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The dynamic consultation : a discourse analytical study of
doctor-patient communication
Marisa Cordella
Amsterdam ; Philadelphia : John Benjamins Pub., c2004.
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Book description
This book introduces a unique model
of medical discourse that identifies the forms of talk – voices –
that doctors and patients use during the consultation, and studies the
dynamic interaction as it unfolds particularly in follow-up visits. Natural
recordings, semi-structured interviews, questionnaires and ethnographic
observations provide the data for the research, which was carried out in an
Outpatient Clinic in Santiago, Chile. Using an interactional sociolinguistic
approach, analysis of the data identifies doctor–patient communication as a
micro-performance of broader socio-cultural realities, in which social
status, power, knowledge and personal beliefs and values all find expression
in the consultative setting. Importantly, while both doctor and patient
voices are shown to contribute to an essentially asymmetrical exchange,
the study also identifies the holistic and empathic Fellow Human voice,
which places doctors and patients on a more equal footing. In connection
with this voice, the Spanish concept of simpatía is also
discussed.
While the model in this study was developed within a specific socio-cultural
framework, it is hoped that it will be adapted and modified more widely and
contribute to a better understanding between doctors and their patients. [John
Benjamins]
About the author
Dr Marisa Cordella is the Convener of Hispanic Studies in the School
of Languages, Cultures and Linguistics at Monash University.
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