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Laughter in hospital emergency departments 医院急诊室里的笑声
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-03-05 DOI: 10.1177/14614456231194845
Susy Macqueen, Luke Collins, Gavin Brookes, Zsófia Demjén, Elena Semino, Diana Slade
For patients, hospital emergency departments (EDs) are unfamiliar, institutional contexts involving high-stakes communication in heightened emotional circumstances. This study examines laughter, as one expression of emotion, in an existing 649,631-word corpus of naturally occurring clinician-patient interactions recorded in five Australian hospitals. A mixed methods approach revealed (1) the spread, frequency and producers of laughter, and (2) the functions of laughter in unfolding interactional contexts. First, a corpus analysis showed that laughter in the ED was most frequently produced by nurses and patients, but relatively infrequently by doctors. Secondly, two case studies comprising all the interactions of two patients for the whole duration of their ED visits were analysed in detail to explore the individuals’ contrasting patterns of laughter. The analysis revealed how laughter can be a cue to the affective dynamics of patient-clinician interactions about serious matters, for example, signalling difficult topics and managing anxiety in the ED context. Laughter, and any related humour, can indicate the achievement of mutuality, which is considered a cornerstone of genuine shared decision-making and patient participation in their own care. Therefore, the findings suggest that a sensitive responsiveness to patient-initiated laughter, and any associated humour, may promote patient-centred relationships in clinical interactions.
对于患者来说,医院急诊室(ED)是一个陌生的机构环境,涉及在情绪高涨的情况下进行高风险交流。本研究对澳大利亚五家医院现有的 649,631 字的临床医生与患者自然交流语料库中的笑声进行了研究,笑声是情绪的一种表达方式。研究采用混合方法揭示了:(1) 笑的传播、频率和制造者;(2) 笑在不断发展的互动语境中的功能。首先,语料分析表明,在急诊室中,护士和病人最常发出笑声,而医生则相对较少。其次,我们详细分析了两个案例研究,其中包括两名患者在急诊室就诊期间的所有互动,以探究两人截然不同的笑声模式。分析结果表明,在急诊室的环境中,笑声可以成为病人与医生就严肃问题进行互动时的情感动态线索,例如,发出困难话题的信号和控制焦虑。笑声和任何相关的幽默都能表明相互性的实现,而相互性被认为是真正共同决策和患者参与自身护理的基石。因此,研究结果表明,在临床互动中,对患者主动发出的笑声和任何相关的幽默做出敏感的反应,可以促进以患者为中心的关系。
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引用次数: 0
Book review: Patrizia Anesa and Jan Engberg (eds), The Digital (R)Evolution of Legal Discourse: New Genres, Media, and Linguistic Practices 书评:Patrizia Anesa 和 Jan Engberg(编),《法律话语的数字化(R)演变》:新流派、新媒体和新语言实践
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-02-27 DOI: 10.1177/14614456241233894
Chunhui Zhang
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引用次数: 0
Book review: Gábor Tahin, Heuristic Rhetoric: Principle and Practice 书评:Gábor Tahin,《启发式修辞学》:原理与实践
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-02-27 DOI: 10.1177/14614456241233886
Tianlu Ji
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引用次数: 0
Book review: Mark Jary, Nothing is Said: Utterance and Interpretation 书评:马克-贾里,《什么也没说:言辞与解释》(Nothing is Said: Utterance and Interpretation
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-02-27 DOI: 10.1177/14614456241233854
Jiayu Han
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引用次数: 0
Book review: Simon Statham, Critical Discourse Analysis: A Practical Introduction to Power in Language 书评:西蒙-斯坦瑟姆,《批判性话语分析》:语言权力实用入门
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-02-27 DOI: 10.1177/14614456241233855
Baorong Huang
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引用次数: 0
Book review: Thu Ngo, Susan Hood, James R Martin, Clare Painter, Bradley A Smith, and Michele Zappavigna, Modelling Paralanguage Using Systemic Functional Semiotics: Theory and Application 书评:Thu Ngo、Susan Hood、James R Martin、Clare Painter、Bradley A Smith 和 Michele Zappavigna,《利用系统功能符号学模拟辅助语言》:理论与应用
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-02-27 DOI: 10.1177/14614456241233856
Jinge Song
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引用次数: 0
Repetition for real-time coordination of action: Lexical and non-lexical vocalizations in collaborative time management 实时协调行动的重复:协作时间管理中的词汇和非词汇发声
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-02-23 DOI: 10.1177/14614456231224079
L. Keevallik, E. Hofstetter, Agnes Löfgren, Sally Wiggins
Repetition has often been argued to be a semiotic device that iconically signifies ‘more content’, such as intensity and plurality. However, through multimodal interaction analysis of materials in English, Estonian, and Swedish, this paper demonstrates how self-repetition is used to coordinate actions across participants and temporally organize the ongoing activity. The data are taken from infant mealtimes, pilates classes, dance training, boardgames, rock climbing, and opera rehearsals. Repetition of both lexical and non-lexical tokens can prolong, postpone, and generally organize segments of action as well as co-create rhythms and moves in a moment-by-moment reflexive relationship with other (non-vocalizing) participants. A crucial feature of repetitions is that they can be flexibly extended to fit the other’s public performance, its launching, continuation, and projectable completion. We argue that the iconicity of repetition emerges through its indexical relationship to other bodies, as a real-time jointly achieved phenomenon.
重复通常被认为是一种符号学手段,象征着 "更多内容",如强度和多元性。然而,通过对英语、爱沙尼亚语和瑞典语材料的多模态交互分析,本文展示了自我重复是如何被用来协调参与者之间的行动并在时间上组织正在进行的活动的。数据来自婴儿进餐时间、普拉提课程、舞蹈训练、棋盘游戏、攀岩和歌剧排练。词汇和非词汇标记的重复可以延长、推迟和总体上组织动作的片段,并在与其他(非发声)参与者的逐时反射关系中共同创造节奏和动作。重复的一个重要特点是,它们可以灵活扩展,以适应他人的公开表演、其启动、延续和可预测的完成。我们认为,重复的标志性是通过它与其他身体的索引关系而产生的,是一种实时共同实现的现象。
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引用次数: 0
Discourse markers in small talk and tasks 闲谈和任务中的话语标记
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-02-23 DOI: 10.1177/14614456241230253
Andrew J Guydish, Allison Nguyen, Jean E Fox Tree
Discourse markers help people navigate conversations. We tested how the use of five discourse markers – so, but, oh, I think, and like – was influenced by communication medium (text, phone, videoconferencing) and conversation type (task-related conversation or small talk). Additionally, we tested whether these discourse markers influenced the amount of words contributed throughout the conversation and how interlocutors felt about their conversations. These discourse markers were used more while working on a task compared to casual chat during a phone conversation, but less while working on a task compared to casual chat during instant messaging and videoconferencing conversations. We observed no relationships between discourse marker use and the amount participants contributed to their conversations, nor did we observe relationships between discourse marker use and conversational appraisals in the phone or videoconferencing conversations. We observed a trending relationship in instant messaging conversations where the more discourse markers used, the more communicators enjoyed their conversations. The work presented here expands understanding of discourse markers by documenting variation by setting and task type. The findings support the argument that discourse markers are used to negotiate conversations.
话语标记有助于人们浏览会话。我们测试了五种话语标记(so、but、oh、I think 和 like)的使用如何受到交流媒介(文本、电话、视频会议)和对话类型(任务相关对话或闲聊)的影响。此外,我们还测试了这些话语标记是否会影响整个对话过程中的用词量以及对话者对对话的感受。在电话交谈中,与闲聊相比,在处理任务时使用这些话语标记更多,但在即时信息和视频会议交谈中,与闲聊相比,在处理任务时使用这些话语标记较少。在电话或视频会议对话中,我们没有观察到话语标记的使用与参与者对对话的贡献量之间的关系,也没有观察到话语标记的使用与对话评价之间的关系。我们在即时信息会话中观察到了一种趋势关系,即使用的话语标记越多,交流者越喜欢他们的会话。本文介绍的工作通过记录不同环境和任务类型的差异,扩展了对话语标记的理解。研究结果支持话语标记用于协商对话的论点。
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引用次数: 0
Framing offer-related actions as assistance at jewelry stores in Japan 在日本珠宝店将与报价相关的行为定格为援助行为
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-02-21 DOI: 10.1177/14614456231224082
Takeshi Hiramoto
While most of the studies on assistance in talk-in-interaction from the conversation analytic perspective presuppose that the actor who receives assistance already has or is expected to have problems, issues, needs, or demands, assistance can be offered without the expression or existence of plausible expectations of problems, issues, needs, or demands. Using the methodology of conversation analysis, this study explores how service providers frame their offer-related actions as assistance without the customer’s expression of concrete needs or demands or their expected emergence by analyzing the sequences in which salespersons offered customers to try the jewelry. The results of the analysis show that salespersons were motivated to execute pull-based offer-related actions in which assistance is provided in response to the expression or anticipation of customer needs, as they could lead to successful sales outcomes. Salespersons employed various techniques to frame their offer-related actions as assistance.
虽然大多数从会话分析角度对谈话互动中的援助进行的研究都预设了接受援助的行动者已经有或预期会有问题、议题、需求或要求,但援助也可以在没有表达或存在对问题、议题、需求或要求的合理预期的情况下提供。本研究采用会话分析方法,通过分析销售人员向顾客提供试戴珠宝的顺序,探讨在顾客没有表达具体需求或要求或预期会出现需求或要求的情况下,服务提供者如何将其提供的相关行为定格为援助。分析结果表明,销售人员有动力执行基于拉动的要约相关行动,即在顾客表达或预期需求时提供帮助,因为这些行动可以带来成功的销售结果。销售人员采用了各种技巧,将他们的报价相关行动描述为协助。
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引用次数: 0
Time-oriented decisions in Palliative Care team meetings 姑息关怀团队会议中以时间为导向的决策
IF 1.8 2区 文学 Q1 Arts and Humanities Pub Date : 2024-02-17 DOI: 10.1177/14614456231223147
David Monteiro, Oriana Rainho Brás, Michel Binet
In a wide diversity of workplaces time and temporality are an omnirelevant feature of the praxeological and material environment, as observable by the pervasiveness of chrono-metrical and chronological technologies and artifacts, and by workers’ orientation to matters of punctuality, productivity and other aspects of task dispatch and managerial organization. Professionals’ orientation to time takes an additional complexity in healthcare settings, given the multiple temporalities involved – biological, institutional, social – and the implications of timely professional intervention in the progression of patients’ health. In palliative care, we argue, a practical concern with time and temporality is a constitutive feature of the work of professionals and teams, visible in and built in their interactions. Furthermore, such orientation to time is related to the collective production of justifications for actions. Drawing on conversation analysis of a corpus of audio recordings, we examine how, in team meetings and interactions with other healthcare staff, palliative care professionals make sense of patients’ end of life trajectories in a situated and joint manner, grounding their proposals for action in terms of timeliness – or lack thereof – concerning patients’ current situation and prognoses on their more-or-less foreseeable unfolding, accomplishing a valid rationale for palliative intervention.
在多种多样的工作场所,时间和时间性是实践和物质环境中一个无所不在的特征,这一点从计时和时间技术及人工制品的普遍存在,以及工人对准时性、生产率和任务分派及管理组织的其他方面的关注中可以看出。在医疗保健领域,由于涉及到生物、制度、社会等多重时间性,以及及时的专业干预对患者健康进展的影响,专业人员对时间的取向变得更加复杂。我们认为,在姑息关怀中,对时间和时间性的实际关注是专业人员和团队工作的一个构成特征,在他们的互动中显现出来并建立起来。此外,这种对时间的定位还与为行动提供集体理由有关。通过对录音语料库的对话分析,我们研究了姑息关怀专业人员如何在团队会议以及与其他医护人员的互动中,以一种情景化和联合的方式理解病人的生命终结轨迹,并根据病人目前的状况和对其或多或少可预见的发展的预后,从及时性(或缺乏及时性)的角度提出行动建议,从而为姑息干预提供有效的理由。
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Discourse Studies
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