2.3. Everyday and institutional talk -- 2.4. Micro and macro realities of a socio-cultural group -- 2.5. Bio-medical and socio-relational approaches to doctor-patient communication -- 2.6. Doctor-patient communication: The medical and linguistic perspectives -- 2.6.1. Medical approaches to doctor-patient communication -- 2.6.2. Linguistic approaches: The doctor's perspective -- 2.6.3. Linguistic approaches: The patient's perspective -- 2.7. Sociological factors and doctor-patient communication -- 2.8. Conclusion -- Note -- 3. Doctor-patient communication -- 3.1. Discourse analysis: Interactional socio-linguistics and ethnographic approaches -- 3.2. Research design -- 3.3. Research questions -- 3.4. The Chilean health care system -- 3.5. The research site: The PUC Outpatient Clinic -- 3.5.1. The consultation room at PUC -- 3.6. Permissions -- 3.7. Stage I: Observation -- 3.8. Stage II: Questionnaire -- 3.9. Stage III: Semi-structured interview -- 3.10. Stage IV: Tape-recording of the medical consultation -- 3.11. The participants -- 3.11.1. The researcher -- 3.11.2. The doctors -- 3.11.3. The patients -- 3.12. Data analysis -- 3.13. The volume of data -- 3.14. Voices in doctor-patient communication -- 3.14.1. Analysis of doctors' voices -- 3.14.2. Analysis of patients' voices -- 3.14.3. Limitations to the number of voices -- 3.15. Ethical issues -- Notes -- 4. The Doctor voice -- 4.1. Seeking information -- 4.2. Assessment and review.

4.3. Alignment to authority -- 4.4. Summary -- 4.5. Conclusion -- Note -- 5. The Educator voice -- 5.1. Communicating medical facts -- 5.1.1. Information regarding available test results -- 5.1.2. Information regarding proposed tests -- 5.1.3. Information regarding the functioning of the human body -- 5.2. Responding to patient discomfort -- 5.3. Summary -- 5.4. Communicating medical treatment and management -- 5.4.1. Spanish markers of inevitability -- 5.4.2. Spanish markers of conditional inevitability -- 5.4.3. The impersonal pronoun -- 5.4.4. Persuasive education -- 5.5. Summary -- 5.6. Statistical findings -- 5.7. Absence of the Educator voice -- 5.8. Conclusion -- 6. The Fellow Human voice -- 6.1. Facilitating the telling of patients' stories -- 6.2. Assisting the telling of patients' stories -- 6.2.1. Utterance extension -- 6.2.2. Predictable utterance completion -- 6.2.3. Helpful utterance completion -- 6.3. Creating empathy with the patient -- 6.3.1. Agreement discourse markers -- 6.3.2. Emotional reciprocity -- 6.4. Showing special attentiveness to patients' stories -- 6.4.1. Mirroring -- 6.4.2. Clarifying a previous utterance -- 6.5. Asking questions unrelated to the patient's health -- 6.6. Statistical findings -- 6.7. Conclusion -- Notes -- 7. Patients' voices -- 7.1. Introduction -- 7.2. The voice of Health-related storytelling -- 7.3. The voice of Competence -- 7.3.1. The Complier -- 7.3.2. The Apologizer -- 7.3.3. The Challenger -- 7.4. The voice of Social Communicator -- 7.5. The voice of Initiator -- 7.6. Statistical findings -- 7.7. Results of Stage III: Semi-structured interview -- 7.8. Conclusion -- Note -- 8. Patterns of footing -- 9. The Dynamic Consultation -- 9.1. Doctors' and patients' talk: Animator, author, principal -- 9.1.1. Doctor voice and Educator voice -- 9.1.2. Fellow Human voice.

9.1.3. The voices of patients' stories -- 9.2. Asymmetry, power and the use of voices -- 9.2.1. Asymmetry in the institution -- 9.2.2. Asymmetrical questioning -- 9.2.3. Asymmetrical disapproval -- 9.2.4. Asymmetrical knowledge -- 9.3. Knowledge, power and simpatía -- 9.4. Affiliative discourse and simpatía -- 9.5. One consultation, two participants: An interactional work -- 9.6. Competence in the medical setting -- 9.7. A dynamic model of doctor-patient communication -- Note -- 10. Concluding remarks -- Bibliography -- Appendices -- Appendix 1 -- Aproximate total word count of doctors and patients -- Appendix 2a (English version) -- PATIENT QUESTIONNAIRE -- Appendix 2b (Spanish version) -- CUESTIONARIO PARA EL PACIENTE -- Appendix 3a (English version) -- DOCTOR QUESTIONNAIRE -- Appendix 3b (Spanish version) -- CUESTIONARIO PARA EL MEDICO -- Appendix 4 -- Symbols used in discourse transcriptions -- Appendix 5a (English version) -- EXPLANATORY STATEMENT FOR PATIENT AND DOCTOR -- Appendix 5b (Spanish version) -- DECLARACIÓN ACLARATORIA PARA PACIENTE Y MEDICO -- Appendix 6a (English version) -- CONSENT FORM -- Appendix 6b (Spanish version) -- CONSENTIMIENTO -- Index.