中国医患关系研究：从话语角度分析医患对话的言语特征

摘要

Doctor-patient communication is an important area of research in the field of English for Specific Purposes. Scholars abroad have conducted a lot ofsystematic empirical studies but it is still a new area for Chinese linguists.Rarely are there any papers on the topic published in linguistic journals.However, in the field of medicine, on the basis of foreign research outcomes bysociologists and linguists, quite a few medical papers propose measures forimproving system construction and doctor-patient relationship in Chinesehospitals, whose case, as a matter of fact, is sometimes different.

目录

英文文摘

Acknowledgements

1.Introduction

2. Doctor-patient Communication

2.1. Introduction

2.2. Two purposes

2.2.1. Creation of a good inter-personal relationship

2.2.2. Exchange of information

2.3. Analysis of Doctor-patient Communication

2.4. Specific Communicative Behaviors

2.4.1. Instrumental or task-focused vs. affective or socio-emotional behavior

2.4.2. High vs. Low controlling behaviors

2.5. Six dimensions to measure doctor-patient relationships

2.6. Patients' socio-economic status and doctor-patient interactions

3. Doctor-centeredness and Patient-centeredness

3.1. Doctor-Centeredness

3.2. Patient-centeredness

4. Genre Analysis of Doctor-Patient Interactions

4.1. Theory of Genre Analysis

4.1.1. Definitions of Genre

4.1.2. Linguistics and discourse analysis

4.1.3. Swale's model and its extension

4.2. Genre Analysis of Doctor-patient interactions

4.3. The voice of life world vs. the voice of medicine

4.4. Previous Studies by Chinese scholars

5. Methodology

5.1. Patient and doctor population and data collection

5.2. Transcription conventions

5.3. Data analysis

6. Discussion and Major Findings of the Study

6.1 Genre analysis of doctor-patient communication

6.1.1. A typical process of doctors' attempts to take medical history

6.1.2. Supports for Mishler's model

6.2. Measuring doctor-centeredness and patient-centeredness through doctor and patient questions

6.2.1. Open and closed questions asked by doctors

6.2.2. Medical questions asked by doctors

6.2.3. Psychological questions asked by doctors

6.2.4. Social-history questions asked by doctors

6.2.5. Conversational questions asked by doctors

6.2.6. Checking-understanding questions asked by doctors

6.2.7. Questions asked by patients

6.2.8. Further discussion

6.3. Medical vs. everyday language

7.Conclusions

8. Suggestions for Further Studies

References

Appendix: sample transcripts