Interruptions and Overlaps in Doctor–Patient Communication Revisited

V časopise:

Číslo v periodiku: 

Typ publikace:



The paper offers partial results of a long-term project aimed at the inquiry into the field of medical interviewing. The main goal of the project is to search for communicative strategies of doctors and patients that are capable of conveying empathy and trust. Via an interdisciplinary analysis, based on the data excerpted from the most recent edition of the British National Corpus (2007), the author attempts to bring quantitative and qualitative evidence that doctor–patient communication has undergone significant modifications, resulting in social re-definition of the asymmetrical roles of the main protagonists. The paper draws attention to those communicative practices of doctors and patients that usually result in overlapping speech.


Ainsworth-Vaughn, Nancy. 1998. Claiming Power in Doctor–Patient Talk. Oxford: Oxford University Press.
Aronsson, Karin – Larsson, Ullabeth. 1987. “Politeness Strategies and Doctor–Patient Communication. On the Social Choreography of Collaborative Thinking”. Journal of Language and Social Psychology 6.1–27.
Bennet, Adrian. 1981. “Interruptions and the Interpretation of Conversation”. Discourse Processes 4.171–188.
Byrne, Patrick, Long, Barrie. 1976. Doctors Talking to Patients. Exeter: Royal College of General Practitioners.
Cameron, Deborah. 1985. Feminism and Linguistic Theory. London: McMillan Press Ltd.
Cordella, Marisa. 2004. The Dynamic Consultation. A Discourse Analytical Study of Doctor–Patient Communication. Philadelphia: John Benjamins.
Černý, Miroslav. 2007. Sociolinguistic and Pragmatic Aspects of Doctor–Patient Communication. Ostrava: University of Ostrava.
Davis, Hayley. 1996. “Theorizing Women’s and Men’s Language”. Language & Communication 61.71–79.
Edelsky, Carole. 1981. “Who’s Got the Floor?”. Language in Society 10.383–421.
Fairclough, Norman. 1989. Language and Power. London: Longman.
Furst, Lilian. 1998. Between Doctors and Patients: The Changing Balance of Power. University of Virginia Press.
Goldberg, Julia. 1990 “Interrupting the Discourse on Interruptions”. Journal of Pragmat-ics 14.883–903.
Henzl, Vera. 1989. “Linguistic Means of Social Distancing in Physician–Patient Communication”. Doctor–Patient Interaction (ed. Raffler-Engel, W.), 77–89. Amsterdam: John Benjamins.
Körtvélyessy, Lívia. 2009. “The Sociolinguistic Factor of Language Background in Research Realization”. Culture, Language and Literature across Border Regions (eds. Štekauer, P. – Tomaščíková, S. – Witalisz, W.), 157–167. Krosno: PWSZ.
James, Deborah – Clarke, Sandra. 1993. “Women, Men and Interruptions: A Critical Review”. Gender and Conversational Interaction (ed. Tannen, D.), 231–280. New York: Oxford University Press.
Måseide, Per. 1991. “Possibly Abusive, Often Benign, and Always Necessary. On Power and Domination in Medical Practice”. Sociology of Health and Illness 13.545–561.
Mishler, Elliot. 1984. The Discourse of Medicine. Norwood: Ablex Publishing Corporation.
Neustein, Amy. 1989. “Medical History-Taking as Interactive Event.” Doctor–Patient Interaction (ed. Raffler-Engel, W.), 61–91. Philadelphia: John Benjamins.
Roter, Debra – Hall, Judith. 1992. Doctors Talking with Patients/Patients Talking with Doctors. Westport: Auburn House.
Shuy, Roger. 1983. “Three Types of Interference to an Effective Exchange of Information in the Medical Interview”. The Social Organization of Doctor–Patient Communication (eds. Fisher, S. – Todd, A.), 189–202. Washington, D.C.: The Center for Applied Linguistic
Tannen, Deborah. 1984. Conversational Style. Analysing Talk Among Friends. New Jersey: Ablex.
―. 1986. That’s Not What I Meant! How Conversational Style Makes or Breaks Your Relations with Others. New York: William Morrow.
Waitzkin, Howard. 1984. “Doctor–Patient Communication. Clinical Implications of Social Scientific Research”. The Journal of the American Medical Association 259.2441–2446.
West, Candace. 1984. Routine Complications. Bloomington: Indiana University Press.
West, Candace – Zimmerman, Don. 1983. “Small Insults: A Study of Interruptions in Cross-Sex Conversations between Unacquainted Persons”. Language, Gender & Society (eds. Thorne, B. – Kramarae, C. – Henley, N.), 102–117. Rowley: Newbury House, 1983.
Wynn, Rolf. 1995. The Linguistics of Doctor–Patient Communication. An Analysis of the Methodology of Doctor–Patient Communication Research. Oslo: Novus Press.
―. 1999. Provider–Patient Interaction. A Corpus-Based Study of Doctor-Patient and Student-Patient Interaction. Kristiansand: Norwegian Academic Press.
Zimmerman, Don – West, Candace. 1975. “Sex Roles, Interruptions and Silences in Conversation”. Language and Sex: Difference and Dominance (eds. Thorne, B. – Henley, N.), 105–129. Massachusetts: Newbury House, 1975.