Verbal engagement in doctor–patient interaction: Resonance in Western and Traditional Chinese Medicine

IF 1.8 1区文学 0 LANGUAGE & LINGUISTICS

Journal of Pragmatics Pub Date : 2024-07-24 DOI:10.1016/j.pragma.2024.07.002

Vittorio Tantucci , Carmen Lepadat

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引用次数: 0

Abstract

This study provides a framework for assessing doctors' verbal engagement during medical consultations. It quantifies doctors' degrees of resonance (Du Bois, 2014), a form of interactional alignment (Pickering and Garrod, 2021) that occurs when speakers imitate and re-use words and constructions uttered by their interlocutors. Resonance often involves creativity and active participation in others’ speech, overtly signalling that what they said is relevant for continuing the interaction (Tantucci and Wang, 2021). We looked at Chinese naturalistic consultations and explored whether resonance produced by Chinese doctors with a background in Western medicine (WM) differs from Traditional Chinese medicine (TCM) doctors. Our data includes 60 online medical consultations and shows that TCM doctors’ resonance is remarkably higher. This reflected stronger involvement in patients’ speech in combination with other interactional indicators of engagement such as sentence peripheral markers of intersubjectivity (Tantucci, 2021) and strategies of relevance acknowledgement (Tantucci, 2023). The pragmatics of TCM doctors is also characterised by a more directive language geared towards a healthy lifestyle, whereas WM doctors favour etiological assessment, with a predominant use of assertive speech acts.

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医患互动中的语言参与：中西医的共鸣

本研究为评估医生在就诊过程中的语言参与提供了一个框架。它量化了医生的共鸣程度（Du Bois，2014 年），共鸣是互动对齐的一种形式（Pickering 和 Garrod，2021 年），当说话者模仿和重复使用对话者所说的词语和结构时就会发生共鸣。共鸣通常涉及创造性和对他人话语的积极参与，公开表明他们所说的话与继续互动相关（Tantucci 和 Wang，2021 年）。我们研究了中国的自然咨询，并探讨了具有西医（WM）背景的中国医生与传统中医（TCM）医生所产生的共鸣是否有所不同。我们的数据包括 60 个在线问诊，结果显示中医共鸣明显更高。这反映了中医对患者言语的更强参与性，并与其他互动参与指标相结合，如主体间性的句子外围标记（Tantucci, 2021）和相关性确认策略（Tantucci, 2023）。中医师的语用特点还包括更多的指导性语言，以健康的生活方式为导向，而 WM 医师则倾向于病因评估，主要使用断言性言语行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pragmatics Multiple-

CiteScore

3.90

自引率

18.80%

发文量

219

期刊介绍： Since 1977, the Journal of Pragmatics has provided a forum for bringing together a wide range of research in pragmatics, including cognitive pragmatics, corpus pragmatics, experimental pragmatics, historical pragmatics, interpersonal pragmatics, multimodal pragmatics, sociopragmatics, theoretical pragmatics and related fields. Our aim is to publish innovative pragmatic scholarship from all perspectives, which contributes to theories of how speakers produce and interpret language in different contexts drawing on attested data from a wide range of languages/cultures in different parts of the world. The Journal of Pragmatics also encourages work that uses attested language data to explore the relationship between pragmatics and neighbouring research areas such as semantics, discourse analysis, conversation analysis and ethnomethodology, interactional linguistics, sociolinguistics, linguistic anthropology, media studies, psychology, sociology, and the philosophy of language. Alongside full-length articles, discussion notes and book reviews, the journal welcomes proposals for high quality special issues in all areas of pragmatics which make a significant contribution to a topical or developing area at the cutting-edge of research.