Skip to main content
Log in

Bakhtin's Philosophy and Medical Practice — Toward a Semiotic Theory of Doctor — patient Interaction

  • Published:
Medicine, Health Care and Philosophy Aims and scope Submit manuscript

Abstract

Doctor-patient interaction has gained increasing attention among sociologists and linguists during the last few decades. The problem with the studies performed so far, however, has been a lack of a theoretical framework which could bring together the various phenomena observed within medical consultations. Mikhail Bakhtin's philosophy of language offers us tools for studying medical practice as socio-cultural semiotic phenomenon. Applying Bakhtin's ideas of polyphonic, context-dependent and open-ended nature of human communication opens the possibilities to develop prevailing theoretical and empirical approaches to the study of medical consultations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Baer, E.: 1988, Medical Semiotics. Lanhau: University Press of America.

    Google Scholar 

  • Bakhtin, M.: 1984, Rabelais and His World. Bloomington: Indiana University Press.

    Google Scholar 

  • Bakhtin, M.: 1997, Problems of Dostoevsky's Poetics. Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Blaxter, M.: 1983, ‘The causes of disease.Women talking’, Soc. Sci. Med. 17(2), pp. 59–69.

    Article  PubMed  CAS  Google Scholar 

  • Clark, C. and M. Holquist: 1984, Mikhail Bakhtin. Cambridge: Harvard University Press.

    Google Scholar 

  • Elliot, R.: 1986, ‘Interpersonal process recall (IPR) as a psychotherapy process research method’, in L. Greenberg and W. Pinsof (eds.), The Psychotherapy Process. New York: Guildford Press, pp. 503–527.

    Google Scholar 

  • Fylkesnes, K.: 1993, ‘Determination of health care utilization - visit and referrals’, Scand. J. Soc. Med. 1, pp. 40–50.

    Google Scholar 

  • Helman, C.: 1978, ‘“Feed a cold, starve a fever” - folk models of infection in an English suburban community, and their relation to medical treatment’, Culture, Medicine and Psychiatry 2, pp. 107–137.

    Article  PubMed  CAS  Google Scholar 

  • Holquist, M. (ed): 1994a, The Dialogic Imagination. Four Essays by M. M. Bakhtin. Austin: The University of Texas Press.

    Google Scholar 

  • Holquist, M.: 1994b, Dialogism. Bakhtin and His World. Padstow: Routledge.

    Google Scholar 

  • Hintikka, J. and M.B. Hintikka: 1983, ‘Sherlock Holmes confronts modern logic: toward a theory of information-seeking through questioning’, in U. Eco and T.A. Sebeok (eds.), The Sign of Three - Dupin, Holmes, Peirce. Bloomington: Indiana University Press, p. 162.

    Google Scholar 

  • Honkasalo, M-L.: 1991, ‘Medical symptoms: a challenge for semiotic research’, Semiotica 87(3/4), pp. 251–268.

    Google Scholar 

  • Isselbacher et al.: 1994, Harrison's Principles of Internal Medicine. 13th edition. Tokyo: McGraw-Hill.

    Google Scholar 

  • Korsch, B., S. Putnam, R. Frankel and D. Roter: 1995, ‘An overview of research on medical interviewing’, in M. Lipkin, S. Putnam and A. Lazare (eds.), The Medical Interview. Clinical Care, Education and Research. Springer-Verlag, pp. 475–481.

  • Pendleton, D.: 1986, ‘Doctor-patient communication: a review’, in D. Pendleton and J. Hasler (eds.), Doctor-Patient Communication. Academic Press.

  • Staiano, K.V.: 1986, Interpreting Signs of Illness - A Case Study in Medical Semiotics. Berlin: Mouton de Gruyter.

    Google Scholar 

  • Timpka, T. and E. Arborelius: 1991, ‘A method for study of dilemmas during health care consultations’, Med. Inform 16(1), pp. 55–64.

    Article  CAS  Google Scholar 

  • Voloshinov, V.: 1993, Marxism and the Philosophy of Language. Cambridge: Harvard University Press.

    Google Scholar 

  • Waitzkin, H.: 1990, ‘On studying the discourse on medical encounter. A critique of quantitative and qualitative methods and a proposal for reasonable compromise’, Medical Care 28(6), pp. 473–488.

    PubMed  CAS  Google Scholar 

  • Westbrook, M., L. Nordholm and J. McGee: 1984, ‘Cultural differences in reactions to patient behaviour: A comparison of Swedish and Australian health professionals’, Soc. Sci. Med. 19(9), pp. 939–947.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Puustinen, R. Bakhtin's Philosophy and Medical Practice — Toward a Semiotic Theory of Doctor — patient Interaction. Med Health Care Philos 2, 275–281 (1999). https://doi.org/10.1023/A:1009970712856

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1009970712856

Navigation