俄语话语实践中医患沟通的冲突产生因素

O. Issers
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引用次数: 0

摘要

本文研究了医患在沟通中产生冲突的原因,涉及到语言规范的使用问题以及沟通和道德规范的遵守问题。研究的重点是侵犯患者了解健康状况的权利所造成的产生冲突的因素,其中特别包括这种信息的数量和细节以及提供的形式。考虑到可及性和敏感性的要求,讨论了用语言表达有关患者健康的信息的方法。作者考察了医患沟通领域中法律规定的“非语言”性质所造成的问题情况。本研究的目的是确定医疗领域中产生冲突的因素,这些因素不仅违反了医患沟通的道德规范,也违反了医患沟通的法律规范。经验基础是通过询问患者形成的。该研究还使用了博客圈、社交媒体材料和对患者的个人采访。通过对社会语言学数据的分析,可以确定4个产生冲突的因素:1)信息的可获得性;2)信息量(细节),3)精致/不精致;4)医生对患者的反馈质量。作为研究的结果,得出的结论可以从语言学上解释在与医生沟通过程中出现的沟通失败。这就为制定具有潜在冲突和法律效力的交际违法行为的标准提供了理由
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Conflict-Generating Factors of Doctor-Patient Communication in Russian-Language Discursive Practices
The article studies the causes of conflict situations between a doctor and a patient in the communication, associated with the problems of using the language code and the compliance of communicative and ethical norms. The research focuses on conflict-generating factors caused by the violation of the patient’s right to information about the state of health, which include, in particular, the volume and details of such information, as well as the forms it was provided. Methods of verbalizing the information about the patient’s health are discussed, taking into account the requirements of accessibility and sensitivity. The author examines problematic situations caused by the «non-linguistic» nature of legal regulation in the field of doctor-patient communication. The aim of the study is to identify conflict-generating factors of communication in the medical field, which lead to a violation of not only ethical, but also legal norms of communication between doctors and patients. The empirical base was formed by questioning the patients. The study also used blogosphere, social media materials, and personal interviews with patients. The analysis of sociolinguistic data made it possible to identify 4 conflict-generating factors: 1) the availability of information; 2) volume (details) of information, 3) delicacy / indelicacy; 4) the quality of the doctor’s feedback for the patient. As a result of the study, conclusions were drawn that allow to linguistically interpret the communicative failure that arose in the process of communicating with the doctor. This gives reason to develop criteria for communicative violations that are potentially conflict ones and have legal effect
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