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Companions of elderly patients: A s...

Tsai, Mei-hui.

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Companions of elderly patients: A sociolinguistic study of triadic medical encounters in southern Taiwan (China).

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Companions of elderly patients: A sociolinguistic study of triadic medical encounters in southern Taiwan (China)./
作者:	Tsai, Mei-hui.
面頁冊數:	391 p.
附註:	Source: Dissertation Abstracts International, Volume: 61-09, Section: A, page: 3541.
Contained By:	Dissertation Abstracts International61-09A.
標題:	Language, Linguistics. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9987148
ISBN:	0599938005

Companions of elderly patients: A sociolinguistic study of triadic medical encounters in southern Taiwan (China).
Tsai, Mei-hui.

Companions of elderly patients: A sociolinguistic study of triadic medical encounters in southern Taiwan (China). - 391 p.

Source: Dissertation Abstracts International, Volume: 61-09, Section: A, page: 3541.

Thesis (Ph.D.)--Georgetown University, 2000.

This dissertation investigates Taiwanese triadic geriatric encounters between doctors, elderly patients, and patients' adult children who accompany patients on the first visit to their doctor. The two major goals of this research are to propose a systematic framework for analyzing the companion's participation in providing information to the doctor and to account for the dynamic process of the doctor-patient-companion communication by following the principles of interactional sociolinguistics. The data to be examined are fifteen triadic encounters collected in the family medicine department of a teaching hospital in southern Taiwan.

ISBN: 0599938005Subjects--Topical Terms:

1018079
Language, Linguistics.

Companions of elderly patients: A sociolinguistic study of triadic medical encounters in southern Taiwan (China).
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245 1 0 $a Companions of elderly patients: A sociolinguistic study of triadic medical encounters in southern Taiwan (China).
300 $a 391 p.
500 $a Source: Dissertation Abstracts International, Volume: 61-09, Section: A, page: 3541.
500 $a Mentor: Heidi E. Hamilton.
502 $a Thesis (Ph.D.)--Georgetown University, 2000.
520 $a This dissertation investigates Taiwanese triadic geriatric encounters between doctors, elderly patients, and patients' adult children who accompany patients on the first visit to their doctor. The two major goals of this research are to propose a systematic framework for analyzing the companion's participation in providing information to the doctor and to account for the dynamic process of the doctor-patient-companion communication by following the principles of interactional sociolinguistics. The data to be examined are fifteen triadic encounters collected in the family medicine department of a teaching hospital in southern Taiwan.
520 $a In this proposed framework, the companion's participation is analyzed from four aspects that are grounded in the structural and interactional levels. There are four parts in this framework. The first part measures the discourse space of the patient party (i.e. the patient and the companion). The second part provides taxonomy of five categories of information provided by the patient party. The third part identifies eight discourse patterns of question-response sequences in which the patient party provides information to the doctor. The fourth part identifies six linguistic and interactional mechanisms that can initiate the companion's participation.
520 $a By using the above framework, some interactional patterns can be recognized from the quantitative results. Some of the major findings include the following. Most (80%) of the patients remain the primary information providers. However, when both the patient and the companion provide information, the patient hardly ever completes his or her reply to the doctor's questions prior to the companion's intervention. It is also argued that the pedigree section in which the doctor gathers the patient's family history is the most appropriate interactional context to recruit the companion. The related evidence includes the doctor's use of eye contact, relationship deictics, and code-switching to Mandarin which the patient does not speak as initiation cues to prompt the companion's participation.
520 $a This research contributes to the field of discourse and medicine by taking interactional aspects into account when examining the participation of the companion. It also adds cultural meaning and medical professionals' insights to the interpretation of the interactional patterns observed in the fifteen doctor-patient-companion triads.
590 $a School code: 0076.
650 4 $a Language, Linguistics. $3 1018079
650 4 $a Gerontology. $3 533633
650 4 $a Speech Communication. $3 1017408
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
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710 2 0 $a Georgetown University. $3 1017582
773 0 $t Dissertation Abstracts International $g 61-09A.
790 1 0 $a Hamilton, Heidi E., $e advisor
790 $a 0076
791 $a Ph.D.
792 $a 2000
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9987148