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18. Pragmatics and medical discourse Gillian Martin 1. Introduction This chapter seeks, on the one hand, to explore how patient and healthcare provider voices are enacted within a range of contexts in which medical discourse takes place and, on the other hand, to evaluate the contribution of pragmatics to an understanding of the many complexities that characterise communication in healthcare settings. The focus of the chapter will be primarily on spoken, rather than written discourse and on so-called frontstage encounters (Goffman 1959, Sar- angi and Roberts 1999

1 1 Medical Discourse: Building Bridges between Medicine and Society Pilar Ordóñez-López Nuria Edo-Marzá Medical discourse not only allows medical professionals to communicate among each other, but it is also the link between the medical profession and the public, including patients. As pointed out by scholars such as Gotti and Salager-Meyer (2006: 10), medicine has always occupied a prominent place in all cultures and times, for the simple reason that it affects the health and lives of all human beings. Furthermore, as shown by the growing number of

is well documented in a number of publications (e. g., Giannoni 2008 ; Gunnarsson 2009 ; Boyack et al. 2013 ; Ioannidis 2014 ; Van Noorden 2014 ). Proof of this development is abundant, but we will cite just two aspects here. The first is the growing number of medical journals published annually in English worldwide, and the second is the recent appearance of non-medical journals devoted to the (linguistic, sociolinguistic, socio-historical, etc.) study of English-medium medical discourse or of journals that, among other articles, publish papers dealing with

Medical evidentiality and the construction ofprofessional responsibility 1. Introduction: The doctor-patient bias 76 Paul Atkinson Medical discourse 77 The research 8.nd its setting 78 Paul Atkinson Medical discourse 79 3. Rounds 80 Paul Atkinson 4. presentations as collegial discourse Medical discourse 81 1 1 don't we hear about the new 2 er, real 'cos I think that er she's her er even as we so 3 and wrote a note 4 Urn (1 Geraldine Cascarino 5 trusted that your note summarized that fOUf that four week chart 6 F: I didn't 7 At: Hehehheh 8 F: There wasn' much

9 2 Variations in Medical Discourse for Academic Purposes Maurizio Gotti This chapter investigates significant variations in medical discourse used for academic purposes, exploring the complex nature of its realisations. Indeed, in the last few years, medical discourse used for academic purposes has shown important variations deriving from a host of factors, such as cultural aspects, community membership, professional expertise and generic conventions. Moreover, a few research projects have pointed out differentiations in the behaviour of medical writers

Heidrun Dorgeloh The interrelationship of register and genre in medical discourse Abstract: This chapter is concerned with medical discourse which is produced beyond the established roles of doctors and patients. The text varieties inves- tigated are all somewhat hybrid, either in form, discourse function, or both. A study based on a small corpus of these texts investigates the presence of features from a narrative discourse mode and finds variable relationships of textual form and textual function, which are then discussed from a genre as well as from a

11 Medical Discourse in the Oldest Lithuanian Lutheran Texts Dainora Pociūtė Abstract The focus of this paper is medical terminology and discourse in 16th- century Lithuanian Lutheran books, the oldest and most important documents of the kind in the Lithuanian language. The central questions raised address the issues of whether the early Lutheran vernacular texts prepared in Prussia dealt with medical concerns; how they influenced the development of Lithuanian medical terminology; what was the role of the popular religious literature in the dissemination of

Medical Discourses and Practices in Contemporary Japanese Religions Monika Schrimpf ABSTRACT In contemporary Japan, many religious actors engage in therapeutic practices with the intention of curing or preventing disease, whether in new religious movements and the Japanese New Age, in folk religion or in “established religions” (kisei shūkyō). Notwithstanding the prominent role of Buddhist scriptures, temples, and priests in medical practice and knowledge in premodern Japan, the introduction of a public healthcare system in the Meiji era (1868

CHAPTER SEVEN Disordered Bodies/Disorderly Acts: Medical Discourse and the Female Criminal in Nineteenth-Century Paris Ann-Louise Shapiro In 1826, Ch.-C. H. Marc, a prominent doctor of mental medicine jan alienist), argued for the first time in a criminal case that the defendant, Henriette Cornier, could not be held responsible for the murder of her nineteen-month-old neighbor because at the time of the attack Corn- ier had her period. Marc contended that she had been overcome by an irresistible homicidal impulse, provoked by menstruation, that in- duced