‘Saving face’: What can GPs learn about effective consultation skills from politeness theory?

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References

Balint

(1957) The Doctor, His Patient and the Illness. London: Tavistock Publications.

Brown

Levinson

(1987) Politeness: Some Universals in Language Usage. Cambridge: Cambridge University Press.

Carnegie

(1936) How to Win Friends and Influence People. New York, NY: Simon and Schuster.

Cooper

(2022) ‘The voice of an oracle’: Little Nell and the art of ‘enacting the persona of the doctor’. InnovAiT 15(12): 712–717. DOI: 10.1177/17557380221124149.

Cooper

Fernandes

Jegatheesan

(2025) ‘Show don’t tell’: using demonstrations to promote ‘conversational’ consultation skills in undergraduate general practice. Education for Primary Care 36(6): 318–319. DOI: 10.1080/14739879.2025.2534885.

Cooper

Sornalingam

Heath

(2023) Transforming primary healthcare through natural language processing and big data analytics. British Medical Journal 3811: p948. DOI: 10.1136/bmj.p948.

Cooper

Sornalingam

Heath

, et al. (2022). Consultation dynamics and strategies: The Brighton guide. InnovAiT 15(7): 419–424. DOI: 10.1177/17557380221093654.

Emerson

Harrington

Mullany

, et al. (2020) Learning to manage rapport in GP trainee encounters: A discursive politeness approach. In: Archer

Jagodziński

Grainger

(eds) Politeness in Professional Contexts. Amsterdam/Philadelphia: John Benjamins Publishing Company, pp. 25–54.

Goffman

(1955). On face-work: An analysis of ritual elements in social interaction. Psychiatry 18(3): 213–231. DOI: 10.1080/00332747.1955.11023008.

10.

Grainger

Masterson

Jennings

(2005) ‘Things aren’t the same, are they?’: the management of bad news delivery in the discourse of stroke care. Communications Medicine 2(1): 35–44. DOI: 10.1515/come.2005.2.1.35.

11.

Juanchich

Sirota

(2013) Do people really say it is ‘likely’ when they believe it is only ‘possible’? Effect of politeness on risk communication. Quarterly Journal of Experimental Psychology 66(7): 1268–1275. DOI: 10.1080/17470218.2013.804582.

12.

Liu

Grieve

Walker

, et al. (2024) Using politeness theory to deconstruct how preregistrant pharmacists approach disagreement in the workplace. American Journal of Pharmaceutical Education 88(12): 101303. DOI: 10.1016/j.ajpe.2024.101303.

13.

Mascarenhas

Schmidt-Renfree

Cooper

(2025) ‘Saving face’ and ‘dispreferred responses’: politeness theory in GP consultation skills teaching. Education for Primary Care 36(6): 322–323. DOI: 10.1080/14739879.2025.2534969.

14.

Ramani

Könings

Mann

, et al. (2025) About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. Academic Medicine 93(9): 1348–1358. DOI: 10.1097/ACM.0000000000002193.

15.

Rees

(2007) Thinking ‘no’ but saying ‘yes’ to student presence in general practice consultations: an exploration of the influences on patients’ expressed consent to students’ presence. Medical Education 42(3): 317–325. DOI: 10.1111/j.1365-2923.2008.03173.x.