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言语行为视阈下医患会话权势不对等关系探析
引用本文:陈海庆,李慧祯. 言语行为视阈下医患会话权势不对等关系探析[J]. 中国海洋大学学报(社会科学版), 2011, 0(4): 89-94
作者姓名:陈海庆  李慧祯
作者单位:大连理工大学外国语学院,辽宁大连,116024
基金项目:辽宁省教育厅高等学校科研项目
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。

关 键 词:言语行为理论  医患对话  权势不对等

Analysis of Power Asymmetry in Doctor-Patient Discourse from the Perspective of Speech Act Theory
Chen Haiqing,Li Huizhen. Analysis of Power Asymmetry in Doctor-Patient Discourse from the Perspective of Speech Act Theory[J]. Journal of Ocean University of China, 2011, 0(4): 89-94
Authors:Chen Haiqing  Li Huizhen
Affiliation:Chen Haiqing,Li Huizhen(College of Foreign Languages,Dalian University of Technology,Dalian 116024,China)
Abstract: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.
Keywords:speech act theory  doctor-patient interactions  power asymmetry  
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