Are patients passive, or merely deferent? How does gender affect questioning and topic control in medical encounters? What does it sound like when physician and patient co-construct a diagnosis through storytelling? Nancy Ainsworth-Vaughn, a sociolinguist, ethnographer, and cancer survivor, answers questions such as these in a study of 100 medical encounters, with balanced numbers of men and women among physicians as well as patients. Ainsworth-Vaughn draws upon linguistics and medical ethics to develop a comprehensive theory of types of power. She engages critical problems in discourse theory, expanding our understanding of topic transitions, questions, ambiguity, and co-construction.
The Handbook of Discourse Analysis makes significant contributions to current research and serves as a comprehensive and authoritative guide to the central issues in contemporary discourse analysis. Features comprehensive coverage of contemporary discourse analysis. Offers an overview of how different disciplines approach the analysis of discourse. Provides analysis of a wide range of data, including political speeches, everyday conversation, and literary texts. Includes a varied range of theoretical models, such as relevance theory and systemic-functional linguistics; and methodology, including interpretive, statistical, and formal methodsFeatures comprehensive coverage of contemporary discourse analysis.
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.
Speech Actions in Theory and Applied Studies, the first of the two volumes of Pragmatic Perspectives on Language and Linguistics, brings together twenty essays which critically examine linguistic action and explore ways in which it can be accounted for. The articles presented in this collection are all focused on “doing things with words”, but in most cases do not subscribe to speech act theory in the tradition of John L. Austin and John R. Searle. The linking thread through the volume is not a theoretical commitment to one of the speech-act theoretical models, but the authors’ perspective on language as a means of action, how linguistic expressions become effective in context and how this effectiveness can be explicated. The papers represent different pragmatic approaches and varied levels of expertise in the research area; among the authors there are eminent linguists and philosophers, well established researchers, and young beginners. The texts include purely theoretical discussions, case studies, reports on research in experimental pragmatics, contrastive and corpus studies, and considerations of the pedagogical implications of pragmatic reflection on the nature of language. Without purporting to cover all relevant topics, this variety reflects the complex character of linguistic pragmatics and integrates studies which cross-cut other research fields. The book is divided in three parts. The seven papers gathered in the first part of the volume, “Speech Action in Theory”, are concentrated on theoretical issues pertaining to speech as a type of action with emphasis both on linguistic forms (e.g. fragments) and theoretical commitments and particular theories’ explanatory power. Part two, “Case Studies & Experimental Pragmatics”, includes reports on research into irony processing in Polish and in English as a second language, intercultural differences in interactions broadcast in the media, power relations in doctor/patient interaction, and metaphors in media discourse at the time of crisis. Part three, “Pragmatics, Grammar, and Language Pedagogy”, contains five essays, which explore both more “formal” pragmatics through analyses of grammatical forms and the interface which the analysis of these forms share with context-grounded research, and the practical implications of pragmatic knowledge in language didactics. This collection is supplemented by the essays gathered in volume two, entitled Pragmatics of Semantically Restricted Domains.
This textbook provides a comprehensive survey of current language issues in the USA. Through a series of specially commissioned chapters by leading scholars, it explores the nature of language variation in the United States and its social, historical and political significance. The book is divided into three sections. Part I, American English, explores the history and distinctiveness of American English, and regional and social varieties. Part II, Other Language Varieties, looks at multilingualism and linguistic diversity. Part III, The Sociolinguistic Situation in the USA includes chapters on attitudes to language, language and education, Rap and Hip Hop, and adolescent language. It also explores issues such as the Ebonics controversy and the English Only movement. Clear, accessible and broad in its coverage, this book will be welcomed by students across the disciplines of English, Linguistics, Communication, American Studies and Popular Culture, as well as anyone interested more generally in language-related issues.
For more than a century, the American medical profession insisted that doctors be rigorously trained in medical science and dedicated to professional ethics. Patients revered their doctors as representatives of a sacred vocation. Do we still trust doctors with the same conviction? In Trusting Doctors, Jonathan Imber attributes the development of patients' faith in doctors to the inspiration and influence of Protestant and Catholic clergymen during the nineteenth and early twentieth centuries. He explains that as the influence of clergymen waned, and as reliance on medical technology increased, patients' trust in doctors steadily declined. Trusting Doctors discusses the emphasis that Protestant clergymen placed on the physician's vocation; the focus that Catholic moralists put on specific dilemmas faced in daily medical practice; and the loss of unchallenged authority experienced by doctors after World War II, when practitioners became valued for their technical competence rather than their personal integrity. Imber shows how the clergy gradually lost their impact in defining the physician's moral character, and how vocal critics of medicine contributed to a decline in patient confidence. The author argues that as modern medicine becomes defined by specialization, rapid medical advance, profit-driven industry, and ever more anxious patients, the future for a renewed trust in doctors will be confronted by even greater challenges. Trusting Doctors provides valuable insights into the religious underpinnings of the doctor-patient relationship and raises critical questions about the ultimate place of the medical profession in American life and culture.
An interdisciplinary overview of theory, history, and leading research in the field With a joint linguistic and medical perspective, The Handbook of Language in Public Health and Healthcare explores innovative approaches for improving clinical education, clinician-patient communication, assessment, and mass communication. Contributions by a diverse panel of experts address a wide range of key topics, including language concordance in clinical care, medical interpreting, the role of language as a social determinant of health, reaching linguistically diverse audiences during public health crises, assessing clinician language skills, and more. Organized into five parts, the Handbook covers the theory, history, and context of linguistics, language interpretation and translation, language concordance, medical language education pedagogy, and mass communication of health information with linguistically diverse populations. Throughout the text, detailed chapters present solutions and strategies with the potential to improve the health and healthcare of linguistically diverse populations worldwide. In an increasingly multilingual, global society, language has become a critical area of interest for advancing public health and healthcare. The Handbook of Language in Public Health and Healthcare: Helps professionals integrate language-appropriate communication in healthcare settings Addresses clinician-patient communication, assessment, research, and mass public health communication Offers key theoretical insights that inform the intersection of language, public health, and healthcare Highlights how various approaches in the field of linguistics have enriched public health and healthcare practices The Handbook of Language in Public Health and Healthcare is essential reading for undergraduate, postgraduate, and professional students of applied linguistics, health communication, and medicine. It is also an invaluable reference for language educators, clinicians, medical educators, linguists, health policy experts, and researchers.
After more than fifty years of good health, anthropologist Paul Stoller suddenly found himself diagnosed with lymphoma. The only thing more transformative than his fear and dread of cancer was the place it ultimately took him: twenty-five years back in time to his days as an apprentice to a West African sorcerer, Adamu Jenitongo. Stranger in the Village of the Sick follows Stoller down this unexpected path toward personal discovery, growth, and healing. The stories here are about life in the village of the healthy and the village of the sick, and they highlight differences in how illness is culturally perceived. In America and the West, illness is war; we strive to eradicate it from our bodies and lives. In West Africa, however, illness is an ever-present companion, and sorcerers learn to master illnesses like cancer through a combination of acceptance, pragmatism, and patience. Stoller provides a view into the ancient practices of sorcery, revealing that as an apprentice he learned to read divining shells, mix potions, and recite incantations. But it wasn't until he got cancer that he realized that sorcery embodied a more profound meaning, one that every person could use: "Sorcery is a body of knowledge and practice that enables one to see things clearly and to walk with confidence on the path of fear."
Alasdair Maclean analyses the ethical basis for consent to medical treatment, providing both an extensive reconsideration of the ethical issues and a detailed examination of English law. Importantly, the analysis is given a context by situating consent at the centre of the healthcare professional-patient relationship. This allows the development of a relational model that balances the agency of the two parties with their obligations that arise from that relationship. That relational model is then used to critique the current legal regulation of consent. To conclude, Alasdair Maclean considers the future development of the law and contrasts the model of relational consent with Neil Manson and Onora O'Neill's recent proposal for a model of genuine consent.
Countering popular myths of women's deficiencies in communicating in traditionally male professions, the author uses women's talk to illustrate the interactional skills required to contribute effectively to workplace meetings, and presents new insights on the organization of talk in meetings while celebrating women's clear competence.
