Clinicians as communication partners - Developing a mediated discourse elicitation protocol
Clinicians as communication partners - Developing a mediated discourse elicitation protocol
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DOI：
10.1097/00011363-200701000-00005
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发表时间：
2007-01-01
影响因子：
1.4
通讯作者：
Duff, Melissa C.
中科院分区：
文献类型：
--
作者：
Hengst, Julie A.;Duff, Melissa C.
本文介绍了介导的话语启发方案的开发和试验。该协议以介导的话语分析为基础，以介导的话语分析为基础，以旨在保留交流方面的方式选择性地示例熟悉的话语类型。至关重要的是，介导的话语启发协议概念化了整个会议（不仅是目标任务），客户和临床医生谈话（不仅仅是客户独白）作为临床/研究数据。使用位置分析技术，我们提出了两个试点会议。令人惊讶的是，在第一届会议中，临床医生很难从临床立场（例如，提示，指导谈话）转移到目标交流活动期间的相互对话立场（例如，成为客户叙事的受众）。因此，我们修订了更好地指定临床医生的动态作用的协议，并进行了第二次试点会议，结果截然不同。从广义上讲，这些结合物；揭示复杂的互动话语可以在临床环境中引起，并且中介的话语分析提供了丰富的理论和方法论资源，以增强临床医生在检查，考虑和灵活地转移其话语角色以更好地实现临床目标的过程中。
This article presents the development and piloting of a mediated discourse elicitation protocol. Grounded in situated theories of communication and informed by mediated discourse analysis, this protocol selectively samples familiar discourse types in a manner designed to preserve interactional aspects of communication. Critically, the mediated discourse elicitation protocol conceptualizes the entire session (not just targeted tasks) and both client and clinician talk (not just client monologues) as clinical/research data. Using situated discourse analysis techniques, we present two pilot sessions. Surprisingly, in the first session the clinician had difficulty shifting from a clinical stance (e.g., offering prompts, directing talk) to a reciprocal conversational stance during target communicative activities (e.g., being an audience to client narratives). Thus, we revised the protocol to better specify the clinician's dynamic role and conducted a second pilot session with strikingly different results. Broadly, these fitidings; reveal that complex interactional discourse can be elicited in clinical settings and that mediated discourse analysis provides rich theoretical and methodological resources to empower clinicians in examining, accounting for, and flexibly shifting their discourse roles in order to better achieve clinical goals.