Practices of relationship building in Hungarian primary care
Communicative styles and intergenerational differences
Using data from Hungarian primary-care consultations, we present linguistic features of relationship-building,
focusing on the role of address forms and metapragmatic reflections. We also investigate intergenerational differences and
different styles of managing doctor-patient relationships. Based on a range of evidence (discourse about doctor-patient
communication in the public and in academia, participant observation of consultations, interviews with practitioners, analysis
of instructional videos, questionnaire surveys), we discuss a change in doctor-patient communication at both macro
(socio-cultural) and micro (interactional) levels. Factors influencing this process include general social change,
digitisation and the communicative training of healthcare professionals. We conclude that physicians build different types of
relationships with language, which hints at an overall shift in Hungarian society and in healthcare communication in
general.
Article outline
- 1.Introduction
- 2.Relationship-building in doctor-patient consultation
- 3.Data and methods
- 4.Relationship-building in doctor-patient communication: Attitudinal deixis and metapragmatic actions
- 4.1Attitudinal deixis
- 4.2Metapragmatic comments and relationship-building
- 5.Changes in relationship-building
- 5.1Changes of communicative practice: Intergenerational aspect
- 5.2Change in style: physician- and patient-centred communicative patterns
- 6.Conclusions and limitations
-
Notes
-
References
References
Ainsworth-Vaugh, Nancy
2004 Claiming Power in Doctor-Patient Talk. Oxford: Oxford University Press.
Bartha, Csilla, and Ágnes Hámori
2010 “
Stílus a szociolingvisztikában, stílus a diskurzusban [Style in sociolinguistics, style in discourse:
Linguistic variability and the construction of social meaning in the “third wave” of sociolinguistics].”
Magyar Nyelvőr 134 (3): 298–321.
Bálint, Katalin, Tamás Nagy, and Márta Csabai
2014 “
The Effect of Patient-Centeredness and Gender of Professional Role Models on Trainees’ Mentalization
Responses. Implication for Film-aided Education.”
Patient Education and Counseling 97: 52–58.
Beach, Wayne
2013 “
Introduction.” In
Handbook of Patient-Provider Interactions, ed. by
Wayne Beach, 1–18. New York: Oxford University Press.
Bigi, Sarah
2016 Communicating (with) Care. A Linguistic Approach to the Study of Doctor-Patient Interactions. Amsterdam: IOS.
Blommaert, Jan
2018 Durkheim and the Internet. On Sociolinguistics and the Sociological Imagination. London: Bloomsbury.
Brown, Roger, and Albert Gilman
1960 “
The Pronouns of Power and Solidarity.” In
Style in Language, ed. by
Thomas Sebeok, 253–276. Cambridge: MIT Press.
Bublitz, Wolfram, and Axel Hübler
Caffi, Claudia
2016 “
Revisiting Metapragmatics: What Are We Talking About?” In
Pragmemes and Theories of Language Use, ed. by
Keith Allan,
Alessandro Capone and
Istvan Kecskes, 799–821. Heidelberg: Springer.
Clark, Herbert H.
1996 Using Language. Cambridge: CUP.
Csabai, Márta, Ilona Csörsz, and Katalin Szili
2009 A gyógyító kapcsolat élménye. Kézikönyv és oktatólemez a kapcsolati készségek fejlesztéséhez. [The experience of a healing relationship. Handbook and educational CD-ROM for the development of
relationship-oriented skills]. Budapest: Oriold és Társa Kiadó.
Csiszárik, Katalin, and Ágnes Domonkosi
2018 “
A gyógyító-beteg viszonylat megszólítási változatai egy mozgásszervi rehabilitációs osztály
gyakorlatközösségében. [Address form variants in healer-patient interactions in the practice community of a mosculoskeletal
rehabilitation ward.]”
Acta Universitas de Carolo Eszterházy Nominatae XLIV: 109–128.
Domonkosi, Ágnes
2010 Variability in Hungarian Address Forms.
Acta Linguistica Hungarica 57: 29–52.
Domonkosi, Ágnes
2016 Perspective and Attitudinal Deixis in Hungarian.
Jezyk, Komunikacja, Informacja / Language, Communication, Information 11: 86–98.
Eckert, Penelope
2006 “
Communities
of
Practice.” In
Encyclopedia
of Language and Linguistics. Edited
by
Keith Brown, 683–85. Amsterdam: Elsevier.
Gaal, Ilona
2016 “
Az internet hatása az orvos–beteg viszonyra.”
Orvosi Hetilap 157 (17): 680–684.
Goffman, Erving
1959 The Presentation of Self in Everyday Life. London: Penguin.
Goffman, Erving
1966 Behaviour in Public Places: Notes on the Social Organization of Gatherings. New York: The Free Press
Hall, Judith, Debra Roter, and Cynthia Rand
1981 “
Communication of Affect between Patient and Physician.”
Health and Social Behaviour 22 (1): 18–30.
Hambuch, Anikó, Lőrinc Sárkányné, and Rita Kránicz
2018. “
Veränderung
der Kommunikationsmodelle im Gesundheitswesen und ihre Widerspiegelung in den Interaktionen mit Klienten [Change of
communication models in healtcare and its reflection in interaction with
clients].” In
Fachbezogener
Fremdsprachenunterricht – aktuelle Herausforderungen und zukünftige
Chancen, ed. by
Brigita Kacjan, 59–71. Ljubljana: The Slovene Association of LSP Teachers.
Harris, Roxy
2006 New Ethnicities and Language Use. Houndmills, Basingstoke: Palgrave MacMillan.
Havas, Ferenc, Márta Csepregi, Nikolett Gulyás, and Szilvia Németh
2015 Typological Database of the Ugric Languages. Budapest: ELTE.
Heritage, John, and Douglas Maynard
2006 “
Problems and Prospects in the Study of Physician-Patient Interaction: 30 Years of Research.”
Annual Review of Sociology 32 (1): 351–74.
Koerfer, Armin, Thomas Reimer, and Christian Albus
2018 “
Beziehung aufbauen [Constructing relationships]." In
Kommunikative Kompetenz in der Medizin: Ein Lehrbuch zur Theorie, Didaktik, Praxis und Evaluation der ärztlichen
Gesprächsführung, ed. by
Armin Koefer, and
Christian Albus, 814–851. Mannheim: Verl. für Gesprächsforschung.
Kuna, Ágnes
2016 “
Person Deixis and Self-Representation in Medical Discourse. Usage Patterns of First Person Deictic Elements
in Communication by Doctors.”
Language, Communication, Information 11: 99–121.
Kuna, Ágnes and Ágnes Domonkosi
2020 “
Social Meanings of the Hungarian Politeness Marker tetszik in Doctor-Patient
Communication.”
Acta Universitatis Sapientiae Philologica? 12 (3): 88–104.
Kuna, Ágnes, and Ágnes Domonkosi
2022 “
Társas deixis és a kapcsolatépítés az orvos-beteg interakcióban [Social deixis and relationship building in
physician-patient interaction].” In
A deixis a magyar nyelvben. [Deixis in Hungarian] ed. by
Krisztina Laczkó, and
Szilárd Tátrai. Budapest: Eötvös Collegium.
Kuna, Ágnes, and Ágnes Hámori
.
(forthc.). “
Metapragmatics and Reflections in Support of Knowledge Transfer and
Common Ground in Doctor-Patient
Interaction”. In
A
Pragmatic Agenda for Healthcare: Fostering Inclusion and Active Participation through Shared
Understanding ed. by
Sarah Bigi, and
Maria Grazia Rossi Amsterdam Benjamins
Kuna, Ágnes, and Ágnes Hámori
2019 “
’Hallgatom, mi a panasz?’ A metapragmatikai reflexiók szerepei és mintázatai az orvos-beteg
interakciókban.” ['I am listening, what is the complaint?' The roles and patterns of metapragmatic
reflexions in doctor-patient interactions.]" In
Kontextualizáció és metapragmatikai tudatosság, [Contextualization and metapragmatic awareness] ed.
by
Laczkó Krisztina, and
Tátrai Szilárd, 260–83. Eötvös Collegium, Budapest.
Kuna, Ágnes, and Claudio Scarvaglieri
2019 “
Intergenerational Changes of Relationship Management in Primary Care.” Presenation at the
IIEMCA, Mannheim (July 2–5, 2019).
Kuna, Ágnes, and Zsuzsa Kaló.
2014 “
Az orvos-beteg kommunikáció a családorvosi gyakorlatban.” [Doctor-patient communication in primary
care]." In
Tudomány, technolektus, terminológia. A tudományok, szakmák nyelve, [Terminology. Language of the sciences, professions], ed.
by
Ágnes Veszelszki, and
Klára Lengyel, 117–130. Budapest.
Levinson, Stephen
1983 Principles of Pragmatics. Cambridge: CUP.
Linke, Angelika, and Juliane Schröter
2017 “
Sprache in Beziehungen – Beziehungen in Sprache: Überlegungen zur Konstitution eines Linguistischen
Forschungsfeldes [Language in relationshiops – relationships in language: Reflexions on research domain of
linguistics].” In
Sprache und Beziehung, ed. by
Angelika Linke, and
Juliane Schröter, 1–32. Berlin, Boston: de Gruyter.
Locher, Miriam, and Richard Watts
2008 “
Relational Work and Impoliteness: Negotiating Norms of Linguistic Behaviour.” In
Impoliteness in Language, edited by
Miriam A. Locher and
Derek Bousfield, 77–100: de Gruyter.
Lucy, John
1993 “
Reflexive Language and the Human Disciplines.” In
Reflexive Language: Reported Speech and Metapragmatics, ed. by
Lucy, John, 9–33. Cambridge: CUP.
Málovics, Éva, Beáta Vajda, and Péter Kuba
2009 “
Paternalizmus vagy közös döntés? Páciensek az orvos–beteg kommunikációról. [Paternalism or shared decision
making. Patient about doctor-patient interaction]” In
A szolgáltatások világa, [The world of services], ed. by
Erzsébet Hetesi,
Zoltán Majó, and
Miklós Lukovics, 250–264. Szeged: JATEPress.
Marshall, Steve
2021 “
Navigating COVID-19 Linguistic Landscapes in Vancouver’s North Shore: Official Signs, Grassroots Literacy
Artefacts, Monolingualism, and Discursive Convergence.”
International Journal of Multilingualism, 1–25.
Mayring, Philipp
2010 Qualitative Inhaltsanalyse: Grundlagen und Techniken [Qualitative content analysis. Basics and
technique.]. Weinheim: Beltz.
Meskó, Bertalan
2014 The Guide to the Future of Medicine. Technology and the Human Touch. Budapest: Webicina.
Mundwiler, Vera, Judith Kreuz, Daniel Müller-Feldmeth, Martin Luginbühl, and Stefan Hauser
2019 “
Quantitative und qualitative Zugänge in der Gesprächsforschung: Methodologische Betrachtungen am Beispiel
einer Studie zu argumentativen Gruppendiskussionen. [Quantitative and qualitative approaches in conversation research:
Methodological observations based on the example of group discussions].”
Gesprächsforschung (20): 323–83.
Norrby, Catrin, and Camilla Wide
(eds) 2015 Address Practice as Social Action: European Perspectives. Houndsmills, Basingstoke: Palgrave Macmillan.
Pilling, János
(ed) 2004 Orvosi kommunikáció [Medical Communication]. Budapest: Medicina Könyvkiadó.
Pilling, János
2018 Orvosi kommunikáció a gyakorlatban [Medical communication in the praxis]. Budapest: Medicina.
Rounds, Carol
2001 Hungarian. An Essential Grammar. London, New York: Routledge.
Sára, Zoltán, Zoltán Csedő, Tamás Tóth, Józses Fejes. and Pörzse Gábor
2013 “
A
korszerű információtechnológiai megoldások szerepe az orvos-beteg kommunikáció javításában. [The role of advanced
information technology solutions in enhancing doctor-patient
communication].”
Interdiszciplináris Magyar
Egészségügy 12(4): 20–24.
Scarvaglieri, Claudio
2017 “
‘Educational Landscaping’: A Method for Raising Awareness About Language and Communication.”
Language Awareness 59 (5): 325–42.
.
Silverstein, Michael
2003 “
Indexical Order and the Dialectics of Sociolinguistic Life.”
Language and Communication 23 (3–4): 192–229.
Tannen, Deborah, Heidi Ehernberger Hamilton, and Deborah Schiffrin
eds 2015 The Handbook of Discourse Analysis. Hoboken, NJ: Wiley Blackwell.
Vajda, Beáta, Sarolta Horváth, and Éva Málovics
2012 “
Közös döntéshozatal mint innováció az orvos-beteg kommunikációban [Shared decision making, as an innovation
in physician-patient communication]”. In
Regionális innovációs képesség, versenyképesség és fenntarthatóság, ed. by
Bajmócy, Zoltán.,
Lengyel, Imre. and
Málovics, György. Szeged: JATE Press
Verschueren, Jef
1999 Understanding Pragmatics. London: Arnold
Volosinov, Valentin
1973 Marxism and the Philosophy of Language. New York: Seminar Press.
Warren, Ed
2006 B.A.R.D. in the Practice. A Guide for Family Doctors to Consult Efficiently, Effectively and Happily. Oxford: Radcliffe Publishing.
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