The Dynamic Consultation: A Discourse Analytical Study of Doctor-patient Communication

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John Benjamins Publishing, Jan 1, 2004 - Language Arts & Disciplines - 252 pages
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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 simpatía 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.
 

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Contents

CHAPTER
1
CHAPTER 9
24
CHAPTER 3
41
CHAPTER 4
63
The Educa to r vo ice
87
CHAPTER 6
121
CHAPTER 7
149
CHAPTER 8
185
The Dynamic Consultation
189
CHAPTER 10
217
APPENDICES
235
Symbols used in discourse transcriptions
241
Appendix 6b Consent form Spanish version
247
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