이 책은 저자의 박사 학위 논문인 ‘대화분석을 통한 한국 의사-환자 커뮤니케이션 연구’ (UCLA, 2009)의 일부 내용을 수정 보완하여 저술한 것이다. 이 연구에서는 먼저 한국의 병원에서 환자와 의사 사이에서 일어나는 대화와 활동을 대화 분석이라는 이론적 틀을 이용하여 관찰하고 분석하였다. 그리고 분석의 결과를 중심으로 하여 의사와 환자 사이의 사회문화적 의사소통 구조를 고찰해 보고 앞으로의 연구 방향을 논의해 보았다. 이 연구에서 분석한 자료는 한국의 의료 기관에서 수집한 육십여 건의 의료 담화 자료이다.
This book used observations of participants’ actual conduct during medical encounters as a basis for theorizing the grammar and social organization of actions in Korean primary care settings during different phases of the visits mainly by employing the theoretical orientations and techniques of conversation analysis.
CHAPTER 1INTRODUCTION
1.1. Importance of Communication Skills in Medicine
1.2. Theoretical Background
1.2.1. Conversation Analysis and Institutional Talk
1.2.2. Embodied Work
1.3. Research on Doctor?patient Communication
1.3.1. Research on Different Phases of the Medical Visit
1.3.2. Medical Communication Research in the Korean Context
1.4. Data and Method
1.5. Ethnography of Korean Medical Settings
1.5.1. Private Clinic
1.5.2. Hospital
1.6. Overview of the Book
IN KOREAN PRIMARY CARE CONSULTATIONS
2.1. Introduction
2.2. Taxonomy of Opening Actions in Korean Primary CareConsultations
2.2.1. Question Formats used to Solicit Follow?up and RoutineConcerns
2.2.2. Using an Inappropriate Opening Format
2.3. The Normative Organization of Two Opening Formats
2.3.1. ‘Where does it hurt?’ as a Literal Question
2.3.2. ‘Name of patient ＋ topical marker’ type Openings
2.4. Discussion
2.4.1. Constraining Opening Sequences: a CollaborativeAchievement
2.4.2. Institutional Relevance of Opening Designs
CHAPTER 3DOCTORS’ QUESTIONS AND PATIENTS’ RESPONSES: NEGOTIATING AND CLAIMING EPISTEMIC RIGHTS
3.1. Introduction
3.2. Setting the Background: Questioning Actions
3.2.1. The Grammar of Building Questions in Korean
3.2.2. Questioning Practices in Korean and English:A Comparative Review
3.2.3. Dimension of Questioning and Fitted Responses
3.2.4. Studies on Stance Markers and Social Distribution ofKnowledge in Negative Yes/No Questions
3.3. Quantitative Distribution of Question Forms Found in the Data
3.3.1 Moving from Content Questions to Polar Questions
3.4. Epistemic Gradients Encoded in Different Korean NegativeQuestions
3.4.1. Short Form, Nominalized Form, Long Form NegativeQuestions
3.4.2. Question Forms and their Co?occurrence with Committaland Connective Suffixes
3.5. Various Responses
3.5.1. Agreeing with the Question: Fitted Response
3.5.2. Rejecting through Downgraded Epistemic Claims
3.5.3. Disconfirmation through ‘No’ Tokens
3.5.4. Matching Epistemic Claims
3.6. Discussion
CHAPTER 4REPETITIONS IN 3rd POSITION: FORMING DIAGNOSTIC HYPOTHESES
4.1. Introduction
4.2. Functions, Actions and Forms of Repetitions
4.3. Repetitions in Third Position
4.3.1. Reversed polarity questions: Forming diagnostic hypothesis
4.3.2. Doctor’s Repetition in Third Position: Prompting Revision
4.4. Discussion: Findings and Implications
