摘要
医患会话中,患者常在被告知诊断结果前进行自我诊断,解释疾病产生的原因,在医生的专业技能与患者自我诊断技能不断协商讨论之中,医患双方可能产生相互影响。首先提出患者病因自我解释的语言特点,分析患者病因自我解释的两难决策。结合语料实例,指出医生回应患者病因解释的三种结构模式,最后对医生的回应策略给出建议。
In the course of medical encounters, patients usually offer their own illness explanations before the medical conclusion. And that course may get physicians and patients mutually involved and influenced. This paper discussed about the linguistic property of the patients' explanations, and analyzed the dilemma brought about by the patients' explanations and the physicians' medical authorities. This paper presented, along with some respective suggestions, physicians three models of medical responses on the basis of corpora of medical encounters.
出处
《医学与哲学(A)》
北大核心
2013年第4期43-45,91,共4页
Medicine & Philosophy:Humanistic & Social Medicine Edition
基金
教育部人文社会科学研究规划基金项目"基于医患会话分析的我国现阶段医生角色特点研究"
项目编号:10YJA840040
湖北省高校人文社科重点研究基地开放基金项目"医患会话中的病因自我解释研究"
项目编号:2011B008
关键词
医患会话
病因自我解释
医生回应
medical encounters, patients' illness explanations, physicians' responses