和谐管理模式下医生多元身份的建构

Construction of Doctors' Multiple Identities under Harmonious Management Model

语言的使用与说话人的身份有密切的关系。身份不仅指说话人的固有身份,也包括说话人主动建构的身份。依据Brewer&Gardner的身份表征理论以及Spencer-Oatey的人际关系和谐管理模式,对医患会话中医生多元身份的建构展开研究。通过分析发现,医生在群体层面上,常常建构机构身份和职业身份;在关系层面上,建构带有情感互动色彩的关系身份;在个体层面上,则建构突显个体独特性特征的个人身份。医生选择不同的身份视点与患者交流,是为满足特定阶段的交际需要,也会对医患关系构成和谐-维护、和谐-挑战、和谐-增强或和谐-忽视取向。

There is close relationship between the use of language and the identity of the speaker Language . Identity has a dual function of transferring information and constructing interlocutors'identities .Based on the collected data between doctors and patients ,the construction of doctors'multiple identities in terms of"collective identity"was explored ,"relational identity"and "personal identity"are within the framework of Brewer & Gardner's Self‐representation Model and Spencer‐Oatey's Rapport‐Management Model .It is found that doctors can construct different identities to realize interactional goals and manage harmony‐dis‐harmony between doctors and patients .