摘要
在会话分析视角下探讨我国一类特色医患交际——陪同就诊,基于近300分钟急诊的录音转写,以定性和定量相结合的方法,考察陪同就诊中涉及第三方的话轮分配和序列组织特征,通过对第三方介入医患交际的方式、位置和作用的分析,认识我国陪同就诊会话现象的特点和性质。研究表明,第三方可通过八种话轮支配方式获得话轮,以无间隙话轮转换下的自我选择为首要方式,反映出较高的话轮抢夺意识和交际主动性;第三方可以为医患会话序列提供相邻对前件、后件、中扩展、后扩展等多种成分,参与建构多种序列组织类型,体现三种不同立场,实施多种会话行为;话轮立场上,第三方明显依附于患者,话轮占有量上,与患者几乎无异,陪同就诊体现为两边三方交际。
Based on the transcription of nearly 300-minute emergency room recordings, the paper attempts to study the third-party-involved doctor-patient interaction in China from the perspective of conversation analysis. Through both the qualitative and quantitative analyses of the third party＇s turn allocation and sequence organization, it explores the manners, positions, characteristics and nature of the third party＇s participation in the medical interaction, so as to shed light on the culture-specific accompanied medical interaction in China. It is found that there are eight manners for the third party to take the floor in doctor-patient in- teraction, topped by gapless self-selection at TRP, which indicates that the third party is quite active and aggressive in turn taking. The third party＇s turn can play the roles of first pair part, second pair part, insert expansion and post expansion in sequence organization. Among the various third-party-involved sequences, it is found that the third party＇s turns can take three stances and perform a variety of social actions. Since an overwhelming majority of the third party＇s turns take the patient＇s stance, and the proportion of turn-taking by the third party and that by the patient are not significantly different, the accompanied medical interaction is bilateral triadic communication in nature.
出处
《语言教学与研究》
CSSCI
北大核心
2018年第1期101-112,共12页
Language Teaching and Linguistic Studies
基金
教育部人文社科青年项目"‘医-患-陪’三方交际中陪同介入的会话分析研究"的支持(项目编号:17YJCZH224)
关键词
会话分析
医患交际
第三方
话轮分配
序列组织
conversation analysis
doctor-patient interaction
the third party
turn allocation
sequence organization
