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In this chapter, a conversation-analytic approach is used to study medical recommendations as an essential part of medical advice. Tlte analyses are based on renal treatment planning conversations in which physicians inform patients about an upcoming dialysis therapy. The data reveals that medical recommendations are marked throughout by their strikingly tentative and relativistic phrasing in which the conflict between physicians duty of care and the patient’s autonomy is obvious. The observed discrepancy between what should be said and what patients and physicians want to be said - and heard - not only gives reason to challenge the ethical and legal requirements concerning medical recommendations and their implications for medical practice, but also to rethink the current models of decision-making in medical communication.
Modalverben gehören zu den hochfrequenten Verben des Deutschen und weisen in der gesprochenen Sprache eine hohe grammatische, semantische und funktionale Flexibilität auf. Die Studie befasst sich aus interaktionslinguistischer Sicht mit dem Verwendungsspektrum von Konstruktionen, in denen Modalverben “absolut”, das heißt hier: ohne infinites Vollverb, gebraucht werden. Es wird untersucht, welche Bedeutungen die Modalverben in Interaktionen haben bzw. welche Faktoren ihre Interpretation beeinflussen und inwiefern die jeweiligen Konstruktionen für spezifische sprachliche Handlungen und in speziellen interaktiven Kontexten verwendet werden.
Als entscheidend für die Analyse zeigen sich neben der signifikanten Medialitätsdifferenz auch Interaktivität, Online-Produktion und Gattungs- bzw. Registermerkmale wie Informalität. Die Studie demonstriert außerdem, dass die Modalverbkonstruktionen sehr unterschiedliche Grade von Schematizität, Spezifizität und (Nicht-) Kompositionalität aufweisen.
Analepses with topic-drop are frequent structures in German interaction. While hitherto the focus on analepses was a rather syntactic one, this paper deals with analeptic structures from a semantic perspective. It particularly concentrates on the semantic relations between the referents of the analepses and the prior interactional context. This analysis shows that even for rather simple analepses which just omit a constituent from the prior utterance, conceptual processes are more decisive for its interpretation than syntactic features of the antecedent constituents. This is even more the case for complex analepses that are only indirectly linked to the prior context, and for the interpretation of which hearers need to draw inferences. The paper argues that theoretical approaches like Conversation Analysis and Interactional Linguistics can profit from adopting a semantic and conceptual perspective for the interpretation of interactional structures.