“互为他者”角色构建下的批判医疗话语分析

发布时间：2018-03-18 04:00

本文选题：医患关系　切入点：拟剧论　出处：《上海外国语大学》2017年硕士论文　论文类型：学位论文

【摘要】：根据2015年5月28日最新发布的《中国医师执业状况白皮书》,2014年调研结果显示:25.79%的医务人员受到过言语暴力,13.07%的医务人员受到过身体上的伤害。医患纠纷事件不绝于耳,《柳叶刀》、《新英格兰医学杂志》、《中华医学杂志》,以及诸多网站论坛如人民网、丁香园纷纷报道过中国医患暴力冲突事件,医患关系已成为社会民生关切的热点之一。在医患关系方面,国外研究已有一定积累,国内的医患话语研究,大多以国外研究范式为蓝本,从机构话语,医患权势不对等为研究切入点,却鲜少从医患双方自身心理角度出发,基于医患互动话语本身出发寻找身份对立潜势。笔者基于上海两家医院展开实地田野调查,研究探索以下问题:医生与病人在建立自身身份时是否存在前后台的构建差异?这种差异如何在话语表征中体现出双方心理距离的改变?他者意识如何在医患群体认知中表现?本研究运用拟剧论的角色视角,将日常发生的医疗互动行为视为社会背景下的一场医疗场景戏剧。医院作为戏剧舞台,医生群体和患者及家属群体为两组剧班,在医疗接触互动过程中,彼此互为观众。从中发现医生和病患群体自我前台与后台的身份认同差异。结合认知批判话语分析,从语境的形成发展,描绘话语参与者基于个体知识及其所处群体文化意识的认知,于微妙的语言现象中揭示人际互动立场,提供由点(语言现象)及面(社会现象)的解读。
[Abstract]:According to the latest White Paper on the status of Chinese Physicians issued on May 28th 2015, the results of the 2014 survey show that 25.79% of the medical staff have been subjected to verbal violence and 13.07% of the medical staff have been physically injured. Doctor-patient disputes continue to occur. Yu ear, Lancet, New England Journal of Medicine, Chinese Journal of Medicine, and many web forums such as people's Daily, Cloves have reported on violent conflicts between doctors and patients in China. The relationship between doctors and patients has become one of the hotspots of social and livelihood concerns. In the field of doctor-patient relations, foreign studies have accumulated, and domestic research on doctor-patient discourse has accumulated. Most of them are based on the foreign research paradigm, from the perspective of institutional discourse, the unequal power between doctors and patients, but rarely from the psychological point of view of both doctors and patients. Based on the field investigation of the two hospitals in Shanghai, the author explores the following questions: are there any differences between doctors and patients in the construction of their own identities? How does this difference reflect the change of psychological distance between the two sides in the discourse representation? How does the consciousness of otherness manifest in the cognition of the doctor-patient group? Using the role perspective of drama theory, this study regards the daily medical interaction as a medical scene drama under the social background. The hospital is the theatre stage, and the doctor group, the patient and the family group are two groups of drama classes. In the process of medical contact interaction, they are each other's audience. The differences of self-identity between doctors and patient groups are found in the process of medical contact. The cognitive critical discourse analysis is combined with the development of context. The description of discourse participants is based on individual knowledge and the cultural awareness of the group in which they live, revealing interpersonal interaction positions in subtle linguistic phenomena and providing an interpretation of points (linguistic phenomena) and facets (social phenomena).
【学位授予单位】：上海外国语大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：H030

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