使用对话策略来建立对有争议的疾病叙述的可信度
1The College of New Jersey, Ewing, New Jersey, United States.
Communication & medicine
|February 11, 2026
概括
这项研究分析了疾病回忆录,揭示了患者如何使用叙事策略来验证他们的经历并建立可信度. 这些自动病理学有助于使有争议的疾病正常化,通过断言患者的权威和他们的状况的现实.
科学领域:
- 话语分析 话语分析
- 语言学的语言学.
- 叙事医学是一种叙事医学.
背景情况:
- 患有有争议的疾病的患者经常面临医学怀疑.
- 疾病回忆录 (自动病记) 作为患者声音的平台.
- 之前的研究已经探索了患者的叙述,但对特定的语言装置的可信度却较少.
研究的目的:
- 分析疾病回忆录中使用的语言和叙事装置.
- 了解回忆录作者如何建立信誉并证明他们的经验.
- 探索自动病理学在正常化有争议的疾病中的作用.
主要方法:
- 三个英语疾病回忆录的话语分析.
- 近距离阅读技术专注于定向部分.
- 对话主义,回忆录理论,叙事分析和评估语言学的应用.
主要成果:
- 回忆录作者使用第一手证据 (直接证据,幻象态度,推迟实现) 来宣称内在的权威.
- 二手证据 (前言,腹语,引用证据,文本间) 增强了叙事的可信性.
- 这些设备共同验证了有争议的疾病的现实.
结论:
- 疾病回忆录作为一种有说服力的话语来抵制医学怀疑主义.
- 语言装置的战略性使用增强了患者叙述的真实性和权威性.
- 自动病理图有助于社会和医疗规范化有争议的疾病.
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