Membership categorization and professional insanity ascription

Discourse Studies 10 (4):543-570 (2008)
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Abstract

This study, based on three years of research and over 40 hours of videotaped interaction in psychiatry, investigates the issue of insanity ascription/exoneration in psychiatric interviews. Following Sacks's model of membership categorization analysis, this article analyzes the discursive resources that psychiatrists may draw on to achieve some conclusion regarding their patients' psychopathological status. As it turns out, psychiatrists' invocation of patients' putative membership categories plays a crucial role in the achievement of such a conclusion. I examine some fragments of psychiatric intake interviews and subsequent psychiatric interviews. The analysis shows that the process that may lead to insanity ascription/exoneration in psychiatric interviews basically involves the use of mundane, commonsense reasoning.

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