Reconfiguring self/identity/status/role: the case of professional role performance in healthcare encounters
Reconfiguring self/identity/status/role: the case of professional role performance in healthcare encounters
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重新配置自我/身份/地位/角色：医疗保健中的专业角色表现案例
DOI：
10.1558/japl.v7i1.75
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发表时间：
2010
影响因子：
1.6
通讯作者：
S. Sarangi
中科院分区：
文献类型：
--
作者：
S. Sarangi
自我、身份、地位和角色等概念是话语分析的核心。然而，这些概念可互换使用，有时以合并的方式使用（例如，自我认同，角色认同），学者内部和跨不同的分析领域重叠的本体论和认识论的轨迹。从社会学和社会心理学传统的自我，地位和身份的更广泛的理论讨论开始，在本文中，我专注于专业设置中的角色和角色表现。使用戈夫曼的工作作为桥梁，我然后提供了一个互动的角度来看，在医疗保健遇到的医患关系的角色表现。说明性的数据例子取自初级保健环境，提请注意医生的竞争角色，即，治疗和教学，包含在专业角色设置的精神，主要是转向以病人为中心的医疗服务。我的主要论点是，在中介层面上对专业角色表现的研究能够提供有趣的理论和经验见解。
Concepts such as self, identity, status and role are central to discourse analytical endeavours. However, these concepts are used interchangeably, and sometimes in a conflated manner (e.g., self-identity, role-identity), by scholars within and across different analytical domains with overlapping ontological and epistemological trajectories. Beginning with a broader theoretical discussion of self, status and identity from sociological and social psychological traditions, in this paper I focus on role and role performance in professional settings. Using Goffman’s work as a bridge I then offer an interactional perspective on role performance which is extended to the doctorpatient relationship in healthcare encounters. The illustrative data examples are taken from the primary care setting, drawing attention to the doctor’s competing roles, i.e., therapeutic and pedagogic, contained within the professional role-set in an ethos which is predominantly steered towards patient-centred healthcare delivery. My main argument is that an examination of professional role-performance at the interactional level is capable of offering interesting theoretical and empirical insights.