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‘You may know better than I do’: negotiating advice-giving in Down Syndrome screening in a Hong Kong prenatal hospital
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Zayts, Olga and Schnurr, Stephanie (2012) ‘You may know better than I do’: negotiating advice-giving in Down Syndrome screening in a Hong Kong prenatal hospital. In: Limberg, Holger and Locher, Miriam A., (eds.) Advice in Discourse. Pragmatics & Beyond New Series (No.221). Amsterdam, The Netherlands: John Benjamins Publishing Company, pp. 195-212. ISBN 9789027256263
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Official URL: http://benjamins.com/#catalog/books/pbns.221.12zay
Abstract
This paper explores patient-initiated advice during a screening program for Down Syndrome in a Hong Kong hospital. In managing these requests medical providers have to balance the opposing demands of ensuring patient autonomy in decision-making while at the same time responding to patients’ requests for advice. Using discourse analysis we demonstrate that medical providers take a more or less direct stance depending on whether these requests are framed as (i) explicit advice-seeking about what test to take, or (ii) information-seeking about the screening program. In order to capture the complexities of how advice-giving is managed interactionally, it is crucial to understand the specific constraints and ideologies that characterize the institutional and the socio-cultural context in which these interactions take place.
Item Type: | Book Item | ||||
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Subjects: | P Language and Literature > P Philology. Linguistics R Medicine > R Medicine (General) |
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Divisions: | Faculty of Social Sciences > Centre for Applied Linguistics | ||||
Series Name: | Pragmatics & Beyond New Series | ||||
Publisher: | John Benjamins Publishing Company | ||||
Place of Publication: | Amsterdam, The Netherlands | ||||
ISBN: | 9789027256263 | ||||
Book Title: | Advice in Discourse | ||||
Editor: | Limberg, Holger and Locher, Miriam A. | ||||
Official Date: | 24 May 2012 | ||||
Dates: |
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Number: | No.221 | ||||
Number of Pages: | 376 | ||||
Page Range: | pp. 195-212 | ||||
Status: | Not Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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