Language and Medicine
A short analysis on a preliminary practitioner-patient
interview: a case study
Franklin de la Cruz M
In partial fulfillment of the Seminar in Discourse Analysis.
Universidad de Chile.
2013
Phd. Saeid Atoofi. UCLA.
Overview
Presentation based on Fleischman Suzanne: Medical Language and
discourse Genres
● Primary teller
● Medic controls...
Fibromyalgia
It is a chronic disorder characterized by widespread
musculoskeletal pain, fatigue, and tenderness in localiz...
Geraldine Van Rijn-Van
Tongeren (Reference back by Fleischman, S: Language and
Medicine)
● Catachretic
Fill gap in vocabul...
Catachretic
P: ...y empecé a sentir dolores (0.2) en 'to:do
mi cue:rpo (0.4) pero en 'to:do (1) después
de los dolores (1)...
Didactic and narrator pivot
M: ¿y que y >duerme toda la noche<?
P: el imsomnio (.) es lo principal (0.2) no se
puede dormi...
Narrator pivot
P: ...así es doctor (.) no existe:h he visto
todas las especialidades de doctores (0.2)
llega un momento (....
Gestures (prior to theory-constitutive?)
P: ...y los *músculos como que (gesture)
están (gesture)
M: en contracción
P: en ...
Conclusions
● It is believed that the only resource a patient has to describe his/her
symptoms are metaphors, mainly catac...
Thank you very much
people!!!
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Presentation fybromialgia

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A short analyis of main metaphors that frame the conversation in the preliminary doctor patient interview.

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Presentation fybromialgia

  1. 1. Language and Medicine A short analysis on a preliminary practitioner-patient interview: a case study Franklin de la Cruz M
  2. 2. In partial fulfillment of the Seminar in Discourse Analysis. Universidad de Chile. 2013 Phd. Saeid Atoofi. UCLA.
  3. 3. Overview Presentation based on Fleischman Suzanne: Medical Language and discourse Genres ● Primary teller ● Medic controls interaction (Beckman and Frankel 1984 (18sec)) ● Symptoms, diagnosis and Metaphorical expressions ● This interaction takes place in the preliminary interview between a specialist and a woman diagnosed with fibromyalgia. ● Symbols: P= patient M= medic
  4. 4. Fibromyalgia It is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. Merriam Webster
  5. 5. Geraldine Van Rijn-Van Tongeren (Reference back by Fleischman, S: Language and Medicine) ● Catachretic Fill gap in vocabulary ● Didactic Explain new concepts ● Theory-constitutive Not known phenomena Text: practitioner focused
  6. 6. Catachretic P: ...y empecé a sentir dolores (0.2) en 'to:do mi cue:rpo (0.4) pero en 'to:do (1) después de los dolores (1) poco a poco vino (0.2)una <paralización> M: (mmm... ) P: como si fuera una oruga que me fuera Envolviendo desde los pies (0.6) me iba M: (mhh) P: =paralizando M: entonces...
  7. 7. Didactic and narrator pivot M: ¿y que y >duerme toda la noche<? P: el imsomnio (.) es lo principal (0.2) no se puede dormir (.) en 'días (0.2) en 'semanas (0.2) inclusive en meses (0.2) p(ue- M: (Pe-- ¿qué Hace (0.2) pequeños (.) sueñitos chiquitos y (.) pero la mayor parte (0.2) es que está: P: inclusive (0.2) pueden transcurrir setenta y dos horas ochenta horas sin dormir un minuto (0.4) ni un solo minuto (0.8) M: (mmhh) P: =no sabemos lo que es el sueño.
  8. 8. Narrator pivot P: ...así es doctor (.) no existe:h he visto todas las especialidades de doctores (0.2) llega un momento (.) en que la incomprensión de los doctores (0.2) y la de los familiares nos aisla..
  9. 9. Gestures (prior to theory-constitutive?) P: ...y los *músculos como que (gesture) están (gesture) M: en contracción P: en contracción M: y relajación P *así M: los siente usted (0.2) los músculos generalmente uno no los siente (.) *uste:d (.) *si siente que tiene músculos y que se contraen y se relajan se contraen y se relajan (.) y además acompañado de dolor (.) un poco de mareo o:: mucho a veces (.) tanto así el mareo (.) que no le permite caminar a veces.
  10. 10. Conclusions ● It is believed that the only resource a patient has to describe his/her symptoms are metaphors, mainly catachrectic. ● Didactic metaphors seem to belong exclusively to the practitioner speech (to give explanations -retelling symptoms) ● The explanation of symptoms in a chain seems to be assisted by gestures. (self theory-constitutive?) ● Narrator pivot is present (I > us indirect object: patient) when the patient makes generalizations of her narration. ● I believe that further studies should be done to understand better this change of pivot of narrator in the primary teller in this specific context: the preliminary interview.
  11. 11. Thank you very much people!!!

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