醫(yī)患之間的有效交流是醫(yī)生獲得患者病情信息并對(duì)其進(jìn)行相應(yīng)診斷的先決條件;同時(shí)患者也能通過(guò)向醫(yī)生提供并獲取信息以便進(jìn)一步了解與治療相關(guān)的內(nèi)容。然而,由于醫(yī)患之間在知識(shí)方面的不對(duì)稱以及由此而引發(fā)的權(quán)力不對(duì)稱而引發(fā)的醫(yī)患糾紛卻表明當(dāng)前醫(yī)患交際還遠(yuǎn)非成功。 醫(yī)患交際活動(dòng)中,問(wèn)答序列是雙方會(huì)話的主要形式。問(wèn)答的有效性直接影響著醫(yī)患交際的最終結(jié)果。通常情況下,問(wèn)題被提出后都應(yīng)當(dāng)有相應(yīng)的回答。然而在醫(yī)患交際中,某些問(wèn)題提出后沒(méi)有被回答者接受,因此未獲得有效的回答,此類問(wèn)題被稱為非適宜提問(wèn)。以往的研究主要基于提問(wèn)本身的合理性,側(cè)重于對(duì)其形式、功能等方面進(jìn)行探討,這也使得非適宜提問(wèn)沒(méi)有得到相應(yīng)的關(guān)注。而一旦非適宜提問(wèn)被提出,回答者會(huì)采取不同的方式進(jìn)行回答,敷衍就是其中之一。本文試圖從提問(wèn)本身的適宜性入手,對(duì)適宜性提問(wèn)和非適宜性提問(wèn)所引發(fā)的不同回答進(jìn)行研究,意圖發(fā)現(xiàn)非適宜性提問(wèn)及其回答的特殊形式敷衍的內(nèi)在規(guī)律,用以揭示醫(yī)患交際實(shí)質(zhì)。 本研究基于大量的真實(shí)醫(yī)患交際,采用會(huì)話分析的方法對(duì)發(fā)生在醫(yī)療場(chǎng)合的80余例醫(yī)患交際進(jìn)行了錄音并轉(zhuǎn)寫。在對(duì)提問(wèn)分為適宜性提問(wèn)和非適宜性提問(wèn)的基礎(chǔ)上,從回答者對(duì)提問(wèn)的態(tài)度:接受或者...

【文章頁(yè)數(shù)】：68 頁(yè)

【學(xué)位級(jí)別】：碩士

【文章目錄】：
ABSTRACT
中文摘要
CHAPTER 1 INTRODUCTION
    1.1 Background and Motivation
    1.2 Purpose of the Study
    1.3 Structure of the Thesis
CHAPTER 2 LITERATURE REVIEW
    2.1 Question
    2.2 Answer
    2.3 Conversation analysis approach on medical communication
    2.4 Admitture and evasion
CHAPTER 3 CONCEPTAL FRAMEWORK
    3.1 Context
        3.1.1 Pragmatics' perspective
        3.1.2 Conversational analysis' perspective
    3.2 Speech act theory
    3.3 Politeness principle (PP)
        3.3.1 Questions and face
        3.3.2 Answers and face
    3.4 Unwarranted question and admitture
CHAPTER 4 UNWARRANTED QUESTIONS
    4.1 Unwarranted question
    4.2 Relation-R
    4.3 Categorizations of question and answer based on R
        4.3.1 Warranted question -being accepted by the answerer
        4.3.2 Warranted question -being declined by the answerer
        4.3.3 Unwarranted question -being accepted by the answerer
        4.3.4 Unwarranted question-being declined by the answerer
    4.4 Conclusion
CHAPTER 5 ADMITTURE
    5.1 Admitture
    5.2 Trilemma for the answerer
        5.2.1 Telling the truth uncomfortably
        5.2.2 To lie and discredit the answerer
        5.2.3 Admitture in medical conversation
    5.3 Sequence organization of unwarranted question and admitture
    5.4 Principle of privacy
    5.5 Conclusion
CHAPTER 6 RESULTS AND DISCUSSION
    6.1 Summary
    6.2 Suggestions
    6.3 Limitation of the Study
BIBLIOGRAPHY
ACKNOWLEDGEMENTS
APPENDIX
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