医患交际会话的叙事学分析

发布时间：2018-03-01 22:32

本文关键词： 叙事分析话语分析医患交际　出处：《齐齐哈尔大学》2012年硕士论文　论文类型：学位论文

【摘要】：本文以叙事分析为切入点，以话语分析理论和疾病叙事为理论框架，从叙事学的角度分析医患交际话语（尤其指中医医患交际会话）。传统的医患话语分析方法（即从语言学的角度研究）最近几年在我国已经有了不同程度的发展，国外也有些医疗从业人员从医学角度分析医患话语。因此笔者认为话语分析的研究视角有待于进一步的拓展与创新。而从叙事学的角度分析医患话语为话语分析领域提供了一个新的研究视角和方法。在临床诊断的过程中，叙事提供了一个理解个人经历的方法，并且帮助建立了医患之间的沟通和理解，同时提供了一个和疾病相关的有效的分析线索。它能够系统地回答对于搜集信息来说什么是重要的，也能够在合适的背景下接近受试者真实的心理过程，这样能增强医患之间对于疾病及其治疗的理解，大大地丰富了话语分析理论在医疗实践中的应用。因此，结合叙事维度对医患话语分析做一次整合研究，无论从话语分析的语言学发展趋势还是从人文发展趋势来看，都是非常必要的。本研究正是借助叙事理论的指导，，探讨分析的是医患交际会话，尤其中医医患交际会话，因为国外的研究主要集中在西方医学临床实践中，所以本研究就把重点放在中医医患交际的会话中。本研究结合了定量研究和微观研究的方法，把搜集来的中医临床问诊语料进行转写和整理，在此基础上尝试提出两种医患交际的会话分析模式：（1）内行患者型医患会话模式；（2）共同构建型医患会话模式。然后利用这两种模式对于不同类型患者的疾病叙事分别进行分析，同时考虑并整合了其他诸如社会文化背景及叙事者个人心理特点等复杂因素，为话语分析提供了一个新的范例和视角。
[Abstract]:This paper takes narrative analysis as the breakthrough point, discourse analysis theory and disease narrative as the theoretical framework. From the perspective of narratology, this paper analyzes the doctor-patient communication discourse (especially the doctor-patient communication conversation in TCM). In recent years, the traditional methods of doctor-patient discourse analysis (that is, from the perspective of linguistics) have developed in different degrees in China. Some medical practitioners abroad analyze doctor-patient discourse from a medical point of view. Therefore, the author thinks that the perspective of discourse analysis needs to be further expanded and innovated.However, from the perspective of narratology, the analysis of doctor-patient discourse is discourse analysis. The field provides a new perspective and method for research. In the course of clinical diagnosis, narration provides a way to understand personal experiences, and helps to establish communication and understanding between doctors and patients. It also provides an effective analytical clue related to disease. It can systematically answer what is important for gathering information, and can approach the real psychological process of the subjects in the right context. This can enhance the understanding of disease and its treatment between doctors and patients, and enrich the application of discourse analysis theory in medical practice. It is necessary both from the linguistic trend of discourse analysis and from the trend of humanistic development. Under the guidance of narrative theory, this study explores and analyzes the doctor-patient communication conversation, especially the doctor-patient communication conversation in traditional Chinese medicine, because the research abroad is mainly focused on the clinical practice of western medicine. Therefore, this study focuses on the conversation of doctor-patient communication in TCM. This study combines quantitative and microscopic research methods to transfer and collate the collected Chinese medicine clinical inquiry materials. On the basis of this, we try to put forward two kinds of conversational analysis mode of doctor-patient communication, namely, "1")) to construct the "doctor-patient conversation" model together. Then, the two models are used to analyze the disease narrative of different types of patients, respectively. At the same time, other complex factors such as sociocultural background and narrator's psychological characteristics are considered and integrated, which provides a new paradigm and perspective for discourse analysis.
【学位授予单位】：齐齐哈尔大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：H05

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