기능단계별로 나타난 의료면담의 제도 대화적 특징 연구

• 영문명: A Study of the Institutional Talk Characteristics of the Medical Interview in Terms of Functional Stages
• 발행기관: 한국사회언어학회
• 저자명: 진제희(Jin Jae-hee)
• 간행물 정보: 『사회언어학』제14권 1호, 137~163쪽, 전체 27쪽
• 주제분류: 어문학 > 언어학
• 파일형태: PDF
• 발행일자: 2006.06.01

영문 초록

  This study examines how asymmetry is produced in medical interviews as institutional interaction. In medical interaction, there are two primary asymmetries caused by status and power differences: the asymmetry of knowledge and the asymmetry of tasks between participants. For this research, dialogues between a doctor and his patients were investigated. In terms of analysis, this paper identifies five functional stages into which the procedures of a medical interview are arranged: opening, examination, diagnosis, prescription, and closing. As a result, two distinct exchanges were found: the question-answer sequence and the directive-response sequence. First, initiation of each sequence was conducted mainly by the doctor at each stage. A distinctive feature of the exchange was that the doctor"s questions at the introduction stage did not have any special purpose but were just an automatic courtesy greeting. The doctor"s initiations were usually followed by the patient"s response without any interruption. Second, the directive-response sequence was the most distinct phenomenon at the prescription stage. Two different forms of directives were used: warning and advising. The doctor"s directives had two functions. The first function was to maintain the doctor"s institutional authority and the second was to gain patient compliance with the doctor"s directives.

목차

Abstract
Ⅰ. 들어가기
Ⅱ. 의료면담에서 나타난 상호행위의 불균형
Ⅲ. 의료면담의 구성
Ⅳ. 실제 의료면담 자료의 기능단계별 대화이동연속체 분석
Ⅴ. 연구 결과 요약
Ⅵ. 맺음말
참고 문헌

키워드

medical interview institutional talk asymmetry questionanswer sequence directive-response sequence