1887
Volume 25, Issue 3
  • ISSN 0929-0907
  • E-ISSN: 1569-9943
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Abstract

Abstract

This study investigates the cognitive-pragmatic motivations for the emergence of a genre of health communication called (PDA). It elucidates , i.e. how the emerging genre exemplifies various struggles on three strata: the difficulties facing patients, doctors, and health providers at practice level; the changes anticipated to take place at discourse level; and the tensions in the pragmatics-cognition-society nexus. Particularly illustrated here are five struggles that characterize changes or breakthroughs that PDAs are anticipated to make. It suggests that the five struggles roughly correspond to five principles for genre theory proposed by Berkenkotter and Huckin (1993), with some modification of the latter. It also illustrates that genre intervenes in the complexity between social issues and social cognition and that PDAs as a new genre involve restructuring, reshaping and redesigning the key discourse facets (e.g. prior discourse, participants, language, medium, the world, and purpose). Based on examples of Chinese-language PDAs officially released in Taiwan and on information from health professionals, policy makers, and PDA developers, this study contributes empirical evidence toward a better understanding of an emerging genre.

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2020-01-10
2020-09-28
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  • Article Type: Research Article
Keyword(s): emerging genre , genre as struggle , health communication and patient decision aid
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