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The grandmother-granddaughter conversation examined in this book makes explicit what the detailed study of interaction reveals about two social problems--'bulumia' and 'grandparent caregiving.' For the first time, systematic attentions is given to interactional activities through which family members display ordinary yet contradictory concerns about health and illness. Through analysis of a single audio-recorded and transcribed conversation, the altogether pervasive and often troubled co-existence of family medical predicaments is revealed by treating families as primordial institutional systems whose talk about real or idealized medical concerns is little understood--including attempts to impose and disregard constraints regarding health behavior as displays of institutional orientations and priorities.