Medical experts as health knowledge providers
A case study of nutritionists’ identity construction in ‘wemedia’
The rise of wemedia in China has brought challenges to public health communication(PHC), such as the change in doctor-patient relations and the vulnerabilityof trust. As few researchers have touched upon the issue of identity constructionduring PHC in Weibo, this study aims to fill this gap and investigate one health informationprovider's discursive construction of multiple identities in Weibo and itspragmatic effect on trust building. Through this study the author attempts to contributeto the existing scholarship on the dynamics of identity-relation constructionin wemedia and the pragmatic construction of trustworthiness in a PHC context.
Barber, B. (1983). The logic and limits of trust. New Brunswick: Rutgers University Press.
Barone, S. M., & Lazzaro-Salazar, M. (2015). ‘Forty bucks is forty bucks’: An analysis of a medical Doctor’s professional identity. Language & Communication, 43, 27–34. https://doi.org/10.1016/j.langcom.2015.04.002
Benwell, B., & Stokoe, E. (2006). Discourse and identity (reprinted 2007). Edinburgh: Edinburgh University Press.
Bhatia, V. (2004). Worlds of written discourse: A genre-based view. London: Continuum.
Blitvich, P. G. C. (2010). A genre approach to the study of im-politeness. International Review of Pragmatics, 2(1), 46–94.
Boon, S. D., & Holmes, J. G. (1991). The dynamics of interpersonal trust: Resolving uncertainty in the face of risk. In R. A. Hinde & J. Groebel (Eds.), Cooperation and Prosocial Behavior (pp. 190–211). New York: Cambridge University Press.
Boyd, E., & Heritage, J. (2006). Taking the history: Questioning during comprehensive history-taking. In J. Heritage & D. W. Maynard (Eds.), Communication in Medical Care: Interaction between Primary Care Physicians and Patients (pp. 151–184). Cambridge: Cambridge University Press. https://doi.org/10.1017/cbo9780511607172.008
Brewer, M. B., & Gardner, W. (1996). Who is this ‘We’? Levels of collective identity and self representations. Journal of Personality & Social Psychology, 71(1), 83–93. https://doi.org/10.1037//0022-3518.104.22.168
Bucholtz, M., & Hall, K. (2010). Locating identity in language. In C. Llamas & D. Watt (Eds.). Language and identities (pp. 18–28). Edinburgh: Edinburgh University Press.
Candlin, C. N., & Crichton, J. (2013). From ontology to methodology: Exploring the discursive landscape of trust. In C. N. Candlin & J. Crichton (Eds.), Discourses of trust (pp. 1–18). Basingstoke: Palgrave Macmillan.
Chen, H., & Liang, J. M. (2013). Health communication in new media: Opportunities and challenges. Journalism Review, 5, 60–65.
Chen, X. G. (2015). Identity, relation, roles: Doctor–patient construction in media discourse during medical reform. Modern Communication (Journal of Communication University of China), 37(05), 46–50.
Chen, X. R. (2013). Critical pragmatic studies on public discourse. Shanghai: Shanghai Foreign Language Education Press.
Chen, X. R. (2018). A pragmatic approach to identity: How to do things with words of identity. Beijing: Beijing Normal University Press.
Cook, K. S. (2001). Trust in society. New York. Russell Sage Foundation.
Davies, B., & Harré, R. (1990). Positioning: The discursive production of selves. Journal for the Theory of Social Behaviour, 20(1), 43–63. https://doi.org/10.1111/j.1468-5914.1990.tb00174.x
de Fina, A., Schiffrin, D., & Bamberg, M. (Eds.). (2006). Discourse and identity. Cambridge: Cambridge University Press. https://doi.org/10.1177/0957926507085059
Flanagin, A .J., & Metzger, M. J. (2011). From Encyclopaedia Britannica to Wikipedia: Generational differences in the perceived credibility of online encyclopedia information. Information, Communication & Society, 14(3), 355–374. https://doi.org/10.1080/1369118x.2010.542823
Fogg, B. J. (2003). Prominence-interpretation theory: Explaining how people assess credibility online. In Proceedings of CHI’03, Extended Abstracts on Human Factors in Computing Systems (pp. 722–723). https://doi.org/10.1145/765891.765951
Fogg, B. J., Soohoo, C., Danielson, D .R., Marable, L., Stanford, J., & Trauber, E. R. (2003). How do users evaluate the credibility of Web sites? A study with over 2,500 participants. Paper presented at the 2003 Conference on Designing for User Experiences, San Francisco, CA. Available from the Association of Computing Machinery’s web portal: http://portal.acm.org/citation.cfm?doid=997078.997097. https://doi.org/10.1145/997078.997097
Freed, A. F., & Ehrlich, S. (Eds.). (2010). ‘Why do you ask?’: The functions of questions in institutional discourse. Oxford: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780195306897.003.0001
Freeman, H. E. (1963). Handbook of medical sociology. Englewood Cliffs, NJ: Prentice Hall.
Gorlin, R. A. (1999). Codes of Professional Responsibility: Ethics Standards in Business, Health, and Law (4th ed.). Washington, DC: Bureau of National Affairs.
Gu, Y. G. (1996). Doctor–patient interaction as goal-directed discourse in Chinese sociocultural context. Journal of Asian Pacific Communication, 7, 156–176.
Hovland, C. I., Janis, I. L., & Kelley, J. J. (1953). Communication and persuasion. New Haven, CT: Yale University Press.
Hu, B. J. (2012). Concept renovation and paradigm shift in health communication, with a sidenote to problems of public communication in new media era and solutions. Journal of International Communication, 34(06), 6–10+29.
Joos, M. (1967). The five clocks: A linguistic excursion into the five styles of English usage. New York: Harcourt, Brace & World.
Jordan. J. W. (2005). A virtual death and a real dilemma: Identity, trust, and community in cyberspace. Southern Communication Journal, 70(3), 200–218. https://doi.org/10.1080/10417940509373327
Koh, Y. J., & Sundar, S. S. (2010). Effects of specialization in computers, web sites, and web agents on e-commerce trust. International Journal of Human-Computer Studies, 68(12), 899–912. https://doi.org/10.1016/j.ijhcs.2010.08.002
Korsch, B. M., & Negrete, V. (1972). Doctor–patient communication. Scientific American, 227, 66–74. https://doi.org/10.1038/scientificamerican0872-66
Kreps, G. L., Bonaguro, E. W., & Query, Jr, J. L. (2003). The history and development of the field of health communication. Russian Journal of Communication, 10, 12–20.
Kushida, S, & Yamakawa, Y. (2018). Steering interactions away from complaints about persistent symptoms in psychiatric consultations. East Asian Pragmatics, 3(1), 1–34. https://doi.org/10.1558/eap.34850
Lewicki, R. J., & Bunker, B. B. (1996). Developing and maintaining trust in work relationships. In R. Kramer & T. Tyler (Eds.), Trust in organizations: Frontiers of theory and research (pp. 114–139). London: Sage. https://doi.org/10.4135/9781452243610.n7
Li, D. J. (2009). The ideological rheology of health communication in China (Masters dissertation). Northwest University.
Liang, H. Y. (2014). On the doctors' multiple identity construction in the doctor–patient conversations. Foreign Studies, 2(3), 24–31.
Lorenzo-Dus, N., & Izura, C. (2017). ‘cause ur special’: Understanding trust and complimenting behaviour in online grooming discourse. Journal of Pragmatics, 112, 68–82. https://doi.org/10.1016/j.pragma.2017.01.004
Metzger, M. J. (2007). Making sense of credibility on the Web: Models for evaluating online information and recommendations for future research. Journal of the American Society for Information Science and Technology, 58(13), 2078–2091. https://doi.org/10.1002/asi.20672
Metzger, M. J., & Flanagin, A. J. (2013). Credibility and trust of information in online environments: The use of cognitive heuristics. Journal of Pragmatics, 59(1/2), 210–220. https://doi.org/10.1016/j.pragma.2013.07.012
Mieroop, D. Van De, & Schnurr, S. (2018). Candidates’ humour and the construction of co-membership in job interviews. Language & Communication, 61, 35–45. https://doi.org/10.1016/j.langcom.2018.01.002
Mieroop, D. Van De (2018). Implying identities through narratives of vicarious experience in job interviews. Journal of Pragmatics. https://doi.org/10.1016/j.pragma.2018.01.006
Rogers, E. M. (1994). The field of health communication today. American Behavioral Scientist, 38(2), 208–214. https://doi.org/10.1177/0002764294038002003
Rokeach, M. (1973). The nature of human values. New York: The Free Press.
Scheuer, J. (2001). Recontextualization and communicative styles in job interviews. Discourse Studies 3(2), 223–248. https://doi.org/10.1177/1461445601003002004
Setchell, J., Leach, L. E., Watson, B. M., & Hewett, D. G. (2015). Impact of identity on support for new roles in health care: A language inquiry of doctors’ commentary. Journal of Language and Social Psychology, 34(6), 672–686. https://doi.org/10.1177/0261927x15586793
Shapiro, D. L., Sheppard, B. H., & Cheraskin, L. (1992). Business on a handshake. Negotiation Journal, 8(4), 365–377.
Shaw, R., & Kitzinger, C. (2013). Managing distress, effecting empowerment: A conversation analytic case study of a call to the home birth helpline. International Review of Social Research, 3(2), 7–28. https://doi.org/10.1515/irsr-2013-0008
Simon, B. (2008). Identity in modern society: A social psychological perspective. Oxford: Blackwell.
Su, C. Y. (2015). When patients become activists: Doctor–patient relationship through the new media communication. Journal of International Communication, 37(11), 48–63.
Sun, H. (2018). Frames and interaction on the air. East Asian Pragmatics, 3(2), 233–261.
Sun, J. (2012). New media’s influence on contemporary Chinese society: Review of 2011 China communication forum. Journalism Review, 3, 84–88.
Swales, J. (1992). Genre analysis: English in academic and research settings. Cambridge: Cambridge University Press.
Tajfel, H., & Turner, J. C. (1986). The social identity theory of intergroup behavior. In S. Worchel & W. G. Austin (Eds.), Psychology of intergroup relations (pp. 7–24). Chicago: Nelson-Hall Publishers.
Tan, X. F. (2018). On the construction of doctors’ multiple identities in doctor–patient discourse. Medicine & Philosophy(A), 38(09), 40–42.
Tian, T. (2017). TV healthcare program in the context of new media: A case study of the program Yangshengtang in BTV. Media, 2, 9–12.
Tracy, K. (2002). Everyday talk: Building and reflecting identities. London: The Guilford Press.
Turner, J. C., & Oakes, P. J. (1986). The significance of the social identity concept for social psychology with reference to individualism, interactionism and social influence. British Journal of Social Psychology, 25(3), 237–252. https://doi.org/10.1111/j.2044-8309.1986.tb00732.x
Wang, Q., You, Y., & Ji, C. E. (2017). Doctors’ identity construction in China: Approaches and methods. Chongqing Medicine, 46(29), 4169–4170.
Wang, S. F., & Xu, J. H. (2017). A conversation analysis of doctors’ identity construction in the doctor–patient discourse. Medicine & Philosophy(A), 38(09), 36–39.
Warmington, S., & McColl, G. (2017). Medical student stories of participation in patient care-related activities: The construction of relational identity. Advances in Health Sciences Education, 22(1), 147–163. https://doi.org/10.1007/s10459-016-9689-2
Widdicombe, S., (1998). Identity as an analysts’ and a participants’ resource. In C. Antaki & S. Widdicombe (Eds.), Identities in talk (pp. 191–209). London: Sage Publications. https://doi.org/10.4135/9781446216958.n12
Wu, L. (2017). Symptom assessment and patient resistance in primary care interactions in Chinese hospitals. East Asian Pragmatics, 2(2), 259–288. https://doi.org/10.1558/eap.34693
Wu, X. K., & Wu, X. X. (2010). New media’s development on health communication. Journalism Review, 10, 43–47.
Xia, Y. Q. (2016). The impact of doctors’ identities on the doctor–patient relationship in doctor–patient discourse. Medicine & Philosophy(A), 37(01), 59–62.
Xia, Y. Q. (2017). On the construction of doctors’ identities in cyber space. Medicine & Philosophy(A), 38(09), 43–47.
Yu, G. D. (2009). A CA approach to formulation in doctor–patient communication. Foreign Language Education, 30(3), 13–19.
Zhang, W., & Kramarae, C. (2014). ‘SlutWalk’ on connected screens: Multiple framings of a social media discussion. Journal of Pragmatics, 73, 66–81. https://doi.org/10.1016/j.pragma.2014.07.008
Zhang, Z. L. (2005). What’s the healthy communication research for: nine healthy research directions. Journalism & Communication, 1(3), 42–94.
Zheng, M. N. (2014). Absence and re-construction: Working mechanism of new media in health communication: A survey of healthcare literacy of Beijing and Hefei residents. Journalism Review, 9, 78–84.