Discourse in hospital settings or hospital setting discourse (HSD) signifies a relatively broad area of communication among different professionals involved in medical care and hospital visitors. Its scope over the relationship between doctors and patients, doctors and other professionals (for example, nurses, pharmacists, laboratory technicians, physiotherapists, etc.), between patients and other medical professionals, between patients and other hospital visitors (for example, relatives and heath service inquirers) and among patients themselves, represents a wide array of engagements which demands varying layers of orientation to institutional and social contexts. This broadness precludes the possibility of any exhaustive treatment of “discourse in hospital settings” in a single handbook contribution – not only because, barring some general similarities in interactional or language use patterns, the binary relationships exhibit role-related peculiarities and, therefore, distinctive discourse manifestations – but also because the contexts of the encounters between the groups impose different communicative constraints. Thus, for a relatively complete (but not exhaustive) account, the focus, in this entry, is on the discourse features of the interaction between doctors and patients (representing a cross-section of medical interactions) in Nigerian hospital settings.
Abioye-Kuteyi, E. A., I. S. Bello, T. M. Olaleye, I. O. Ayeni and M. I. Amedi
2010 “Determinants of patient satisfaction with physician interaction: A Cross-section Survey at the Obafemi Awolowo University Health Centre, Ile-Ife.“ South African Family Practice 52 (6): 557–562.
Adam, Quasim
2014 “A Study of Power Relations in Doctor–Patient Interactions in Selected Hospitals in Lagos State, Nigeria.” Advances in Language and Literary Studies 5 (2): 177–184.
Adebayo, Comfort T.
2021 “Physician-Patient Interactions in Nigeria: A Critical-Cultural Perspective on the Role of Power.” Journal of Intercultural Communication Research 50(1): 21–40.
Ainsworth-Vaughn, Nancy
1992 “Topic transitions in physician-patient interviews: Power, gender and discourse change.” Language in Society 21: 409–426.
Ainsworth-Vaughn, Nancy
1995 “Claiming power in the medical encounter: The whirlpool discourse.” Qual. Health Res 5 (3): 270–291.
Ainsworth-Vaugh, Nancy
2005 “The Discourse of Medical Encounters.” In The Handbook of Discourse Analysis, ed. by Deborah Schiffrin, Deborah Tannen and Heidi E. Hamilton, 453–469. Malden: Blackwell.
Ajayi, I.
2003 “The consultation style of doctors at an outpatient clinic in Ibadan, Oyo State, Nigeria: Are patients participating?” Nigerian Journal of Clinical Practices 6 (1): 10–16.
Archer, Dawn and Peter, Grundy
(eds)2011The Pragmatics Reader. London and New York: Routledge.
Ayeloja Adewale, Kazeem
2019 “Discourse devices and pragmatic functions in doctor-patient verbal interactions at University of Ilorin, Nigeria.” International Journal on Studies in English Language and Literature 7 (2): 23–36.
Belanger, Emmanuelle, Charo Rodriguez, Danielle Groleau, France Legare, Mary Ellen Macdonald and Robert Marchand
2016 “Patient participation in palliative care decisions: an ethnographic discourse analysis.” International Journal of Qualitative Studies in Health and Well-being 11 (10): 1–14.
Bianchi, Claudia
2010 ‘‘Contextualism’’. In Handbook of Pragmatics 2010 Installment, ed. by Jan-Ola Östman and Jef Verschueren, Amsterdam: John Benjamins, 1–19.
Bishop, Felicity, Yardley, Lucy
2004 “Constructing Responsibility in Treatment Decisions: Negotiating Responsibility in Cancer.” Health Int. J. Soc. Study Health Illn. Med 8 (4), 465–482.
Byrne, Patrick S., and Barrie, E. Long
1976Doctors Talking to Patients. London: HMSO.
Caffi, Claudia
2002Sei lezioni di pragmatica linguistica. Genova: Name.
Caffi, Claudia
2007Mitigation. Oxford: Elsevier. (Studies in Pragmatics, Vol. 4).
Cassell, Eric
1985Talking with Patients, Volume 2: Clinical Technique. Cambridge MA: MIT
Chimombo, Moira, and Robert L. Roseberry
1998The Power of Discourse: An Introduction to Discourse Analysis. New Jersey: Lawrence Erlbaum Associates.
Chukwu, Uche K. and Chioma Chinedu-Oko
2021 “Ambivalent Discourse and the Language of Medical Practice: Examining the Nigerian Context”. Transatlantic Journal of Multidisciplinary Research 3 (i): 67–83.
Clark, Herbert
1996Using Language. Cambridge: Cambridge University Press.
Cook, Guy
1989Discourse. Oxford: Oxford University Press.
Costello, Brian and Roberts, Felicia
2001 “Medical Recommendations as Joint Social Practice.” Health and Communication 13 (3): 241–260.
D’hondt, Sigurd and Odebunmi, Akin
forthc. “Knowledge Distribution in Provenance Inquiries: a Study of Small Talk in Nigerian Clinical Meetings”. In Identity Perspectives from Peripheries ed. by Yoshiko Matsumoto and Jan- Ola Östman
Ferrara, Kathleen Warden
1994Therapeutic ways with words. New York: Oxford University Press.
Frankel, Richard
1979 “Talking in interviews: A dispreference for patient-initiated encounters”. In Everyday Language: Studies in Ethnomethodology, ed. by George Psathas, 231–262. New York: Irvington.
Goffman, Ervin
1983 “The Interaction Order.” American Sociological Review 48: 1–17.
Good, Mary-Jo, Byron Good, Cynthia Schaffer and Stuart Lind
1990 “American Oncology and the Discourse on Hope.” Culture, Medicine and Psychiatry 14: 59–79.
Goodwin, Marjorie Harness
1990He-said-she-said: Talk as Social Organization among Black Children. Bloomington, IN: Indiana University Press.
2012 “Epistemics in Action: Action Formation and Territories of Knowledge”. Research on Language & Social Interaction, 45:1, 1–29.
Haberland, Helmut and Jacob L. Mey
1981 “Wording and Warding: The Pragmatics of Therapeutic Conversation.” Journal of Pragmatics 5: 103–111.
Habermas, Jürgen
1984The Theory of Communicative Action.: Reason and the Rationalization of Society (Vol. 1). Boston: Beacon Press.
Habermas, Jurgen
1987The Theory of Communicative Action. Vol. II: Lifeworld and System, T. McCarthy (trans.). Boston: Beacon.
Haugh, Michael
2008 “Intention in Pragmatics.” Intercultural Pragmatics 5 (2): 1–8.
Heath, Christian
1992 “Diagnosis in the General-Practice Consultation.” In Talk at Work, ed. by Paul Drew and John Heritage, 235–67. Cambridge: Cambridge University Press.
Hein, Robert and Ruth Wodak
1987 “Medical interviews in internal medicine. Some results of an empirical investigation.” Text 7 (1): 37–66.
Heritage, John and Douglas Maynard
2006Communication in medical care: Interaction between primary care physicians and patients. Cambridge: Cambridge University Press.
Iloh, Gabriel Uche Pascal, Obianma Nneka Onya, Uche Ngozi Nwamoh, Prince Ezenwa Ndubueze Onyemachi, Miracle Erinma Chukwuonye and Ezinne Uchamma Godswill-Uko
2019 “Patient-Doctor relationship in undeserved environment: A cross-sectional study of attitudinal orientation, practice inclination, barriers and benefits among medical practitioners in Abia State, Nigeria.” Niger Postgrad Med Journal 26 (2): 87–93.
Jefferson, Gail
2004 “Glossary of transcript symbols with an introduction.” Conversation Analysis, pp. 13–31. John Benjamins e-Platform.
Kettunen, Tarja and Marita Poskita
2001 “Taciturn patients in health counseling: Passive recipients or active participators?” Qualitative Health Research 11:399–422.
Lakoff, Robin
2007 “The triangle of linguistic structure.” In A Cultural Communication: Essential Readings, ed. by Leila Monaghan and Jane E. Goodman, 128–133. Malden/Oxford/Victoria: Blackwell.
Landmark, Anne Marie D., Pål Gulbrandsen and Jan Svennevig
2015 “Whose decision? Negotiating epistemis and deontic rights in medical treatment decisions.” Journal of Pragmatics 78: 54–69.
Lawal, Bolarinde Joseph, Schadrac Agbla, Bola Lawal Queen Nkeiruka, Muhammed Afolabi and Elvis Ihaji
2018 “Patients’ satisfaction with care from Nigerian Federal Capital Territory’s Public Secondary Hospitals: A cross-sectional study.” Journal of Patient Experience 5 (4): 250–257.
Lindström, Berbyuk Nataliya
2008Intercultural Communication in Health Care: Non-Swedish Physicians in Sweden. Gothenburg: University of Gothenburg.
Lindström, Anna and Ann Weatherall
2015 “Orientations to epistemics and deontics in treatment discussions.” Journal of Pragmatics 78: 39–53.
Martin, Gillian
2014 “Pragmatics and Medical Discourse.” In Pragmatics of Discourse ed. by Klaus Schneider and Anne Barron, 491–524. Berlin: Mouton de Gruyter.
Maynard, Douglas
1989 “Notes on the delivery and reception of diagnostic news regarding mental disabilities.” In The Interactional Order: New Directions in the Study of Social Order, ed. by D. T. Helm, W. T. Anderson, A. J. Meehan and A. W. Rawls, 54–67. New York: Irvington.
Maynard, Douglas
1996 “On ‘realisation’ in everyday life: The forecasting of bad news as a social relation.” American Sociological Review 16 (1): 109–131.
Maynard, Douglas
2005 “ ‘Does it mean I’m gonna die?’: On meaning assessment in the delivery of diagnostic news.” Social Science and Medicine 62 (8): 1902–1916.
Maynard, Douglas
1996 “On ‘realisation’ in everyday life: The forecasting of bad news as a social relation.” American Sociological Review 16 (1): 109–131.
Maynard, Douglas
2010 “The News Delivery Sequence: Bad News and Good News in Conversational Interaction.” Research on Language and Social Interaction 30 (2): 93–130.
Mayr, Andrea
2008 “Introduction: Power, Discourse and Institutions.” In Language and power: An introduction to institutional discourse, ed. by Andrea Mayr, 1–16. London: Continuum.
Mey, Jacob
2017 “In Tempore Opportuno: Of Certainty and Uncertainty in (Non)Time”. In Pragmatics, Discourse and Society: A Festschrift for Akin Odebunmi ed. by Osunbade, Niyi, Unuabonah Foluke, Ayo Osisanwo, Akin Adetunji and Funke Oni, 1–17. Cambridge: Cambridge Scholars Publishing.
Mishler, Eliot
1984The Discourse of Medicine. Norwood, NJ: Ablex.
Nwodoh, Chijioke Oliver, Ijeoma Lewechi Okoronkwo, Ada Carol Nwaneri, Ifeoma Ndubuisi, Goodman John Ani and Ephraim Obadiah Dyages
2018 “Terminally ill patients’ perception on healthcare providers’ communication of prognostic information: A qualitative study from Nigeria, West Africa.” Cogent Medicine 5: 1–10.
Odebunmi, Akin
2003Pragmatic Features of English Usage in Hospital Interactions amongst Medical Practitioners and Patients in Southwestern Nigeria. Unpublished PhD thesis. Obafemi Awolowo University, Ile-Ife.
Odebunmi, Akin
2005 “The context of hospital conversational interactions in Southwestern Nigeria”. Journal of the Nigeria English Studies Association 11 (1): 38–53.
Odebunmi, Akin
2006aMeaning in English: An Introduction. Ogbomoso: Critical Sphere.
Odebunmi, Akin
2006b “Locutions in Medical Discourse in Southwestern Nigeria.” Pragmatics 16 (1): 25–41.
Odebunmi, Akin
2008 “Pragmatic Strategies of Diagnostic News Delivery in Nigerian Hospitals.” Linguistik Online, 36 (4): 21–37.
Odebunmi, Akin
2011 “Concealment in Consultative Encounters in Nigerian Hospitals.” Pragmatics 21 (4): 619–645.
Odebunmi, Akin
2013 “Greetings and Politeness in Doctor--Client Encounters in Southwestern Nigeria.” Iranian Journal of Society, Culture and Language 1(1): 101–117.
Odebunmi, A.
2016 “Language, Context and Society: a Theoretical Anchorage.” In Language, Context and Society: a Festschrift for Wale Adegbite, ed. by A. Odebunmi and K. Ayoola, 3–33. Ile-Ife: Obafemi Awolowo University Press.
Odebunmi, Akin
2021a “Negotiating Patients’ Therapy Proposals in Paternalistic and Humanistic Clinics.” Pragmatics 31 (3): 430–454.
Odebunmi, Akin
2021b “Discursive Repetitions and Voices in Nigerian Clinical Meetings.” Ghana Journal of Linguistics 10 (1): 27–72.
Odebunmi, Akin
2021c “Okay, let’s come a level ground’: Negotiating Patient non-compliance with Therapy Plans in Nigerian Clinical Encounters”. In Language and literary studies in society: A festschrift for professor Eno Grace Nta @ 65 ed by G. O. Ushie, I. T. and A. M. Ebim, 19–44. Lagos: University of Lagos Press.
Odebunmi, Akin
2021d “Discursive Phatic Inclusion in Asymmetrical Consultative Meetings.” Paper presented at the 17th International Pragmatics Association in Winterthur, Switzerland.
Ogundiran, T. O. and C. A. Adebamowo
2012 “Surgeon-Patient Information Disclosure Practices in Southwestern Nigeria.” Medical Principles and Practice 21: 238–243.
Olorunsogo, David
2020 “Pilot study: Politeness in selected doctor-patient interactions in Ibadan private hospitals.” International Journal of Research and Innovation 4 (8): 489–495.
Ong, L. M., J. C. de Haes, A. M. Hoos and F. B. Lammes
1995 “Doctor-Patient communication: A review of the literature.” Public Medicine 40: 903–918.
Peräkylä, Anssi
1995AIDS Counselling. Instituional Interaction and Practice. Cambridge: Cambridge University Press.
Riedel, Sabine
2002 “Auch fur muss alles verstanden sein”. Grenz(en)uberschreitende Artz-Patient Kommunikation: Fallsstudien zur interkulturellen kommunikation: Deutschland-Danemark. In Interkulturelle kommunikation, Deutschland-Skadinavien-Grossbritannien ed. by Ernst Apeltauer, 67–90. Tubengen: Narr.
Robert, Celia, Becky Moss, Val Wass, Srikant Sarangi and Roger Jones
2005 “Misundersandings: A Qualitative Study of Primary Care Consultations in Multilingual Settings, and Educational Implications.” Medical Education 29: 465–472.
Robert di Sarsina, Paolo and Iseppato, Ilaria
2010 “Person-Centred Medicine: Towards a Definition.” Forchende Komplementarmedizin 17: 277–278.
Roter, D. L. and J. A. Hall
1992Doctors Talking with Patients/patients Talking with Doctors: Improving Communication in Medical Visits. Westport, CT: Auburn House.
Shika, Murjanatu S.
2015A Sociolinguistic Study of Doctor-Patient Interaction: A Case Study of ABUTH. Unpublished Master Degree Thesis: Ahmadu Bello University, Zaria.
Shuy, Roger W.
1983 “Three Types of Interference to an Effective Exchange of Information in the Medical Interview.” In Social Organization of Doctor–Patient Communication, ed. by Sue Fisher and Alexandra D. Todd, 189–202. Washington, DC: Center for Applied Linguistics.
Sinding, C., P. Hudak, J. Wiernikowski, P. Miller, J. Gould and D. Fitzpatrick-Lewis
2010 “I like to be an informed patient but… ‘Negotiating responsibility for treatment decisions in cancer care’”. Social Science and Medicine. 71: 1094–1101.
Smith, R. C., and R. Hoppe
1991 “The Patient’s Story: Integrating a Patient–Centered Approach to Interviewing.” Annals of Internal Medicine 115: 470–7.
Stivers, Tanya
2001 “Negotiating Who Presents the Problem: Next Speaker Selection in Pediatric Encounters”. Journal of Communication 51 (2): 231–449.
Stivers, Tanya
2002 “Participating in Decision about Treatment: Overt Parent Pressure for Antibiotic Medication in Pediatric Encounters.” Social Science and Medicine 54, 1111–1130.
Stivers, Tanya
2005 “Parent Resistance to Physicians’ Treatment Recommendations: One Resource for Initiating Negotiation of the Treatment Decision. Health Communication. 18 (1), 41–74.
Talbot, Mary
2007Media Discourse: Representation and interaction. Edinburg: Edinburg University Press.
ten Have, Paul
1989 “The Consultation as Genre.” In Text and Talk as Social Practice, ed. by Brian Torode, 115–35. Dordrecht: Foris.
Thomas, Jenny
1995Meaning in Interaction: An Introduction to Pragmatics. London and New York: Routledge.
Todd, Alexandra D.
1984 “The Prescription of Contraception.” Discourse Processes 7: 171–200.
Valero-Garces, Garmen
2002 “Interaction and Conversation Restrictions in the Relationship between Suppliers of Services and Immigrant Users”. Pragmatics 12 (4): 469–495.
Watermeyer, Jennifer and Claire Penn
2009 “The Organisation of Pharmacist-Patient Interactions in an HIV/AIDS Clinic.” Journal of Pragmatics 41: 2053–2071.
Weijts, W.
1993 “Seeking information.” In Patient participation in gynecological encounters: Studying interactional patterns, 39–64. Maastricht. [Thesis].
Weijts, W., G. Widdershoven, G. Kok and P. Tomlow
1993 “Patients’ information-seeking actions and physicians responses in gynecological consultations.” Qualitative Health Research 3 (4): 398–429.
West, Candace
1984Routine complications: Troubles with talk between doctors and patients. Bloomington: Indiana University Press.
Wilce, James
2009 “Medical Discourse.” Annual Review of Anthropology 38: 199–215.