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문화간 진료 담화에 나타난 국내 체류 외국인 환자의 도전적 포지셔닝

Resistive Positioning of International Patients in Intercultural Medical Discourse

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초록

This study examined resistive positioning in English medical interactions between migrant worker patients residing in Korea and domestic doctors, using the framework of Davies & Harré (1990/1999). Four consultations were closely analyzed as significant examples of resistive positioning. The analysis focused on first-order/second-order positioning, self/other positioning, and moral/personal positioning modes by the patients. In the first type, patients triggered second-order resistive positioning by mentioning doctors from their home country during the diagnosis and treatment/advice phases. In the second type, patients emphasized first-order positioning by expressing personal preferences or making requests while navigating professional terminology with the doctor. The findings highlight that resistive positioning is distinct from non-compliance or impoliteness towards the doctor. The study also discusses theoretical and practical implications.

Abstract

This study examined resistive positioning in English medical interactions between migrant worker patients residing in Korea and domestic doctors, using the framework of Davies & Harré (1990/1999). Four consultations were closely analyzed as significant examples of resistive positioning. The analysis focused on first-order/second-order positioning, self/other positioning, and moral/personal positioning modes by the patients. In the first type, patients triggered second-order resistive positioning by mentioning doctors from their home country during the diagnosis and treatment/advice phases. In the second type, patients emphasized first-order positioning by expressing personal preferences or making requests while navigating professional terminology with the doctor. The findings highlight that resistive positioning is distinct from non-compliance or impoliteness towards the doctor. The study also discusses theoretical and practical implications.

참고문헌 (44)

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