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Dynamic Consultation : A Discourse Analytical Study of Doctor-Patient Communication : Pragmatics & Beyond New Series - Marisa Cordella

Dynamic Consultation : A Discourse Analytical Study of Doctor-Patient Communication

Pragmatics & Beyond New Series

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This book introduces a unique model of medical discourse that identifies the forms of talk - voices - that doctors and patients use during the consultation, and studies the dynamic interaction as it unfolds particularly in follow-up visits. Natural recordings, semi-structured interviews, questionnaires and ethnographic observations provide the data for the research, which was carried out in an Outpatient Clinic in Santiago, Chile. Using an interactional sociolinguistic approach, analysis of the data identifies doctor-patient communication as a micro-performance of broader socio-cultural realities, in which social status, power, knowledge and personal beliefs and values all find expression in the consultative setting. Importantly, while both doctor and patient voices are shown to contribute to an essentially asymmetrical exchange, the study also identifies the holistic and empathic Fellow Human voice, which places doctors and patients on a more equal footing. In connection with this voice, the Spanish concept of simpatĀ”a is also discussed.While the model in this study was developed within a specific socio-cultural framework, it is hoped that it will be adapted and modified more widely and contribute to a better understanding between doctors and their patients.

Introductionp. 1
Discourse, society and doctor-patient communicationp. 5
Doctor-patient communication : an empirical studyp. 41
The doctor voicep. 63
The educator voicep. 87
The fellow human voicep. 121
Patients' voicesp. 149
Patterns of footingp. 185
The dynamic consultationp. 189
Concluding remarksp. 217
Approximate total word count of doctors and patientsp. 235
Patient questionnaire (English version)p. 237
Patient questionnaire (Spanish version)p. 238
Doctor questionnaire (English version)p. 239
Doctor questionnaire (Spanish version)p. 240
Symbols used in discourse transcriptionsp. 241
Explanatory statement for patient and doctor (English version)p. 242
Explanatory statement for patient and doctor (Spanish version)p. 244
Consent form (English version)p. 246
Consent form (Spanish version)p. 247
Table of Contents provided by Blackwell. All Rights Reserved.

ISBN: 9789027253712
ISBN-10: 9027253714
Series: Pragmatics & Beyond New Series
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 254
Country of Publication: NL
Dimensions (cm): 22.5 x 15.4
Weight (kg): 0.5