The dynamics of overlapping speech in pain clinic medical encounter

Forms and consequences

Authors

  • Ketut Santi Indriani Indriani Udayana University, Denpasar, Indonesia
  • Ni Ketut Alit Ida Setianingsih Udayana University, Denpasar, Indonesia

Keywords:

Overlapping speech, Doctor–patient interaction, Conversation analysis, Clinical communication, Pain clinic consultations

Abstract

This study explores the phenomenon of overlapping speech in doctor–patient interactions at a pain clinic, using Conversation Analysis to examine its forms and communicative functions. Overlapping speech, often perceived as disruptive, is revealed to serve significant roles in clinical discourse. Data were collected through video recordings and transcribed interactions, analyzed across three phases: pre-examination, examination, and post-examination. Findings indicate that overlapping frequently occurs unintentionally but can also be employed strategically by both doctors and patients. Doctors often use intentional and recognitional overlaps to steer the conversation, clarify information, or ensure diagnostic accuracy. Patients, particularly in the post-examination phase, use overlaps to express understanding and alignment with medical advice. Rather than hindering communication, overlapping speech enhances interaction by providing real-time feedback, reinforcing mutual understanding, and fostering collaborative dialogue. These insights underscore overlapping speech as a functionally significant and socially meaningful component of clinical communication. Recognizing its value can lead to more empathetic, effective, and patient-centered medical consultations.

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Published

2025-07-21

How to Cite

Indriani, K. S. I., & Setianingsih, N. K. A. I. (2025). The dynamics of overlapping speech in pain clinic medical encounter: Forms and consequences. The International Journal of Language and Cultural (TIJOLAC), 7(2), 8–18. Retrieved from https://www.growingscholar.org/journal/index.php/TIJOLAC/article/view/512

Issue

Vol. 7 No. 2 (2025): September

Section

Articles
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Copyright (c) 2025 Ketut Santi Indriani Indriani, Ni Ketut Alit Ida Setianingsih

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