Identity rhetoric in Chinese radio-mediated medical consultation

Authors

  • Zhou-min Yuan Nanjing University of Posts and Telecommunications

DOI:

https://doi.org/10.1558/eap.39001

Keywords:

identity rhetoric, identity construction, radio-mediated medical consultation, overall structure, identity shift

Abstract

While previous studies highlight the dynamic feature of identity construction, little attention has been paid to the identity work within the overall structure of a conversation and to the interrelations between different aspects of identity constructed. Drawing on a sizable recording of radio-mediated medical consultations (RMMC), this study aims to explore the various aspects of medical consultants' identities and the dynamic shift among the different aspects. It is found that the consultants construct three prominent aspects of identity, namely, a consultant with medical expertise, a consultant with peer friendships, and a consultant as a sales representative, each manifesting some variability in terms of pragma-linguistic realisations and occurrences in different stages of the overall structure of RMMCs. By intermingling the three aspects and using each at appropriate times, the consultants skilfully direct the conversation to what they want. Thus, they demonstrate what might be termed as identity rhetoric in constructing, performing, and deploying their identities to achieve some communicative needs.

Author Biography

Zhou-min Yuan, Nanjing University of Posts and Telecommunications

Zhou-min Yuan is a professor of linguistics at Nanjing University of Posts and Telecommunications. His research interests are identity construction, online discourse, second language pragmatics, and cultural discourse studies. His recent publications include articles in Applied Linguistics Review, Discourse, Context & Media, and Journal of Language, Identity and Education. He is the author of ‘Online News’ in K. Tracy, C. Ilie, and T. Sandel (Eds.), International Encyclopedia of Language and Social Interaction.

References

Ainsworth-Vaughn, N. (1998). Claiming power in doctor–patient talk. Oxford: Oxford University Press.

Antaki, C., Barnes, R., & Leudar, I. (2005). Diagnostic formulations in psychotherapy. Discourse Studies, 7(6), 627–647. https://doi.org/10.1177/1461445605055420

Beckman, H. B., & Frankel, R. M. (1984). The effect of physician behavior on the collection of data. Annals of Internal Medicine, 101(5), 692–696.

Bucholtz, M., & Hall, K. (2005). Identity and interaction: A sociocultural linguistic approach. Discourse Studies, 7(4–5), 585–614. https://doi.org/10.1177/1461445605054407

Bucholtz, M., & Hall, K. (2008). Finding identity: Theory and data. Multilingua, 27(1–2), 151–163. https://doi.org/10.1515/multi.2008.008

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.

Chen, X. R. (2013). Yuyong shenfen: Dongtai xuanze yu huayu jiangou 语用身份:动态 选择与话语建构 [Pragmatic identity: Dynamic choice and discursive construction]. Waiyu yanjiu [Foreign Language Research], 4, 27–32.

Chen, X. R. (2014). Yuyongxue shijiao xia de shenfen yanjiu – Guanjian wenti yu zhuyao lujing 语用学视角下的身份研究—关键问题与主要路径 [Current research on identity from the pragmatic perspective: Key issues and main approaches]. Xiandai waiyu [Modern Foreign Languages], 37(5), 702–710.

Chen, X. R. (2018). Yuyong shenfen lun: Ruhe yong shenfen huayu zuo shi 语用身份 论——如何用身份话语做事[Pragmatic identity: How to do things with words of identity]. Beijing: Beijing Normal University.

Davies, B. & Harré, R. (1990). Positioning: The discursive production of selves. Journal for the Theory of Social Behavior, 20(1), 43–63. https://doi.org/10.1111/j.1468-5914.1990.tb00174.x

De Fina, A. (2010). The negotiation of identities. In M. A. Locher & S. L. Graham (Eds.), Interpersonal pragmatics (pp. 205–224). Berlin: Mouton.

Edwards, J. R. (2010). Minority languages and group identity: Cases and categories. Amsterdam: John Benjamins.

Formentelli, M. (2009). Address strategies in a British academic setting. Pragmatics, 19(2), 179–196.

Gao, Y. H., & Long, D. (2001). Dianhua xinli zixun daoyu电话心理咨询导语 [The opening of telephone counseling]. Yuyan wenzi yingyong [Applied Linguistics], 3, 55–63.

Greene, S. (2004). Social identity theory and party identification. Social Science Quarterly, 85(1), 137–150.

Gu, Y. G. (1996). Doctor–patient interaction as goal-directed discourse in Chinese sociocultural context. Journal of Asian Pacific Communication, 7, 156–176.

He, Z. R., & Ren, W. (2016). Current address behaviour in China. East Asian Pragmatics, 1(2), 163–180.

Heritage, J., & Clayman, S. (2010). Talk in action: Interactions, identities and institutions. Oxford: Wiley-Blackwell.

Heritage, J., & Maynard, D. W. (Eds.). (2006). Communication in medical care: Interaction between primary care physicians and patients. Cambridge: Cambridge University Press.

Hewitt, H. (2006). Front desk talk: A study of interaction between receptionists and patients in general practice surgeries (Unpublished doctoral dissertation). University of Edinburgh.

Ho, V. (2010). Constructing identities through request e-mail discourse. Journal of Pragmatics, 42(8), 2253–2261. https://doi.org/10.1016/j.pragma.2010.02.002

Lee, Y.-Y., & Lin, J. L.(2010). Do patient autonomy preferences matter? Linking patient centered care to patient-physician relationships and health outcomes. Social Science & Medicine, 71(10), 1811–1818.

Li, C. T., & Ran, Y. P. (2016). Self-professional identity construction through otheridentity deconstruction in Chinese televised debating discourse. Journal of Pragmatics, 94(3), 47–63. https://doi.org/10.1016/j.pragma.2016.01.001

Li, C. T., Ran, Y. P., & Kádár, D. (2018). Constructing self-expert identity via otheridentity negation in Chinese televised debating discourse. Text & Talk, 38(4), 435–455. https://doi.org/10.1515/text-2018-0009

Limberg, H., & Locher, M. A. (Eds.). 2012. Advice in discourse. Amsterdam: John Benjamins.

Locher, M. A., & Hoffmann, S. (2006). The emergence of the identity of a fictional expert advice-giver in an American internet advice column. Text and Talk, 26(1), 69–106. https://doi.org/10.1515/text.2006.004

Luke, K. K., & Pavlidou, T. (Eds.). 2002. Telephone calls: Unity and diversity in conversational structure across languages and culture. Amsterdam: John Benjamins. https://doi.org/10.1075/pbns.101

McKenzie, K. (2012). Formulating professional identity. Pragmatics and Society, 3(1), 31–60.

Mey, J. L. (2001). Pragmatics: An introduction. Beijing: Foreign Language Teaching and Research Press, Blackwell.

Mullany, L. (2010). Gender and interpersonal pragmatics. In M. A. Locher & S. L. Graham (Eds.), Interpersonal pragmatics (pp. 225–250). Berlin: Mouton. https://doi.org/10.1515/9783110214338.1.225

Norris, S. (2010). Identity in interaction. Berlin: De Gruyter Mouton.

Pilnick, A., & Dingwall, R. (2011). On the remarkable persistence of asymmetry in doctor/patient interaction: A critical review. Social Science & Medicine, 72(8), 1374–1382. https://doi.org/10.1016/j.socscimed.2011.02.033

Pudlinski, C. (2012). The pursuit of advice on US peer telephone helplines: Sequential and functional aspects. In H. Limberg & M. A. Locher (Eds.), Advice in discourse (pp. 233–252). Amsterdam: John Benjamins. https://doi.org/10.1075/pbns.221.14pud

Ren, W. (2017). Identity construction in radio-mediated responses to call in complaints. In X. R. Chen (Ed.), Politeness phenomena across Chinese genres: A variationist approach (pp. 99–117). London: Equinox.

Richardson, K. P. (2003). Health risks on the internet: Establishing credibility on line. Health, Risk and Society, 5(2), 171–184. https://doi.org/10.1080/1369857031000123948

Richardson, K. P. (2005). Internet discourse and health debates. New York: Palgrave Macmillan.

Sacks, H. (1992). Lectures on conversation (vols. 1 and 2, ed. G. Jefferson). Oxford: Blackwell.

Silverman, D. (1998). Harvey Sacks: Social sciences and conversation analysis. Cambridge: Polity Press.

Simon, B. (2004). Identity in modern society. Oxford: Blackwell.

Spencer-Oatey, H. (2007). Theories of identity and the analysis of face. Journal of Pragmatics, 39(4), 639–656. https://doi.org/10.1016/j.pragma.2006.12.004

Stets, J. E. (2007). Identity theory and emotions. In J. E. Stets & J. H. Turner (Eds.), Handbook of the sociology of emotions (pp. 203–223). New York: Springer. https://doi.org/10.1007/978-0-387-30715-2_10

Sun, H. J. (2003). Hanghua yanjiu 行话研究 [A study of jargons]. Zhongguo eyu xuexi [Teaching Russian in China], 22(2), 29–33.

Tajfel, H., & Turner, J. C. (1986). The social identity theory of intergroup behavior. In S. Worchel & W. Austin (Eds.), Psychology of intergroup relations (pp. 7–24). Chicago: Nelson Hall.

Van De Mieroop, D. (2008). Co-constructing identities in speeches. Pragmatics, 18(3), 491–509.

Van De Mieroop, D. (2011). Identity negotiations in narrative accounts about poverty. Discourse and Society, 22(5), 565–591. https://doi.org/10.1177/0957926511405423

Verschueren, J. (2000). Understanding pragmatics. Beijing: Foreign Language Teaching and Research Press.

Xu, R. X. (2008). Ruanguanggao ruqin xinwen 软广告入侵新闻 [Soft advertisement invading news]. Xinwenjie [Press Circles], 1, 98–99.

Yuan, Z. M. (2012). Zichengyu de yuyong shenfen jiangou: zuowei yuyong xingwei de shunying 自称语的语用身份建构:作为语用行为的顺应 [An analysis on the usage for the variation of self-address forms: Adaptation as the pragmatic act]. Waiyu jiaoxue [Foreign Language Education], 33(5), 32–36.

Yuan, Z. M. (2013). Understanding identity discourse. Journal of Multicultural Discourses, 8(1), 79–85.

Yuan, Z. M. (2015). Jiyu shangye zixun guwen huayu shijian de shenfen jiangou yanjiu 基于商业咨询顾问话语实践的身份建构研究 [Business consultancy discourse: Identity construction in business consultancy]. Guangzhou: Jinan University Press.

Yuan, Z. M. (2018). Exploring Chinese college students’ construction of online identity on the Sina Microblog. Discourse, Context & Media, 26(6), 43–51. https://doi.org/10.1016/j.dcm.2018.02.001

Published

2020-03-31

How to Cite

Yuan, Z.- min. (2020). Identity rhetoric in Chinese radio-mediated medical consultation. East Asian Pragmatics, 5(1), 41-65. https://doi.org/10.1558/eap.39001

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Section

Articles