Previous research exploring the use of narratives in medical interviews has primarily examined the history-taking phase to illustrate the ways in which physicians and patients discursively collaborate to organize and interpret patients’ illness experiences (Eggly, 2002; Halkowski, 2006; Stivers & Heritage, 2001). In this paper, the scope will be expanded to demonstrate that narrative accounts are interwoven and unfold across various phases of the medical interview, not only the history-taking phase, and are utilized in a variety of ways to collaboratively accomplish specific social practices. A narrative as talk-in-interaction approach is used to examine narrative accounts using audio-recordings of naturally occurring medical interview data (US, American English). This paper examines the ways in which narratives are locally occasioned to do a variety of things (e.g., raise difficult topics, actively resist treatment, reinforce identities), including influencing the treatment decision making process.

中文翻译：

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叙述性叙述及其对医学访谈中治疗建议的影响

先前探索在医学访谈中使用叙述的研究主要检查了历史采集阶段，以说明医生和患者通过话语合作组织和解释患者疾病经历的方式（Eggly，2002；Halkowski，2006；Stivers & Heritage， 2001）。在本文中，范围将扩大，以证明叙述性叙述在医学访谈的各个阶段相互交织和展开，不仅是历史采集阶段，而且以各种方式用于协作完成特定的社会实践。叙事作为互动中的谈话方法用于使用自然发生的医学访谈数据（美国，美式英语）的录音来检查叙事账户。