This book provides readers with the latest research on the affective aspect of online interactions between doctors and e-patients in the context of China from a poststructuralist discourse analysis perspective. At the heart of this book is the presentation of four chapters which address (1) indirect negative emotional acts by e-patients and empathic acts by doctors (constituting “affective practice”), (2) the interactional discursive features involved in the affective practice, (3) discursive positions of e-patients and doctors within the affective practice context, and (4) power relations that are reflected in the positionings. This book sheds light on the importance of examining the affective facet of medical consultation, when it comes to identifying non-traditional positions and power relations in doctor-patient communication. It also provides the implication that e-healthcare platforms, especially those with an e-commercialized model for healthcare services, have potential to produce a type of neo-liberal discourse—the e-commercialized medical consultation discourse—in which patients and caregivers, who are acknowledged as the less powerful group in the traditional healthcare activities, are empowered and privileged.

This collection makes the case for existing critical discourse analysis theory and methods to meaningfully engage with the communicative parameters, power dynamics, and technological affordances of contemporary digital spaces. This book lends a critical focus on discursive practices operating through the paradigm of social media communication, addressing the crucial interface of discourse and the participatory web with disciplinary rigour and a well-balanced focus. This volume features chapters highlighting a diverse range of methods, including multi-sited ethnography, multimodality, argumentation studies, and topic modelling, as applied to a global range of case studies to present a holistic portrait of the latest methodological and theoretical debates in this space. The collection demonstrates the many and pervasive impacts of digital mediation on established discursive practices that are (re-)shaping existing social values, practices, and demands. In so doing, the collection advocates for a new tradition in critical discourse research, one which is rigorous in accounting for both solid discursive frameworks and the evolving complexity of digital platforms, and which triangulates methodologies in order to fully make sense of contemporary discursive practices and power relations on the online–offline continuum. This collection will be of interest to students and scholars in critical discourse studies, digital communication, media studies, and anthropology.

Based on Chinese and English online data, this book discusses elasticity in health communication from a cross-cultural perspective.

This volume addresses the issue of pragmatic meaning and interpretation in communication contexts regarding health and does so by combining a series of diverse and complementary approaches, which together highlight the relevance of successfully shared understanding to achieve more accessible, inclusive, and sustainable healthcare systems. The volume is divided into five thematic sections: 1) Analytical approaches to health communication, 2) Intercultural and mediated communication, 3) Negotiation and meaning construction, 4) Expertise and common ground, 5) Uncertainty and evasive answers, bringing together a group of top scholars on the much-debated issue of shared understanding both at the micro-level of dialogues between professionals and patients, and the macro-level of institutional communication. In the variety of its contributions, it represents an ambitious attempt at setting pragmatics at the core of healthcare communication research and practice, by combining conceptual reflections on core topics in the field of pragmatics (among which are speech acts, common ground, ambiguity, implicitness), with discourse and linguistic analysis of real-world examples exploring various problems in health communication.

The foundational knowledge and practical actions you need to effectively address your patients’ emotions—and manage your own Emotions are ever-present in the context of illness and medical care and can have an enormous impact on the well-being of patients and healthcare providers alike. Despite this impact, emotions are often devalued in a medical culture that praises stoicism and analytical reasoning. Featuring the latest theories and research on emotion in healthcare, this much-needed resource will help you build the necessary skillset to navigate the extraordinary emotional demands of practicing medicine. Emotion in the Clinical Encounter will help you: Learn the science of emotion, as it relates to clinical care Understand the role of emotion in illness Recognize the connection between clinical response to patient emotions and care outcomes Develop effective strategies for emotion recognition Build strong emotional dialogue skills for medical encounters Identify biases that may shape clinical interactions and subsequent outcomes Understand emotion regulation in patients, providers, and in the clinical relationship Address challenges and opportunities for clinical emotional wellness Identify a new path forward for delivering emotion-based medical school curricula “How did we manage for this long in healthcare without this textbook? This is an essential guide to help both trainees and established clinicians sharpen their skills. Our patients will only benefit when we bring our full set of skills to the bedside." —Danielle Ofri MD, PhD, Clinical Professor of Medicine, New York University, Editor-in-Chief of Bellevue Literary Review, and author of What Doctors Feel: How Emotions Affect the Practice of Medicine “This is a unique contribution that deeply explores the role of emotions in clinical medicine, drawing on a wide range of disciplines and presenting both scholarly paradigms and practical applications. It should be essential reading for medical educators, clinicians and patient advocates who all aim to better navigate today’s frustrating healthcare system.” —Jerome Groopman MD, Recanati Professor Harvard Medical School, and author of How Doctors Think “Emotion in the Clinical Encounter is a must-read book for clinicians. It would be especially helpful if medical students start their careers by reading this invaluable volume to gain a deeper understanding of human emotion. The book is evidence-based and detailed enough to be perhaps the definitive guide to emotions for the clinician.” —William Branch, MD, MACP, FACH, The Carter Smith, Sr Professor of Medicine, Emory University

How efficient is the Chinese healthcare system? Milcent examines the medication market in China against the global picture of healthcare organization, and how public healthcare insurance plans have been implemented in recent years, as well as reforms to tackle hospital inefficiency. Healthcare reforms, demographic changes and an increase in wealth inequity have altered healthcare preferences, which need to be addressed. Significantly, the patient–medical staff relationship is analysed, with new proposals for different lines of communication. Milcent puts forward digital healthcare in China as a tool to solve inefficiency and rising tensions, and generate profit. Where China is leading in the digitalization of healthcare, other countries can learn important lessons. Chinese social models are also put into context with respect to current reforms and experimentation.

This book is a valuable resource for those involved in translation studies and discourse analysis. Drawing on a corpus-based approach and a combined framework of Appraisal and Ideological Square, this book investigates the variations in stance towards China and other countries in the English translation of contemporary Chinese political discourse. It presents research findings based on comparisons and statistical analyses of the English translation patterns of appraisal epithets, the most prototypical appraisal resources for evaluation, in Chinese political discourse at both lexico-grammatical and discourse semantic levels.