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Pedagogy, pathology and ideology : the production, transmission and reproduction of medical discourse

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MacDonald, Malcolm (2002) Pedagogy, pathology and ideology : the production, transmission and reproduction of medical discourse. Discourse & Society, 13 (4). pp. 447-467. doi:10.1177/0957926502013004453 ISSN 0957-9265.

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Official URL: http://dx.doi.org/10.1177/0957926502013004453

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Abstract

The discourse of any institutional field is composed of a variety of different genres. In medical discourse, three prevalent genres are the research article, the doctor—patient interview and the textbook. This article describes how the textual, interpersonal and ideational metafunctions of each genre operate in relation to their institutional context of situation. As a medical text is delocated and relocated from one institutional context to another, transformations take place with regard to: the ideational options of tense, transitivity and process, the interpersonal options of modality and speaker's comment, and its rhetorical organization. These transformations constitute the codes of the pedagogic device. These operate as a symbol system having two ideological effects. First, certain medical texts are privileged over others as `doxic' texts; and second, subjects are variably positioned in the professional field depending on their command of the codes of the genres relating to different institutional sites.

Item Type: Journal Article
Subjects: H Social Sciences > HM Sociology
Divisions: Faculty of Social Sciences > Centre for Applied Linguistics
Library of Congress Subject Headings (LCSH): Discourse analysis, Critical pedagogy
Journal or Publication Title: Discourse & Society
Publisher: Sage Publications Ltd.
ISSN: 0957-9265
Official Date: July 2002
Dates:
DateEvent
July 2002Published
Volume: 13
Number: 4
Number of Pages: 21
Page Range: pp. 447-467
DOI: 10.1177/0957926502013004453
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 12 April 2016
Date of first compliant Open Access: 12 April 2016

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