Abstract
In this chapter, a distinction is made between three concepts of scripting communication: 1) social roles as a non-deliberative, non-instructional form of scripting, 2) explicit and 3) implicit scripting. Both of the latter are forms used in instructional collaborative settings to influence and change behavior. As we established in a previous study, external representations both structure and constrain asynchronous expert-layperson communication (Bromme, Jucks, & Runde, 2005). According to Suthers (e.g., Suthers & Hundhausen, 2003), external representations guide discourses. Because shared external representations have the potential to influence learning and collaboration processes in a non-directive manner, we define the concept of representational guidance as implicit scripting. In the present study, we focused on the potential to support shared decision making when patients seek advice from medical doctors through the Internet. When communicating via computers, it is easy to make external representations available to both communication partners. Therefore, whether or not shared graphic representations function as an implicit script and have an impact on the communication content was tested empirically. Our main hypothesis is as follows: with a shared external representation in the background more specialist arguments are brought forward than without such a representation. In accordance with this hypothesis, we found that the external representation had a considerable influence on content selection during the discourse.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Baker, M., & Lund, K. (1997). Promoting reflective interactions in a CSCL environment. Journal of Computer Assisted Learning, 13, 175–193.
Bekker, H., Thornton, J. G., Airey, C. M, Connelly, J. B., Hewison, J., Robinson, M. B., et al. (1999). Informed decision making: An annotated bibliography and systematic review. Health Technology Assessment (Winchester, England), 3(1), 1–156.
Bromme, R., Jucks, R., & Runde, A. (2005). Barriers and biases in computer-mediated expert-layperson-communication. In R. Bromme, F. W. Hesse, & H. Spada (Eds.). Barriers, biases and opportunities of communication and cooperation with computers (pp. 89–118). New York: Springer.
Coulter, A., Entwistle, V., & Gilbert, D. (1999). Sharing decisions with patients: Is the information good enough? British Medical Journal, 318, 318–322.
Coulter, A. (1997). Partnership with patients: The pros and cons of shared clinical decision-making. Journal of health services research & policy, 2(2), 112–121.
Dillenbourg, P. (2005). Designing biases that augment socio-cognitive interactions. In R. Bromme, F. W. Hesse, & H. Spada (Eds.). Barriers, biases and opportunities of communication and cooperation with computers (pp. 243–264). New York: Springer.
Dowell, J., & Hudson, H. (1997). A qualitative study of medication-taking behavior in primary care. Family Practice, 14(5), 369–375.
Ertl, B., Fischer, F., & Mandl, H. (in press). Conceptual and socio-cognitive support for collaborative learning in videoconferencing environments. Computers & Education.
Jucks, R., Bromme, R., & Becker, B.-M. (2006). Lexical entrainment — Is Expert’s Word Use Adapted to the Addressee? Manuscript accepted for publication (major revisions needed). Discourse Processes.
Jucks, R., Bromme, R., & Runde, A. (2006). Explaining with non-shared illustrations: How they constrain explanations. To appear in Learning and Instruction.
Jucks, R., Bromme, R., & Runde, A. (2003). Audience Design von Experten in der netzgestützten Kommunikation: Die Rolle von Heuristiken über das geteilte Vorwissen. Zeitschrift für Psychologie, 211(2), 60–74.
Kaplan, S. H., Greenfield, S., & Ware, J. E. (1989). Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Medical Care, 27(3), 110–127.
Koc, F. (2002). Medizin im Internet. Evidenz-based-Medicine und Qualitätsmanagement online. Berlin: Springer.
Luhmann, N. (1999). Soziale Systeme. Grundriß einer allgemeinen Theorie (7. Auflage). Frankfurt a. M.: Suhrkamp.
O’Donnell, A. M., & Dansereau, D. F. (1992). Scripted cooperation in student dyads: A method for analyzing and enhancing academic learning and performance. In R. Hertz-Lazarowitz & N. Miller (Eds.), Interaction in cooperative groups: The theoretical anatomy of group learning (pp. 120–144). New York: Cambridge University Press.
Pezza, P. E. (1990). Orientation to uncertainty and information seeking about personal health. Health Education Research, 21(2), 34–36.
Pinkwart, N., Hoppe, H. U, Bollen, L., & Fuhlrott, E. (2002). Group oriented modelling tools with heterogeneous semantics. In S. A. Cerri, G. Gouarderes, & F. Paraguacu (Eds.), Lecture notes in Computer Science 2363, Intelligent Tutoring Systems (pp. 21–30). Berlin: Springer.
Runde, A. (2004). Die Rolle externer Repräsentationen in der netzgestützten Arzt-Patienten-Kommunikation. Unveröffentlichte Dissertation der Westfälischen-Wilhelms Universität, Münster.
Rummel, N., & Spada, H. (2005). Instructional support for collaboration in desktop videoconference settings. In R. Bromme, F. W. Hesse, & H. Spada (Eds.). Barriers, biases and opportunities of communication and cooperation with computers (pp. 59–88). New York: Springer.
Schank, R., & Abelson, R. P. (1977). Scripts, plans, goals, and understanding. Hillsdale, NJ: Lawrence Erlbaum Associates.
Stalnaker, R. C. (1978). Assertion. Syntax & Semantics: Pragmatics, 315–332.
Suthers, D. D., & Hundhausen, C. D. (2003). An experimental study of the effects of representational guidance on collaborative learning processes. The Journal of the Learning Sciences, 12(2), 183–218.
Suthers, D. D. (2005). Technology affordances for intersubjective learning, and how they may be exploited. In R. Bromme, F. W. Hesse, & H. Spada (Eds.). Barriers, biases and opportunities of communication and cooperation with computers (pp. 295–314). New York: Springer.
Tulsky, J. A., Chesney, M. A., & Lo, B. (1995). How do medical residents discuss resuscitation with patients? Journal of general internal medicine, 10(8), 436–442.
van Boxtel, C, van der Linden, J., Roelofs, E., & Erkens, G. (2002). Collaborative Concept Mapping: Provoling and supporting meaningful discourse. Theory into Practice, 41(1), 40–46.
Watzlawick, P., Beavin, J. H., & Jackson, D.D. (2000). Menschliche Kommunikation. Formen, Störungen, Paradoxien. Bern: Huber 2000
Weinberger, A., Reiserer, M., Ertl. B., Fischer, F., & Mandl, H. (2005). Facilitating collaborative knowledge construction in computer-mediated learning environments with cooperation scripts. In R. Bromme, F. W. Hesse, & H. Spada (Eds.). Barriers, biases and opportunities of communication and cooperation with computers (pp. 15–37). New York: Springer.
Wintermantel, M. (1991). Dialogue between expert and novice: On differences in knowledge and their reduction. In I. Markova & K. Foppa (Eds.), Asymmetries in dialogue (pp. 124–142). Hertfordshire: Harvester WheatsheafBarnes & Noble Books/Bowman & Littlefield Publishers, Inc.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Runde, A., Bromme, R., Jucks, R. (2007). Scripting in Net-Based Medical Consultation: The Impact of External Representations on Giving Advice and Explanations. In: Fischer, F., Kollar, I., Mandl, H., Haake, J.M. (eds) Scripting Computer-Supported Collaborative Learning. Computer-Supported Collaborative Learning, vol 6. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-36949-5_4
Download citation
DOI: https://doi.org/10.1007/978-0-387-36949-5_4
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-387-36947-1
Online ISBN: 978-0-387-36949-5
eBook Packages: Humanities, Social Sciences and LawEducation (R0)