医患会话的身份建构研究

Research on the Identify Construction in Doctor-patient Conversation

医患会话不仅是双方交换信息、确立人际关系的典型方式,也是建构身份、影响医患关系的重要情境。在建构主义身份理论框架下,医生与患者的身份建构于交际互动中,而非事先指定,是会话双方协商、共建的结果。分析医生与患者的语言形式,明确话语所建构的医生身份体系包括群体身份、关系身份和个体身份;患者身份体系包括关系身份和个体身份,旨在为医生更好地理解医患会话中双方身份建构的动态过程及话语的身份塑造力,从而选择并调整话语策略增进医患沟通,使医患关系走向和谐。

Doctor - patient conversation is not only the typical way for both two parties to exchange information and establish the interpoersonal relationship, but also the important situation for constructing identity and affecting doctor - patient relationship. Under the framework of constructivist identity theory, the identities of doctor and patient are constructed in communication interaction rather than predetermination, and are the resuhs of negotiation and co -construction between the two parties. This paper analyzed the linguistic forms of doctor and patient and clarified that doctor＇ s identity system constructed by conversation included group identity, relationship identity and individual identity; patient identity system included relationship identity and individual identity, aiming at helping doctor better understand the dynamic process of the two sides＇ identity construction and the identity shaping of discourse in doctor - patient conversation, so as to select and adjust discourse strategies to promote doctor - patient communication, bringing doctor- patient relationship into harmony.