Practitioners use "just" to minimize perceived difficulty. "Just go do it" suggests activity is ordinary and achievable. This implies patient could and should be able to perform the action. It challenges the self-evidence of disability claims.

Normalization Devices

Suggesting "moving does no harm" proposes behavioral change. Hypothetical framing tests patient openness to psychosocial approach. It implies current inactivity isn't medically necessary. This positions change as possible and desirable.

Hypothetical Treatment Directions

Practitioners mark behavior as inadequately accounted for. "It's still not quite clear to me" implies pain alone doesn't explain inactivity. This subtly challenges the inevitability of patient's limitations. It creates space for alternative explanations.

Insufficient Explanation Framing

Using "you lie down" versus "you have to lie down" matters. Active voice positions patient as choosing their actions. This makes accountability and responsibility relevant to the interaction. It opens possibility for different choices in future.

Agency Attribution

Tentative language protects practitioners from direct confrontation. "Suppose we would say" creates hypothetical distance. Institutional "we" deflects personal accountability for challenging patient. Manages delicacy of questioning patient's account.

Hedging and Distancing

- Normalization Devices
- Hypothetical Treatment Directions
- Insufficient Explanation Framing
- Agency Attribution
- Hedging and Distancing

State University of New York at Binghamton

- Patient Authenticity Management: How patients construct credible disability claims
- Practitioner Challenge Strategies: Techniques for encouraging behavioral change without direct confrontation
- Interactional Tensions: Conflicts and dilemmas arising in pain consultations

Patient-Practitioner Dynamics: The interactional dance between competing goals and perspectives

Lester, J. N. (Ed.). (2021). Discursive Psychology and Disability. Palgrave Studies in Discursive Psychology. Springer Nature Switzerland AG.

Reference For: Discursive Psychology and Disability

- Willing But Unable Identity
- Script Formulations
- Extreme Case Formulations
- Factual Language
- Breach Narratives

Patient Authenticity Management: How patients construct credible disability claims

Practitioner Challenge Strategies: Techniques for encouraging behavioral change without direct confrontation

- Doctorability Dilemma
- Agency-Accountability Link
- Chronic Pain Context
- Interactional Fix

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