Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics

Detalhes bibliográficos
Autor(a) principal: Francisco Javier Uribe Rivera
Data de Publicação: 2015
Outros Autores: Elizabeth Artmann
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756
Resumo: Abstract This article discusses the application of theories of argumentation and communication to the field of medicine. Based on a literature review, the authors compare Toulmin’s model, pragma-dialectics, and the work of Todd and Fisher, derived from American sociolinguistics. These approaches were selected because they belong to the pragmatic field of language. The main results were: pragma-dialectics characterizes medical reasoning more comprehensively, highlighting specific elements of the three disciplines of argumentation: dialectics, rhetoric, and logic; Toulmin’s model helps substantiate the declaration of diagnostic and therapeutic hypotheses, and as part of an interpretive medicine, approximates the pragma-dialectical approach by including dialectical elements in the process of formulating arguments; Fisher and Todd’s approach allows characterizing, from a pragmatic analysis of speech acts, the degree of symmetry/asymmetry in the doctor-patient relationship, while arguing the possibility of negotiating treatment alternatives.
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spelling Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguisticsArgumentação e comunicação médico-paciente: comparando os enfoques da pragma-dialética de Toulmin e a sociolinguística americanaPhysician-Patient RelationsLanguageComunicationsRelações Médico-PacienteLinguagemComunicaçãoAbstract This article discusses the application of theories of argumentation and communication to the field of medicine. Based on a literature review, the authors compare Toulmin’s model, pragma-dialectics, and the work of Todd and Fisher, derived from American sociolinguistics. These approaches were selected because they belong to the pragmatic field of language. The main results were: pragma-dialectics characterizes medical reasoning more comprehensively, highlighting specific elements of the three disciplines of argumentation: dialectics, rhetoric, and logic; Toulmin’s model helps substantiate the declaration of diagnostic and therapeutic hypotheses, and as part of an interpretive medicine, approximates the pragma-dialectical approach by including dialectical elements in the process of formulating arguments; Fisher and Todd’s approach allows characterizing, from a pragmatic analysis of speech acts, the degree of symmetry/asymmetry in the doctor-patient relationship, while arguing the possibility of negotiating treatment alternatives.Resumen El artículo discute la aplicación de teorías de la argumentación y la comunicación en el campo de la medicina. A partir de una revisión bibliográfica se procede a comparar tres enfoques seleccionados por pertenecer a una concepción pragmática del lenguaje: el modelo de Toulmin, la pragmadialéctica y el de Todd y Fisher, derivado de la sociolingüística americana. Los principales resultados fueron: la pragmadialéctica caracteriza la comunicación médico-paciente de manera más integral, destacando elementos de las tres disciplinas de la argumentación: la dialéctica, la retórica y la lógica; el modelo de Toulmin ayuda a fundamentar argumentativamente la declaración de hipótesis diagnósticas y terapéuticas y, como parte de una medicina interpretativa, se acerca a la pragmadialéctica por incluir elementos dialécticos en el proceso de formulación de argumentos; el enfoque de Todd/Fisher permite caracterizar, a partir de un análisis pragmático de los actos de habla, el grado de simetría/asimetría de la relación médico-paciente y plantea la posibilidad de negociar alternativas terapéuticas.Resumo Este artigo discute a aplicação de teorias da argumentação e da comunicação ao campo da medicina. Com base em revisão bibliográfica procedeu-se à comparação de três enfoques selecionados pela pertença a uma concepção pragmática da linguagem: o modelo de Toulmin, a pragma-dialética, e o de Fisher e Todd, derivado da sociolinguística americana. Os principais resultados foram: a pragma-dialética caracteriza o raciocínio médico de maneira mais integral, incorporando elementos das três disciplinas da argumentação: a dialética, a retórica e a lógica; o modelo de Toulmin ajuda a fundamentar argumentativamente a declaração de hipóteses diagnósticas e terapêuticas e, como parte de uma medicina interpretativa, aproxima-se da pragma-dialética por incluir elementos dialéticos no processo de formulação de argumentos; o enfoque de Fisher e Todd permite caracterizar, por uma análise pragmática dos atos de fala, o grau de simetria/assimetria da relação médico- paciente e sustenta a possibilidade de negociação das alternativas terapêuticas.Reports in Public HealthCadernos de Saúde Pública2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756Reports in Public Health; Vol. 31 No. 12 (2015): DecemberCadernos de Saúde Pública; v. 31 n. 12 (2015): Dezembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756/12001https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756/12002https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756/12003https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756/12004Francisco Javier Uribe RiveraElizabeth Artmanninfo:eu-repo/semantics/openAccess2024-03-06T15:28:54Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5756Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:35.027329Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics
Argumentação e comunicação médico-paciente: comparando os enfoques da pragma-dialética de Toulmin e a sociolinguística americana
title Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics
spellingShingle Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics
Francisco Javier Uribe Rivera
Physician-Patient Relations
Language
Comunications
Relações Médico-Paciente
Linguagem
Comunicação
title_short Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics
title_full Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics
title_fullStr Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics
title_full_unstemmed Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics
title_sort Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics
author Francisco Javier Uribe Rivera
author_facet Francisco Javier Uribe Rivera
Elizabeth Artmann
author_role author
author2 Elizabeth Artmann
author2_role author
dc.contributor.author.fl_str_mv Francisco Javier Uribe Rivera
Elizabeth Artmann
dc.subject.por.fl_str_mv Physician-Patient Relations
Language
Comunications
Relações Médico-Paciente
Linguagem
Comunicação
topic Physician-Patient Relations
Language
Comunications
Relações Médico-Paciente
Linguagem
Comunicação
description Abstract This article discusses the application of theories of argumentation and communication to the field of medicine. Based on a literature review, the authors compare Toulmin’s model, pragma-dialectics, and the work of Todd and Fisher, derived from American sociolinguistics. These approaches were selected because they belong to the pragmatic field of language. The main results were: pragma-dialectics characterizes medical reasoning more comprehensively, highlighting specific elements of the three disciplines of argumentation: dialectics, rhetoric, and logic; Toulmin’s model helps substantiate the declaration of diagnostic and therapeutic hypotheses, and as part of an interpretive medicine, approximates the pragma-dialectical approach by including dialectical elements in the process of formulating arguments; Fisher and Todd’s approach allows characterizing, from a pragmatic analysis of speech acts, the degree of symmetry/asymmetry in the doctor-patient relationship, while arguing the possibility of negotiating treatment alternatives.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-01
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756
dc.language.iso.fl_str_mv eng
por
language eng
por
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756/12002
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5756/12003
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
text/html
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 31 No. 12 (2015): December
Cadernos de Saúde Pública; v. 31 n. 12 (2015): Dezembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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