Speech Act Representation of Doctor – Patient Interactions in Grey’s Anatomy Serial (original) (raw)
Related papers
2020
This paper explores the representation of spoken medical English in Grey’s Anatomy (Rhymes 2005-still running), a very popular American TV series set in a hospital environment. Given the shortage of authentic materials portraying spoken medical interactions, medical dramas, which are becoming increasingly accurate, globally acclaimed, represent a useful source to study oral communications in this professional domain. The analysis is based on a sample of episodes in which four main recurrent types of medical-related situations were isolated featuring both expert-to-expert and expert- nonexpert conversations: i) the arrival at ER, ii) the discussion of the clinical case between physicians, iii) the discussion of the clinical case between doctor and patient and iv) the medical procedure. The qualitative assessment of the medical sequences pertaining to the four situational contexts, of which doctor-doctor interactions came out as the most represented ones, revealed some recurrent linguistic usages and attached pragmatic functions. Such results constitute an interesting basis for studies on the authenticity of the representation of oral medical discourse in televisual products.
Speech Act Taking Place in the Medical Conversation
International Linguistics Research, 2019
This study aims at analyzing the maxims in the five categories of speech act on medical conversation of textbook entitled “English for midwives: Practical Guidance For Antenatal care”. The objectives are: (1) To find out the categories of speech act on the medical conversation, (2) To analyze the intended meaning of the speaker, (3) To analyze the cooperative principle that must be concerned on the conversation. There are some theories applied in this study, namely the theory of Speech Act, theory of context of situation, the maxim theory. The result shows that there are three categories of speech act (illocutionary act) found in the conversation, namely: assertive, directives, and expressives. The data (1) shows that the assertive conveys asking information; The data (2) shows directive conveys request; The data (3) shows directive conveys suggestion, there is maxim violation in term of manner found in this data; The data (4) shows directive conveys request; The data (5) shows dire...
COMMUNICATING (WITH) CARE. A Linguistic Approach to the Study of Doctor-Patient Interactions
At the start of studies on health communication, scholars were primarily concerned with showing the ethical implications of a new approach to care and with collecting evidence to demonstrate its greater effectiveness as opposed to the paternalistic and mechanistic paradigms. Well into the second decade of the 21st century, different issues need to be addressed. Aging populations and the spread of chronic diseases are challenging the sustainability of health care systems worldwide; increased awareness of health issues among the population and greater citizen participation seem to threaten clinicians’ authority. In this new scenario, it is acknowledged that the quality of verbal communication plays a crucial role, but it is still not clear how it impacts on the outcomes of care, which are its constitutive components and how it interacts with the institutional, cultural and social context of interactions. This book suggests that the time is ripe for a fresh start in health communication studies. As Debra Roter points out in her foreword, this proposal “is ambitious in attempting to integrate perspectives derived from pragmatics and argumentation theory with those derived from quantitative methods of medical interaction analysis and its prediction of outcomes”. On the other hand, as Giovanni Gobber explains in his foreword, “health communication can profit from an application of a performance-oriented linguistic analysis that pays attention to the role of the various relevant context factors in speech events related to specific activity types”. In this way, the open questions regarding communication in medical encounters are considered under a new light. The answers provided open up novel lines of research and provide an original perspective to face the new challenges in medical care. http://www.iospress.nl/book/communicating-with-care/
2021
Comprehending the striking role of Conversation Analysis (CA) research in a real context on the one hand, and a substantial part doctors play in doctor-patient conversation in the proceeding stages of receiving medical intensive care as an inherent nature of society on the other hand, provoked the researchers to conduct this research. To achieve this intention, the present study focuses on conversation aspects of doctor-patient talks in unconfirmed cases of COVID-19 in Golpayegan, Esfahan, Iran. This study tries to find out what conversation aspects are more frequently used by Iranian interlocutors in the context of the doctors' office. Three doctor-patient meetings, for this purpose, were audio-recorded, then transcribed. The focus is on both the talk and nonverbal aspects of conversation to be analyzed. After doing the conversation analysis, it was found that turn-taking was the most frequently used conversation aspect. Because this investigation is among the first conversatio...
European Online Journal of Natural and Social Sciences, 2019
This study undertakes the analysis of the communicative patterns between doctors and patients by applying Sinclair and Coulthard’s (1975) IRF (Initiation, Response and Follow-up) Model. The focus of this study is to investigate the discourse features of the language used between the doctors and the patients in a hospital setting. It further explores how doctors and patients make sense of each other’s talk. The data was electronically recorded and then transcribed in terms of Dijk’s transcription key with the modification. IRF structural patterns of the original model were applied with modification due to change in the context in which the communication between the participants of the discourse took place. The discourse structure found in the data varied from that of the classroom discourse investigated by Sinclair and Coulthard. This study showed significant difference in the use of language in spoken and written form between the doctors and the patients. It also revealed that commo...
Systemic Functional Analysis of Doctor-Patient Verbal Discourse
International Journal of English Research, 2019
Abstract Doctor-patient verbal discourse is plagued by some communication challenges owing to the sensitive nature of communication in medical settings. Several discourse-analytic researches have been done on doctor-patient verbal discourse but with little attention paid to systemic functional analysis of the discourse to lay bare the lexico-grammatical choices made by the interlocutors and the functions they perform in making the discourse cohesive. Consequently, this study investigates language use in doctor-patient verbal discourse with sole aim of revealing the actual lexico-grammatical choices deployed and their functions in relation to enhancing diagnostic communication at the State Hospital, Ijaye, Abeokuta, Nigeria. The theoretical framework adopted for the study is M.A.K. Halliday’s Systemic Functional Grammar. Fifty tape recordings of doctor-patient verbal discourse were made at the State Hospital, Ijaye, Abeokuta, Nigeria. A total of twenty-five interactions were purposively selected because of their strategic content from the data got at the hospital. Thereafter, the data were orthographically transcribed and subjected to qualitative analysis. The various lexico-grammatical choices perform a number of linguistic functions. Collocation connects texts; modal auxiliaries express views, opinions, decisions and expectations; imperatives give orders; interrogatives elicit information; declaratives explain issues, offer counsels, and issue warnings; conjunction join sentences, clauses and words together and; substitution replaces items. A good knowledge of the lexico-grammatical choices made by the interlocutors as well as their linguistic functions is salutary to a better understanding of diagnostic discourse in Nigeria.
A multimodal analysis of spoken medical English in expert-to-expert interaction in TV programmes
2019
espanolEste articulo investiga la comunicacion oral entre profesionales de la Medicina, un tipo de interaccion que ha generado poca investigacion dentro de la abundante bibliografia sobre el ingles medico hablado, centrada fundamentalmente en los encuentros medico-paciente. Debido a la dificultad que entrana obtener datos de interacciones reales en este ambito, el presente trabajo estudia este tipo de discurso especializado, desde el marco teorico del Analisis multimodal y con un enfoque holistico, en dos productos audiovisuales de la television americana: la serie Code Black (M. Seitzman, 2015-actualidad), conocida por la verosimilitud de sus procedimientos medicos, y la serie documental Boston Med (2010). Desde un punto de vista verbal, se prestara especial atencion al vocabulario, a los actos de habla y las variaciones de registro segun el papel de los participantes y el grado de emergencia de la situacion. Ademas, y como objetivo principal, se llevara a cabo un analisis en un ni...
Verbal analysis of doctor-patient communication
Social science & medicine (1982), 1991
A microscopic analysis of doctor-patient communication in the general practitioner's surgery is presented. Verbatim transcripts of 85 medical interviews, audiotaped in a natural situation were analysed. The effects of type of complaint, patient gender and physician gender on the process of verbal communication were assessed. This study focused upon the relational aspects of communication, using Stiles' Verbal Response Mode coding system (VRM), and, to a limited extent, upon the content of patient's complaints--whether they were primarily somatic or of a psychosocial nature. The hypothesis of an asymmetrical relation between physician and patient was confirmed. Results partially confirmed the hypothesis that interviews of psychosocial patients take more time than those of somatic patients. There was also some evidence that psychosocial patients try to exert more control over the conversation as compared to somatic patients. Male and female patients differed in the way the...
Analysis of Misheard Phrases in Nursing Dialogue
Proc. of …, 2006
We are now collecting, transcribing and analyzing conversation data in medical and nursing facilities. This is part of nursing assistance research being conducted based on ubiquitous computing technologies. In this paper, we focus on communication error analysis. We analyzed 30 hours and 45 minutes of transcribed voice data collected in a hospital. Incorrectly transcribed phrases are analyzed to find features of incorrect transcription. communication among staff members in hospitals would be improved, thus helping to maintain safe medical practices. Kohno[2] pointed out that "In medical places, for information communication media, they use human communication media (e.g. oral communication). Consequently, due to less reliable (forgettable and changeable) human memories and relationships, human errors easily occur." We analyzed 221 examples uploaded to the accident and incident Web site (September 2005). We could collect 61 examples (22.6%) involving "conference," "communication," "intention transfer," "handover," and "oral order." From the results, we concluded that communication errors could cause accidents and incidents that are classified as human errors. In this paper, therefore, we analyze nurses' conversation data collected by a wearable recording system. 2. Methods 2.1. Voice data collection Collection time: From 13 Dec. 2004 to 18 Dec. 2004. In detail, voice data sets (30 hours and 45 minutes) were collected over those 5 days. They include voice data sets spoken during all of the nurses' duty time (three shifts). Subjects: Fourteen nurses who have been working from 1 year to 11 years.