Teoria grzeczności a konstruowanie spójności w narracjach lekarzy i pacjentów. Studium diagnozy w polskim dyskursie medycznym
The concept of discourse politeness in constructing narrative coherence through doctors’ elicitations and patients’ narratives: a case study of diagnosis in medical discourse in Poland

Author(s): Anna Kuzio
Subject(s): Philology
Published by: Wydawnictwa Uniwersytetu Warszawskiego
Keywords: narrative medicine; medical discourse; politeness theory; doctor-patient interactions
Summary/Abstract: This paper aims at showing a study on how doctors and patients negotiate meaning through interaction, concentrating on the role of narrative in the medical encounter. This paper complements more recent approaches to narrative analysis, within implementing the concept of politeness framework to analyze the relationship between doctor elicitations and patient narratives. The study also examines the clinical approach of Narrative Medicine (MN), which proposes patients the “space” in which to create their narratives, to create an interdisciplinary lens for investigating data. The main results show that both patients and doctors try to create narrative coherence. The analysis reveals how the frame of developing narrative coherence presents insights into the interactional narratives as they are co-constructed by participants. This study shows how politeness and NM add to the perception of doctor-patient interaction. Generally, the examination suggestst hat narrative plays an essential part in forming relevant meanings in medical interactions between the doctor and the patient.

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