医患会话中重复现象研究

发布时间：2018-08-03 17:10

【摘要】：医患关系是时下人们关注的一个热点，，当前医患关系紧张也是一个不争的事实。出现这种情况，除去体制的原因，还与医患之间不能进行有效沟通有重要的关系。本文运用实证方法，以医患会话中的重复现象为研究对象，探讨究竟如何运用恰当得体言语，才能提高医患之间的交际效果，旨在为社会建设一种和谐的新型关系提供有益借鉴。论文将医患会话重复现象按语言、主体、性质三个标准作出分类，并在分类基础上对其进行分析研究。通过分析，我们发现医患会话重复现象主要具有以下特征：第一，医患会话的重复可以是词、短语或句子中的任意一种重复；语义重复可以是完全重复，也可以是不完全重复。语义重复完全与否，取决于说话者从主观上来判断听话者是否理解或是否听清了自己的言语。第二，从主体情况来看，医患会话中的自我重复现象几乎都是一方未听清楚或未理解另一方所发生的。但是，医患间的相互重复，其目的则有所不同：医生重复患者的话是为了表示再次确认，转换话题，有效推进会话；而患者重复医生的话则是表示认同，或者表示一种委婉的质疑。第三，根据性质来看，医患会话有监测性和语篇功能性两种重复现象。监测性重复是因监测程序的有效启用而发生的重复。监测性前瞻重复可作为应急策略为言语计划赢得时间，监测性修补重复则可帮助医患间更加准确地传达信息，促进沟通。语篇功能性重复则是作为一种语篇衔接的手段而存在的，这对语境的构建以及会话的理解都有极大作用。总而言之，本文运用心理语言学、语用学以及认知语言学等理论，力图揭示医患会话重复现象中的深层原因，使医患交际双方能够更清楚地了解对方正当合理的诉求，最大限度地消除医患双方因沟通不畅所产生的矛盾，从而真正构建一种和谐、友爱、新型的医患关系。
[Abstract]:The relationship between doctors and patients is a hot topic nowadays, and it is also an indisputable fact that the relationship between doctors and patients is tense. This situation, apart from institutional reasons, also has an important relationship with effective communication between doctors and patients. This paper, by using empirical method and taking repetition in doctor-patient conversation as the object of study, explores how to use appropriate speech to improve the communication effect between doctors and patients. The aim is to provide useful reference for the construction of a harmonious new relationship. This paper classifies the phenomenon of doctor-patient conversation repetition according to language, subject and nature, and analyzes it on the basis of classification. Through analysis, we find that the phenomenon of doctor-patient conversation repetition has the following characteristics: first, the repetition of doctor-patient conversation can be any kind of repetition in words, phrases or sentences, and the semantic repetition can be complete repetition. It can also be incomplete repetition. Whether the semantic repetition is complete or not depends on whether the addressee understands or hears his own words subjectively. Secondly, from the perspective of the subject, the phenomenon of self-repetition in doctor-patient conversation is almost always the result of one side not hearing or understanding the other. However, the purpose of the duplication between doctors and patients is different: doctors repeat patients' words to express reconfirmation, change of topic, and effective promotion of conversation, while patients repeat doctors' words to express approval. Or a euphemism for questioning. Thirdly, according to the nature, there are two kinds of repetition phenomena in doctor-patient conversation: monitoring and text-function. Monitoring duplication is a repetition that occurs when the monitoring procedure is effectively enabled. Monitoring prospective repetition can be used as an emergency strategy to buy time for speech planning, while monitoring repair repetition can help doctors and patients to convey information more accurately and promote communication. Functional repetition exists as a means of discourse cohesion, which plays an important role in the construction of context and the understanding of conversation. In a word, this paper tries to reveal the deep causes of the phenomenon of doctor-patient conversation repetition by using the theories of psycholinguistics, pragmatics and cognitive linguistics, so that both sides can understand the other party's legitimate and reasonable demands more clearly. To the maximum extent, the contradiction between doctors and patients due to poor communication will be eliminated, and a harmonious, friendly and new type of doctor-patient relationship can be established.
【学位授予单位】：江西师范大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：H136

【相似文献】