Get the complete project »
- The Complete Research Material is averagely 166 pages long and it is in Ms Word Format, it has 1-5 Chapters.
- Major Attributes are Abstract, All Chapters, Figures, Appendix, References.
- Study Level: BTech, BSc, BEng, BA, HND, ND or NCE.
- Full Access Fee: ₦7,000
The use of language in human communication is predicated on social relationships; hence when people converse, they are always aware of the social relationship which determines who controls and directs the conversation. This study focuses on doctor-patient conversations in rural areas. It investigates how language is employed as a tool of social dominance in doctor-patient conversations in selected rural hospitals in Kaduna State, Nigeria. The aim is to examine and understand the nature of doctor-patient conversations in the selected rural hospitals in order to reveal the underlying power struggle. The study employs the theoretical paradigm of Fairclough‘s (1989) Discourse as Social Practice which is used to analyse the data. A total of twenty (20) conversations between doctors and patients are recorded, translated and transcribed. Twenty (20) patients are also interviewed in order to determine the level of patient satisfaction and Five (5) different doctor-patient conversations are selected for analysis at the levels of description, interpretation and explanation as proposed by Fairclough (1989). The study reveals that doctor-patient conversation in the selected rural areas is shaped by both the institution of medicine and the customs and traditions of the people in such areas where it occurs. It also reveals that the presence of a traditional ideology of health in these rural areas has an impact on the power dynamics and results in a power struggle. Another finding is that the communication style of doctors in rural areas is disease-centred, as opposed to patient-centred which as proven by William, Weinman & Dale (1998) leads to higher patient satisfaction. Finally, this study has successfully confirmed the fact that conversations between doctors and patients in rural areas are laced with unequal power relationship which is seen in their use of language.
1.1 Background to the Study
Human communication is not an isolated linguistic phenomenon; rather, it is embodied in the
social relationships of the communicators (O‘Neill, 1989). The way people use language is
dictated by their awareness of who they are and to whom they are talking. The choice of
words in conversations is more often than not, a conscious decision. When people talk, they
are always aware of the social relationship which determines who controls and directs the
conversation. It has, therefore, become undeniable that a language is a powerful tool with
which human beings exercise control and social dominance over one another. This
consequently motivated the present study which is an investigation of how language is
employed in the exercise of social dominance in doctor-patient conversations in rural areas.
This study centres on Critical Discourse Analysis (CDA), which is an approach in Discourse
Analysis that emphasises the study of language and discourses in social institutions. CDA
draws on poststructuralist discourse theory and critical linguistics to focus on how social
relations, identity, knowledge and power are constructed through written and spoken texts in
different linguistic contexts (Wodak, 2002). CDA is founded on the idea that there is unequal
access to linguistic and social resources. van Dijk (1998a) defines CDA as a field that is
concerned with studying and analysing written and spoken texts to reveal the discursive
sources of power, dominance, inequality and bias. CDA examines how these discursive
sources are maintained and reproduced within specific social, political and historical contexts.
In a similar vein, Fairclough (1993:135) defines CDA as:
discourse analysis which aims to systematically explore often opaque relationships of causality and determination between discursive practices, events and texts, and wider social and cultural structures, relations and processes in order to investigate how such practices, events and texts arise out of and are ideologically shaped by relations of power and struggles over power; and to explore how the opacity of these relationships between discourse and society is itself a factor securing power and hegemony.
In other words, CDA produces insights into the way discourse reproduces (or resists) social
and political inequality, power abuse or domination. Several scholars have worked within the
CDA framework on areas such as media discourse, political discourse, gender discourse, and
various institutional discourses such as classroom discourse and medical discourse.
Fairclough and Wodak (1997: 271) summarise the main tenets of CDA as follows:
1. CDA addresses social problems.
2. Power relations are discursive.
3. Discourse constitutes society and culture.
4. Discourse does ideological work.
5. Discourse is historical.
6. The link between text and society is mediated.
7. Discourse analysis is interpretative and explanatory.
8. Discourse is a form of social action.
This study also centres on rural healthcare. The materialist conception of rural health care
anchors on the fundamental assumption that health care is part and parcel of society. Health
begins with the axiom that human beings are the basis of both the forces of production, the
You either get what you want or your money back. T&C Apply
Share a Comment
You can find more project topics easily, just search
SIMILAR ENGLISH LITERARY STUDIES FINAL YEAR PROJECT RESEARCH TOPICS
» TABLE OF CONTENTTitle page 1Certification 2Dedication 3Acknowledgment 4Table of content 6CHAPTER ONE: INTRODUCTION 1.1 Background of Study 8 1.2 Purpo...Continue Reading »
50 pages | 224 hits | Source: ENGLISH LITERARY STUDIES
2. A PSYCHOANALYTIC READING OF TONI MORRISON‟S A MERCY AND GLORIA NAYLOR‟S THE WOMEN OF BREWSTER PLACE AND MAMA DAY» ABSTRACT The study of Psychoanalysis over the years has helped to reveal the relation between the mind, language and personality trait which are not e...Continue Reading »
103 pages | 70 hits | Source: ENGLISH LITERARY STUDIES
3. STRATEGIES FOR IMPROVING LOW ACADEMIC PERFORMANCE IN ENGLISH LANGUAGE IN SECONDARY SCHOOLS IN KADUNA STATE (A CASE STUDY OF SOME SELECTED SECONDARY SC...» ABSTRACT This study examines strategies for improving low academic performance in English language in secondary schools in Kaduna state. Over the year...Continue Reading »
52 pages | 426 hits | Source: ENGLISH LITERARY STUDIES
4. CHIMAMANDA NGOZI ADICHIE AND THE DIALOGIC IMAGINATION: A BAKHTINIAN RE-EXAMINATION OF HALF OF A YELLOW SUN, PURPLE HIBISCUS AND THE THING AROUND YOUR ...» Abstract “You cannot do literature without theory”. A statement made by Professor Y.A.Nasidi in a lecture with his 2009 2010 MA students a...Continue Reading »
136 pages | 64 hits | Source: ENGLISH LITERARY STUDIES
» ABSTRACTThis research work presents A Journey of Self Discovery reflecting the times of Sefi Atta’s novel Everything Good Will Come. It has examined...Continue Reading »
50 pages | 461 hits | Source: ENGLISH LITERARY STUDIES
6. CULTURE AND DISCRIMINATION AGAINST WOMEN IN BUCHI EMECHETA’S THE JOYS OF MOTHERHOOD AND CHIMAMANDA ADICHIE’S PURPLE HIBISCUS» ABSTRACTOver the years, the major challenge facing the female folk is discrimination and unfair treatment in the society. This work discusses cultural...Continue Reading »
49 pages | 262 hits | Source: ENGLISH LITERARY STUDIES
7. MENACE OF TEXT MESSAGE ABBREVIATIONS ON ENGLISH LANGUAGE EXAMINATIONS (A STUDY OF THREE SECONDARY SCHOOLS IN OKOTA L.G.A)» CHAPTER ONE INTRODUCTION 1.1 Background of the study Text message (TM) simply refers to the use of abbreviations that might not necessarily be univers...Continue Reading »
52 pages | 265 hits | Source: ENGLISH LITERARY STUDIES
8. FOLKTALES AND MORAL INSTRUCTION: A THEMATIC ANALYSIS OF HAUSA WOMEN’S TALES IN KUMBOTSO LOCAL GOVERNMENT AREA IN KANO STATE» ABSTRACT This study examines the important moral, traditional, education, etc. roles Hausa women folktales bequeathed to children. It seeks to analyse...Continue Reading »
106 pages | 61 hits | Source: ENGLISH LITERARY STUDIES
» ABSTRACT The aim of this study is to examine how National Diploma (ND) II students of Kogi State Polytechnic, Lokoja use concord. The Study adopts the...Continue Reading »
152 pages | 84 hits | Source: ENGLISH LITERARY STUDIES
10. REVOLUTIONARY AESTHETICS IN NGUGI AND MUGO’S THE TRIAL OF DEDAN KIMATHI AND HUSSEIN’S KINJEKETILE» ABSTRACT The attempt in this study is to examine two notable East African plays, The Trial of Dedan Kimathi and Kinjeketile, against the background of...Continue Reading »
52 pages | 423 hits | Source: ENGLISH LITERARY STUDIES