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首页> 外文期刊>Health communication >Missed Opportunities to Build Rapport: A Pragmalinguistic Analysis of Interpreted Medical Conversations with Spanish-Speaking Patients
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Missed Opportunities to Build Rapport: A Pragmalinguistic Analysis of Interpreted Medical Conversations with Spanish-Speaking Patients

机译：错过了建立融洽关系的机会：用西班牙语患者解释医疗谈话的理论分析

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摘要

Interpreted medical discourse presents significant challenges for communication because portions of the original message are often reduced, omitted, or revised, particularly by untrained interpreters. Linguistic devices that contribute to rapport and politeness may be perceived as unimportant or unnecessary and therefore are omitted. Thus, when messages are conveyed without interpretation of politeness and rapport attempts, pragmatic issues and misunderstandings occur. This investigation examined 43 transcriptions of interpreted medical consultations at a family medicine clinic. We quantified rapport-building attempts that frequently occurred, yet were not interpreted. We then examined specific and general effects of non-interpretation and noted potential consequences for physician-patient communication. Building on both linguistic and communication frameworks, results align with previous research suggesting that rapport-related variables including verbal immediacy are not secondary to "more important" information communicated by doctors; instead, patients' impressions of rapport may be even more important than the health-related information itself. The application of linguistic pragmatics in this analysis offers additional insights into the relationship between verbal communication and rapport.
机译：解释的医疗话语呈现出沟通的重大挑战，因为原始信息的部分通常会减少，省略或修改，特别是未经训练的解释器。有助于融洽关系和礼貌的语言设备可能被认为是不重要或不必要的，因此被省略。因此，当没有诠释礼貌和融洽日常尝试的情况下传达消息时，发生了语用问题和误解。本调查审查了43家在家庭医学诊所的解释医疗咨询转录。我们量化了往来发生的常规建筑尝试，但没有解释。然后，我们检查了非解释的具体和一般影响，并注意到医师患者沟通的潜在后果。在语言和通信框架上建立，结果与以前的研究一致，表明与医生沟通的“更重要的”信息没有次要的媒体相关变量;相反，患者的伴随的展示性的印象可能比健康相关信息本身更重要。语言语用法在此分析中的应用在口头沟通与融洽关系之间的关系提供了额外的见解。

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