Questions in cross-linguistic medical encounters: The role of the hospital interpreter
Questions in cross-linguistic medical encounters: The role of the hospital interpreter
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DOI：
10.1353/anq.2001.0035
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发表时间：
2001-10-01
影响因子：
0.9
通讯作者：
Davidson, B
中科院分区：
文献类型：
--
作者：
Davidson, B
医患话语，甚至同语言话语，可以被视为一种跨文化互动。在美国国内，有越来越多的第三世界成年移民患者不会说英语。对于这些病人来说，第一世界医疗实践的“跨文化”方面因医疗口译员的存在而得到强调，口译员本身面临着谈判话语内容以及这些话语所传达的文化背景的任务。分析表明，通过话语解释的方式和时间的可变模式，口译员的功能不是作为患者的“盟友”，也不是作为命题的中立传达者，而是作为隐蔽的共同诊断专家和机构看门人。因此，这些病人往往被医生视为“被动的”和“不听话的”，从而影响到医疗机构如何提供护理和对他们的治疗。
Physician-patient discourse, even same-language discourse, may be viewed as a type of crosscultural interaction. Inside the US, there is a large and increasing number of adult Third World immigrant patients who do not speak English. For these patients the "cross-cultural" aspect of First World medical practice is underscored by the presence of the medical interpreter, who is herself faced with the task of negotiating both the content of utterances and also the cultural contexts from and into which these utterances are conveyed. Analysis shows that, through variable patterns of how and when utterances are interpreted, the interpreter functions, not as an "ally" of the patient nor as a neutral conveyer of propositions, but rather as a covert co-diagnostician and institutional gatekeeper. As one result, these patients are often seen as "passive" and "non-compliant" by physicians, with consequences for how care is delivered and for their treatment by the institutional State.