The escalation of the opioid epidemic in the United States has sparked sweeping legislation meant to regulate physicians' opioid prescribing practices. The demands of such policies force physicians to initiate discussions that could jeopardize the collaborative doctor- patient relationships necessary for curbing inappropriate opioid prescriptions. Drawing on sociopragmatics, this discourse analysis study of primary care interactions examines the face- saving linguistic features employed by physicians in negotiating the line between policy demands and maintaining collaborative relationships. The findings reveal several face-saving acts‚"pseudo requests, downtowners, broadening, redirection, tag questions, impersonalization, listing, and (negative) imagery‚"used by physicians when enacting the three most prominent policies: (1) monitoring opioid use, (2) prescribing anti-overdose medication, and (3) transitioning patients from opioids to alternative treatment. Informed by Goffman's concept of "face-work," this study provides evidence of the communicative burden placed on physicians implementing disagreeable opioid policies, as well as opening up discussions on how policymakers and medical institutions can support physicians in implementing opioid policies. Keywords: opioids, face-work, face threats, medical discourse, doctor-patient interaction, discourse analysis, sociopragmatics

In recent years, the opioid crisis in the United States has sparked significant discussion on doctor- patient interactions concerning chronic pain treatments, but little to no attention has been given to investigating the vocal aspects of patient talk. This exploratory sociolinguistic study intends to fill this knowledge gap by employing prosodic discourse analysis to examine context-specific linguistic features used by the interlocutors of two distinct medical interactions. We found that patients employed both low pitch and creak as linguistic resources when describing chronic pain, narrating symptoms, and requesting opioids. The situational use of both features informs us about the linguistic ways in which patients frame fraught issues like chronic pain in light of the current opioid crisis. This study expands the breadth of phonetic analysis within the domain of discourse analysis, serving to illuminate discussions surrounding the illocutionary role of the lower vocal tract in expressing emotions.

The present study uses corpus-assisted discourse analysis to examine the role of modality in policy verb phrases, using California opioid policies as a case study. By tracking the behavior of permissive and restrictive modals across time, this study highlights two potential discourse functions of modals in policy drafting: (i) to reflect the gravity of the issues on the ground, and (ii) to express permission and restriction by highlighting and deemphasizing a policy's suggestive intent, respectively. This study shows that the increased use of restrictive modality has significant positive correlations with California's worsening opioid crisis and its rising fatalities. A closer examination of state policy amendments reveals that altering policy modals has the potential to either broaden or limit the terms of existing policies. Informed by Van Dijk's “context models,” this study provides a cogent applied corpus linguistics framework for analyzing policy text and offers both political and linguistic perspectives into our understanding of modals and how communities address epidemics, respectively.

Patient-clinician interactions are central to technical and interpersonal processes of medical care. Video recordings of these interactions provide a rich source of data and a stable record that allows for repeated viewing and analysis. Collecting video recordings requires navigating ethical and feasibility constraints; further, realizing the potential of video requires specialized research skills. Interdisciplinary collaborations involving practitioners, medical educators, and social scientists are needed to provide the clinical perspectives, methodological expertise, and capacity needed to make collecting video worthwhile. Such collaboration ensures that research questions will be based on scholarship from the social sciences, resonate with practice, and produce results that fit educational needs. However, the literature lacks suggested practices for building and sustaining interdisciplinary research collaborations involving video data. In this paper, we provide concrete advice based on our experience collecting and analyzing a single set of video-recorded clinical encounters and non-video data, which have so far yielded nine distinct studies. We present the research process, timeline, and advice based on our experience with interdisciplinary collaboration. We found that integrating disciplines and traditions required patience, compromise, and mutual respect; learning from each other enhanced our enjoyment of the process, our productivity, and the clinical relevance of our research.

Joan McGregor is a professor of philosophy in the School of Historical, Philosophical, and Religious Studies at ASU as well as an adjunct professor in the Sandra Day O’Connor College of Law. Approaching the issue of food sustainability through ethics, Joan offers a unique perspective on the idea of food systems. She believes by looking at the ethics of food systems people move beyond seeing sustainability as a scientific problem and address the problem as a manageable part of their everyday lives. In the development of Dinner 2040 with her team Joan sought to make the food systems about the people directly affected by the food crisis. Though she believes there is no overnight solution, she does believe that the forum that Dinner 2040 provides begins the process of thinking about local solutions.

Cindy Gentry is the Food Systems coordinator at the Maricopa County Department of Public Health. Growing up in a working class family, Cindy became aware of the food access crisis in the U.S. at a young age. Since then she has been involved in several social justice organizations to combat this issue including the Food Bank Association and the Community Food Security Coalition. She was also one of the first activists working to bring farmers’ markets to Maricopa County. Cindy’s work has focused on bringing an accessible local food economy to those in need. She continues to focus on the education of the public and programs to help the less fortunate have access to fresh local food.

Interview with J.D. Hill, co-founder of Recycled City

J.D. Hill is the co-founder of Recycled City LLC a business devoted to building a revolving relationship within the local food economy by limiting food waste. His business provides materials to create compost out of waste materials for residential customers and business. J.D.’s goals with his business are to inspire the community to participate in their local food economy, promote activism, focus on building farm land, and encourage a green economy in the Valley area. He is an ASU grad with degrees from the School of Sustainability and the W.P. Carey School of Business. This knowledge has shaped his view toward the ability of green businesses to flourish in the Phoenix area.

Interview with Natalie Morris, Adjunct Faculty - Sustainable Food Systems Program, Mesa Community College


Natalie Morris is an instructor at Mesa Community College School of Sustainability and a promoter of Local First Arizona. She uses her deep love of food that she developed at a young age to develop a career around food systems. Experiences both in culinary school and her travels abroad helped Natalie to develop a passion for local food systems and education. One of her biggest projects to achieve this goal was Truck Farm Arizona, a mobile farm focused on the experience, education, and message of hope to under privileged youth. This project helped to show the next generation the importance and possibilities of growing local produce. Natalie also took her positive attitude to help Good Food Finder, now merging with Local First Arizona, to help connect the community, farmers, and local businesses to create a local food economy that promotes sustainability. Natalie’s focus goes beyond the classroom as she seeks to educate her community, focus on sustainability on a day to day level, and actively seek to grow Arizona’s local food systems.