Therapeutic change in interaction: conversation analysis of a transforming sequence

Liisa Voutilainen1, Anssi Perakyla, Johanna Ruusuvuori

  • 1University of Helsinki, Department of Social Research, Finland. liisa.voutilainen@helsinki.fi

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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