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Understanding misunderstandings. Presuppositions and presumptions in doctor-patient chronic care consultations

  • Fabrizio Macagno

    Fabrizio Macagno (Ph.D. in Linguistics and Communication, Università Cattolica, Milan, 2008) works as a researcher (Investigador FCT) and auxiliary professor at the Universidade Nova de Lisboa. He authored several papers published on international peer-reviewed journals including Journal of Pragmatics, Intercultural Pragmatics, Argumentation, and Pragmatics and Cognition. His most important publications include the books Argumentation Schemes (CUP 2008) and Emotive language in argumentation (CUP 2014). He also works as a forensic linguistic consultant.

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    und Sarah Bigi

    Sarah Bigi (Ph.D. in Linguistics, Università Cattolica, Milan, 2007) works as Assistant Professor of Linguistics at Università Cattolica in Milan (Italy). Since 2008 she has been working on doctor-patient interactions and argumentative strategies in doctor-patient decision making. She has authored several papers on these subjects, published in international peer-reviewed journals such as Journal of Pragmatics, Communication and Medicine, Frontiers in Psychology, Discourse Studies and Journal of Argumentation in Context. She has recently published the book, Communicating (with) Care. A linguistic approach to doctor-patient interactions. She collaborates with the Association of Italian Diabetologists (www.aemmedi.it) as a consultant on communication issues.

Veröffentlicht/Copyright: 9. März 2017
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Abstract

Pragmatic presupposition is analyzed as grounded on an implicit reasoning process based on a set of presumptions, which can define cultural differences. The basic condition for presupposing a proposition is represented as a reasoning criterion, namely reasonableness. Presuppositions, on this view, need to be reasonable, namely they need to be the reasonable conclusions of an underlying presumptive reasoning, which does not or may not contain contradictions with other presumptions. Presumptions are in turn analyzed considering their nature and their hierarchy, namely their subject matter and their possible contextual backing, which eliminates some of their possible defaults. This analysis of presupposition brings to light the relationship between misunderstandings deriving from presuppositional failures and the underlying system of presumptions. This approach is applied to the investigation of communicative issues within the medical context, and more precisely doctor-patient communication in diabetes cases.

About the authors

Fabrizio Macagno

Fabrizio Macagno (Ph.D. in Linguistics and Communication, Università Cattolica, Milan, 2008) works as a researcher (Investigador FCT) and auxiliary professor at the Universidade Nova de Lisboa. He authored several papers published on international peer-reviewed journals including Journal of Pragmatics, Intercultural Pragmatics, Argumentation, and Pragmatics and Cognition. His most important publications include the books Argumentation Schemes (CUP 2008) and Emotive language in argumentation (CUP 2014). He also works as a forensic linguistic consultant.

Sarah Bigi

Sarah Bigi (Ph.D. in Linguistics, Università Cattolica, Milan, 2007) works as Assistant Professor of Linguistics at Università Cattolica in Milan (Italy). Since 2008 she has been working on doctor-patient interactions and argumentative strategies in doctor-patient decision making. She has authored several papers on these subjects, published in international peer-reviewed journals such as Journal of Pragmatics, Communication and Medicine, Frontiers in Psychology, Discourse Studies and Journal of Argumentation in Context. She has recently published the book, Communicating (with) Care. A linguistic approach to doctor-patient interactions. She collaborates with the Association of Italian Diabetologists (www.aemmedi.it) as a consultant on communication issues.

Acknowledgments

Fabrizio Macagno would like to thank the Fundação para a Ciência e a Tecnologia for the research grants no. IF/00945/2013, PTDC/IVC-HFC/1817/2014, and PTDC/MHC-FIL/0521/2014.

Sarah Bigi would like to thank the Italian Ministry of Education, University and Research for a 3-year grant supporting her current research. Grant no.: RBFR13FQ5J. Project website: http://www.unicatt.it/healthyreasoning-eng.

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Published Online: 2017-3-9
Published in Print: 2017-3-1

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