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LINGUISTIC MODEL OF DOCTOR-PATIENT COMMUNICATION IN
ENGLISH
Sapaeva Dilfuza Narbaevna
Urgench Ranch University of technology
docent at the department of Uzbek and foreign languages
https://doi.org/10.5281/zenodo.15220327
Abstract.
This article focuses on the analysis of spoken medical discourse
within doctor-patient interactions, which many researchers view as a linguistic
model. The doctor-patient relationship remains a pressing issue in
contemporary society. A key goal of medical discourse is to establish effective
communication between doctor and patient, enabling the identification of the
illness, selection of appropriate treatment, and clear explanation of medical
procedures using accessible language.
Key words:
medical discourse, speech of the doctor, communication, medical
language, verbal behavior, relationship, society, linguistic theory
Introduction.
The interaction between language and society remains a
significant area of interest for philologists. Factors such as globalization,
migration, and societal shifts have greatly influenced how languages function.
These global changes have also affected communication across various fields,
including the medical domain. In contemporary research, discourse has become
a subject of interdisciplinary investigation. Alongside linguistics, many other
fields contribute to the study of discourse, each offering its own unique
perspective and methodology. A review of scholarly literature reveals numerous
references to the term “discourse,” each with distinct interpretations. There are
many definitions of discourse. For instance, the
Linguistic Encyclopedic
Dictionary
defines “discourse” (from the French
discours
and English
discourse
,
meaning movement or conversation) as speech influenced by pragmatic,
sociocultural, psychological, and other factors; it is viewed as text in a situational
context and as intentional social action involved in human interaction and
cognitive processes. In essence, discourse is speech embedded in real life.
Similarly, the
Newest Philosophical Dictionary
describes discourse, in a broad
sense, as a complex combination of language use and external factors required
for interpreting a text—factors that include the communicators, their intentions
and goals, and the conditions under which the message is created and received.
Material and methods.
In recent years, medical discourse has drawn the
interest of numerous researchers, including V.I. Karasik, V.V. Zhura, S.I.
Madzhaeva, M.I. Barsukova, M.A. Makarova, and others. In their studies, these
scholars examine medical discourse as a linguistic model and categorize it as a
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form of institutional discourse, where the roles of the communicators—namely,
“doctor” and “patient”—are clearly defined, and the primary goal is the
provision of medical care [3]. They also view medical discourse as a type of
scientific discourse, where the participants are researchers or medical
professionals, and the aim is to share new scientific knowledge and address
challenges across various areas of medicine, including patient treatment.
Results and discussion.
Medical communication involves both verbal and
non-verbal elements, each with specific pragmatic characteristics. These
elements are used in healthcare settings to fulfill the purposes of treatment and
prevention [4]. A fundamental role of the doctor is to help the patient, which
includes engaging in dialogue to diagnose the illness, initiate treatment, and
provide guidance on maintaining health.
Following S.I.Madzhaeva’s viewpoint, the concept of a "doctor" can be
understood as encompassing a range of professional tasks, the specialized
vocabulary that conveys medical knowledge, and the terminology used within
specific medical fields, both standardized and emerging through actual
communication [5].
Researchers studying doctor-patient interaction view it as a linguistic
model that includes patterns of speech behavior. Speech activity is goal-oriented
and proceeds through several stages: orientation, planning, execution, and
monitoring. It is a structured process involving the production and
interpretation of speech, enabling the exchange of information. Since the
primary function of communication is to share information, it naturally involves
the transmission and understanding of meaning, with individuals generally
aiming to be clearly understood. Communication—whether verbal or non-
verbal—serves various functions such as giving warnings, offering advice,
informing, persuading, expressing emotions, and entertaining [6].
Perception, a fundamental mental function, plays a key role in cognition. It
is a complex mechanism by which the brain receives and processes sensory
input, creating a holistic subjective image based on stimuli. All mental
processes—including attention, imagination, memory, and thinking—contribute
to the perception of information. For information to be effectively absorbed, it
must be understood and consciously processed. Perception acts as a bridge
between new information and cognitive awareness.
Accurate perception is especially crucial in doctor-patient communication.
Perception can take many forms and varies from person to person. For instance,
spatial perception is unique to each individual. When placed in an unfamiliar
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environment, a person may feel disoriented until they determine appropriate
behavior and develop coping strategies. Some adapt more quickly than others to
new situations.
Similarly, time perception also differs among individuals. Some people
struggle to wake up early and function better later in the day, while others thrive
with early rising and sleeping patterns—both of which influence how effectively
they perceive and process information. Movement perception is processed by
the brain and influenced by the vestibular system as well as personal mindset
and emotions. Like time perception, experiences of movement are subjective; for
example, tilting the head or adjusting posture can create the illusion of motion.
Perception may be either voluntary (intentional) or involuntary
(unintentional). Voluntary perception is typically triggered by external factors
that draw attention, while involuntary perception is more spontaneous and
governed by consciousness. Intentional perception is structured, with a specific
goal, well-defined objectives, and a clear sequence of actions. However, since
individuals interpret events and experiences differently, this uniqueness can
pose challenges in doctor-patient communication.
Conclusion.
Effective communication in the medical field is a complex
interplay of verbal and non-verbal elements, guided by professional knowledge,
clear objectives, and an understanding of human perception. The doctor-patient
interaction is not merely an exchange of information, but a dynamic process that
requires empathy, adaptability, and awareness of individual differences in
perception and communication styles. Recognizing that each patient perceives
space, time, movement, and even speech differently allows healthcare
professionals to tailor their approach for better understanding, trust, and
treatment outcomes. Therefore, enhancing perceptual and communicative
competencies in medical practice is essential for delivering patient-centered
care and achieving successful therapeutic results.
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