医患会话中的医生话语策略分析:人际意义建构视角  

Doctors'discourse strategies in doctor-patient interaction:Interpersonal meaning construction perspective

作　　者：梁海英[1] Liang Haiying

机构地区：[1]西北师范大学外国语学院

出　　处：《外语教学》2024年第4期21-27,共7页Foreign Language Education

基　　金：国家社会科学基金一般项目“基于语料库的医生话语策略与和谐医患关系建构研究”(项目编号:17BYY086);甘肃省高校教师创新基金项目“甘肃省基础外语教育创新教学方法研究:整体外语教学”(项目编号:2024A-012)的阶段性研究成果。

摘　　要：本文以系统功能语言学人际意义建构为理论框架,以自建的医患会话语料库为基础,对医患会话中的医生话语策略进行了分析。在详尽分析医生话语人际意义建构的语气资源和评价资源个体化差异之后,结合患者满意度调查,本文析出了患者满意度高的医生使用的五种人际意义建构策略,包括商讨策略、缓和策略、移情策略、详述策略和元交际策略。本文析出的医生话语策略有助于降低医患话语冲突,建构和谐医患关系。Drawing on the theoretical framework of interpersonal meaning construction in Systemic Functional Linguistics,and utilizing a self-established doctor-patient corpus,this paper analyzes the discourse strategies employed by doctors in their interactions with patients.After detailed analysis of the differences in doctors'employment of mood and appraisal resources to convey their interpersonal meaning,combined with patients'satisfaction survey,five interpersonal meaning construction strategies employed by doctors with high degree of patients'satisfaction are identified.These strategies are negotiation strategy,mitigation strategy,empathy strategy,elaboration strategy and meta-communication strategy.It is found that these strategies are beneficial for reducing the conflicts between doctors and patients in discourse level and establishing harmonious relationship between doctors and patients.

关 键 词：系统功能语言学 医患会话 话语策略 人际意义 和谐医患关系 

分 类 号：H030[语言文字—语言学]