Skelton J R, Murray J, Hobbs F D
Department of Primary Care and General Practice, University of Birmingham, Edgbaston, UK.
J R Soc Med. 1999 Dec;92(12):620-5. doi: 10.1177/014107689909201204.
Uncertainty is believed to be a central feature in illness experiences. Conversations between a consultant hematologist and 61 seriously ill patients were transcribed, entered on a database and scrutinized for patterns of language uncertainty by linguistic concordancing analysis. Transcripts were then discussed in detail with the hematologist, and techniques of protocol analysis were used to gain insight into his thought processes during consultations. The main findings were that the doctor used many more expressions of uncertainty than did patients: that evaluative terms were widely used to reassure rather than to worry patients; and that patients and doctor together used certain key terms ambiguously, in a manner which allowed the doctor to feel that facts were not misrepresented while perhaps permitting the patient to feel reassured.
不确定性被认为是疾病体验的一个核心特征。对一位血液科顾问医生与61位重症患者之间的对话进行了转录，录入数据库，并通过语言一致性分析仔细研究语言不确定性的模式。随后与这位血液科医生详细讨论了这些文字记录，并运用协议分析技术深入了解他在会诊过程中的思维过程。主要发现如下：医生使用的不确定性表达比患者多得多；广泛使用评价性术语是为了让患者安心而非使其担忧；患者和医生共同模棱两可地使用某些关键术语，这种方式让医生觉得事实没有被歪曲，同时或许也能让患者感到安心。
