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The expression of surprise—at something unexpected—is a key form of emotional display. Focusing on displays of surprise performed by means of reaction tokens (akin to Goffman's “response cries”), such as wow, gosh, oh my god, ooh!, phew, we use an ethnomethodological, conversation-analytic approach to analyze surprise in talk-in-interaction. Our key contribution is to detach the psychology of surprise from its social expression by showing how co-conversationalists collaborate to bring off an interactionally achieved performance of surprise. Far from being a visceral eruption of emotion, the production of a surprise token is often prepared for several turns in advance. We also show how surprise can be recycled on an occasion subsequent to its initial production, and how surprise displays may be delayed by silence, ritualized disbelief, and other repair initiations. Finally, we consider some of the uses of surprise as an interactional resource, including its role in the reflection and reproduction of culture.

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BackgroundEvidence of the effectiveness of social prescribing is inconclusive causing commissioning challenges. This research focusses on a social prescribing scheme in Northern England which deploys ‘Wellbeing Coordinators’ who offer support to individuals, providing advice on local groups and services in their community. The research sought to understand the outcomes of the service and, in addition, the processes which supported delivery.MethodsQuantitative data was gathered from service users at the point they entered the service and also at the point they exited. Qualitative interviews were also undertaken with service users to gather further understanding of the service and any positive or negative outcomes achieved. In addition, a focus group discussion was also conducted with members of social prescribing staff to ascertain their perspectives of the service both from an operational and strategic perspective.ResultsIn total, 342 participants provided complete wellbeing data at baseline and post stage and 26 semi-structured qualitative interviews were carried out. Improvements in participants’ well-being, and perceived levels of health and social connectedness as well as reductions in anxiety was demonstrated. In many cases, the social prescribing service had enabled individuals to have a more positive and optimistic view of their life often through offering opportunities to engage in a range of hobbies and activities in the local community. The data on reductions in future access to primary care was inconclusive. Some evidence was found to show that men may have greater benefit from social prescribing than women. Some of the processes which increased the likelihood of success on the social prescribing scheme included the sustained and flexible relationship between the service user and the Wellbeing Coordinator and a strong and vibrant voluntary and community sector.ConclusionsSocial prescribing has the potential to address the health and social needs of individuals and communities. This research has shown a range of positive outcomes as a result of service users engaging with the service. Social prescribing should be conceptualised as one way to support primary care and tackle unmet needs.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3437-7) contains supplementary material, which is available to authorized users.

This article explored the discursive production of a major disjuncture in sexual identity in adult life: women's accounts of transitions to lesbianism after a substantial period of heterosexuality. Eighty semistructured interviews with self-identified lesbians, all with at least 10 years prior heterosexual experience (plus additional materials drawn from published autobiographical sources), were analyzed within a social constructionist framework. The article examined the creation of contexts in which sexual identity transitions become possible, explored how such transitions are defined and marked, identified the consequences, and detailed the continuing development of lesbian identity posttransition. In conclusion, the article reflected on the status and salience of such data in supporting the social constructionist position, particularly in the face of the continuing popularity of essentialist theories of sexual identity development.

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Seventy six senior academics from 11 countries invite The BMJ’s editors to reconsider their policy of rejecting qualitative research on the grounds of low priority. They challenge the journal to develop a proactive, scholarly, and pluralist approach to research that aligns with its stated mission

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