【摘要】：自20世紀(jì)70年代，醫(yī)患交際在國(guó)際上正式被確立為一個(gè)大的研究領(lǐng)域以來(lái)，醫(yī)患關(guān)系受到了社會(huì)各界的廣泛關(guān)注。人們普遍認(rèn)為這是一種不平等關(guān)系，醫(yī)生占絕對(duì)的主導(dǎo)權(quán)，病人則處于以服從為前提的被動(dòng)地位。醫(yī)患關(guān)系是在醫(yī)患交際過(guò)程中建立起來(lái)的，因而，醫(yī)患對(duì)話直接體現(xiàn)了醫(yī)患關(guān)系。 本文采用定量和定性相結(jié)合的研究方法對(duì)錄音轉(zhuǎn)寫(xiě)成的語(yǔ)料進(jìn)行會(huì)話分析。錄音語(yǔ)料源自中國(guó)中醫(yī)科學(xué)院廣安門(mén)醫(yī)院9個(gè)科室。其中，研究對(duì)象包括醫(yī)生11人，患者20人，共33段對(duì)話。本文結(jié)合當(dāng)前較為熱門(mén)的權(quán)勢(shì)話語(yǔ)及語(yǔ)氣方面的理論分析醫(yī)患對(duì)話，目的在于揭示醫(yī)生和患者各自獨(dú)特的語(yǔ)氣特征以及語(yǔ)氣和權(quán)勢(shì)的相互關(guān)系，使醫(yī)患雙方得到啟發(fā)，對(duì)二者建立良好關(guān)系以及促進(jìn)有效診斷和治療起積極作用。研究發(fā)現(xiàn)： 一，醫(yī)生的語(yǔ)氣有三種：醫(yī)生語(yǔ)氣、教育者語(yǔ)氣和同伴語(yǔ)氣；患者的語(yǔ)氣分為病情陳述語(yǔ)氣、能力顯示語(yǔ)氣、社會(huì)交流語(yǔ)氣和發(fā)起人語(yǔ)氣。在這三種語(yǔ)氣中，，教育者語(yǔ)氣出現(xiàn)的頻率高達(dá)42.8%，醫(yī)生語(yǔ)氣次之，占37.4%； 二，醫(yī)患對(duì)話中的權(quán)勢(shì)主要以提問(wèn)、打斷的方式出現(xiàn)，還包括稱呼語(yǔ)及專業(yè)術(shù)語(yǔ)的使用。 三，醫(yī)患會(huì)話中，權(quán)勢(shì)和語(yǔ)氣是相互聯(lián)系的，當(dāng)醫(yī)生使用醫(yī)生語(yǔ)氣和教育者語(yǔ)氣時(shí)，權(quán)勢(shì)掌握在醫(yī)生手里，當(dāng)患者使用挑戰(zhàn)者語(yǔ)氣時(shí)，權(quán)勢(shì)便轉(zhuǎn)向病人。 四，醫(yī)患對(duì)話中常見(jiàn)的語(yǔ)氣模式有三種，語(yǔ)氣的交替形成動(dòng)態(tài)的權(quán)勢(shì)關(guān)系，權(quán)勢(shì)又隨著語(yǔ)氣模式的改變而改變,而動(dòng)態(tài)的權(quán)勢(shì)關(guān)系又與一些社會(huì)變量如性別、年齡、教育以及職業(yè)等有著密切的聯(lián)系。 這些發(fā)現(xiàn)揭示了醫(yī)患對(duì)話的特點(diǎn)，將有助于醫(yī)生有效的診斷，也有利于建立和諧、平等的醫(yī)患關(guān)系。
[Abstract]:Since the 1970s, doctor-patient communication has been formally established as a major research field in the world, the doctor-patient relationship has received extensive attention from all walks of life. It is generally believed that this is an unequal relationship, doctors are absolutely dominant, patients are in a passive position on the premise of obedience. Doctor-patient relationship is established in the process of doctor-patient communication, so the doctor-patient dialogue directly reflects the doctor-patient relationship. In this paper, the quantitative and qualitative methods are used to analyze the conversational analysis of the transcribed corpus. Recording data from 9 departments of Guanganmen Hospital, Chinese Academy of traditional Chinese Medicine. Among them, the subjects included 11 doctors, 20 patients, a total of 33 dialogues. The purpose of this paper is to reveal the unique mood characteristics of doctors and patients, and the relationship between mood and power, in order to enlighten both doctors and patients, by combining the current popular theories of power discourse and mood of the doctor-patient dialogue in order to reveal the unique mood characteristics of doctors and patients as well as the relationship between mood and power. To establish a good relationship between the two and to promote effective diagnosis and treatment play a positive role. There are three types of mood: doctor tone, educator tone and peer tone, and patient mood can be divided into declarative mood, ability display mood, social communication mood and initiator tone. Among the three tones, the frequency of the educator's tone was 42.8%, followed by the doctor's tone (37.4%). Second, the power of doctor-patient dialogue mainly appears in the way of asking questions and interrupting, including the use of address forms and professional terms. Third, in doctor-patient conversation, power and tone are interrelated. When doctors use doctor tone and educator tone, power is in the hands of doctors, and when patient uses challenger tone, power turns to patient. Fourthly, there are three kinds of mood patterns in doctor-patient dialogue. The alternation of mood forms a dynamic power relationship, and the power changes with the change of mood pattern, while the dynamic power relationship is related to some social variables such as sex, age, and so on. Education and occupation are closely related. These findings reveal the characteristics of doctor-patient dialogue, which will help doctors to diagnose effectively and establish harmonious and equal doctor-patient relationship.
【學(xué)位授予單位】：中南民族大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：H13

【引證文獻(xiàn)】

相關(guān)博士學(xué)位論文 前1條

1 劉興兵;中國(guó)醫(yī)患門(mén)診會(huì)話的語(yǔ)用研究[D];華中師范大學(xué);2008年

本文編號(hào)：2461527