The Use of Dialogical Strategies to Construct Credibility in Narratives of Contested Illnesses.

Q4 Medicine
Roxana Delbene
{"title":"The Use of Dialogical Strategies to Construct Credibility in Narratives of Contested Illnesses.","authors":"Roxana Delbene","doi":"10.3138/cam-2024-0013","DOIUrl":null,"url":null,"abstract":"<p><p>This paper is a discourse analysis based on three illness narratives, known as autopathographies/memoirs, selected from a larger study. The memoirs were written in English by patients who suffered from contested illnesses. The memoirists report that as patients, they have encountered skepticism from their doctors regarding the doctorability of their conditions. Drawing on the theory of dialogism, the theory of memoirs, narrative analysis, and evaluation in linguistics, this paper argues that these memoirists answer their doctors, among other addressees, to vindicate themselves. They covertly claim that (a) their visceral authority is right and (b) their illness narratives are credible and real rather than imaginary. The close reading technique is used to analyze the memoirists' use of devices in the orientation section of the memoirs. Direct evidentials, combined with the mirative stance and deferred realization, are observed as firsthand sources of information. More specifically, prolepsis, ventriloquism, quotative evidential, and intertextuality are observed as secondhand sources of information. Whereas the devices associated with the firsthand sources of information enhance the subjective stance of the visceral authority as inalienable, the devices associated with the secondhand sources vouch for credibility by providing an objective source of information. In constructing credibility, these memoirs contribute to normalizing contested illnesses.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"e20240013"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Communication and Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3138/cam-2024-0013","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

This paper is a discourse analysis based on three illness narratives, known as autopathographies/memoirs, selected from a larger study. The memoirs were written in English by patients who suffered from contested illnesses. The memoirists report that as patients, they have encountered skepticism from their doctors regarding the doctorability of their conditions. Drawing on the theory of dialogism, the theory of memoirs, narrative analysis, and evaluation in linguistics, this paper argues that these memoirists answer their doctors, among other addressees, to vindicate themselves. They covertly claim that (a) their visceral authority is right and (b) their illness narratives are credible and real rather than imaginary. The close reading technique is used to analyze the memoirists' use of devices in the orientation section of the memoirs. Direct evidentials, combined with the mirative stance and deferred realization, are observed as firsthand sources of information. More specifically, prolepsis, ventriloquism, quotative evidential, and intertextuality are observed as secondhand sources of information. Whereas the devices associated with the firsthand sources of information enhance the subjective stance of the visceral authority as inalienable, the devices associated with the secondhand sources vouch for credibility by providing an objective source of information. In constructing credibility, these memoirs contribute to normalizing contested illnesses.

运用对话策略构建争议性疾病叙事的可信度。
本文是一个基于三种疾病叙述的话语分析,被称为自解剖/回忆录,从一个更大的研究中选择。这些回忆录是由患有争议性疾病的患者用英语撰写的。回忆录作者报告说,作为病人,他们遇到了医生对他们的病情的可治疗性的怀疑。本文利用语言学中的对话理论、回忆录理论、叙事分析和评价理论,论证了这些回忆录作者在回答他们的医生和其他收信人的问题时,为自己辩护。他们暗中声称(a)他们内心的权威是正确的,(b)他们对疾病的叙述是可信的、真实的,而不是虚构的。在回忆录的定位部分,运用细读的方法分析了回忆录作者对写作手法的运用。直接证据,结合镜像立场和延迟实现,被视为第一手的信息来源。更具体地说,预言、腹语、引语证据和互文性被认为是二手信息来源。与第一手信息来源相关的设备增强了内在权威作为不可剥夺的主观立场,而与二手信息来源相关的设备通过提供客观信息来源来保证可信度。在构建可信度的过程中,这些回忆录有助于使有争议的疾病正常化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Communication and Medicine
Communication and Medicine Medicine-Public Health, Environmental and Occupational Health
CiteScore
0.30
自引率
0.00%
发文量
12
期刊介绍: Communication & Medicine continues to abide by the following distinctive aims: • To consolidate different traditions of discourse and communication research in its commitment to an understanding of psychosocial, cultural and ethical aspects of healthcare in contemporary societies. • To cover the different specialities within medicine and allied healthcare studies. • To underscore the significance of specific areas and themes by bringing out special issues from time to time. • To be fully committed to publishing evidence-based, data-driven original studies with practical application and relevance as key guiding principles.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信