摘要

这些年来，中国的医疗纠纷日甚一日。医患之间的有效沟通是缓解医患冲突、协调医患关系的关键。本文以纪实片《急诊室故事》中的医患会话为数据，通过案例分析法和话语分析法，运用间接言语行为理论和顾曰国的礼貌理论，对中国医患会话进行分析。研究结果表明，礼貌是医患双方实施间接言语行为的主要动机。此外， 影响医患沟通间接言语行为中的礼貌性的因素主要有两个，即权力不平等，以及权利和义务。本研究对重构和谐医患关系具有一定的指导意义。本文的局限性在于以有限且不全面的医患会话语料为代表的案例研究，因此，未来的研究应采用更全面更充分的语料作为研究对象。

关键词：  医患会话  间接言语行为  间接言语行为理论  礼貌性 顾曰国的礼貌理论

Contents

Abstract i

摘  要 ii

Chapter One  Introduction 1

1.1  Purpose of the Study 1

1.2  Significance of the Study 2

1.3  Subjective of the Study 2

1.4  Research Methodology 3

1.5  Structure of This Thesis 3

Chapter Two  Literature Review 4

2.1  Introduction 4

2.2  Previous Studies on Politeness 4

2.2.1 Previous Studies on Politeness Abroad 4

2.2.2 Previous Studies on Politeness at Home 5

2.3  Previous Studies on Doctor-patient Conversation 6

2.3.1 Previous Studies on Doctor-patient Conversation Abroad 6

2.3.2 Previous Studies on Doctor-patient Conversation at Home 7

2.4  Summary 7

Chapter Three  Theoretical Framework 8

3.1  Introduction 8

3.2  Indirect Speech Act Theory 8

3.3  Gu Yueguo’s Politeness Theory 9

3.4  Functions and Influencing Factors of Politeness 10

Chapter Four  Politeness With Indirect Speech Acts of Chinese Doctor-patient Conversation in The Story in ER 11

4.1  Introduction 11

4.2  Indirect Speech Act in The Story in ER 11

4.2.1 Pragmatic Forms Versus Functions 11

4.2.2 The Primary Speech Act Versus the Secondary Speech Act 15 

4.3  Functions of Politeness With Indirect Speech Acts in The Story in ER 16

4.3.1 Self-denigrated-and-other-elevated Maxim：Indirect Expression for Request 16 

4.3.2 Refinement Maxim: Indirect Expression for Distasteful Things 18

4.3.3 Virtues-words-deeds Maxim: Indirect Expression for Suggestion, Request and Rejection 19

4.3.4 Qualitative Data of Politeness With Indirect Speech Acts 21

4.4  Influencing Factors 24

4.4.1 Power Asymmetry 25

4.4.2 Rights and Obligations 26

4.5  Summary 26

Chapter Five  Conclusion 28

Bibliography 29

Appendix 30

Acknowledgments 31