Language and Dialogue - Volume 14, Issue 2, 2024

The paper focuses on identity construction on the Facebook profiles of medical professionals. Drawing on existing conceptualisations of identity and proximity, the study explores how five Polish medical experts construct their social identity and create affinity spaces in their interaction with an audience. The analysis shows that affinity spaces are established through the reduction of social distance and epistemic asymmetry between the professionals and their audience. Increasing emotional proximity and stressing the proximity of experience between the interlocutors also contributes to the creation of affinity. Affinity spaces are co-constructed in dialogue with the profile visitors through e.g. deictic resources indicating proximity, personal stories, recontextualisation of medical concepts, expressiveness, and the stressing of commonalities between the orthopaedic surgeons and their followers.

Hospital discharge documents (HDDs) containing treatment information and recovery recommendations often cause concern or even stress for patients. Studies have shown that the language used in the document is often incomprehensible to the patient and seems intended mostly for (other) medical professionals. The aim of this article is to examine the discursive process of deconstructing medical knowledge encoded in HDDs through online dialogue between users of an open health-related forum in Polish. The analysis has revealed the discursive ways of sharing information and offering support by translating from Latin into Polish, converting from specialist to lay diction or explaining the way institutional conventions are applied in the document. Providing expertise and implicit reassurance in the course of dialogic interaction facilitates successful recovery. The conclusions from this exploratory analysis are hoped to increase the awareness of the parties involved of the function and significance of the medical documentation genre in question.

The literature on online mental health support groups usually stresses the harmonious side of users’ interactions. However, differences regarding the experience of the illness might escalate into social conflict. The aim of this study is to explore acts of conflict resolution in an online Spanish mental health forum for recovery from an eating disorder (ED). Focusing on a specific long dispute between one regular contributor and several other members, I perform a micro-analysis of the discursive moves deployed in this polylogue by those who act as informal mediators to mitigate negative emotions, to rephrase participants’ perspectives and to promote relational empathy within the group. The goal of mediation in the forum is to reinstate the social order of acceptable recovery practices and discourses.

The article explains the processes involved in knowledge sharing and support giving in an open FB forum dedicated to endometriosis. It builds on the existing understanding of experiential knowledge, as well as adopts Jovchelovitch’s (2007) perspective on knowledge diversity and representation which views knowledge construction as an intersubjective process. The analysis looks at the what, the who, and the how of the community in question, focusing in particular on three areas: identity work (self- and other-categorisation); perspective sharing and recognition by “significant others”; and epistemic self-other positioning. The analysis determines the most common strategies of categorisation, identifies ways of constructing shared understanding, as well as reveals that the participants’ personal truths are based primarily on their embodied experience and hearsay.

This study aims to analyse Italian Internet users’ comments on two posts that appeared on the Facebook page of the Italian newspaper Il Corriere della Sera during a particularly critical phase of the COVID-19 pandemic (specifically, March 2021). At that time, the AstraZeneca vaccine had been temporarily suspended in some European countries due to confirmed reports of blood clots but subsequently declared “safe and effective” by the European Medicines Agency. Two datasets of comments were collected and analysed by combining automatic and manual, as well as quantitative and qualitative, methods. The main findings shed light on the orientation (agreement vs disagreement), construction of consensus and dissent, and epistemic positioning of Facebook users when they are confronted and engaged in dialogue with uncertain news about public health issues.

By examining a collection of health-related memes, I propose ways to categorize the illocutionary force of memes functioning as the speech act of advice. 200 English-language memes were gathered in the period 2018–2023 through Google image searches. I found the affiliative and disaffiliative strategies that Placencia (2012) described within Yahoo! Respuestas advice exchanges; meme multimodality, however, offered additional versions of these strategies: characters generated affiliation or disaffiliation and more humor appeared in affiliative and disaffiliative moves. I highlight four characteristics of advising in memes: the speech act is performed indirectly; both characters and wordplay can create humor; peer advisors must signal what authorizes them to give advice; and advice deploys mythbusting. Thus, memes align interlocutors within vernacular online conversations.