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Abstract

Abstract

In the framework of the socio-cognitive approach, this article investigates how Chinese doctors’ use of metapragmatic expressions (MPEs) facilitates the construction of emergent common ground (ECG) in oncological consultations. Based on extracts from our medical corpus, this paper reveals that doctors primarily employ eight types of MPEs as ECG construction builders in interactions, i.e., commentaries, message glosses, evidentials, hedges, performatives, stance displayers, signaling expressions, and rapport indicators. It is found that oncologists use them to (1) construct ECG of information for clarifying the patients’ life-threatening condition, correcting patients’ misconceptions, and justifying treatment recommendations; and (2) construct ECG of (dis)affiliation for preemptively or retrospectively reconciling their institutional needs with the addressees’ emotional needs. This article aims to shed light on our understanding of the functioning mechanism of MPEs in ECG construction for the accomplishment of communicative tasks in highly sensitive Chinese oncological consultations.

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/content/journals/10.1075/prag.24050.li
2025-08-18
2026-03-11
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References

  1. Allan, Keith
    2023 “Establishing Common Ground to Achieve Therapeutic Goals.” InA Pragmatic Agenda for Healthcare: Fostering Inclusion and Active Participation through Shared Understanding, ed. bySarah Bigi, and Maria Grazia Rossi, –. Amsterdam: John Benjamins. 10.1075/pbns.338.10all
    https://doi.org/10.1075/pbns.338.10all [Google Scholar]
  2. Anesa, Patrizia, and Antoinette Fage-Butler
    2015 “Popularizing Biomedical Information on an Online Health Forum.” Ibérica, Revista de la Asociación Europea de Lenguas para Fines Específicos: –.
    [Google Scholar]
  3. Arnseth, Hans Christian, and Ivar Solheim
    2002 “Making Sense of Shared Knowledge.” InComputer Support for Collaborative Learning: Foundations for a CSCL Community (CSCL 2002 Proceedings), ed. byGerry Stahl, –. Routledge.
    [Google Scholar]
  4. Bigi, Sarah
    2018 “The Role of Argumentative Strategies in the Construction of Emergent Common Ground in a Patient-Centered Approach to the Medical Encounter.” Journal of Argumentation in Context (): –. 10.1075/jaic.18028.big
    https://doi.org/10.1075/jaic.18028.big [Google Scholar]
  5. Bigi, Sarah, and Maria Grazia Rossi
    2023 “Introduction.” InA Pragmatic Agenda for Healthcare: Fostering Inclusion and Active Participation through Shared Understanding, ed. bySarah Bigi, and Maria Grazia Rossi, –. Amsterdam: John Benjamins. 10.1075/pbns.338.intro
    https://doi.org/10.1075/pbns.338.intro [Google Scholar]
  6. Caffi, Claudia
    1994 “Metapragmatics.” InEncyclopedia of Language and Linguistics, ed. byRon E. Asher, –. Oxford: Pergamon.
    [Google Scholar]
  7. Clark, David A.
    2014 “Cognitive Restructuring.” InThe Wiley Handbook of Cognitive Behavioral Therapy, ed. byStefan G. Hofmann, –. New York: Wiley.
    [Google Scholar]
  8. Clark, Herbert
    1996Using Languages. Cambridge: Cambridge University Press. 10.1017/CBO9780511620539
    https://doi.org/10.1017/CBO9780511620539 [Google Scholar]
  9. Culpeper, Jonathan, and Michael Haugh
    eds. 2014Pragmatics and the English Language. Basingstoke: Palgrave Macmillan. 10.1007/978‑1‑137‑39391‑3
    https://doi.org/10.1007/978-1-137-39391-3 [Google Scholar]
  10. Enfield, Nicholas
    2008 “Common Ground as a Resource for Social Affiliation.” InIntention, Common Ground and the Egocentric Speaker-Hearer, ed. byIstvan Kecskes, and Jacob Mey, –. Berlin: Mouton de Gruyter. 10.1515/9783110211474.2.223
    https://doi.org/10.1515/9783110211474.2.223 [Google Scholar]
  11. Fan, Linlin
    2022 “A Pragmatic Study of Doctors’ Management of Interpersonal Emotions in Chinese Medical Encounters.” PhD dissertation. Guangdong University of Foreign Studies.
  12. Fruht, Christiane, and Martin Vogelhuber
    2016 “Kommunikation in der Onkologie: Überbringen schlechter Nachrichten.” Universitätsklinikum Regensburg. de.slideshare.net/ChristianeFruht/ueberbringen-schlechternachrichten (accessed: 10.03.2024).
  13. Günthner, Susanne
    2022 “Relationship Building in Oncological Doctor-Patient Interaction: The Use of Address Forms as ‘Tie Signs’.” InRelationships in Organized Helping: Analyzing Interaction in Psychotherapy, Medical Encounters, Coaching and in Social Media, ed. byScarvaglieri Claudio, Eva-Maria Graf, and Thomas Spranz-Fogasy, –. Amsterdam: John Benjamins. 10.1075/pbns.331.09gun
    https://doi.org/10.1075/pbns.331.09gun [Google Scholar]
  14. Haugh, Michael
    2015 “Review of Intercultural Pragmatics.” Journal of Pragmatics: –. 10.1016/j.pragma.2015.01.012
    https://doi.org/10.1016/j.pragma.2015.01.012 [Google Scholar]
  15. Heritage, John
    2013 “Epistemics in Conversation.” InHandbook of Conversation Analysis, ed. byJack Sidnell, and Tanya Stivers, –. Boston: Wiley-Blackwell.
    [Google Scholar]
  16. Hübler, Axel, and Wolfram Büblitz
    2007 “Introducing Metapragmatics in Use.” InMetapragmatics in Use, ed. byWolfram Bublitz, and Axel Hübler, –. Amsterdam: John Benjamins. 10.1075/pbns.165.02hub
    https://doi.org/10.1075/pbns.165.02hub [Google Scholar]
  17. Jefferson, Gail
    2004 “Glossary of Transcript Symbols with an Introduction.” InConversation Analysis: Studies from the First Generation, ed. byGene H. Lerner, –. Amsterdam: John Benjamins. 10.1075/pbns.125.02jef
    https://doi.org/10.1075/pbns.125.02jef [Google Scholar]
  18. Jiang, Hui
    2019 “Concept, Application and Trends on Metapragmatic Research.” Journal of Tianjin Foreign Studies University (): –.
    [Google Scholar]
  19. Kádár, Dániel Z., and Yuling Pan
    2011 “Politeness in China.” InPoliteness in East Asia, ed. byDániel Z. Kádár, and Sara Mills, –. New York: Cambridge University Press. 10.1017/CBO9780511977886.008
    https://doi.org/10.1017/CBO9780511977886.008 [Google Scholar]
  20. Kecskes, Istvan
    2014Intercultural Pragmatics. New York: Oxford University Press.
    [Google Scholar]
  21. 2023 “Face-to-Face Intercultural Communication and Mediated Intercultural Communication as Related to Health Communication.” InA Pragmatic Agenda for Healthcare: Fostering Inclusion and Active Participation through Shared Understanding, ed. bySarah Bigi, and Maria Grazia Rossi, –. Amsterdam: John Benjamins. 10.1075/pbns.338.04kec
    https://doi.org/10.1075/pbns.338.04kec [Google Scholar]
  22. Kecskes, Istvan, and Fenghui Zhang
    2009 “Activating, Seeking, and Creating Common Ground: A Socio-Cognitive Approach.” Pragmatics & Cognition (): –. 10.1075/pc.17.2.06kec
    https://doi.org/10.1075/pc.17.2.06kec [Google Scholar]
  23. Kuna, Ágnes, and Agnes Hámori
    2023 “Metapragmatics and Reflections in Support of Knowledge Transfer and Common Ground in Doctor-Patient Interaction.” InA Pragmatic Agenda for Healthcare: Fostering Inclusion and Active Participation through Shared Understanding, ed. bySarah Bigi, and Maria Grazia Rossi, –. Amsterdam: John Benjamins. 10.1075/pbns.338.08kun
    https://doi.org/10.1075/pbns.338.08kun [Google Scholar]
  24. Lee, Cher Leng
    2011 “Politeness in Singapore.” InPoliteness in East Asia, ed. byDániel Z. Kádár, and Sara Mills, –. New York: Cambridge University Press. 10.1017/CBO9780511977886.012
    https://doi.org/10.1017/CBO9780511977886.012 [Google Scholar]
  25. Li, Chengtuan
    2022 “A Study of Emotion Management and Identity Construction in Chinese Medical Treatment Discussions.” Discourse Studies: –. 10.1177/14614456221108605
    https://doi.org/10.1177/14614456221108605 [Google Scholar]
  26. Liu, Ping, and Huiying Liu
    2017 “Creating Common Ground: The Role of Metapragmatic Expressions in BELF Meeting Interactions.” Journal of Pragmatics: –. 10.1016/j.pragma.2016.10.006
    https://doi.org/10.1016/j.pragma.2016.10.006 [Google Scholar]
  27. 2021 “Salience Adjusting: Metapragmatic Expressions in Complaint Responses.” Journal of Pragmatics: –. 10.1016/j.pragma.2021.01.003
    https://doi.org/10.1016/j.pragma.2021.01.003 [Google Scholar]
  28. 2022 “Pragmatic Manipulation of Metapragmatic Expressions in BELF Meetings.” Applied Pragmatics (): –. 10.1075/ap.19014.liu
    https://doi.org/10.1075/ap.19014.liu [Google Scholar]
  29. Liu, Ping, Linlin Yang, and Jialiang Chen
    2022 “Metapragmatic Expressions as Common Ground Builders in Intercultural Business Communication.” InCommon Ground in First Language and Intercultural Interaction, ed. byIstvan Kecskes, –. Berlin: de Gruyter.
    [Google Scholar]
  30. Locher, Miriam A., and Richard J. Watts
    2005 “Politeness Theory and Relational Work.” Journal of Politeness Research (): –. 10.1515/jplr.2005.1.1.9
    https://doi.org/10.1515/jplr.2005.1.1.9 [Google Scholar]
  31. Mishler, Elliot George
    1984The Discourse of Medicine: Dialectics of Medical Interviews. Bloomsbury Academic.
    [Google Scholar]
  32. Penz, Hermine
    2007 “Building Common Ground through Metapragmatic Comments in International Project Work.” InMetapragmatics in Use, ed. byWolfram Bublitz, and Axel Hübler, –. Amsterdam: John Benjamins. 10.1075/pbns.165.17pen
    https://doi.org/10.1075/pbns.165.17pen [Google Scholar]
  33. Silverstein, Michael
    1976 “Shifters, Linguistic Categories, and Cultural Description.” InMeaning and Anthropology, ed. byKeith H. Basso, and Henry A. Selby, –. Alberquerque: The University of New Mexico Press.
    [Google Scholar]
  34. Smith, Sara W., and Xiaoping Liang
    2007 “Metapragmatic Expressions in Physics Lectures.” InMetapragmatics in Use, ed. byWolfram Bublitz, and Axel Hübler, –. Amsterdam: John Benjamins. 10.1075/pbns.165.12smi
    https://doi.org/10.1075/pbns.165.12smi [Google Scholar]
  35. Stivers, Tanya
    2008 “Stance, Alignment, and Affiliation during Storytelling: When Nodding is a Token of Affiliation.” Research on Language and Social Interaction (): –. 10.1080/08351810701691123
    https://doi.org/10.1080/08351810701691123 [Google Scholar]
  36. Udvardi, Anna
    2023 “Whose Common Ground?: Analyzing Communication Between Physiotherapists and Patients in a Hungarian Hospital.” InA Pragmatic Agenda for Healthcare, ed. bySarah Bigi, and Maria Grazia Rossi, –. Amsterdam: John Benjamins. 10.1075/pbns.338.11udv
    https://doi.org/10.1075/pbns.338.11udv [Google Scholar]
  37. Verschueren, Jef
    2000 “Notes on the Role of Metapragmatic Awareness in Language Use.” Pragmatics (): –.
    [Google Scholar]
  38. Xu, Yuanchong
    2011Thus Spoke the Master. Beijing: Zhonghua Book Company.
    [Google Scholar]
  39. Zhao, Xin, and Yansheng Mao
    2022 “Chinese Doctors’ Use of Metapragmatic Expressions in Disagreements.” InMetapragmatics and the Chinese Language, ed. byChen Xinren, –. Cambridge: Cambridge Scholars Publishing.
    [Google Scholar]
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