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A Study on Conversational Strategies of Chinese Country Doctors with Their Patients from the Perspective of Social Psychological Pragmatics

Received: 17 August 2021    Accepted: 9 September 2021    Published: 23 September 2021
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Abstract

Conversational strategies are the techniques that help speakers to maintain conversations going smoothly and to achieve the communicative goals. Via adopting the method of fieldwork and empirical research to collect authentic country doctor-patient conversations and making qualitative analysis with basic quantitative analysis as supplement, this study probed into the conversational strategies implemented by Chinese country doctors in communicating with their patients and furthermore, explored the social psychological functions and effects of each conversational strategy. Via collecting and analyzing 217 conversations between 10 Chinese country doctors aged from 35 to 45 with 217 patients, the author found that 12 conversational strategies were employed by Chinese country doctors to help their patients be more cooperative in the process of diagnosis and more positive and active to the treatment, which were greeting, enquiry, instruction in diagnosis, data display, assertion, instruction after diagnosis, explanation, comparison, comforting, praise, warning, and kinship address. Moreover, instruction in diagnosis consists of two kinds which are direct instruction and instruction with request. Instruction after diagnosis consists of three types which are simple instruction, instruction with negation, and instruction with consultation. Explanation consists of four different ways which are explanation with medical knowledge, explanation with government policy, explanation with patient’s behavior, and explanation with slang. Comparison consists of two parts which are vertical comparison and horizontal comparison, and horizontal comparison is further divided into two kinds which are upward comparison and downward comparison. Additionally, different conversational strategies observed or violated different maxims of politeness principle and thus, caused different topical and social psychological functions and effects on patients and thus, help them be more cooperative and positive.

Published in International Journal of Language and Linguistics (Volume 9, Issue 5)
DOI 10.11648/j.ijll.20210905.11
Page(s) 233-246
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Conversational Strategy, Doctor-Patient Conversation, Chinese Country Doctor, Social Psychological Pragmatics

References
[1] Chen, X. (2004). A Pragmatic Study of Conversational Information Overload. Xi’an: Shaanxi Normal University Press.
[2] Chen, X. (2009). Pragmatic Studies: The Social Psychological Perspective. Foreign Languages in China, 06 (05), 46-52.
[3] Collins, R. L. (1996). For better or worse: The impact of upward social comparison on self-evaluations. Psychological Bulletin, 119 (1), 51-69.
[4] Cordella, M. (2004). Dynamic consultation: A discourse analytical study of doctor-patient communication. Philadelphia: John Benjamins Publishing Company.
[5] Cruz-Sandoval, D., & Favela, J. (2019). Incorporating conversational strategies in a social robot to interact with people with dementia. Dementia and Geriatric Cognitive Disorders, 47 (3), 140-148.
[6] Deng, W. (2009). Dictionary of Sociology. Shanghai: Shanghai Lexicographical Publishing House.
[7] Dijk, T. A. (1983). Cognitive and conversational strategies in the expression of ethnic prejudice. Text-Interdisciplinary Journal for the Study of Discourse, 3 (4), 375-404.
[8] Dörnyei, Z., & Thurrell, S. (1994). Teaching conversational skills intensively: Course and rationale. ELT Journal, 48 (1), 40-49.
[9] Gordon, T., & Edwards, W. S. (1997). Making the patient your partner: Communication skills for doctors and other caregivers. US: Praeger Publishers.
[10] Health and Family Planning Commission of Jinan. (2018). Detailed Rules for the Implementation of Targeted Medical Poverty Alleviation and Chronic Disease Assistance in Jinan. Retrieved from http://jnmhc.jinan.gov.cn/art/2018/7/26/art_14408_2766209.html.
[11] Herzberg, F., Mausner, B., & Snyderman, B. B. (1959). The motivation to work (2nd ed.). New York: John Wiley.
[12] Holtgraves, T. (2002). Language as social action: Social psychology and language use. Mahwah: Psychology Press.
[13] Hornby, A. S. (2010). Oxford advanced learner's dictionary (8th ed.). Oxford: Oxford University Press.
[14] Kehe, D., & Kehe, P. (2004). Conversation strategies: Pair and group activities for developing communicative competence. Brattleboro, VT: Pro Lingua Associates.
[15] Leaper, C. (2019). Young adults’ conversational strategies during negotiation and self-disclosure in same-gender and mixed-gender friendships. Sex Roles, 1-15.
[16] Leech, G. (1983). Principles of Pragmatics. London: Longman.
[17] Lin, Y. (2016). A study on the language strategies of breaking silence in Sino-German Conversations. Unpublished master thesis, Beijing Foreign Studies University, Beijing, China.
[18] Muntigl, P., & Turnbull, W. (1998). Conversational structure and facework in arguing. Journal of Pragmatics, 29 (3), 225-256.
[19] National Health and Family Planning Commission of China. (2017). National Basic Public Health Service Specification (3rd ed.). Retrieved from http://www.nhc.gov.cn/xxgk/pages/viewdocument.jsp?dispatchDate=&staticUrl=/jws/s3578/201703/d20c37e23e1f4c7db7b8e25f34473e1b.shtml&wenhao.
[20] Nguyet, N. T. M., & Mai, L. T. T. (2012). Teaching conversational strategies through video clips. Language Education in Asia, 3 (1), 32-49.
[21] Ohtaki, S., Ohtaki, T., & Fetters, M. D. (2003). Doctor–patient communication: A comparison of the USA and Japan. Family Practice, 20 (3), 276-282.
[22] Paling, J. (2003). Strategies to help patients understand risks. Bmj, 327 (7417), 745-748.
[23] Pallawa, B. A. (2014). Conversation strategies used by students of the English department of Tadulako University. Jurnal Pendidikan Humaniora, 1 (2), 159-168.
[24] Quirk, A., Chaplin, R., Lelliott, P., & Seale, C. (2012). How pressure is applied in shared decisions about antipsychotic medication: A conversation analytic study of psychiatric outpatient consultations. Sociology of Health & Illness, 34 (1), 95-113.
[25] Riggenbach, H. (1998). Evaluating learner interactional skills: Conversation at the micro level. In Young, R., & He, A. W. (Eds.) Talking and testing: Discourse approaches to the assessment of oral proficiency, 53-67. Amsterdam: John Benjamins Publishing.
[26] Scrimin, S., Axia, G., Tremolada, M., Pillon, M., Capello, F., & Zanesco, L. (2005). Conversational strategies with parents of newly diagnosed leukaemic children: an analysis of 4880 conversational turns. Supportive Care in Cancer, 13 (5), 287-294.
[27] Sinclair, J. (1995). Collins COBUILD English dictionary. London: Harper Collins.
[28] Suls, J., & Wheeler, L. (2000). Handbook of social comparison: Theory and research. New York: Springer Science & Business Media.
[29] Turnbull, W., & Saxton, K. L. (1997). Modal expressions as facework in refusals to comply with requests: I think I should say ‘no’ right now. Journal of Pragmatics, 27 (2), 145-181.
[30] Wardhaugh, R. (1986). An introduction to sociolinguistics. Oxford: Basil Blackwell.
[31] Wen, D. (2011). Dictionary of Chinese Proverbs (new ed.) (Cihai ed.). Shanghai: Shanghai Lexicographical Publishing House.
[32] Wills, T. A. (1981). Downward comparison principles in social psychology. Psychological Bulletin, 90 (2), 245-271
[33] Wu, Y. (1990). The usages of kinship address forms amongst non-kin in mandarin Chinese: The extension of family solidarity. Australian Journal of Linguistics, 10 (1), 61-88.
[34] Yang, S. (2010). A Corpus-based Study of Repair in Chinese Doctor-patient Conversations. Doctoral dissertation, Shanghai International Studies University, Shanghai, China.
[35] Yao, X. (2019). A Study of Formulation in Psychiatrist-Patient Talk-in-Interaction. Doctoral dissertation, Shandong University, Jinan, China.
[36] Yoon, S., Chan, M., Hung, W. K., Ying, M., Or, A., & Lam, W. W. (2015). Communicative characteristics of interactions between surgeons and Chinese women with breast cancer in oncology consultation: A conversation analysis. Health Expectations, 18 (6), 2825-2840.
[37] Zhou, Y., & Fan, Y. (2019). Discussion on inquiry characteristics of ZHANG Bing-hou. China Journal of Traditional Chinese Medicine and Pharmacy, 34 (2), 629-631.
Cite This Article
  • APA Style

    Zhongtang Wei. (2021). A Study on Conversational Strategies of Chinese Country Doctors with Their Patients from the Perspective of Social Psychological Pragmatics. International Journal of Language and Linguistics, 9(5), 233-246. https://doi.org/10.11648/j.ijll.20210905.11

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    ACS Style

    Zhongtang Wei. A Study on Conversational Strategies of Chinese Country Doctors with Their Patients from the Perspective of Social Psychological Pragmatics. Int. J. Lang. Linguist. 2021, 9(5), 233-246. doi: 10.11648/j.ijll.20210905.11

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    AMA Style

    Zhongtang Wei. A Study on Conversational Strategies of Chinese Country Doctors with Their Patients from the Perspective of Social Psychological Pragmatics. Int J Lang Linguist. 2021;9(5):233-246. doi: 10.11648/j.ijll.20210905.11

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  • @article{10.11648/j.ijll.20210905.11,
      author = {Zhongtang Wei},
      title = {A Study on Conversational Strategies of Chinese Country Doctors with Their Patients from the Perspective of Social Psychological Pragmatics},
      journal = {International Journal of Language and Linguistics},
      volume = {9},
      number = {5},
      pages = {233-246},
      doi = {10.11648/j.ijll.20210905.11},
      url = {https://doi.org/10.11648/j.ijll.20210905.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijll.20210905.11},
      abstract = {Conversational strategies are the techniques that help speakers to maintain conversations going smoothly and to achieve the communicative goals. Via adopting the method of fieldwork and empirical research to collect authentic country doctor-patient conversations and making qualitative analysis with basic quantitative analysis as supplement, this study probed into the conversational strategies implemented by Chinese country doctors in communicating with their patients and furthermore, explored the social psychological functions and effects of each conversational strategy. Via collecting and analyzing 217 conversations between 10 Chinese country doctors aged from 35 to 45 with 217 patients, the author found that 12 conversational strategies were employed by Chinese country doctors to help their patients be more cooperative in the process of diagnosis and more positive and active to the treatment, which were greeting, enquiry, instruction in diagnosis, data display, assertion, instruction after diagnosis, explanation, comparison, comforting, praise, warning, and kinship address. Moreover, instruction in diagnosis consists of two kinds which are direct instruction and instruction with request. Instruction after diagnosis consists of three types which are simple instruction, instruction with negation, and instruction with consultation. Explanation consists of four different ways which are explanation with medical knowledge, explanation with government policy, explanation with patient’s behavior, and explanation with slang. Comparison consists of two parts which are vertical comparison and horizontal comparison, and horizontal comparison is further divided into two kinds which are upward comparison and downward comparison. Additionally, different conversational strategies observed or violated different maxims of politeness principle and thus, caused different topical and social psychological functions and effects on patients and thus, help them be more cooperative and positive.},
     year = {2021}
    }
    

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    AU  - Zhongtang Wei
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    AB  - Conversational strategies are the techniques that help speakers to maintain conversations going smoothly and to achieve the communicative goals. Via adopting the method of fieldwork and empirical research to collect authentic country doctor-patient conversations and making qualitative analysis with basic quantitative analysis as supplement, this study probed into the conversational strategies implemented by Chinese country doctors in communicating with their patients and furthermore, explored the social psychological functions and effects of each conversational strategy. Via collecting and analyzing 217 conversations between 10 Chinese country doctors aged from 35 to 45 with 217 patients, the author found that 12 conversational strategies were employed by Chinese country doctors to help their patients be more cooperative in the process of diagnosis and more positive and active to the treatment, which were greeting, enquiry, instruction in diagnosis, data display, assertion, instruction after diagnosis, explanation, comparison, comforting, praise, warning, and kinship address. Moreover, instruction in diagnosis consists of two kinds which are direct instruction and instruction with request. Instruction after diagnosis consists of three types which are simple instruction, instruction with negation, and instruction with consultation. Explanation consists of four different ways which are explanation with medical knowledge, explanation with government policy, explanation with patient’s behavior, and explanation with slang. Comparison consists of two parts which are vertical comparison and horizontal comparison, and horizontal comparison is further divided into two kinds which are upward comparison and downward comparison. Additionally, different conversational strategies observed or violated different maxims of politeness principle and thus, caused different topical and social psychological functions and effects on patients and thus, help them be more cooperative and positive.
    VL  - 9
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Author Information
  • School of Foreign Languages, Qilu Normal University, Jinan, China

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