门诊交际中敏感话题的会话分析

发布时间：2023-04-05 08:43

　　当今,我国的医患关系日益紧张,医疗纠纷时常发生,主要是因为医生和病人的交流存在问题。我国医学界的研究人员已经意识到了这一点并进行了许多相关研究,主要是关于医患关系和医患交流中医生的语言技巧。但是这些研究大多是基于研究者的经验和观察,因此相对主观和笼统。本文作者采用会话分析的方法对中国门诊中医患谈话的一个方面：敏感话题进行了研究。这种方法更加的具体并且客观,旨在帮助人们更深入的了解医患交际并对医患关系的改善做出贡献。众所周知,医患之间的交流是不平衡的,医生有权利主导整个谈话,所以在谈话中病人常处在被动地位,这样就会导致交际的一些障碍。当涉及到一些敏感话题时,交流则变得更加的不流畅,病人不愿和医生合作并可能拒绝回答问题,这会影响到谈话的进行并对疾病的诊断不利。基于录音和在中国门诊中医患之间自发谈话的转写,本论文分析了敏感谈话中不同话题的语料,总结了各自的序列形式,并运用一些社会学和社会心理学的概念和知识解释这些对话的特点,希望发现一些共性来提高和改善医患之间的关系,从而促进疾病的诊断。最后,作者提出了目前研究的不足以及对未来研究的建议。

【文章页数】：109 页

【学位级别】：硕士

【文章目录】：
Acknowledgments
Abstract
摘要
Chapter One Introduction
    1.1 Introduction
    1.2 The motivation of the study
    1.3 The problems of the existing studies
    1.4 The objectives of the present study
    1.5 The methodology and data collection
    1.6 The outline of the thesis
Chapter Two Literature Review
    2.1 Introduction
    2.2 The relationship between conversation and sociology
        2.2.1 The background and some concepts
        2.2.2 The situational models in conversation
        2.2.3 The conversation structure and power structure
        2.2.4 The analysis of power and conversation
        2.2.5 The power in the doctor-patient conversation
    2.3 The relationship between the doctor and the patient
        2.3.1 The concept of the doctor-and-patient relationship
        2.3.2 The models of the doctor-and-patient relationship
        2.3.3 The factors influencing the doctor-and-patient relationship
    2.4 An overview of conversation analysis
        2.4.1 The historical development of conversation analysis
        2.4.2 The conversation analysis in the doctor-and-patient communication
    2.5 Relevant studies on sensitive talk
        2.5.1 Some definitions about "sensitive"
        2.5.2 Some topics about "sensitive talk"
Chapter Three A Description of the Conceptual Framework
    3.1 Introduction
    3.2 The methodology of conversation analysis
        3.2.1 Turn
        3.2.2 Adjacency pair
        3.2.3 Conditional relevance and relevance absence
        3.2.4 Expansion
        3.2.5 Sequential organization
        3.2.6 Preferred/dispreferred turn shapes
        3.2.7 Maynard's NDS model
        3.2.8 Conversational analysis of the medical interview
    3.3 Studies of sensitive talk from the perspective of sociology and social psychology
        3.3.1 Interpersonal communication in public relation
        3.3.2 Psychological effects of interpersonal communication
        3.3.3 Some concepts in social psychology
Chapter Four Data Analysis on the Sensitive Talk in Clinic Interaction
    4.1 Introduction
    4.2 Sensitive talk from the perspective of body position
        4.2.1 Gynaecology
        4.2.2 Urology
    4.3 Sensitive talk from the perspective of talk content
        4.3.1 The delivery of bad news
        4.3.2 Personal privacy
    4.4 Sensitive talk from the perspective of sensitive social problems
        4.4.1 Price or medical treatment at public/own expense
        4.4.2 Sensitivity of the medical profession competition
    4.5 Non-sensitive talk in clinic interaction
Chapter Five Conclusions
    5.1 Introduction
    5.2 Summary of research findings
        5.2.1 The establishment of the good doctor-and-patient relationship
        5.2.2 The features of the communication between the doctor and the patient
    5.3 Limitations of present study and suggestions for further research
Bibliography
Appendix
发表文章目录



本文编号：3783107