Active discourse analysis: New perspective of medical and patient communication
June 21, 2022 09:16 Source: "Chinese Social Sciences", June 21, 2022, Issue 2431 Author: Ren Yuxin Li Xuqing

The emotional construction in the communication of doctors and patients is one of the hot topics of health discourse research。Currently studying more attention to the response and management of negative/negative emotions for patients,and the construction of positive emotions lacks due attention。Start with positive emotions,It can form complementive with negative emotion research in healthy discourse,The features of emotion in healthy discourse more comprehensive、Operating mechanism and conscience function。At the same time,The focus of the doctor -patient research shifts from the conflict of doctors and patients to the harmony of doctors and patients,Among them, the emotional research also needs a new theoretical perspective intervention interpretation。Active discourse analysis can provide new perspectives for the study of the feeling of affection in the communication of doctors and patients,At the same time, it provides the reason for the development of positive emotional research。

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The concept of "Positive Discourse Analysis" is proposed by J. R. Martin,It is relative to the analysis of criticism。Martin noticed,Critical discourse analysis is often prominent on the side of dialogue deconstruction,Most of the exposed is negative、Destructive content,Most of the analysis is "bad news"。Martin thinks,Dialogue analysis should also pay attention to positive aspects in discourse,Pay attention to "exciting、Encompassing、Entrusted "words,More analysis of "Good News",To "Create a Beautiful World" through the discourse。So,​​Active discourse analysis is "Positive Model Focusing on Hope and Change of Talk Analysis"。Of course,Martin's positive discourse Bet365 app download analysis is not to replace criticism of criticism,but to complement it with it。From the perspective of research methods,Active discourse analysis and criticism of discourse analysis are consistent,That is, through the refined inspection of words/discourse,Revealing the ideology expressed by the use of unique language characteristics behind it。

Since the beginning of proposal,Active discourse analysis has received continuous attention from scholars,Used to analyze multiple types of discourse genre。In recent years,Positive discourse analysis is widely used in the research of ecological linguistics,Focus on analyzing how to use languages ​​to tell stories that encourage people to protect the ecosystem,Digital Language features to express new and beneficial stories,Construct a harmonious natural world through discourse。In terms of emotional construction in the communication of doctors and patients,Active discourse analysis perspective is also very available。

  Provide new ideas for research

The emotional care of the patient is medicine、Sociology、Psychology、Linguistics、One of the follow -up points in various disciplines such as communication science。In the communication of the doctor and patients with discourse,,Emotional Construction mainly refers to the emotional connection between doctors and patients established by the medical and patients through the language or sub -language。Active discourse analysis provides new ideas for the study of emotional construction in the communication of doctors and patients,It is mainly reflected in the "change" in three aspects。

First,Active discourse analysis perspective promotes changes in the focus of emotionalism in the communication of doctors and patients,transforms from focusing on "negative emotions" to "negative emotions" and "positive emotions" and emphasize。In the past studies, more attention to the expression of patient negative emotions,But hidden or explicit positive emotional construction Bet365 app download also plays an important role in the communication。So,Future research not only needs to pay attention to the patient's negative emotional expression and the doctor’s targetedness、Strategic response,At the same time, you should also pay attention to the positive emotional construction of the doctor,or the patient's positive emotional construction in order to achieve specific communication purposes,Examine the emotional connection of the doctor and patients in order to build a harmonious friendship and doctor -medical relationship。

Next,Active discourse analysis perspective prompting changes in the way of constructing feelings in the communication of doctors and patients,is constructed from "passive" to "active" construct。The doctor's instant emotional attention and response to the patient's negative emotions,Is a "passive" emotional construction,Is the doctor's passive response to negative emotional problems。Actually,Doctors and patients will also actively initiate the emotional concern of patients,That is, the doctor takes the initiative to seek the emotional appeal that the patient may expect and take the initiative to initiate the emotional construction。At the same time,The doctor actively initiated the construction emotion,More inclined to positive emotions,That is to express concern to patients、Care、comfort、Encouragement and other positive emotions to mobilize patients,At the same time, it also constructs a friendly and friendly friendship with harmonious doctor -patient relationship、Understand respect、A positive emotional connection of mutual assistance and mutual love。Future research needs more attention to the active emotional construction initiated by doctors。

Last,Active discourse analysis perspective prompting the changes in the discourse resource inspection point of affection constructed in the communication of doctors and patients,That is, the discourse resources of "negative emotions" and its response to the focus of the focus of Bet365 app download attention to the constructive resource of "positive emotion"。From the perspective of positive discourse analysis,Focus on "beneficial" discourse related to emotion,excavation prompts patients to actively upstream,New story that encourages it、New narrative method。Martin and Rose (D. Rose) pointed out,Emotional may be positive or negative,Realize it in a explicit or hidden manner in the text,The expression of positive emotions is often realized by the language expression containing positive evaluation meaning。Study on positive emotional construction in the communication of doctors and patients,It is a clue and basis with language expression with positive evaluation meaning,Refined investigation of the doctor's discourse,Digging its various types of verbal resources for constructing positive emotions,Especially its verbal behavior and discourse strategy。

  Multi -angle Promotion Study Deepening

First,Follow the active behavior of positive emotional construction。Emotional Construction has a diversified behavior representation。For example,Online medical consultation discourse research,You can follow the consolation、Encouragement、Greetings、Thank you、Apology、Wishes、Praise、Reminder and other verbal behaviors。Under the current communication context,These are the actual behavior of "harmonious orientation",It is the "patient -centric" consignment behavior,The implementation of the behavior of persuasion and encouraging language mainly constructs the positive emotions of the patient's side; greetings、Thank you、Apology、Wishes、Praise、Reminder and other conspicuous behaviors mainly construct a positive emotional connection between doctors and patients。Another example,J. A. Hall (J. A. Hall) and others listed the empathy behavior of 49 doctors,Many of them help doctors to build positive emotions of patients。Of course,You also need to pay attention to the Bet365 app download physical and appropriateness of the active behavior of doctors or patients in the process of active emotion.。In addition to the category of the behavior of inductive language,You can also conduct quantitative investigations on the implementation of these acting behaviors,Pay attention to the combination of multiple conscience behaviors。

2,Pay attention to the language implementation method and discourse mode of positive emotional construction。Emotional Construction has a variety of discourse representations,If vocabulary、phrases、Sentence and even the entire language explicit expression、Modeling Expressive、hidden expression, etc.,Therefore, you can classify and summarize and quantify statistics of different discourse signs。Emotional Construction is dynamic,Therefore, you can pay attention to the discourse sequence structure and specific language implementation method of the implementation of the actual behavior。At the same time,It also needs to pay attention to the comprehensive use of different language modes,Cross use of text and voice、Combination of text and emoji,Multi -mode discourse analysis of emotional construction。

third,Follow the active effect of positive emotional construction。You can observe、Interview、Questionnaire and other methods to understand the implementation of specific behaviors in medical and affected communication、"The use of temperature" is used to help patients with disease treatment and rehabilitation,Whether to promote positive emotional connections between doctors and patients,Whether to deepen the harmonious and friendly doctor and patient relationship, etc.。At the same time,You can also examine the use effect of explicit and hidden discourse strategies in positive emotional construction。

Fourth,Following the similarities and similarities of positive emotional construction in online communication neutral and offline communication。bet365 Play online games In recent years,Online medical consultation with the advantages of the network information platform has become a new type of doctor -patient communication mode,There are many differences in the communication characteristics of doctors and patients under this mode.,The expression and construction of positive emotions are one of the important features of online medical consultation communication。So,It is necessary to compare the comparative inspection of the construction of the two types of communication,The main body of emotional construction、Ecidum behavior resources、discourse strategy、Corresponding effects and other aspects to expand comparative analysis,To understand the emotional construction of doctors and patients in a more comprehensive understanding of different situations。

Help "Healthy China" construction

Active discourse analysis perspective shifted our attention from the conflict of doctors and patients to the "alliance" and "harmony" between doctors and patients。From the perspective of positive discourse analysis, the emotional construction in the communication of doctors and patients is inspected,Not only can it expand "affinity friendship、Equality and mutual assistance、Respect solidarity、Healthy Stability "New Doctor and Patient Relationship Research New Road,and can promote the construction of a new ecosystem of doctors and patients,Construction of "Healthy China" at the national level。

Taking the active emotional construction initiated by a doctor as a focus,It can provide a new growth point for emotional research in doctor -patient communication,Focus on the connotation of positive emotions、Construction method、Ecidum resources、Dialogue, etc.,It helps to reveal the synonym system of the constructive constructing of the doctor and patients,Clear description of the essential characteristics of such verbal communication、Analysis and explanation。

 (Author Unit: School of Foreign Languages ​​from Lanzhou University of Technology)

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