生殖医学医患会话重复现象研究
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摘要
重复是生殖医学门诊会话的一个重要的语言特点。本文运用批评话语分析理论对生殖医学门诊会话的重复现象进行研究,发现生殖医学医患门诊会话的重复有5种语用功能:(1)医生为确认信息而重复;(2)医生为患者提供指导或解释而重复;(3)医生重复强调重要信息以提醒患者注意;(4)患者重复以期望医生给予反馈;(5)患者为参与决策制定而重复。并通过阐释医患重复的语用和认知功能,来剖析生殖医学医患之间的权势关系,发现生殖医学医患诊疗关系更接近共同参与模式,患者主动努力的参与诊疗全过程,并希望和医生是合作关系而不是主从关系。
Repetition is an essential language feature in doctor-patient interaction of reproductive health service.This paper drew on authentic doctor-patient conversations from the perspective of critical discourse analysis to explore the pragmatic functions of repetitions,which are:(1)doctors repeating for confirming information,(2)doctors offering guidance or explanation,(3)doctors calling for patients' attention by emphasizing important information,(4)patients repeating to demand feedback or service from doctors,(5)patients repeating to be involved in decision-making.And the power relationship between doctors and patients in reproductive medicine was discussed.We found the doctor-patient relationship is more of a " mutual participation" model.
Repetition is an essential language feature in doctor-patient interaction of reproductive health service.This paper drew on authentic doctor-patient conversations from the perspective of critical discourse analysis to explore the pragmatic functions of repetitions,which are:(1)doctors repeating for confirming information,(2)doctors offering guidance or explanation,(3)doctors calling for patients' attention by emphasizing important information,(4)patients repeating to demand feedback or service from doctors,(5)patients repeating to be involved in decision-making.And the power relationship between doctors and patients in reproductive medicine was discussed.We found the doctor-patient relationship is more of a " mutual participation" model.
引文
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[11]谭晓风.中医门诊医患会话中批评话语分析的研究[J].中国医学伦理学,2015,28(1):8-12.
[12]冯小玮.批评语言学视角下的医患会话研究综观[J].医学与哲学,2016,37(1A):53-55.
[13]朱永生,郑立信,苗兴伟.英汉语篇衔接手段对比研究[M].上海:上海外语教育出版社,2001:105-108.
[14]李锡纯,纪玉华.批评语篇分析视阈下“反复”修辞的功能建构:一项基于小型语料库的分析[J].山东外语教学,2014(3):40-45.
[2]HOEY M.Patterns of Lexis in Text[M].上海:上海外语教育出版社,2000:51-75.
[3]鞠玉梅.英汉篇章中的词汇衔接手段及其文体效应[J].外语教学,1999,20(1):55-65.
[4]李悦娥.话语中的重复结构探析[J].外语与外语教学,2000(11):5-7.
[5]黎昌抱.英语反复修辞探索[M].武汉:华中科技大学出版社,2005:15-19.
[6]HIEKE A E.Audio-lectal Practice and Fluency Acquisition[J].Foreign Language Annals,2010,14(3):189-194.
[7]田海龙.批评话语分析精髓之再认识:从与批评话语分析先关的三个问题谈起[J].外语与外语教学,2016(2):1-9.
[8]MARTIN J R.马丁文集(6):批评话语分析/积极话语分析[M].上海:上海交通大学出版社,2012:158-182.
[9]WODAK R,MEYER M.批评话语分析方法[M].2版.北京:北京大学出版社,2014:34-122.
[10]刘兴兵,刘琴,邵艳,等.使用批评话语分析研究中国医患会话[J].中国医学伦理学,2007,20(5):24-27.
[11]谭晓风.中医门诊医患会话中批评话语分析的研究[J].中国医学伦理学,2015,28(1):8-12.
[12]冯小玮.批评语言学视角下的医患会话研究综观[J].医学与哲学,2016,37(1A):53-55.
[13]朱永生,郑立信,苗兴伟.英汉语篇衔接手段对比研究[M].上海:上海外语教育出版社,2001:105-108.
[14]李锡纯,纪玉华.批评语篇分析视阈下“反复”修辞的功能建构:一项基于小型语料库的分析[J].山东外语教学,2014(3):40-45.