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: Advice in Discourse. Pragmatics & Beyond New Series (No.221). John Benjamins Publishing Company, Amsterdam, The Netherlands, pp. 195-212. ISBN 9789027256263

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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
Subjects:	P Language and Literature > P Philology. Linguistics R Medicine > R Medicine (General)
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.
Date:	24 May 2012
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Status:	Not Peer Reviewed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
URI:	http://wrap.warwick.ac.uk/id/eprint/48093

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