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Volume 27, Issue 2
  • ISSN 0155-0640
  • E-ISSN: 1833-7139
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Abstract

Most studies in the area of doctor-patient communication focus on the talk that doctors perform during the consultation, leaving under-researched the discourse developed by patients. This article deconstructs and identifies the functions and forms of the (i.e. specific forms of talk) that Chilean patients employ in their interactions with general practitioners. Patients use four different in the interaction: and are the most frequently used by both female and male patients and constitute the object of analysis and interpretation for this study. The use of these reflects the patients’ role in the Western medical institutions, knowledge about health issues, social identity and aspiration to better understand health problems. I conclude that medical communicative practices that favour the development of patients’ discourse can improve patients’ knowledge of medical issues which in turn may have a positive impact on patients’ health.

© 2004 John Benjamins Publishing Company
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2004-01-01
2025-01-17

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References

  1. Ainsworth-Vaughn, N.
    (1998) Claiming power in doctor-patient talk. Oxford: Oxford University Press.
     [Google Scholar]
  2. Barton, E. L.
    (2000) The interactional practice of referrals and accounts in medical discourse: expertise and compliance. Discourse Studies, 2, 259–281. doi: 10.1177/1461445600002003001
     https://doi.org/10.1177/1461445600002003001 [Google Scholar]
  3. Beach, W.
    (2001) Introduction: diagnosing “Lay diagnosis”. Text, 21, 13–18.
     [Google Scholar]
  4. Bensing, J.
    (1991) Doctor-patient communication and the quality of care. Social Science and Medicine, 32 (11), 1301–1310. doi: 10.1016/0277‑9536(91)90047‑G
     https://doi.org/10.1016/0277-9536(91)90047-G [Google Scholar]
  5. Blanchard, C. , Labrecque, M. & Ruckdeschel, J.
    (1988) Information decision-making preferences of hospitalized adult cancer patients. Social Science Medicine, 27 (11), 1139–1145. doi: 10.1016/0277‑9536(88)90343‑7
     https://doi.org/10.1016/0277-9536(88)90343-7 [Google Scholar]
  6. Brown, P. & Levinson, S.
    (1987) Politeness. Cambridge: Cambridge University Press.
     [Google Scholar]
  7. Burgoon, M. , Birk, T. & Hall, J.
    (1991) Compliance and satisfaction with physician-patient communication. An expectancy theory interpretation of gender differences. Human Communication Research, 18, 177–208. doi: 10.1111/j.1468‑2958.1991.tb00543.x
     https://doi.org/10.1111/j.1468-2958.1991.tb00543.x [Google Scholar]
  8. Charon, R. , Greene, M.G. & Adelman, R.D.
    (1994) Multidimensional interaction analysis. A collaborative approach to the study of medical discourse. Social Science and Medicine, 39, 955–965. doi: 10.1016/0277‑9536(94)90207‑0
     https://doi.org/10.1016/0277-9536(94)90207-0 [Google Scholar]
  9. Cohen-Cole, S. A.
    (1991) The medical interview: the three-function approach. St Louis, Baltimore: Mosby Year Book.
     [Google Scholar]
  10. Cordella, M.
    (1990) Apologizing in Chilean Spanish and Australian English: a cross-cultural perspective. Australian Review of Applied Linguistics, Series S, 7, 66–92.
     [Google Scholar]
  11. (1991) Spanish speakers apologizing in English: a cross-cultural pragmatics study. Australian Review of Applied Linguistics, 14, 115–138.
     [Google Scholar]
  12. (1992) Travels, cultures and speech acts: a pragmatics study in apology. The Ken Garrad Working Papers in Hispanic Studies 2. Clayton, Vic: Monash University.
     [Google Scholar]
  13. (1999) Medical discourse in a Hispanic environment: power and simpatia under investigation. Australian Review of Applied Linguistics, 22 (2), 35–50.
     [Google Scholar]
  14. (2001) The dynamic consultation: a discourse-analytical study of doctor-patient communication in Chilean Spanish. Unpublished doctoral dissertation, Monash University, Australia.
  15. Cordella M.
    (2002) La interacción médico-paciente en escrutinio: Un estudio de sociolingüistica interaccional. Onomázein. Revista de Lingüística, Filología y Traducción del Instituto de Letras de la Pontificia Universidad Católica de Chile, 7, 117–144.
     [Google Scholar]
  16. Cordella, M.
    (2003) En el corazón del debate: el análisis del discurso en la representatión de las voces médicas. Oralia. Análsis del discurso oral, 6, 147–168.
     [Google Scholar]
  17. (2004) The dynamic consultation: a discourse analytical study of doctor-patient communication. Amsterdam: John Benjamins. doi: 10.1075/pbns.128
     https://doi.org/10.1075/pbns.128 [Google Scholar]
  18. (in press a). ‘No, no I haven’t been taking it doctor’: compliance, face threatening acts and politeness in medical consultations. In M. Placencia & C. Garcia Eds Linguistic politeness in the Spanish-speaking world. Mahwah, N.J.: Lawrence Erlbaum Associates.
     [Google Scholar]
  19. Coulthard, M. & Ashby, M.
    (1975) Talking with the doctor 1. Journal of Communication, 25, 140–145. doi: 10.1111/j.1460‑2466.1975.tb00616.x
     https://doi.org/10.1111/j.1460-2466.1975.tb00616.x [Google Scholar]
  20. Daly, M. & Hulka, B.
    (1975) Talking with the doctor 2. Journal of Communication, 25 (30), 148–152. doi: 10.1111/j.1460‑2466.1975.tb00617.x
     https://doi.org/10.1111/j.1460-2466.1975.tb00617.x [Google Scholar]
  21. Davis, K.
    (1988) Power under the microscope. Dordrecht: Foris.
     [Google Scholar]
  22. Donovan, J. L. & Blake, D.R.
    (1992) Patient noncompliance-deviance or reasoned decision-making. Social Science and Medicine, 34 (5), 507–513. doi: 10.1016/0277‑9536(92)90206‑6
     https://doi.org/10.1016/0277-9536(92)90206-6 [Google Scholar]
  23. Du Bois, J.
    (1991) Transcription design principles for spoken discourse research. Pragmatics, 1, 71–106. doi: 10.1075/prag.1.1.04boi
     https://doi.org/10.1075/prag.1.1.04boi [Google Scholar]
  24. Fairclough, N.
    (1992) Discourse and social change. Cambridge: Polity Press.
    [Google Scholar]
  25. Fisher, S.
    (1991) A discourse of the social: medical talk/ power talk/ oppositional talk?Discourse and Society, 2, 157–182. doi: 10.1177/0957926591002002002
     https://doi.org/10.1177/0957926591002002002 [Google Scholar]
  26. (1995) Nursing wounds: nurse practitioners, doctors, women patients and the negotiation of meaning. New Brunswick, N.J.: Rutgers University Press.
     [Google Scholar]
  27. Fisher, S. & Todd, A.D.
    (1986) Friendly persuasion: negotiating decisions to use oral contraceptives. In S. Fisher & A.D. Todd (Eds.) Discourse and institutional authority: medicine, education, and law (pp.3–25). Norwood, N.J.: Ablex.
     [Google Scholar]
  28. Gerber, K.
    (1986) Compliance in the chronically ill: an introduction to the problem”. In K. Gerber & A. Nehemkis (Eds.) Compliance: the dilemma of the chronically ill (pp.13–23). New York: Springer.
     [Google Scholar]
  29. Goffman, E.
    (1967) Interactional ritual essays on face-to-face behavior. New York: Pantheon Books.
     [Google Scholar]
  30. (1971) Relations in public. Micro-studies of the public order. New York: Harper and Row.
     [Google Scholar]
  31. Goffinan, E.
    (1974) Frame analysis. New York: Harper and Row.
     [Google Scholar]
  32. Goffman, E.
    (1981) Forms of talk. Philadelphia: University of Pennsylvania Press.
     [Google Scholar]
  33. Gruninger, U.J.
    (1995) Patient education: an example of one-to-one communication. Journal of Human Hypertension, 1, 15–25.
     [Google Scholar]
  34. Gumperz, J.
    (Ed.) (1982) Language and social identity. Cambridge: Cambridge University Press.
     [Google Scholar]
  35. Hadlow, J. & Pitts, M.
    (1991) The understanding of common health terms by doctors, nurses and patients. Social Science and Medicine, 32, 193–196. doi: 10.1016/0277‑9536(91)90059‑L
     https://doi.org/10.1016/0277-9536(91)90059-L [Google Scholar]
  36. Heath, C.
    (1992) The delivery and reception of diagnosis in the general-practice consultation. In P. Drew & J. Heritage (Eds.) Talk at work: studies in interactional sociolinguistics, 8, 235–267. Cambridge: Cambridge University Press.
     [Google Scholar]
  37. Irish, J. T. & Hall, J.A.
    (1995) Interruptive patterns in medical visits: the effects of role, status and gender. Social Science and Medicine, 41 (6), 873–881. doi: 10.1016/0277‑9536(94)00399‑E
     https://doi.org/10.1016/0277-9536(94)00399-E [Google Scholar]
  38. Jefferson, G.
    (1984) On the organization of laughter in talk about trouble. In J. M. Atkinson & J. Heritage (Eds.) Structure and social action (pp.346–369). Cambridge: Cambridge University Press.
     [Google Scholar]
  39. Korsch, B. M. , Gozzi, E.K. & Francis, V.
    (1968) Gaps in doctor-patient communication: doctor-patient interaction and patient satisfaction. Pediatrics, 42, 855–871.
     [Google Scholar]
  40. Kreps, G. L.
    (1988) Relational communication in health care. Southern Communication Journal, 53, 344–359. doi: 10.1080/10417948809372736
     https://doi.org/10.1080/10417948809372736 [Google Scholar]
  41. Labov, W. & Fanshel, D.
    (1977) Therapeutic discourse:psychotherapy as conversation, New York: Academic Press.
     [Google Scholar]
  42. Lacoste, M.
    (1981) The old woman and the doctor: a contribution to the analysis of unequal linguistic exchange. Journal of Pragmatics, 5, 169–180. doi: 10.1016/0378‑2166(81)90004‑7
     https://doi.org/10.1016/0378-2166(81)90004-7 [Google Scholar]
  43. Lieberman, J. A.
    (1996) Compliance issues in primary care. Journal of Clinical Psychiatry, 57, 76–85.
     [Google Scholar]
  44. Mishler, E. G.
    (1984) The discourse of medicine. Dialectics in medical interviews. Norwood, N.J.: Ablex.
     [Google Scholar]
  45. Neighbour, R.
    (1987) The inner consultation. Newbury: Petroc Press.
     [Google Scholar]
  46. Ong, L. M. L. , De Haes, J. C. J. M. , Hoos, A.M. & Lammes, F.B.
    (1995) Doctor-patient communication: a review of the literature. Social Science and Medicine, 40 (7), 903–918. doi: 10.1016/0277‑9536(94)00155‑M
     https://doi.org/10.1016/0277-9536(94)00155-M [Google Scholar]
  47. Pauwels, A.
    (1995) Cross-cultural communication in the health sciences: communicating with migrant patients. South Melbourne: Macmillan Education.
     [Google Scholar]
  48. Robinson, W.P. , Shepherd, A. & Heywood, J.
    (1998) Truth, equivocation/ concealment, and lies in job applications and doctor-patient communication. Journal of Language and Social Psychology, 17 (2), 149–164. doi: 10.1177/0261927X980172001
     https://doi.org/10.1177/0261927X980172001 [Google Scholar]
  49. Roter, D. , Hall, J. & Katz, N.
    (1987) Relations between physicians’ behaviors and analogue patients’ satisfaction, recall and impressions. Medical Care, 25 (5), 437–451. doi: 10.1097/00005650‑198705000‑00007
     https://doi.org/10.1097/00005650-198705000-00007 [Google Scholar]
  50. Roter, D.
    (2000) The enduring and evolving nature of the patient-physician relationship. Patient Education and Counseling, 39, 5–15. doi: 10.1016/S0738‑3991(99)00086‑5
     https://doi.org/10.1016/S0738-3991(99)00086-5 [Google Scholar]
  51. Royster, L.
    (1990) Doctor-patient communication: an exploration of language use during the informed consent. Unpublished doctoral dissertation, University of Pennsylvania.
  52. Shaikh, A. , Knobloch, L.M. & Stiles, W.B.
    (2001) The use of a verbal response mode coding system in determining patient and physician roles in medical interviews. Health Communication, 13, 49–60. doi: 10.1207/S15327027HC1301_05
     https://doi.org/10.1207/S15327027HC1301_05 [Google Scholar]
  53. Stivers, T. & Heritage, J.
    (2001) Breaking the sequential mold: answering ‘more than the question’ during comprehensive history taking. Text: An Interdisciplinary Journal for Discourse Research, 21, 151–185.
     [Google Scholar]
  54. Street, R.L. & Millay, B.
    (2001) Analyzing patient participation in medical encounters. Health Communication, 13, 61–73. doi: 10.1207/S15327027HC1301_06
     https://doi.org/10.1207/S15327027HC1301_06 [Google Scholar]
  55. Sundquist, J.
    (1995) Ethnicity, social class and health. A population-based study on the influence of social factors on self-reported illness in 223 Latin American refugees, 333 Finnish and 126 South European labour migrants and 841 Swedish controls. Social Science and Medicine, 40 (6), 777–787. doi: 10.1016/0277‑9536(94)00146‑K
     https://doi.org/10.1016/0277-9536(94)00146-K [Google Scholar]
  56. Thompson, T.
    (1998) Patient/health professional communication. In L. Jackson & B.K. Duffy (Eds.) Health communication research: a guide to developments and directions (pp.37–56). Westport, C.T: Greenwood.
     [Google Scholar]
  57. (2001) Introduction. Health Communication, 13, 1–4. doi: 10.1207/S15327027HC1301_01
     https://doi.org/10.1207/S15327027HC1301_01 [Google Scholar]
  58. Thorne, S. E. , Nyhlin, K. T. & Paterson, B. L.
    (2000) Attitudes toward patient expertise in chronic illness. International Journal of Nursing Studies, 37, 303–311. doi: 10.1016/S0020‑7489(00)00007‑9
     https://doi.org/10.1016/S0020-7489(00)00007-9 [Google Scholar]
  59. Trosborg, A.
    (1987) Apology strategies in natives/non-natives. Journal of Pragmatics, 11, 147–167. doi: 10.1016/0378‑2166(87)90193‑7
     https://doi.org/10.1016/0378-2166(87)90193-7 [Google Scholar]
  60. van Dijk, T. A.
    (1982) Episodes as units of discourse analysis. In D. Tannen (Ed.) Analysing discourse: text and talk (pp.177–195). Washington: Georgetown University Press.
     [Google Scholar]
  61. (1987) Communicating racism: ethnic prejudice in thought and talk. Newbury Park, Calif: Sage.
     [Google Scholar]
  62. von Friederichs-Fitzwater, M.M. & Gilgun, J.
    (2001) Relational control in physician-patient encounters. Health Communication, 13, 75–87. doi: 10.1207/S15327027HC1301_07
     https://doi.org/10.1207/S15327027HC1301_07 [Google Scholar]
  63. Walker, K. L. , Arnold, C.L. , Miller-Day, M. & Webb, L.M.
    (2002) Investigating the physician-patient relationship: examining emerging themes. Health Communication, 14, 45–68. doi: 10.1207/S15327027HC1401_3
     https://doi.org/10.1207/S15327027HC1401_3 [Google Scholar]
  64. West, C.
    (1984) Routine complications: troubles with talk between doctors and patients. Bloomington: Indiana University Press.
     [Google Scholar]
  65. (1990) Not just ‘doctors’ orders’: directives-response sequences inpatients’ visits to women and men physicians. Discourse and Society, 1, 85–112. doi: 10.1177/0957926590001001005
     https://doi.org/10.1177/0957926590001001005 [Google Scholar]
  66. Williams, S. , Weinman, J. & Dale, J.
    (1998) Doctor-patient communication and patient satisfaction: a review. Family Practice, 15 (5), 480–492. doi: 10.1093/fampra/15.5.480
     https://doi.org/10.1093/fampra/15.5.480 [Google Scholar]
  67. Wodak, R.
    (Ed.) (1989) Language, power and ideology: studies in political discourse. Amsterdam: John Benjamins. doi: 10.1075/ct.7
     https://doi.org/10.1075/ct.7 [Google Scholar]
  68. (1996) Disorders of discourse. London: Longman.
     [Google Scholar]
  69. Young, A. & Flower, L.
    (2002) Patients as partners, patients as problem-solvers. Health Communication, 14, 69–97. doi: 10.1207/S15327027HC1401_4
     https://doi.org/10.1207/S15327027HC1401_4 [Google Scholar]
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