#online discourse
By: Cynthia Gordon
Published in: Narrative Matters in Medical Contexts across Disciplines
Edited by: Franziska Gygax and Miriam A. Locher
Pages 117-140
LL Abstract:
In this chapter, Gordon applies computer-mediated discourse analysis (CMDA) methods to explain how participants in a single thread on a medical discussion board jointly work to address the first poster’s description of an interaction where a doctor criticizes her weight. Using a small stories perspective, she identifies six intertextual linking strategies that posters use to co-create a small story that works through the first poster’s dilemma: posing information-seeking questions, paraphrasing and reframing, creating “constructed dialogue” (Tannen, 2007), using the board’s quotation function, pointing (i.e. using the ^ sign), and advice-giving. In mapping these strategies, this chapter shows how participants use linguistic strategies to attribute responsibility for a problematic interaction to both the doctor and original patient/poster.
LL Summary:
Gordon (2015) opens this chapter by introducing online discussion boards as similar to what Ochs, Smith, and Taylor (1989) suggest about dinner tables, in that both act as “opportunity spaces” for the possibility of joint action of participants. In the introduction, she situates her research focus on this discussion board thread by describing her small stories approach to exploring the metadiscourse in this thread about a doctor’s unwelcome comments. Gordon next gives an overview of the chapter, then reviews previous research on online discussion boards, small stories, and intertextuality. Describing a range of studies making up the theoretical background of the study, she begins this section by discussing research showing how online discussion boards often feature participants engaging in storytelling to manage health-related issues while connecting with others. Gordon then reviews the “small stories” perspective in narrative analysis, wherein collaborative, fragmented, or incomplete “narrative-like formats of talk” have been demonstrated to act as a form of problem-solving behavior. The theoretical background section ends with a discussion of intertextuality - the relationships linking language meaning to prior instances of that language - and current research on linking/quoting others while revealing awareness of language through metadiscourse (language about language). In the next section of the chapter, the author describes “FriendInFitness/FIF”, an app and website geared to users attempting to track their caloric consumption and expenditure (aka food intake and exercise). Gordon describes how she applied Herring’s (2004) sampling methods to identify a thread with 46 posts by 24 participants beginning with a post by “Alma_Michelle” about a doctor-patient interaction about her body weight. The chapter then presents Gordon’s analysis, starting with a description of the linguistic strategies used by “Alma_Michelle” in her original post, such as the use of constructed dialogue to voice the doctor and the providing of details and information about her personal health statistics. Next, Gordon provides an analysis of the 6 intertextual strategies she identifies in the thread responding the original post. The first, asking information-seeking questions, occurs early in the thread and is typical of problem-solving narrative episodes. With the second strategy - paraphrasing and reframing - Gordon finds that participants recontextualize select elements of the first poster’s language, sometimes reinforcing her perspective and sometimes offering new understanding. The author finds that posters use the third strategy of constructed dialogue to create hypothetical utterances, re-create past utterances from outside of the thread, and to tie back to words used earlier in the thread, essentially suggesting the reinterpretation of information. Related to constructed dialogue, Gordon next shows how the fourth strategy - using the board’s built in quotation function - to link posts and create coherence on the thread. The fifth strategy of pointing echoes the previous two strategies, as Gordon reveals that posters use symbols and deictic pronouns to vividly link back to prior posts and introduce advice by modifying understandings of those previous posts. Finally, the sixth strategy of advice-giving is presented by Gordon as an interconnected activity with narration, as she finds that posters move their tellings into the future (similar to what has been found for small stories in other contexts) via advice that helps solve the original poster’s dilemma. Gordon ends the analysis section by summarizing her findings about the six strategies realizing posters’ co-telling or co-problem-solving via narration, suggesting that these strategies facilitate the gradual gathering and sharing of information and multiple perspectives. The chapter ends with a discussion of the larger themes referenced by the small story evoked in this thread (aka about how doctors should communicate with patients), tying Gordon’s analysis to questions of identity and narrative problem-solving online and the ways that online discussion forums provide opportunities for collaborative sense-making.
LL Recipe Comparison:
This chapter reminds me of the recipe forLinguine with Kale and Tomatoes:
While Gordon finds that many discussion board participants had to work together to solve a poster’s dilemma, you will find that this recipe only requires one participant to make and will have no dilemmas about reaching for seconds! The fresh kale and tomatoes pair quite nicely with the light garlic sauce in this dish, much as online discussion boards pair nicely with soliciting advice about health. Good cooking!
MWV 6/3/18
