Wellness Beyond Words: Maya Compositions of Speech and Silence in Medical Care

Vol. 57, no. 1 (Spring 2015)

Western healthcare interactions are constructed as binary alternations in which the provider asks a series of questions that the patient is expected to answer. In contrast, indigenous Maya healthcare interactions typically involve more than two individuals.

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An entire family may participate together and the structure of the interaction is much more fluid than in Western contexts. Any participant may ask or answer questions at any time, so that symptoms are often conveyed by individuals other than the patient.

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Wellness Beyond Words: Maya Compositions of Speech and Silence in Medical Care by T. www.farmersmarketmusic.com Albuquerque: University of New Mexico. Maya Compositions of Speech and Silence in Medical Care into Maya intra- cultural therapeutic (Maya healer/Maya wellness-seeker) and cross-cultural.

These differences may become critical in cross-cultural contexts. The typical adjacency pair in Maya conversation involves a second part that repeats most if not all of the first part of the pair.

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Displays of disagreement are highly dispreferred in Maya conversation, so that initial expressions of agreement are common. In these legal contexts, the interactional structure of the Western deposition is quite alien for indigenous immigrants. The way in which Western legal narrative requires specific details to be separated from a larger narrative makes very little sense from a Maya perspective.

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Some Ixhil Maya participants might find it impossible to discern any relationship between the larger problems leading to a request for asylum and the specific details expected within the genre of a legal deposition: Why would one ask for details about the job I had in Guatemala when the important issue is the violence I have experienced? While we have found the research of a number of linguistic anthropologists extremely helpful in identifying problems in social service interactions, efforts to resolve these problems can be extremely frustrating.

An awareness that the structure of an asylum interview is problematic for indigenous immigrants may be of little help as long as the legal system accepts only one approach to such interviews.

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But Harvey may be intentionally resisting this sort of dec- laration, as he calls for social science to embrace the indeterminacy of meaning. Received 19 June Language in Society 45 doi: John Benjamins Publishing Company, The volume shows, by means of analysing naturally occurring data, how speakers rely on time dimensions to understand each other in language- in-interaction.

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Therefore, the semantic aspects of time are not addressed in this volume; instead it focuses on demonstrating the adaptation of grammar to interaction- al temporal constraints. The volume is divided into three sections: Mechanisms of temporality in interactions; II.

Temporal organization of multimodal interaction. There is also an Appendix contain- ing the transcription conventions. The second article, by Arnulf Deppermann, focuses on retrospection in interactions and argues that most intersubjectivity is accomplished without explicit displays of under- standings. The last article of section I, by Cecilia E.

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