Sprache im 20. Jahrhundert. Gegenwartssprache
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Based on German data from history-taking in doctor-patient interaction, the paper shows that the three basic syntactic types of questions (questions fronted by a question-word (w-questions), verb-first (V1) questions, and declarative questions) provide different opportunities for displaying understanding in medical interaction. Each syntactic questionformat is predominantly used in a different stage of topical sequences in history taking: w-questions presuppose less knowledge and are thus used to open up topical sequences; declarative questions are used to check already achieved understandings and to close topical sequences. Still, the expected scope of answers to yes/no-questions and to declarative questions is less restricted than previously thought. The paper focuses in detail on the doctors’ use of formulations as declarative questions, which are designed to make patients elaborate on already established topics, giving more details or accounting for a confirmation. Formulations often involve a shift to psychological aspects of the illness. Although patients confirm doctors’ empathetic formulations, they, however, regularly do not align with this shift, returning to the description of symptoms and to biomedical accounts instead. The study shows how displays of understanding are responded to not only in terms of correctness, but also (and more importantly) in terms of their relevance for further action.
Der Beitrag diskutiert vor dem Hintergrund allgemeiner Eigenschaften von gesprochener Sprache in Interaktionen, inwiefern die Konstruktionsgrammatik (KxG) aus Sicht der Interaktionalen Linguistik (IL) eine geeignete Basis für eine Grammatik der gesprochenen Sprache abgeben kann. Affinitäten und Perspektivenunterschiede zwischen KxG und IL sowie Potenziale und Grenzen ihrer Integration werden aufgezeigt. Am Beispiel einer Untersuchung von dann und also als Inferenzindikatoren wird das konstruktionsgrammatische Zeichenverständnis problematisiert, und es werden einige generelle Überlegungen zum Stellenwert von Grammatik im Kontext einer Theorie der verbalen Interaktion formuliert.