{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:20:16Z","timestamp":1747149616006,"version":"3.40.5"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Genetic testing for breast cancer genes is an experience which is inextricably linked with health communication practices and the broader social context in which it occurs. Linguistic approaches can provide perspective on how women seeking self\u2010funded <jats:italic>BRCA1\/2<\/jats:italic> gene testing represent their experiences, knowledge, roles, choices and emotions through the way they talk. A discursive constructionist epistemology and narrative theoretical framework informed the applied linguistics methodology. Analysis of \u2018small stories\u2019 and stance\u2010taking was performed on eight transcripts of audio\u2010recorded telephone interviews with women at low to moderate risk of carrying <jats:italic>BRCA1\/2<\/jats:italic> pathogenic variants who self\u2010funded genetic testing. We found a high prevalence of \u2018small stories\u2019 including accounts of events, hypotheticals, habitual narratives, and stories which combined multiple genres. Stance\u2010taking was a means by which participants constructed personal identities in the conversational context, such as that of a responsible person. Via stance\u2010taking strategies, participants also actively negotiated the conversational agenda, for example expressing different degrees of alignment with the interviewer's orientation towards emotions. This study provides a basis for recognizing linguistic markers in genetic counseling interactions about genetic testing for breast cancer genes. Enhanced awareness of client language choice, and the ways in which small stories and stance can signify the client's evaluation of experience and choices, alignment with the genetic counselor's questions\/statements, and investment in the conversation, has potential to improve the therapeutic interaction.<\/jats:p>","DOI":"10.1002\/jgc4.1782","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T03:48:47Z","timestamp":1693885727000},"page":"906-910","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["How do women talk about self\u2010funded breast cancer genetic testing?: Small stories and stance\u2010taking strategies"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9751-8556","authenticated-orcid":false,"given":"Alan","family":"Bechaz","sequence":"first","affiliation":[{"name":"School of Languages and Linguistics The University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8749-1639","authenticated-orcid":false,"given":"Adrienne","family":"Sexton","sequence":"additional","affiliation":[{"name":"Genomic Medicine &amp; Familial Cancer Centre Royal Melbourne Hospital &amp; Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Discipline of Genetic Counselling, Graduate School of Health The University of Technology Sydney  Sydney New South Wales Australia"},{"name":"Department of Medicine \u2013 Royal Melbourne Hospital The University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6898-9634","authenticated-orcid":false,"given":"Gulvir","family":"Gill","sequence":"additional","affiliation":[{"name":"Genetics in the North East, The Mercy Hospital for Women  Victoria Heidelberg Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1600-0027","authenticated-orcid":false,"given":"Maria","family":"Karidakis","sequence":"additional","affiliation":[{"name":"School of Languages and Linguistics The University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"volume-title":"Genetic testing: Accounts of autonomy, responsibility and blame","year":"2011","author":"Arribas\u2010Ayllon M.","key":"e_1_2_7_2_1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470015902.a0024171"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1075\/ni.16.1.18bam"},{"key":"e_1_2_7_5_1","first-page":"243","volume-title":"Qualitative analysis: Eight approaches for the social sciences","author":"Bamberg M.","year":"2020"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1515\/text.2008.018"},{"volume-title":"Longman grammar of spoken and written English","year":"1999","author":"Biber D.","key":"e_1_2_7_7_1"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1075\/ni.8.2.04car"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305284002"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1075\/ni.19.2.03def"},{"key":"e_1_2_7_11_1","first-page":"154","volume-title":"Narrative research in applied linguistics","author":"Fina A.","year":"2013"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1075\/ni.20067.def"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1468794106093634"},{"volume-title":"Analyzing narrative: Discourse and sociolinguistic perspectives","year":"2012","author":"Fina A.","key":"e_1_2_7_14_1"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2011.561921"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1075\/sin.8"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118458204.ch13"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5436"},{"volume-title":"Frame analysis: An essay on the organization of experience","year":"1974","author":"Goffman E.","key":"e_1_2_7_19_1"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1523"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-623550-0.50016-1"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203521410"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1075\/ni.19090.kar"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.langsci.2020.101333"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010linguistics\u2010031120\u2010121256"},{"key":"e_1_2_7_26_1","first-page":"1","article-title":"Stance\u2010taking in interviews from the Qualidata Archive","volume":"14","author":"Lampropoulou S.","year":"2012","journal-title":"Forum Qualitative Sozialforschung\/Forum: Qualitative Social Research"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0378\u20102166(01)80032\u20101"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0047404508090088"},{"key":"e_1_2_7_29_1","first-page":"275","volume-title":"Handbook of constructionist research","author":"Potter J.","year":"2008"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277\u20109536(90)90259\u2010u"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1353\/lan.1974.0010"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470015902.a0005630.pub2"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1023\/b:jogc.0000018823.60761.e0"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010005\u20101498\u20103"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1515\/semi.1973.8.4.289"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.2307\/2092239"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010017\u20100108\u20105"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0267190510000085"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1282"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1385"}],"container-title":["Journal of Genetic Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.1782","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T06:30:38Z","timestamp":1723444238000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgc4.1782"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,4]]},"references-count":39,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1002\/jgc4.1782"],"URL":"https:\/\/doi.org\/10.1002\/jgc4.1782","archive":["Portico"],"relation":{},"ISSN":["1059-7700","1573-3599"],"issn-type":[{"type":"print","value":"1059-7700"},{"type":"electronic","value":"1573-3599"}],"subject":[],"published":{"date-parts":[[2023,9,4]]},"assertion":[{"value":"2023-01-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}