Medical Discourse

Discourse is a language context that exists in a dialogue or communication interaction. Discourse is also part of pragmatic analysis. Discourse takes a role in medical side broadly. It exits in medical context about curing, healing, therapy, curative practices, speaking and writing that can help medical institution, social action, and etc. this paper reviews a description about cultural variation in medical discourse and variation between register and genres. This study examines two approaches to analyzing Medical Discourse namely Conversation Analysis (CA) Foucaults' theory.

Medical Anthropology Quarterly, 1989

Editor's Note: Just a year ago, in M A Q 2(2), we published a set of articles by authors who in one way or another used the concept of "discourse" in their analysis. In my introduction to that issue I promised some time in the future to publish a review article on the subject by a linguistic anthropologist. From my own reading of people like Shuy, Cassell, Labov, Cicourel, andFoucault, it was obvious that though these authors were all analyzing some form of ' 'discourse, " the purposes and methods of their work were suficiently different to make me wonder if there was any common ground among them and whether some fruitjiul research ideas, theoretical andlor applied, might not emerge from considering them comparatively (along with other relevant authors and trends). This notion led me to ask Joel Kuipers i f he would consider preparing such a review. I picked Joel, a Yale-trained linguistic anthropologist, for the task because I knew that his work on recorded texts of Weyewa healing rituals was leading him to think more broadly and deeply about medical discourse. I commend and thank him for the following article, which I think many willjind useful.

Medical Discourse in Professional, Academic and Popular Settings

Medical Discourse in Professional, Academic and Popular Settings is a newly edited volume by PILAR ORDÓñEZ-LÓPEZ and NURIA EDO-MARZÁ and published by Multilingual Matters, particularly as part of the series Language at Work, which, in general terms, seeks to disseminate workplace research. The edited volume reviewed here represents an updated collection of chapters that explore medical discourse from various perspectives. Medical discourse, as shown in this volume, appears not to be exclusively limited to health professionals; rather, it is part of a wider audience, including, for example, patients or professionals of different fields. Nowadays, medical discourse is somehow more accessible to the general public (Pilegaard, 2007) and medical knowledge is then part of society, who may make judgements and evaluate it (Weingart, 2002). This particular edited volume is a relevant and welcome contribution that serves to understand how medical discourse is constructed as well as to reflect upon the issue of successful medical communication.

2017

Using ethnographic discourse analysis in an Emergency Department in Hong Kong, this study explored the features of doctor-patient interactions in a hospital setting. By audio-recording 10 patient journeys, from triage to disposition, we analyzed the complexity of turn-taking patterns in spoken interactions between patients and doctors, as well as the subsequent complexities in this communication process. In particular, we traced the flow of communication surrounding the patients' medical conditions at different stages of their journeys (e.g., taking patient history, making diagnosis and translating medical information in a bilingual environment). Communication in this Emergency Department, as in all Emergency Departments in Hong Kong, involves repeated translation from spoken Cantonese interactions to the written English patient notes and vice versa. For this study, the ethnographic discourse analysis includes different layers of detailed language diagnoses of the observed interactions (e.g., turn-taking strategies, speech functions and exchange structures). In this analysis, we examined the strategies that doctors used to transfer medical knowledge to their patients and with other clinicians; this research illustrated how a series of contextual factors (e.g., time pressure, staff shortages) were linked with the quality of doctor-patient communication. To illuminate the path for future research, we developed a dual-goal communication framework focusing on both medical and interpersonal aspects of the doctor-patient relationship. We strongly recommend the application of this framework for training medical students, junior clinicians and clinicians in practice. Learning Outcomes By the end of this case students should be able to Identify the discrete stages of a patient journey as a series of communicative events and highlight the key contextual features that contribute to the complexity of the journey Analyze the flow of information from spoken interactions, from healthcare professionals to patients and between healthcare professionals within a bilingual context; (this research focused on Hong Kong, which is a multicultural city with two official languages: Chinese and English) Identify the breakdowns in communication (i.e., misunderstandings) that occurred in these spoken interactions Explain how language and communication research can improve healthcare practitioners' understanding of communicative styles in culturally diverse societies Contribute to advances in applied linguistic research by developing a discourse analysis framework for healthcare interactions in high-stress contexts; the key communicative SAGE Research Methods Cases Part 2 SAGE

Journal of Medicine, Physiology and Biophysics, 2020

The study undertook a critical analysis of the discourse of doctor-patient interaction under the ENT (Ear, Nose, and Throat) clinic of Gondar Hospital. Specifically, the study investigated the recurrent interactional features in the doctor-patient interactions, the manifestations of power relations through language use, as well as the ideological assumptions which are held by doctors and patients. To achieve these objectives, qualitative methods were used during data collection and analysis. Purposeful sampling was used to select the clinic where the study took place. Data were gathered through audio-recording and field notes. Before analysis, the audio recordings were transcribed using and then translated. The translated data were analyzed thoroughly using Fairclough's (1992) three-dimensional model of Critical Discourse Analysis. The study, thus, showed that interpersonal relationships between discourse interactants could be an indicative of their social and power relations. Therefore, institutional discourse, specially, that of doctor-patient, could be a place for power struggle.

Rhetoric of Health & Medicine, 2018

Through conversations with medical interpreters who work in Grand Rapids, Michigan, this dialogue piece illustrates multiple ways that medical interpretation can be further considered as a method and practice within the rhetoric of health and medicine (RHM). By sharing specific methodological frameworks for researching medical interpretation, the authors introduce possibilities for how RHM research can continue to engage in work that extends beyond Englishdominant communication.

Journal of Health and Social Behavior, 1989

The personal troubles that patients bring to doctors often have roots in social issues beyond medicine. While medical encounters involve "micro-level'' interactions between individuals, these interpersonal processes occur in a social context shaped by "macro-level" structures in society. Examining prior theories pertinent to medical discourse leads to the propositions: (a) that medical encounters tend to convey ideologic messages supportive of the current social order; (b) that these encounters have repercussions for social control; and (c) that medical language generally excludes a critical appraisal of the social context. The technical structure of the medical encounter, as traditionally seen by health professionals, masks a deeper structure that may have little to do with the conscious thoughts of professionals about what they are saying and doing. Similar patterns may appear in encounters between clients and members of other "helping" professions. Expressed marginally or conveyed by absence of criticism about contextual issues, ideology and social cantrol in medical discourse remain largely unintentional mechanisms for achieving consent. Why look at medical encounters from a More than a quarter century ago, C. Wright theoretical point of view? Mills analyzed the relationships between "personal troubles" and "social issues."

Abstract: The paper designed to discuss the discourse practices which are frequently used by doctors, nurses, and other medical staff. The introduction talks about the objective and the purpose of this paper by reviewing the literature. The methodology section talks about the way the investigations carried out, and all the things that I came through while doing this research. The results & and discussion section of the paper shows the analysis and results of my research. The conclusion section will sum up this paper.

In this chapter, we address, selectively, how applied linguists and those concerned with discourse analysis in particular, have recently approached the study of health care communication, especially in intercultural contexts, and relate these approaches to studies undertaken by researchers in other academic disciplines such as the sociology of medicine and by health care practitioners in the course of their own work. At issue will be questions concerning selected sites and themes, the degree of distinctiveness of research methodologies and different understandings of what counts as data, and questions concerning reflexivity and practical relevance in terms of the use to which findings can be put. Appreciating areas of difference and similarity is a necessary basis for establishing the desirable, but potentially problematic, partnerships among academic disciplines and between such disciplines and the work of professional practitioners, both in research and in professional development. As a sample site in the delivery of health care in the framework of cultural and linguistic diversity, we identify nursing, and use this site and its practices to advocate the collaboration of applied linguists, professional practitioners, and researchers from other areas of social science in the exploration of health care communication in multilingual/multicultural contexts and elsewhere.

Medical Education, 2005

APPROACH Theme-oriented discourse analysis looks at how language constructs professional practice. Recordings of naturally occurring interactions are transcribed and combined with ethnographic knowledge. Analytic themes drawn primarily from sociology and linguistics shed light on how meaning is negotiated in interaction. Detailed features of talk, such as intonation and choice of vocabulary, trigger inferences about what is going on and being talked about. These affect how interactants judge each other and decisions are made. Interactions also have larger rhetorical patterns used by both patients and doctors to persuade each other.