言语行为视阈下医患会话权势不对等关系探析被引量：17

Analysis of Power Asymmetry in Doctor-Patient Discourse from the Perspective of Speech Act Theory

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摘要本研究运用言语行为理论作为解释框架,对医生和患者会话中的言语行为进行分类比较与分析,进而揭示医院门诊医患会话中的权势关系。研究表明,在门诊医患会话交际中会呈现出一种权势关系,这种权势关系往往是不对等的。医生常用发问、阐述、指令类言语行为来询问患者或诊断病情,通过履行自己的职责来体现权势的优越性,而处于权力弱势地位的患者却以应答、陈述、表达类言语行为来回应医生,以表示顺从与尊敬。 Within the framework of Speech Act Theory,this study examines the transcribed doctor-patient dialogues by using conversation analysis.The power asymmetry in clinical discourse is disclosed through the analysis and comparison of five speech acts in D-P interactions.It proves that the doctor is usually inclined to use questioning,statements,and directives to exercise their powers while the patient prefers to show their respect and compliance by adopting the acts of answer,statement and expressive.

作者陈海庆李慧祯

机构地区大连理工大学外国语学院

出处《中国海洋大学学报（社会科学版）》 CSSCI 2011年第4期89-94,共6页 Journal of Ocean University of China(Social Sciences)

基金辽宁省教育厅高等学校科研项目(2010018)部分研究成果

关键词言语行为理论医患对话权势不对等 speech act theory doctor-patient interactions power asymmetry

分类号 H005 [语言文字—语言学]

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