医患对话中的语气与权势研究
发布时间：2019-04-20 10:35
【摘要】：自20世纪70年代，医患交际在国际上正式被确立为一个大的研究领域以来，医患关系受到了社会各界的广泛关注。人们普遍认为这是一种不平等关系，医生占绝对的主导权，病人则处于以服从为前提的被动地位。医患关系是在医患交际过程中建立起来的，因而，医患对话直接体现了医患关系。 本文采用定量和定性相结合的研究方法对录音转写成的语料进行会话分析。录音语料源自中国中医科学院广安门医院9个科室。其中，研究对象包括医生11人，患者20人，共33段对话。本文结合当前较为热门的权势话语及语气方面的理论分析医患对话，目的在于揭示医生和患者各自独特的语气特征以及语气和权势的相互关系，使医患双方得到启发，对二者建立良好关系以及促进有效诊断和治疗起积极作用。研究发现： 一，医生的语气有三种：医生语气、教育者语气和同伴语气；患者的语气分为病情陈述语气、能力显示语气、社会交流语气和发起人语气。在这三种语气中，，教育者语气出现的频率高达42.8%，医生语气次之，占37.4%； 二，医患对话中的权势主要以提问、打断的方式出现，还包括称呼语及专业术语的使用。 三，医患会话中，权势和语气是相互联系的，当医生使用医生语气和教育者语气时，权势掌握在医生手里，当患者使用挑战者语气时，权势便转向病人。 四，医患对话中常见的语气模式有三种，语气的交替形成动态的权势关系，权势又随着语气模式的改变而改变,而动态的权势关系又与一些社会变量如性别、年龄、教育以及职业等有着密切的联系。 这些发现揭示了医患对话的特点，将有助于医生有效的诊断，也有利于建立和谐、平等的医患关系。
[Abstract]:Since the 1970s, doctor-patient communication has been formally established as a major research field in the world, the doctor-patient relationship has received extensive attention from all walks of life. It is generally believed that this is an unequal relationship, doctors are absolutely dominant, patients are in a passive position on the premise of obedience. Doctor-patient relationship is established in the process of doctor-patient communication, so the doctor-patient dialogue directly reflects the doctor-patient relationship. In this paper, the quantitative and qualitative methods are used to analyze the conversational analysis of the transcribed corpus. Recording data from 9 departments of Guanganmen Hospital, Chinese Academy of traditional Chinese Medicine. Among them, the subjects included 11 doctors, 20 patients, a total of 33 dialogues. The purpose of this paper is to reveal the unique mood characteristics of doctors and patients, and the relationship between mood and power, in order to enlighten both doctors and patients, by combining the current popular theories of power discourse and mood of the doctor-patient dialogue in order to reveal the unique mood characteristics of doctors and patients as well as the relationship between mood and power. To establish a good relationship between the two and to promote effective diagnosis and treatment play a positive role. There are three types of mood: doctor tone, educator tone and peer tone, and patient mood can be divided into declarative mood, ability display mood, social communication mood and initiator tone. Among the three tones, the frequency of the educator's tone was 42.8%, followed by the doctor's tone (37.4%). Second, the power of doctor-patient dialogue mainly appears in the way of asking questions and interrupting, including the use of address forms and professional terms. Third, in doctor-patient conversation, power and tone are interrelated. When doctors use doctor tone and educator tone, power is in the hands of doctors, and when patient uses challenger tone, power turns to patient. Fourthly, there are three kinds of mood patterns in doctor-patient dialogue. The alternation of mood forms a dynamic power relationship, and the power changes with the change of mood pattern, while the dynamic power relationship is related to some social variables such as sex, age, and so on. Education and occupation are closely related. These findings reveal the characteristics of doctor-patient dialogue, which will help doctors to diagnose effectively and establish harmonious and equal doctor-patient relationship.
【学位授予单位】：中南民族大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：H13
本文编号：2461527
[Abstract]:Since the 1970s, doctor-patient communication has been formally established as a major research field in the world, the doctor-patient relationship has received extensive attention from all walks of life. It is generally believed that this is an unequal relationship, doctors are absolutely dominant, patients are in a passive position on the premise of obedience. Doctor-patient relationship is established in the process of doctor-patient communication, so the doctor-patient dialogue directly reflects the doctor-patient relationship. In this paper, the quantitative and qualitative methods are used to analyze the conversational analysis of the transcribed corpus. Recording data from 9 departments of Guanganmen Hospital, Chinese Academy of traditional Chinese Medicine. Among them, the subjects included 11 doctors, 20 patients, a total of 33 dialogues. The purpose of this paper is to reveal the unique mood characteristics of doctors and patients, and the relationship between mood and power, in order to enlighten both doctors and patients, by combining the current popular theories of power discourse and mood of the doctor-patient dialogue in order to reveal the unique mood characteristics of doctors and patients as well as the relationship between mood and power. To establish a good relationship between the two and to promote effective diagnosis and treatment play a positive role. There are three types of mood: doctor tone, educator tone and peer tone, and patient mood can be divided into declarative mood, ability display mood, social communication mood and initiator tone. Among the three tones, the frequency of the educator's tone was 42.8%, followed by the doctor's tone (37.4%). Second, the power of doctor-patient dialogue mainly appears in the way of asking questions and interrupting, including the use of address forms and professional terms. Third, in doctor-patient conversation, power and tone are interrelated. When doctors use doctor tone and educator tone, power is in the hands of doctors, and when patient uses challenger tone, power turns to patient. Fourthly, there are three kinds of mood patterns in doctor-patient dialogue. The alternation of mood forms a dynamic power relationship, and the power changes with the change of mood pattern, while the dynamic power relationship is related to some social variables such as sex, age, and so on. Education and occupation are closely related. These findings reveal the characteristics of doctor-patient dialogue, which will help doctors to diagnose effectively and establish harmonious and equal doctor-patient relationship.
【学位授予单位】：中南民族大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：H13
【引证文献】
相关博士学位论文 前1条
1 刘兴兵;中国医患门诊会话的语用研究[D];华中师范大学;2008年
本文编号：2461527
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