Il dialogo medico nelle interazioni pediatriche : azioni comunicative per promuovere la partecipazione attiva e l'approccio centrato sul paziente

Doctorpatient interaction within pediatric contexts doesn't seem to have been enough analysed at a national level yet. At the same time, medical dialogue in interactions with no linguisticcultural mediation has been examined mostly from a theoretical point of view. This article combines dialogue studies and a patientcentered approach with a theory of social systems, which observes the pediatric consultation as a system of interactions guided by a specific form of communication. Data analysis shows in which ways medical dialogue can be accomplished with migrant patients and parents, in notmediated pediatric interactions and at the initial stage of the consultation. During problem presentation, pediatricians use open questions, closed questions to clarify, echoes, and formulations as recurring dialogic actions, with interesting effects especially for parent's active participation and selfexpression. [Publisher's text].