Article published In: Pragmatics
Vol. 26:4 (2016) ► pp.563–582
Using a category to accomplish resistance in the context of an emergency call
Michael Jackson’s doctor
Available under the Creative Commons Attribution-NonCommercial (CC BY-NC) 4.0 license.
Published online: 1 December 2016
https://doi.org/10.1075/prag.26.4.02ber
https://doi.org/10.1075/prag.26.4.02ber
We report a single case analysis of a recorded emergency call with particular reference to the use of the non-recognitional categorical person reference ‘a personal doctor’ in the sequential context created by the Medical Priority Dispatch System (MPDS) protocol routinely used by the emergency services. We describe both the position and the composition of the turn in which this categorical person reference is deployed in order to analyse the action accomplished by its selection. We show how this category reference is selected to support the action in which the speaker is otherwise engaged, which is to resist the sequential trajectory proposed by his interlocutor (giving instructions for cardiopulmonary resuscitation). Our analysis makes two key contributions: 1) it provides a concrete detailed exemplar of how analysts can ground claims about category-bound inferences in the empirical practices of talk in interaction and 2) it extends existing work on emergency calls by relating their sequential structure to the MPDS protocol.
References (48)
Berdowski, Jocelyn, F. Beekhuis, A.H. Zwinderman, J. Tijssen, and R.W. Koster (2009) Importance of the first link: Description and recognition of an out-of-hospital cardiac arrest in an emergency call. Circulation 1191: 2096–2102.
Bushnell, Cade (2014) On developing a systematic methodology for analysing categories in talk-in-interaction: Sequential categorization analysis. Pragmatics 24.4: 735–756.
Cheung, Spencer, Charles D. Deakin, Ruby Hsu, Graham W. Petley, and Frank Clewlow (2007) A prospective manikin-based observational study of telephone-directed cardiopulmonary resuscitation. Resuscitation 721: 425–435.
Clawson, Jeff (1986) The hysteria threshold: Gaining control of the emergency caller. Journal of Emergency Medical Services 111: 40.
Clawson, Jeff J. (2000, August 22) Method and system for the entry protocol of an emergency medical dispatch system. United States Patent number 6,106,459.
Clawson, Jeff J., and Kate Boyd Dernocoeur (2003) Principles of Emergency Medical Dispatch. Salt Lake City, UT: Priority Press.
Clayman, Steven E. (2013) Conversation analysis in the news interview. In J. Sidnell, and T. Stivers (eds.), The Handbook of Conversation Analysis. London: Wiley-Blackwell.
Clegg, Gareth R., Richard M. Lyon, Scott James, Holly P. Branigan, and Gerry J. Egan (2014) Dispatch-assisted CPR: What are the hold-ups during calls to emergency service dispatchers? Resuscitation 851: 49–52.
Deakin, Charles D., Spencer Cheung, Graham W. Petley, and Frank Clewlow (2007) Assessment of the quality of cardiopulmonary resuscitation following modification of a standard telephone-directed protocol. Resuscitation 721: 436–443.
Deutsch, Linda (2011, Nov. 29) Murray gets 4-year sentence, tongue-lashing from judge: Pastor says Michael Jackson’s doctor sold out his profession. Today News. Retrieved from [URL]
Eckstein, Marc, Samuel J. Stratton, and Linda S. Chan (2005) Cardiac arrest resuscitation evaluation in Los Angeles: CARE-LA. Annals of Emergency Medicine 451: 504–509.
Garcia, Angela Cora (2015) ‘Something really weird has happened’: Losing the ‘big picture’ in emergency service calls. Journal of Pragmatics 841: 102–120.
Graham, Caroline, and Daniel Boffey (2009) Jackson family fallout: Exclusive interview with manager reveals rift over funeral. Retrieved February 22, 2010 from [URL]
Hester, Stephen, and Peter Eglin (1997) Membership categorization analysis: An introduction. In S. Hester, and P. Eglin (eds.), Culture in Action: Studies in Membership Categorization Analysis. Washington, DC: University Press of America, pp. 1–24.
Heward, A, M. Damiani, and C. Hartley-Sharpe (2004) Does the use of the Advanced Medical Priority Dispatch System affect cardiac arrest detection? Emergency Medicine Journal 21.1: 115–118.
Kitzinger, Celia (2005) Heteronormativity in action: Reproducing the heterosexual nuclear family in after-hours medical calls. Social Problems 521: 477–498.
Kitzinger, Celia, and Rose Rickford (2007) Becoming a “bloke”: The construction of gender in interaction’. Feminism and Psychology 171: 214–223.
Kitzinger, Celia (2008) Developing feminist conversation analysis: A response to Wowk. Human Studies 31.2: 179–208.
Lerner, E. Brooke, Michael R. Sayre, Jane H. Brice, Lynn J. White, Amy J. Santin, Anthony J. Billitier IV, andSamuel D. Cloud (2008) Cardiac arrest patients rarely receive chest compressions before ambulance arrival despite the availability of pre-arrival CPR instructions. Resuscitation 771: 51–59.
Lerner, Gene H., and Celia Kitzinger (2007) (eds.) Referring to Self and Others in conversation: Special Issue. Discourse Studies 91.
Moore, Solomon (2009, August 28) Jackson’s death ruled a homicide. The New York Times. Retrieved from: [URL]
Paoletti, Isabella (2012) Operators managing callers’ sense of urgency in calls to the medical emergency number. Pragmatics 221: 671–695.
Raymond, Chase Wesley (2014) Negotiating entitlement to language: Calling 911 without English. Language in Society 431: 33–59.
Roppolo, Lynn P., Paul E. Pepe, Nicole Cimon, Marc Gay, Brett Patterson, Arthur Yancey, and Jeff J. Clawson (2005) Modified cardiopulmonary resuscitation (CPR) instruction protocols for emergency medical dispatchers: Rationale and recommendations. Resuscitation 651: 203–210.
Sacks, Harvey (1972a) An initial investigation of the usability of conversational data for doing sociology. In D.N. Sudnow (ed.), Studies in Social Interaction. New York: Free Press, pp. 31–74.
Sacks, Harvey (D. Hymes1972b). On the analyzability of stories by children. In J. Gumperz, and (eds.), Directions in Sociolinguistics: The Ethnography of Communication. New York: Holt, Rinehart and Winston, pp. 325–345.
Sacks, Harvey, and E.A. Schegloff (1979) Two preferences in the organization of reference to persons in conversation and their interaction. In G. Psathas (ed.), Everyday Language: Studies in Ethnomethodology. New York: Irvington, pp. 15–21.
Schegloff, Emanuel A. (1987) Analyzing single episodes of interaction: An exercise in conversation analysis. Social Psychology Quarterly 501: 101–114.
. (1996) Some practices for referring to persons in talk-in-interaction: A partial sketch of a systematic. In B.A. Fox (ed.), Studies in Anaphora. Amsterdam: John Benjamins Publishing Company, pp. 437–485.
. (2007b) Categories in action: Person reference and membership categorisation. Discourse Studies 91: 433–461.
. (2007c) Sequence Organisation in Interaction: A Primer in Conversation Analysis I. Cambridge: Cambridge University Press.
Sokol, Daniel K. (2009) Hippocrates, Michael Jackson, and medical ethics. British Medical Journal 3391: 541.
Stivers, Tanya (2007) Alternative recognitionals in person reference. In N.J. Enfield, and T. Stivers (eds.), Person Reference in Interaction: Linguistic, Cultural, and Social Perspectives. Cambridge: Cambridge University Press, pp. 73–96.
Stokoe, Elizabeth (2009) Doing actions with identity categories: Complaints and denials in neighbor disputes. Text and Talk 291: 75–97.
(2012) Moving forward with Membership Categorization Analysis: Methods for systematic analysis. Discourse Studies 14.3: 277–303.
Telegraph, The (2011, September 29) Conrad Murray on trial for involuntary manslaughter of Michael Jackson: Sept 29 as it happened. Retrieved from: [URL]
Tracy, Karen, and Sarah J. Tracy (1998) Rudeness at 911: Reconceptualizing face and face attack. Human Communication Research 251: 225–251.
Watson, Richard E., Maureen McNeil, and Carol Biancalana (2003) Emergency Medical Services Dispatch Program Guidelines. Sacramento CA: California EMS Authority. Retrieved from: [URL]
Whalen, Marilyn R., and Don H. Zimmerman (1990) Describing trouble: Practical epistemology in citizen calls to the police. Language in Society 191: 465–492.
(1987) Sequential and institutional contexts in calls for help. Social Psychology Quarterly 501: 172–185.
Wilkinson, Sue, and Celia Kitzinger (2003) Constructing identities: A feminist conversation analytic approach to positioning in action. In R. Harré, and F. Moghaddam (eds.), The Self and Others. Westpoint, CT: Praeger, pp. 157–180.
Cited by (4)
Cited by four other publications
Dionne, Frédérick, Melanie Fleischhacker, Peter Muntigl & Eva-Maria Graf
Flint, Natalie & Catrin S. Rhys
Gadelshina, Gyuzel
This list is based on CrossRef data as of 30 november 2025. Please note that it may not be complete. Sources presented here have been supplied by the respective publishers. Any errors therein should be reported to them.
