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研究生:張椀婷
研究生(外文):Wan-TingChang
論文名稱:醫師社會心理性開放式問句的應用與病人及陪同的相對回應—以台灣家醫科為例
論文名稱(外文):Doctors’ Use of Psychosocial Open Questions and Patient Parties’ Responses-in the Context of Family Medicine in Taiwan
指導教授:蔡美慧蔡美慧引用關係
指導教授(外文):Mei-hui Tsai
學位類別:碩士
校院名稱:國立成功大學
系所名稱:外國語文學系碩博士班
學門:人文學門
學類:外國語文學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:英文
論文頁數:91
中文關鍵詞:社會心理性開放式問句病患陪同者病史階段家族史階段社會心理問題
外文關鍵詞:open questionspsychosocial open questionshealth outcomespatientscompanionsfamily history stagemedical history stageelderly patientspsychosocial problemspatient-centered communication
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ABSTRACT (CHINESE) i
ABSTRACT (ENGLISH) iv
ACKNOWLEDGEMENTS vii
TABLE OF CONTENTS viii
LIST OF TABLES xi
LIST OF EXCERPTS xii
LIST OF FIGURES xiii

CHAPTER ONE INTRODUCTION 1
1.1 Motivation and Background 1
1.2 Purpose of the Present Study 3
1.3 Research Questions 4
1.4 Definition of Terms 5
1.5 Preview of the Following Chapters 7

CHAPTER TWO LITERATURE REVIEW 9
2.1 Patient Problems: Biophysical and Psychosocial 9
2.2 Closed and Open Questions 12
2.3 Categories of Open Questions 17
2.4 Nonverbal Responses: Silence and Laughter 20

CHAPTER THREE METHODOLOGY 22
3.1 Data 22
3.1.1 Participants 22
3.1.2 Setting and Transcriptions 25
3.2 Analytic Frameworks 25
3.2.1 Frequency Distributions of General, Biophysical,
and Psychosocial Open Questions 26
3.2.2 Relationship between Psychosocial Open Questions
in Different Contexts and Patient Parties’
Responses 39
3.2.3 Patient Parties’ Response Patterns to
Psychosocial and Biophysical Open Questions 42
3.2.4 Subcategories of Psychosocial Open Questions and
Patient Parties’ Responses to These Subcategories
45

CHAPTER FOUR RESULTS AND DISCUSSION 49
4.1 Frequency Distributions of General, Biophysical, and
Psychosocial Open Questions 49
4.1.1 The Use of Psychosocial Open Questions in the
Present Study 51
4.2 Relatedness (High vs. Low) to Local Contexts and
Patient Parties’ responses 57
4.2.1 Coherence in Spontaneous Interaction 60
4.3 Patient Parties’ Response Patterns to Psychosocial
and Biophysical Open Questions 61
4.3.1 Face Need and Face-threatening Effects 64
4.4 Subcategories of Psychosocial Open Questions and
Patient Parties’ Responses to These Subcategories 69
4.4.1 Degrees of Sensitivity to the Three Subcategories
of Psychosocial Open Questions 72

CHAPTER FIVE CONCLUSION AND IMPLICATIONS 76
5.1 Summary of Major Findings 76
5.2 Implications of the Present Study 78
5.3 Limitations of the Present Study 80
5.4 Suggestions for Further Studies 82
5.5 Contributions 83

REFERENCES 84
APPENDIX A 91

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