Tensions in the epistemic domain and claims of no-knowledge : A study of Swedish medical interaction

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http://hdl.handle.net/10138/172909

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Lindström , J K & Karlsson , S 2016 , ' Tensions in the epistemic domain and claims of no-knowledge : A study of Swedish medical interaction ' , Journal of Pragmatics , vol. 106 , pp. 129-147 . https://doi.org/10.1016/j.pragma.2016.07.003

Title: Tensions in the epistemic domain and claims of no-knowledge : A study of Swedish medical interaction
Author: Lindström, Jan Krister; Karlsson, Susanna
Contributor: University of Helsinki, Department of Finnish, Finno-Ugrian and Scandinavian Studies
Date: 2016-11-01
Language: eng
Number of pages: 18
Belongs to series: Journal of Pragmatics
ISSN: 0378-2166
URI: http://hdl.handle.net/10138/172909
Abstract: This article analyzes the halts in sequential progressivity that are caused by claims of no-knowledge in Swedish medical interaction. The focus is on responsive turns and turn-constructional units that are prefaced by the epistemic disclaimer jag vet inte ‘I don’t know’. We argue that this use of epistemic disclaimers does not primarily display the speaker’s lack of knowledge, but that their presence signals interactional problems that are contingent on epistemic asymmetries between the participants. Patient replies that contain an epistemic disclaimer are nonconforming responses and they therefore resist something about the question: the presupposed access to knowledge or the rights to knowledge. The present analysis demonstrates that epistemic tensions, especially in lay--professional interaction, are handled by the lay party using epistemic disclaimers. These can initiate a shift in epistemic posture toward a more independent, more personally accurate formulation of knowledge that somehow contrasts with the professional party’s assumptions.
Subject: 6121 Languages
epistemic access
epistemic authority
Epistemic stance
epistemic asymmetry
medical interaction
SWEDISH
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