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Record Nr. |
UNINA9910961350803321 |
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Autore |
Cordella Marisa |
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Titolo |
The dynamic consultation : a discourse analytical study of doctor-patient communication / / Marisa Cordella |
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Pubbl/distr/stampa |
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Philadelphia, : John Benjamins Pub., c2004 |
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ISBN |
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9786612160264 |
9781282160262 |
1282160265 |
9789027295187 |
9027295182 |
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Edizione |
[1st ed.] |
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Descrizione fisica |
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1 online resource (270 p.) |
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Collana |
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Pragmatics & beyond The dynamic consultation |
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Disciplina |
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Soggetti |
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Discourse analysis |
Physician and patient |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Bibliographic Level Mode of Issuance: Monograph |
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Nota di bibliografia |
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Includes bibliographical references (p. 221-234) and index. |
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Nota di contenuto |
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The Dynamic Consultation -- Editorial page -- Title page -- LCC page -- Dedication page -- Table of contents -- Preface -- Note -- References -- Acknowledgments -- 1. Introduction -- 2. Discourse, society and doctor-patient communication -- 2.1. A multi-disciplinary approach: Interactional socio-linguistics -- 2.1.1. Footing -- 2.2. Power, society and discourse -- 2.2.1. Discourse, power and simpatía -- 2.3. Everyday and institutional talk -- 2.4. Micro and macro realities of a socio-cultural group -- 2.5. Bio-medical and socio-relational approaches to doctor-patient communication -- 2.6. Doctor-patient communication: The medical and linguistic perspectives -- 2.6.1. Medical approaches to doctor-patient communication -- 2.6.2. Linguistic approaches: The doctor's perspective -- 2.6.3. Linguistic approaches: The patient's perspective -- 2.7. Sociological factors and doctor-patient communication -- 2.8. Conclusion -- Note -- 3. Doctor-patient communication -- 3.1. Discourse analysis: Interactional socio-linguistics and ethnographic approaches -- 3.2. Research design -- 3.3. Research questions -- 3.4. The Chilean health care system -- 3.5. The research site: The PUC Outpatient Clinic -- 3.5.1. The |
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consultation room at PUC -- 3.6. Permissions -- 3.7. Stage I: Observation -- 3.8. Stage II: Questionnaire -- 3.9. Stage III: Semi-structured interview -- 3.10. Stage IV: Tape-recording of the medical consultation -- 3.11. The participants -- 3.11.1. The researcher -- 3.11.2. The doctors -- 3.11.3. The patients -- 3.12. Data analysis -- 3.13. The volume of data -- 3.14. Voices in doctor-patient communication -- 3.14.1. Analysis of doctors' voices -- 3.14.2. Analysis of patients' voices -- 3.14.3. Limitations to the number of voices -- 3.15. Ethical issues -- Notes -- 4. The Doctor voice -- 4.1. Seeking information -- 4.2. Assessment and review. |
4.3. Alignment to authority -- 4.4. Summary -- 4.5. Conclusion -- Note -- 5. The Educator voice -- 5.1. Communicating medical facts -- 5.1.1. Information regarding available test results -- 5.1.2. Information regarding proposed tests -- 5.1.3. Information regarding the functioning of the human body -- 5.2. Responding to patient discomfort -- 5.3. Summary -- 5.4. Communicating medical treatment and management -- 5.4.1. Spanish markers of inevitability -- 5.4.2. Spanish markers of conditional inevitability -- 5.4.3. The impersonal pronoun -- 5.4.4. Persuasive education -- 5.5. Summary -- 5.6. Statistical findings -- 5.7. Absence of the Educator voice -- 5.8. Conclusion -- 6. The Fellow Human voice -- 6.1. Facilitating the telling of patients' stories -- 6.2. Assisting the telling of patients' stories -- 6.2.1. Utterance extension -- 6.2.2. Predictable utterance completion -- 6.2.3. Helpful utterance completion -- 6.3. Creating empathy with the patient -- 6.3.1. Agreement discourse markers -- 6.3.2. Emotional reciprocity -- 6.4. Showing special attentiveness to patients' stories -- 6.4.1. Mirroring -- 6.4.2. Clarifying a previous utterance -- 6.5. Asking questions unrelated to the patient's health -- 6.6. Statistical findings -- 6.7. Conclusion -- Notes -- 7. Patients' voices -- 7.1. Introduction -- 7.2. The voice of Health-related storytelling -- 7.3. The voice of Competence -- 7.3.1. The Complier -- 7.3.2. The Apologizer -- 7.3.3. The Challenger -- 7.4. The voice of Social Communicator -- 7.5. The voice of Initiator -- 7.6. Statistical findings -- 7.7. Results of Stage III: Semi-structured interview -- 7.8. Conclusion -- Note -- 8. Patterns of footing -- 9. The Dynamic Consultation -- 9.1. Doctors' and patients' talk: Animator, author, principal -- 9.1.1. Doctor voice and Educator voice -- 9.1.2. Fellow Human voice. |
9.1.3. The voices of patients' stories -- 9.2. Asymmetry, power and the use of voices -- 9.2.1. Asymmetry in the institution -- 9.2.2. Asymmetrical questioning -- 9.2.3. Asymmetrical disapproval -- 9.2.4. Asymmetrical knowledge -- 9.3. Knowledge, power and simpatía -- 9.4. Affiliative discourse and simpatía -- 9.5. One consultation, two participants: An interactional work -- 9.6. Competence in the medical setting -- 9.7. A dynamic model of doctor-patient communication -- Note -- 10. Concluding remarks -- Bibliography -- Appendices -- Appendix 1 -- Aproximate total word count of doctors and patients -- Appendix 2a (English version) -- PATIENT QUESTIONNAIRE -- Appendix 2b (Spanish version) -- CUESTIONARIO PARA EL PACIENTE -- Appendix 3a (English version) -- DOCTOR QUESTIONNAIRE -- Appendix 3b (Spanish version) -- CUESTIONARIO PARA EL MEDICO -- Appendix 4 -- Symbols used in discourse transcriptions -- Appendix 5a (English version) -- EXPLANATORY STATEMENT FOR PATIENT AND DOCTOR -- Appendix 5b (Spanish version) -- DECLARACIÓN ACLARATORIA PARA PACIENTE Y MEDICO -- Appendix 6a (English version) -- CONSENT FORM -- Appendix 6b (Spanish version) -- CONSENTIMIENTO -- Index. |
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Sommario/riassunto |
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This book introduces a unique model of medical discourse that identifies the forms of talk - voices - that doctors and patients use during the consultation, and studies the dynamic interaction as it |
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unfolds particularly in follow-up visits. Natural recordings, semi-structured interviews, questionnaires and ethnographic observations provide the data for the research, which was carried out in an Outpatient Clinic in Santiago, Chile. Using an interactional sociolinguistic approach, analysis of the data identifies doctor-patient communication as a micro-performance of broader socio-cultural realities, in which social status, power, knowledge and personal beliefs and values all find expression in the consultative setting. Importantly, while both doctor and patient voices are shown to contribute to an essentially asymmetrical exchange, the study also identifies the holistic and empathic Fellow Human voice, which places doctors and patients on a more equal footing. In connection with this voice, the Spanish concept of simpatía is also discussed.While the model in this study was developed within a specific socio-cultural framework, it is hoped that it will be adapted and modified more widely and contribute to a better understanding between doctors and their patients. |
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2. |
Record Nr. |
UNINA9910974265003321 |
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Autore |
Selvelli Giustina |
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Titolo |
The Alphabet of Discord : The Ideologization of Writing Systems on the Balkans since the Breakup of Multiethnic Empires / / Giustina Selvelli, Soeren Keil, Jelena Dzankic |
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Pubbl/distr/stampa |
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ISBN |
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Edizione |
[1st ed.] |
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Descrizione fisica |
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1 online resource (307 pages) |
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Collana |
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Balkan Politics and Society ; 8 |
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Disciplina |
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Soggetti |
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Balkan |
Cultural Anthrophology |
Kulturelle Anthropologie |
Language policy |
Sociolinguistic |
Soziolinguistik |
Sprachpolitik |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Nota di contenuto |
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Intro -- PREFACE -- ILLUSTRATIONS -- 1. INTRODUCTION -- 1.1 The Balkan space between problems of multiplicity and claims of homogeneity -- 1.2 The role of writing and of the "Other" in the national discourse -- 1.3 Methodological considerations: sources and approaches -- 1.4 Semiotic and relational aspects of alphabets and nationalism -- SECTION I. ALPHABETIC DISPUTES OF THE 1920s AND 1930s IN BULGARIA -- 2. THE RECEPTION OF THE ABECEDAR PRIMER (1925) IN BULGARIA -- 2.1 Issues related to the adoption of new writing systems -- 2.2 Post-imperial national identity dynamics -- 2.3 The situation in Aegean Macedonia after World War I -- 2.4 The publication of the Abecedar (1925) -- 2.5 Some peculiarities related to the characters of the Abecedar -- 2.6 The "involvement" of Cyril and Methodius -- 2.7 Conclusions: the fate of the Abecedar after 1925 -- 3. THE "LATINIZATION" IDEOLOGY AND THE BULGARIAN DEBATES -- 3.1 Introduction: issues of script change -- 3.2 The Latinization ideology in the Soviet Union -- 3.3 The Latin alphabet as a "modernizing" tool in the Balkans -- 3.4 The positions in support of Latinization in Bulgaria -- 3.5 The positions in defense of Cyrillic: contextual and internal factors -- 3.6 Defensive and symbolic motivations rejecting Latinization -- 3.7 Technical imperfections of the Latin alphabet -- 3.8 Conclusions: the national character of the alphabet -- 4. THE CONTRAST BETWEEN ARABIC AND LATIN SCRIPTS AMONG THE BULGARIAN TURKS -- 4.1 The impact of the Eurasian alphabet reforms on Turkey -- 4.2 The ambivalent status of the Latin alphabet in Bulgaria -- 4.3 Language and script restrictions for the Turks of Bulgaria -- 4.4 Conclusions: the disruption of writing practices -- SECTION II. SCRIPT ISSUES IN THE "SERBO-CROATIAN TERRITORIES" IN THE INTERWAR PERIOD. |
5. SERBO-CROATIAN IN TWO SCRIPTS: DIGRAPHIA, "ALPHABET SYNTHESIS" AND BILITERACY -- 5.1 Linguistic and historical introduction -- 5.2 Post-war alphabet ideologies: four parallel trends -- 5.3 The influence of the "pro-Latinization" factors -- 5.4 The first proposals of "alphabet synthesis" appearing in Život i rad -- 5.5 The "Yugoslav alphabet" by Pavle Ž. Radivojević -- 5.6 Reactions to the "mixed alphabet" proposals -- 5.7 Živaljević's rejection of the Yugoslav alphabet and Trivunac's defense of Cyrillic -- 5.8 Conclusions: the developments of the alphabet question in Yugoslavia -- 6. CYRILLIC AT WAR: SCRIPT IDEOLO-GIES IN THE INDEPENDENT STATE OF CROATIA, 1941-1945 -- 6.1 From unitarian ideologies to assertions of difference in the language field -- 6.2 The development of the language situation before the NDH -- 6.3 "Cyrillicide" in the Independent State of Croatia -- 6.4 Writing ideologies between purism and denialism -- 6.5 The "Orientality" of the Serbs and the role of the Glagolitic alphabet -- SECTION III. FROM THE GLAGOLITIC REVIVAL TO THE NEW DISCRIMINATIONS AGAINST CYRILLIC IN CROATIA -- 7. THE REDISCOVERY OF GLAGOLITIC: FROM REGIONAL TO NATIONAL PHENOMENON -- 7.1 The new signification context of the Glagolitic alphabet -- 7.2 The alphabet issue during the period of socialist Yugoslavia -- 7.3 The creation of the Aleja Glagoljaša in Istria and the role of Zvane Črnja -- 7.4 The rebellious and democratic character of Glagolitic -- 7.5 The universal value of regional Istrian culture -- 7.6 The Glagolitic as a marker of continuity and prestige after the end of Yugoslavia -- 7.7 The institutionalization of the Glagolitic alphabet by the Croatian state -- 7.8 Glagolitic as a national symbol in an "exclusivist" sense -- 8. THE MODIFIED STATUS OF CYRILLIC IN POST-SOCIALIST CROATIA AND SERBIA. |
8.1 Introduction: Issues of biscriptality -- 8.2 The first changes in the status of the Cyrillic alphabet -- 8.3 The Serbian case: will |
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bialphabetism survive? -- 8.4 The destruction of allographic traditions -- 8.5 Croatian reactions to the bialphabetic plaques in Vukovar -- 8.6 The Serb minority in Croatia as the "Other" -- 8.7 The relevance of the public writing context -- 8.8 The multigraphic character of the Croatian writing tradition -- 8.9 Conclusions: patterns of symmetrical differentiation -- SECTION IV, THE NEW CHALLENGES OF CYRILLIC IN BULGARIA IN THE NEW MILLENNIUM -- 9. BULGARIAN CYRILLIC BETWEEN TRADITION AND MODERNITY: THE "KRONSTEINER AFFAIR" -- 9.1 Introduction: the post-socialist ideological context in Bulgaria -- 9.2 The first debates on writing issues in the late 1990s -- 9.3 The origins of the "Kronsteiner affair" -- 9.4 Bulgarian Cyrillic between "Europhilia" and "Russophilia" -- 9.5 The issue of alphabetic coexistence in the European context of pluralism -- 9.6 Cyrillic as a "communist" alphabet -- 9.7 Bulgarian institutions against Kronsteiner -- 9.8 Further reactions in the periodical and scientific press -- 9.9 Moderate positions on opening to the Latin alphabet -- 9.10 Conclusions: open issues of transliteration -- 10. THE POPULAR DIMENSION OF THE CYRILLIC ALPHABET AND THE REDISCOVERY OF GLAGOLITIC -- 10.1 The "Kronsteiner effect" -- 10.2 Cyrillic and modern technologies -- 10.3 The link between Cyrillic and capitalism and the Bulgarian typefaces -- 10.4 The popularization of Cyrillic and the May 24 celebration -- 10.5 Conclusions: the revitalization of Glagolitic and "ethnogenetic" questions -- 11. FINAL NOTES -- 11.1 The relevance of the post-imperial and post-socialist factors -- 11.2 The symbolic dimension of the alphabet in the Balkans -- 12. LIST OF REFERENCES -- Primary Sources. |
Official Legislative Sources -- Secondary Sources. |
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Sommario/riassunto |
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What is the relationship between writing systems and nationalism? How can different alphabets coexist in the same country? What is the destiny of the Cyrillic alphabet in Europe? Giustina Selvelli’s original work provides detailed answers to these far-reaching and potentially divisive questions and many more by examining several intriguing debates on topics of alphabets and national identity in a number of countries from the Balkan area over the course of the last 100 years. Following an encompassing perspective on alphabetic diversity, Selvelli, an expert on Southeast European Studies, reconstructs the ideological context of national discourses connected to the Latin and Cyrillic alphabets, also taking a look at the Arabic and Glagolitic scripts, and interweaving issues on the symbolism of the alphabet with the complex recent history of the region, marked by the parallel influences of the East and the West. She also sheds light on the impact of a range of alphabet policies on ethnolinguistic minorities, proposing a new definition of “alphabetic rights” with special regard to the multiethnic legacy of the former Ottoman and Habsburg empires. This comprehensive book makes us discover the privileged role that writing systems played in the region’s delicate post-imperial and post-socialist transitions, leaving us captivated by peculiar stories such as that of the utopian “Yugoslav alphabet”. |
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