Variation in address practices across languages and nations
A comparative study of doctors’ use of address forms in medical consultations in Sweden and Finland
This article compares variation in the use of address practices across languages (Swedish,
Finnish) and national varieties (Sweden Swedish, Finland Swedish). It undertakes quantitative and qualitative
analyses of three sets of transcribed medical consultations. In Sweden Swedish, address pronouns which lower
social distance overwhelmingly dominate. In Finnish, both address forms reducing social distance and practices
maintaining greater distance are found, with age and level of acquaintance revealed as the most salient
factors. Finland Swedish is located somewhere between Sweden Swedish and Finnish, displaying a stronger
tendency than Finnish to use informal direct address forms to reduce social distance, but also showing
similarities with Finnish in the use of direct formal address and indirect address. The differences can be
related to larger socio-cultural patterns which, however, form a continuum rather than a fixed set keeping the
two languages and countries completely apart.
Article outline
- 1.Introduction
- 2.Swedish and Finnish
- 3.Language and culture
- 4.Forms of address in Swedish and Finnish
- 5.Data and method
- 6.Quantitative overview
- 7.Qualitative analysis
- 7.1T address
- 7.2V address
- 7.3Indirect address
- 8.Discussion
- Acknowledgements
-
Data
-
References
References
Data
ink = Interaktion i en institutionell kontext ‘Interaction in an institutional context’
.
University of Helsinki 1996–2000 (Lindholm
2003).
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
lop = Läkare- och patientsamtal ‘Conversations between doctors and patients’
.
Uppsala University 1988–1992 (Melander Marttala
1995).
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
lpv = Lääkärin ja potilaan vuorovaikutus ‘Interaction between doctors and patients’
.
University of Helsinki 1993–1994. Project funded by Academy of Finland and The Finnish Foundation for Alcohol Studies. The data were collected in two cities in the Häme region (e.g., Raevaara
2000).
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Ahlgren, Perry
1978 Tilltalsordet ni: Dess semantik och användning i historiskt perspektiv [
The address word ni ‘you’. Its semantics and use in a historical perspective]. Uppsala: Almqvist and Wiksell.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Aronsson, Karin, and Camilla Rindstedt
2011 “
Alignments and Facework in Paediatric Visits: Toward a Social Choreography of Multiparty Talk.” In
Handbook of Communication in Organisations and Professions, ed. by
Christopher N. Candlin, and
Srikant Sarangi, 121–142. Berlin: Mouton de Gruyter.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Brown, Penelope, and Stephen C. Levinson
1987 Politeness: Some Universals in Language Use. Cambridge: Cambridge University Press.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Brown, Roger, and Albert Gilman
1960 “
The Pronouns of Power and Solidarity.” In
Style in Language, ed. by
Thomas A. Sebeok, 253–276. Cambridge, Massachusetts: The M.I.T. Press.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Carbaugh, Donal A.
2005 Cultures in Conversation. New York: Routledge.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Clyne, Michael, Catrin Norrby, and Jane Warren
2009 Language and Human Relations: Address in Contemporary Language. Cambridge: Cambridge University Press.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Daun, Åke
1996 Swedish Mentality. University Park: The Pennsylvania State University Press.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Drew, Paul, and John Heritage
1992 “
Analyzing Talk at Work: An Introduction.” In
Talk at Work: Interaction in Institutional Settings, ed. by
Paul Drew, and
John Heritage, 3–65. Cambridge: Cambridge University Press.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Duranti, Alessandro
1997 Linguistic Anthropology. Cambridge: Cambridge University Press.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Fortman, Jennifier, and Howard Giles
2006 “
Communicating Culture.” In
Redefining Culture: Perspectives Across the Disciplines, ed. by
John R. Baldwin,
Sandra L. Faulkner,
Michael L. Hecht, and
Sheryl L. Lindsley, 91–102. Mahwah, NJ: Lawrence Erlbaum Associates.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Fremer, Maria
2015 “
At the Cinema: The Swedish ‘du-reform’ in Advertising Films.” In
Address Practice as Social Action: European Perspectives, ed. by
Catrin Norrby, and
Camilla Wide, 54–74. Basingstoke: Palgrave Macmillan.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Häkkinen, Kaisa
1989 Mistä sanat tulevat: Suomalaista etymologiaa [
Where words come from: Finnish etymology]. Helsinki: Finnish Literature Society.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Hakulinen, Auli, and Mirja Saari
1995 “
Temporaalisesta adverbista diskurssipartikkeliksi [From a temporal adverb to a discourse particle].”
Virittäjä 991: 481–500.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Havu, Eva, Johanna Isosävi, and Hanna Lappalainen
2014 “
Les stratégies d’adresse en finnois: Comparaison entre deux types de corpus oraux institutionnels.” In
S’adresser à autrui: les formes nominales d’adresse dans une perspective comparative interculturelle, ed. by
Catherine Kerbrat-Orecchioni, 303–336. Chambéry: Publication Chambéry.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Henricson, Sofie, and Marie Nelson
2017 “
Giving and Receiving Advice in Higher Education: Comparing Sweden-Swedish and Finland-Swedish Supervision Meetings.”
Journal of Pragmatics 1091: 121–138.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Isosävi, Johanna, and Hanna Lappalainen
2015 “
First Names in Starbucks: A Clash of Cultures?” In
Address Practice as Social Action: European Perspectives, ed. by
Catrin Norrby, and
Camilla Wide, 97–118. Basingstoke: Palgrave Macmillan.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Jackson, Janet
2014 Introducing Language and Intercultural Communication. London: Routledge.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Kangasharju, Helena
2007 “
Interaktion och inflytande: Finländare och svenskar vid mötesbordet [Interaction and impact: Finns and Swedes at the meeting table].” In
Ordens makt och maktens ord, ed. by
Olli Kangas, and
Helena Kangasharju, 341–377. Helsinki: The Society of Swedish Literature in Finland.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Kotthoff, Helga
2007 “
Ritual and Style Across Cultures.” In
Handbook of Intercultural Communication, ed. by
Helga Kotthoff,
Helen Spencer-Oatey, and
Karlfried Knapp, 173–197. Berlin: Mouton de Gruyter.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Laine-Sveiby, Kati
1991 Företag i kulturmöten: Tre finländska företag och deras dotterbolag. En etnologisk studie [
Companies in cultural contact: Three Finnish Companies and their daughter companies]. Stockholm University: Department of Ethnology.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Lappalainen, Hanna
2015 “
Sinä vai te vai sekä että? Puhuttelukäytännöt suomen kielessä [T or V or both? Addressing practices in Finland].” In
Saako sinutella vai täytyykö teititellä? Tutkimuksia eurooppalaisten kielten puhuttelukäytännöistä, ed. by
Johanna Isosävi, and
Hanna Lappalainen, 72–104. Helsinki: Finnish Literature Society.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Larjavaara, Matti
1999 “
Kieli, kohteliaisuus ja puhuttelu [Language, politeness and address].”
Kielikello 2/1999: 4–10.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Leech, Geoffrey
2014 The Pragmatics of Politeness. New York: Oxford University Press.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Liebkind, Karmela, Tom Moring, and Marika Tandefelt
(eds.) 2007 The Swedish-speaking Finns.
International Journal of the Sociology of Language 187/1881 (Special issue).
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Lindholm, Camilla
2003 Frågor i praktiken: Flerledade frågeturer i läkare-patientsamtal [
Questions in practice: Multi-unit question turns in doctor-patient interaction]. Helsinki: The Society of Swedish Literature in Finland.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Linell, Per, Johan Hofvendahl, and Camilla Lindholm
2003 “
Multi-unit Questions in Institutional Interactions: Sequential Organizations and Communicative Functions.”
Text 23(4): 539–571.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Lindström, Jan, Camilla Lindholm, and Ritva Laury
2016 “
The Interactional Emergence of Conditional Clauses as Directives: Constructions, Trajectories and Sequences of Actions.”
Language Sciences 581: 21.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Melander Marttala, Ulla
1995 Innehåll och perspektiv i samtal mellan läkare och patient: En språklig och samtalsanalytisk undersökning [
Content and perspective in doctor-patient conversations: A linguistic and conversation analytic investigation]. Uppsala: Uppsala University.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Norrby, Catrin, Camilla Wide, Jan Lindström, and Jenny Nilsson
2015a “
Interpersonal Relationships in Medical Consultations: Comparing Sweden Swedish and Finland Swedish Address Practices.”
Journal of Pragmatics 84(1): 21–138.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Norrby, Catrin, Camilla Wide, Jenny Nilsson, and Jan Lindström
2015b “
Address and Interpersonal Relationships in Finland-Swedish and Sweden-Swedish Service Encounters.” In
Address Practice as Social Action: European Perspectives, ed. by
Catrin Norrby, and
Camilla Wide, 75–96. Basingstoke: Palgrave Macmillan.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Paananen, Jenny
2016 “
Kuinka lääkärit korjaavat kysymyksiään? Kysymysten uudelleen muotoilu monikulttuurisilla lääkärin vastaanotoilla” [How do doctors modify their questions? Reformulated questions in multicultural medical consultations].
Virittäjä 1201: 552–579.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Parkvall, Mikael
2016 Sveriges språk i siffror: Vilka språk talas och av hur många? [
Sweden’s languages in numbers: Which languages are spoken and by how many?]. Stockholm: Morfem.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Paulston, Christina Bratt
1976 “
Pronouns of Address in Swedish: Social Class Semantics and Changing System.”
Language in Society 5 (3): 359–386.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Paunonen, Heikki
2010 “
Kun Suomi siirtyi sinutteluun: Suomalaisten puhuttelutapojen murroksesta 1970-luvulla [When Finland moved on to T forms: The change in Finnish address practices in the 1970s].” In
Kielellä on merkitystä: Näkökulmia kielipolitiikkaan, ed. by
Hanna Lappalainen,
Marja-Leena Sorjonen, and
Maria Vilkuna, 325–368. Helsinki: Finnish Literature Society.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Raevaara, Liisa
2000 Potilaan diagnoosiehdotukset lääkärin vastaanotolla. Keskustelunanalyyttinen tutkimus potilaan institutionaalisista tehtävistä [
Patients’ candidate diagnoses in medical consultations]. Helsinki: Finnish Literature Society.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Rampton, Ben
2006 Language in Late Modernity: Interaction in an Urban School. Cambridge: Cambridge University Press.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Reuter, Mikael
1992 “
Swedish as a Pluricentric Language.” In
Pluricentric Languages: Different Norms in Different Nations, ed. by
Michael Clyne, 111–116. Berlin: Mouton de Gruyter.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Saari, Mirja
1995 “
Jo, nu kunde vi festa nog.” Synpunkter på svenskt språkbruk i Sverige och Finland [“Yes, we were good at partying.” On the use of Swedish language in Sweden and Finland].”
Folkmålsstudier 361: 75–108.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Statistics Finland
2019 “
Population.” Retrieved 17 February, 2019, from:
[URL]
Statistics Sweden
2019 “
Population Statistics”. Retrieved 17 February, 2019, from:
[URL]
Wide, Camilla, and Benjamin Lyngfelt
2009 “
Svenskan i Finland, grammatiken och konstruktionerna [Swedish in Finland, the grammar and the constructions].” In
Konstruktioner i finlandssvensk syntax. Skriftspråk, samtal och dialekter, ed. by
Camilla Wide, and
Benjamin Lyngfelt. Helsinki: The Society of Swedish Literature in Finland.
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
Yli-Vakkuri, Valma
2005 “
Politeness in Finland: Evasion at All Cost.” In
Politeness in Europe, ed. by
Leo Hickey, and
Miranda Stewart, 189–202. Clevedon, UK: Multilingual Matters.
![DOI logo](https://benjamins.com/logos/doi-logo.svg)
![Google Scholar](https://benjamins.com/logos/google-scholar.svg)
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2020.
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► pp. 88 ff.
![DOI logo](//benjamins.com/logos/doi-logo.svg)
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2021.
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► pp. 267 ff.
![DOI logo](//benjamins.com/logos/doi-logo.svg)
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► pp. 165 ff.
![DOI logo](//benjamins.com/logos/doi-logo.svg)
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