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Cadernos de Saúde Pública

versão impressa ISSN 0102-311Xversão On-line ISSN 1678-4464

Resumo

RIVERA, Francisco Javier Uribe  e  ARTMANN, Elizabeth. Physician-patient argumentation and communication, comparing Toulmin’s model, pragma-dialectics, and American sociolinguistics. Cad. Saúde Pública [online]. 2015, vol.31, n.12, pp.2577-2587. ISSN 0102-311X.  http://dx.doi.org/10.1590/0102-311X00150914.

This article discusses the application of theories of argumentation and communication to the field of medicine. Based on a literature review, the authors compare Toulmin’s model, pragma-dialectics, and the work of Todd and Fisher, derived from American sociolinguistics. These approaches were selected because they belong to the pragmatic field of language. The main results were: pragma-dialectics characterizes medical reasoning more comprehensively, highlighting specific elements of the three disciplines of argumentation: dialectics, rhetoric, and logic; Toulmin’s model helps substantiate the declaration of diagnostic and therapeutic hypotheses, and as part of an interpretive medicine, approximates the pragma-dialectical approach by including dialectical elements in the process of formulating arguments; Fisher and Todd’s approach allows characterizing, from a pragmatic analysis of speech acts, the degree of symmetry/asymmetry in the doctor-patient relationship, while arguing the possibility of negotiating treatment alternatives.

Palavras-chave : Physician-Patient Relations; Language; Comunications.

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