이주근로자 대상 문화간 진료 담화에서의 의사의 지시 직접 화행 연구

Domestic Doctors’ Directives as Direct Speech Acts in Intercultural Consultations with Migrant Worker Patients

The present study investigates domestic doctors’ directives as direct speech acts in their intercultural consultations with migrant worker patients in two metropolitan cities in the Republic of Korea. Its critical review of the intra-cultural and cross-cultural medical speech act studies leads it to adopt Černý’s (2017) arguments for the patient-centered directives and Blum-Kulka and Olshtain’s (1984) classification of the direct speech acts. The qualitative analysis of the participating doctors’ directives at the treatment or advice phase of the naturally-occurring consultations illustrates that the direct speech acts emerge in one of the five patterns: as a repeated, serial or list-like, easily performable, or impersonal/generic direct speech act, or as a direct speech act in response to patient-invited/patient-initiated utterances. The doctors’ direct directives at the treatment or advice phase appear to highlight patient- centeredness rather than the doctors’ prevailing power, much like those in Černý’s (2017) study at the examination phase.