医患沟通中的言外之意  

Non-literal Meanings in Doctor-patient Communication

作　　者：陈攻 刘俊荣[1] CHEN Gong;LIU Junrong(Institute of Humanities and Social Sci-ences,Guangzhou Medical University,Guangzhou 511436,China)

机构地区：[1]广州医科大学人文社会科学研究所,广东广州511436

出　　处：《医学与哲学》2024年第17期39-43,共5页Medicine and Philosophy

基　　金：2022年国家社会科学基金后期资助项目(22FZXB097)。

摘　　要：医患沟通中的一个核心议题是医生的意图是如何被患者理解。一方面,根据会话隐含理论,患者能够对医生的言语内容进行补充,使其表达的含义更为完整及明确,否则无法理解医生的意图;另一方面,在会话含义理论的框架下,患者需要足够理性去推断医生的会话含义,即医生使用的字面含义的表述无法传递医生的意图。然而,这种需要患者去分析、解读医生意图的行为是不合理的,因为患者所处的患病的负面状态容易让其对医生的言语进行负面的解读,进而导致误解的产生。因此,医患沟通中需要尽可能地避免言外之意表述带来的负面影响。One of the key issues in doctor-patient communication is how patients understand doctors'intention.On one hand,according to conversational impliciture theory,patients could understand doctors'intention clearly by completing and expanding what doctors said literally.On the other hand,within the framework of conversational implicature theory,patients have to be rational enough to infer doctors'intention by what they said literally.This is because what doctors said fails to deliver what they intend to express directly.However,it is unreasonable to force patients to analyse and interpret doctors'intentions because the negative state of being ill may lead them to misinterpret what doctors said.Therefore,doctors have to avoid the negative impact of non-literal utterances in communicating with patients.

关 键 词：医患沟通 会话隐含 会话含义 

分 类 号：R-05[医药卫生]