This paper explores patient-initiated advice during a screening program for Down Syndrome in a Hong Kong hospital. In managing these requests medical providers have to balance the opposing demands of ensuring patient autonomy in decision-making while at the same time responding to patients’ requests for advice. Using discourse analysis we demonstrate that medical providers take a more or less direct stance depending on whether these requests are framed as (i) explicit advice-seeking about what test to take, or (ii) information-seeking about the screening program. In order to capture the complexities of how advice-giving is managed interactionally, it is crucial to understand the specific constraints and ideologies that characterize the institutional and the socio-cultural context in which these interactions take place.
2023. How technology shapes advice: professional–parent interaction in a digital pediatric treatment. Frontiers in Communication 8
2018. Reproduction and Language. In The Oxford Handbook of Language and Sexuality,
Jin, Ying & Dennis Tay
2021. Discretion. Chinese Language and Discourse. An International and Interdisciplinary Journal 12:2 ► pp. 158 ff.
Yau, Alice H.Y. & Olga A. Zayts
2014. ‘I don’t want to see my children suffer after birth’: the ‘risk of knowing’ talk and decision-making in prenatal screening for Down’s syndrome in Hong Kong. Health, Risk & Society 16:3 ► pp. 259 ff.
Yip, Jesse W. C.
2022. Management of therapist directiveness in integrative psychotherapy: A corpus-assisted discourse study. Discourse and Interaction 15:1 ► pp. 132 ff.
Zhang Waring, Hansun, Elizabeth Reddington, Di Yu & Ignasi Clemente
2018. Going general: Responding to yes–no questions in informational webinars for prospective grant applicants. Discourse & Communication 12:3 ► pp. 307 ff.
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