Analysing Health Communication

Analysing Health Communication Gavin Brookes • Daniel Hunt Editors Analysing Health Communication Discourse Approaches Editors Gavin Brookes Daniel Hunt Department of Linguistics and English School of English Language University of Nottingham Lancaster University Nottingham, UK Lancaster, UK ISBN 978-3-030-68183-8 ISBN 978-3-030-68184-5 (eBook) https://doi.org/10.1007/978-3-030-68184-5 © Te Editor(s) (if applicable) and Te Author(s) 2021 Tis work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifcally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microflms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. 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Te registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Contents 1 Discourse and Health Communication 1 Gavin Brookes and Daniel Hunt 2 Conversation Analysis: Questioning Patients About Prior Self-Treatment 19 Rebecca K. Barnes and Iris Z. van der Scheer 3 Interactional Sociolinguistics: Tracking Patient-Initiated Questions Across an Episode of Care 49 Maria Stubbe, Kevin Dew, Lindsay Macdonald, and Anthony Dowell 4 Narrative Analysis: DNA Testing and Collaborative Knowledge-Building in a CFS/ME Forum 81 Michael Arribas-Ayllon 5 Discursive Psychology: A Discursive Approach to Identity Work in Online Illness Talk 111 Joyce Lamerichs v vi Contents 6 Corpus Linguistics: Examining Tensions in General Practitioners’ Views About Diagnosing and Treating Depression 133 Daniel Hunt 7 Poststructuralist Discourse Analysis: Investigating Representations of Knowledge and Knowledge-Related Subjectivities in an Online Forum on HPV Vaccination 161 Antoinette Fage-Butler 8 Discursive Ethnography: Understanding Psychiatric Discourses and Patient Positions Trough Fieldwork 189 Agnes Ringer and Mari Holen 9 Critical Discourse Studies: Mad, Bad or Nuisance? Discursive Constructions of Detained Patients in Polish Nursing Notes 215 Dariusz Galasiński and Justyna Ziółkowska 10 Multimodality: Examining Visual Representations of Dementia in Public Health Discourse 241 Gavin Brookes, Emma Putland, and Kevin Harvey 11 Pragmatics: Leadership and Team Communication in Emergency Medicine Training 271 Sarah Atkins and Małgorzata Chałupnik 12 Cognitive Approaches to Discourse Analysis: Applying Conceptual Blending Teory to Understandings of Disease Transmission 301 Olivia Knapton, Alice Power, and Gabriella Rundblad Contents vii 13 Stylistics: Mind Style in an Autobiographical Account of Schizophrenia 333 Zsófa Demjén and Elena Semino Index 357 Notes on Contributors Michael Arribas-Ayllon is a Reader at Cardif School of Social Sciences, Cardif University. His work focuses on historical and applied approaches to the analysis of discourse and scientifc knowledge. His research interests include genetic testing, psychiatric genetics, genetic counselling, professional ethics and the practice of digital therapies. His publications include Genetic Testing: Accounts of Autonomy, Responsibility and Blame (2011) and Psychiatric Genetics: From Hereditary Madness to Big Biology (2019). Sarah Atkins is a Senior Research Associate at the Aston Institute for Forensic Linguistics, where she works with a team of researchers on the ‘Forensic Linguistic Databank’ (FoLD), bringing to bear her experience on the ethics and policy considerations for research in a range of institutional settings. She has previously conducted applied linguistic research in a number of professional contexts, with a strong focus on healthcare, including an ESRC ‘Future Research Leaders’ award at the University of Nottingham (2013–16), from which the data and research underpinning her chapter originate. Rebecca K. Barnes is a Senior Qualitative Researcher in the Nufeld Department of Primary Care Health Sciences at the University of Oxford. She is also Principal Investigator for the One in a Million primary care consultations archive. She specialises in the application of CA methods to ix x Notes on Contributors interactions between patients and healthcare professionals with the aim of improving patient care. She has studied patient consultations in general practice and out-of-hours primary care for a variety of projects including the management of common infections. She has also pioneered the application of CA methods in clinical trials of talk-based interven- tions. Her fndings have informed e-learning for healthcare professionals with Health Education England. Gavin Brookes is a Senior Research Associate in the ESRC Centre for Corpus Approaches to Social Science at Lancaster University and associate editor of the International Journal of Corpus Linguistics. His research interests include discourse analysis, corpus linguistics, multimodality and health communication. His recent publications in these areas include Obesity in the News: Language and Representation in the British Press with Paul Baker (forthcoming, Cambridge University Press), Corpus, Discourse and Mental Health with Daniel Hunt (2020) and Te Language of Patient Feedback: A Corpus Linguistic Study of Online Health Communication with Paul Baker and Craig Evans (2019). Małgorzata Chałupnik is Teaching Associate in Linguistics and Professional Communication in the School of English at the University of Nottingham. She conducts research in the area of professional communication, focusing in particular on leadership and interpersonal aspects of talk at work. Having worked on a number of projects funded by the university and ESRC, she has been involved in carrying out research, training and consultancy work with a wide range of public, private and third-sector organisations from across the UK. Zsófa Demjén is Associate Professor of Applied Linguistics at UCL Centre for Applied Linguistics, University College London. She specialises in language and communication around illness and healthcare (humour, metaphor, narratives, impoliteness etc.). She is author of Sylvia Plath and the Language of Afective States: Written Discourse and the Experience of Depression (2015), co-author of Metaphor, Cancer and the End of Life: A Corpus-Based Study (2018), editor of Applying Linguistics in Illness and Healthcare Contexts (2020) and co-editor of Te Routledge Handbook of Metaphor and Language (2017). Notes on Contributors xi Kevin Dew is Professor of Sociology at Victoria University of Wellington, New Zealand. He is a founding member of the Applied Research on Communication in Health (ARCH) Group. His research activities include studies of interactions between health professionals and patients, health inequities in cancer care decision-making and the social meanings of medications. His books include Te Cult and Science of Public Health: A Sociological Investigation (2012), Borderland Practices: Regulating Alternative Terapy in New Zealand (2003), Sociology of Health in New Zealand (2002, with Allison Kirkman) and Public Health, Personal Health and Pills: Drug Entanglements and Pharmaceuticalised Governance (2018). Anthony Dowell is Professor of Primary Health Care and General Practice at the University of Otago in Wellington, New Zealand. He co-leads the Applied Research on Communication in Health (ARCH) Group and is a practising GP who has worked in New Zealand, the UK and Central Africa. He undertakes research in community settings using quantitative and qualitative methodologies to investigate primary mental healthcare, communication between patients and health providers and the application of complexity and implementation science in healthcare settings. Antoinette Fage-Butler holds a PhD in Knowledge Communication from Aarhus University, Denmark, where she is an associate professor. Her research interests include trust and mistrust related to scientifc expertise, the communication of trustworthiness and risk, and cultural aspects of health communication. Methodologically, her research spans qualitative approaches to critically investigating discourse and genre and, more recently, quantitative approaches that scale up cultural analyses using large data sets. Dariusz Galasiński is a Professor at the Institute of Journalism and Social Communication, University of Wrocław, Poland. His research interests focus upon experience of mental illness, fatherhood and masculinity, and discourses of psychiatry. Recent publications on these topics include Men’s Discourses of Depression (2008, Palgrave), Fathers, Fatherhood and Mental Illness:

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