人际功能与人际语用视角下的医患对话中医生身份建构研究

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引用次数: 0

摘要

本文以美剧《豪斯医生》(第一季)的医患互动语料库为基础,从人际语用学的角度,结合系统功能语言学中的人际功能,分析医患对话中医生的身份建构,以揭示多重身份建构的意义和机制。作者通过对电视剧数据的收集、分类和分析,将医疗过程中医生的身份分为三类。第一种是权威认同,它由专业术语、情态动词或祈使句构成。第二种是朋友身份,这是通过与患者轻松聊天或更亲密地称呼患者来构建的。第三类是听者认同,其建构主要是通过对听者态度的重复或认同。本研究发现,通过构建多重身份,医生可以满足患者多样化的需求,缓解医患关系。在医学背景下,医生话语认同建构的机制可以从身份建构中的人际语用原则来解释,包括社会建构主义原则、位置性原则、关系性原则和指向性原则。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Study on the Doctor's Identity Construction in Doctor-Patient Conversation from the Perspective of Interpersonal Function and Interpersonal Pragmatics
Based on the doctor-patient interaction corpus of the American TV series House M.D. (Season 1), this thesis analyzes the identity construction of doctors in the doctor-patient conversation from the perspective of interpersonal pragmatics, combined with the interpersonal function in systemic functional linguistics, in order to reveal the significance and mechanism of multiple identity construction. The author classifies the identity of doctors in medical process into three categories by collecting, classifying and analyzing the data of TV series. The first one is the authority identity, which is constructed by using technical terms, modal verbs or the imperative mood. The second is the friend identity, which is constructed by chatting with the patient easily or addressing the patient more closely. The third category is the listener identity, and its construction mainly through repetition or approval of the patient’s attitude. This study finds that by constructing multiple identities, doctors can meet the diverse needs of patients and ease the relationship between doctors and patients. Under the medical background, the mechanism of the construction of doctor's discourse identity can be explained from the principle of interpersonal pragmatics in the identity construction, including the Social Constructivism Principle, the Positionality Principle, the Relationality Principle and the Indexicality Principle.
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