| Chinese Medicine and Western Medicine are two different medical systems and cultures,with different philosophical thoughts and ways of thinking.They differ not only in the specific ways of diagnosis and treatment of diseases,but also in language expression.As an important part of institutional discourse,doctor-patient interaction plays an important role in improving doctorpatient relationship,and its interpersonal significance is worth studying.Interpersonal metaphor,as one of the important resources to embody interpersonal meaning,is divided into mood metaphor and modality metaphor.Most researchers have studied interpersonal metaphor in English corpus,but few have systematically studied spoken Chinese corpus.Secondly,it is less involved in the two categories of comprehensive and comparative interpersonal metaphor and the sub-category.Based on the interpersonal grammatical metaphor theory of systemic functional linguistics,this study takes the outpatient interactions between two doctors of traditional Chinese medicine department and two other non-traditional Chinese medicine doctors and their patients in two thirdclass hospitals of a certain province in China as the corpus,and adopts a quantitative and qualitative research method to explore the differences in the use of interpersonal metaphors used by traditional Chinese medicine and western medicine doctors in doctor-patient interactions.The research questions of this thesis are as follows:(1)What are the distribution characteristics of interpersonal metaphors used by doctors of TCM and western medicine in doctor-patient interaction?(2)What interpersonal meanings are constructed by interpersonal metaphor used by doctors of TCM and western medicine in doctor-patient interaction?The results show that:(1)There are both similarities and significant differences in the use of interpersonal metaphor in doctor-patient interaction between Chinese and Western medicine department doctors: In terms of the total use of interpersonal metaphor,the number of TCM department doctors is significantly higher than that of western medical doctors;It shows that TCM doctors pay more attention to the way of communication between doctors and patients.(2)Both doctors of traditional Chinese medicine and Western medicine use more mood metaphor,followed by modality metaphor,which illustrates mood metaphor is a common choice of doctors in doctorpatient interaction.(3)There are similarities in the subcategories of mood metaphor and modality metaphor used by Chinese and Western medical doctors.Interrogative metaphor is the most frequent mood type in the mood metaphor used by doctors.Especially the interrogative mood expresses the function of the statement information,followed by interrogative mood expresses command semantics,and command semantics is the second major semantic in mood metaphors used by doctors after declarative semantics,which is closely related to the professional characteristics of doctors.The distribution of modality metaphors in doctors’ discourse presents a high imbalance,among which the possibility metaphors appear the most frequently,followed by the obligation metaphors.(4)It is found that doctors use interpersonal metaphors to achieve interpersonal meanings such as “reducing the psychological distance with patients”,“expanding the dialogue space with patients” and “increasing the fluency and politeness of interaction.”The comparative analysis of interpersonal metaphor use by Chinese and Western medical doctors in this study has a certain reference role in improving the doctor-patient relationship.The discourse of traditional Chinese medicine doctors is more conducive to the construction of harmonious doctor-patient relationship.Other non-traditional Chinese medicine doctors can learn more from traditional Chinese medicine doctors in the communication with patients and use corresponding interpersonal metaphor expression ways to close the relationship with patients.Construct harmonious doctor-patient relationship. |
PDF Full Text Request