Professional Documents
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1. Introduction
Medical discourse, defined by Wilce [1] as discourse in and about healing, curing, or therapy, including expressions of suffering and relevant language ideologies, operates through a number of key words referring to health-related concepts. The words under scrutiny in this article are often used to denote concepts of health abnormalities. Depending on the research approach, various classifications can be formulated but it should not be forgotten that it is the actual representations of these lexical items that really count in the words of J. Lyons [2]. What is more, as J. Leech [3] states, lexical items can never be effectively studied on one level only, so that this fact further compounds the process of analysis. One way to delve into the semantic intricacies of the abovementioned lexical items involves exploiting the method of semantic features representation. Ascribing semantic relationships to these words makes it possible to define their meanings and actual representations in utterances. Analysing the abovementioned terms in view of conceptual meaning can furnish us with some insights into their subtleties of CorrespondenceCAUSALITY, Dagnev, MA, lecturer, meaning. RELATIONSHIPS, author: Ivaylo research fields: methodology of ESP, semantic networks, STATE OF HEALTH, ascribe meaning to words such
cognitive linguistics, text analysis. E-mail: ivodagnev@abv.bg.
as disease, while EXPERIENCE, PART-WHOLE, relate to illness, etc. Field of discourse and medium, as Quirk et al [1] point out, are also relevant in terms of the actual representations of the words being discourse-dependent. I have also presented the relative force of the metawords in terms of key concepts relating to both the medicinal and non-medicinal domains, respectively [7]. I should underline that the lack of a PLUS in the table 1 does not indicate complete absence from the respective category but relative weakness of force in comparison to other categories. Also, terms which are not directly related to academic field of discourse, are none-the-worse included implicitly in the denotational system, so there is leftto-right directionality of potential meaning. I have tried to define the concepts in the light of denotation/connotation analysis and accordingly abstract (truth-conditional) and experiential basis. The table 1 also reflects this idea but it should be noted that the concepts provide an ad hoc division and the meanings of the proposed metawords should be viewed in a continuum, from complex network of causality relationships to analog meanings outside of the medical domain.
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Table 1. Relationships of metawords in the medical discourse Words State of health, State of health, causality experience Disease Disorder Medical Condition Morbidity Incidence Prevalence Syndrome Failure Distemper Sickness Illness Ailment Malady Indisposition Infirmity Affliction Unsoundness Unhealthiness + + + + + + + + + + + + + +
Degrees of experience + + +
+ + + + + + + + + + + + + + + + + + +
Disease [6] has only one polysemy count, no antonyms (if we do not take into consideration the word health), which brings it closer to the concept of term - a lexical unit consisting of one or more than one word which represents a concept inside a domain as defined by Besse, Nkwenti-Azeh & Sager [4]. A medical condition is a broad term that includes all diseases and disorders, but also encompasses injuries and normal health situations, such as pregnancy, that might affect a person's health, benefit from medical assistance, or have implications for medical treatments. It is a more scholarly oriented in view of usage, hence its presence in the academic discourse. Ex: Law enforcement sources tell the murderers medical condition was purely psychological and that he was in peril of having a nervous break down Disorder is a functional abnormality or disturbance which can be categorized into mental disorders,
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physical disorders, genetic disorders, emotional and behavioral disorders, and functional disorders. The word does not function exclusively in the medical discourse, although its synonyms enter into similar paradigmatic relationships. Ex: Anorexia nervosa, commonly referred to simply as anorexia, is one type of eating disorder. Much like disorder, failure can be categorized into coronary failure, left ventricular failure, etc. Likewise, the term enters into many collocations and refers to the inability to perform or to function properly. Morbidity applies to a diseased state, disability, or poor health due to any cause. The term may be used to refer to the existence of any form of disease, or to the degree that the health condition affects the patient. It is also used to referring to the proportion of sickness or of a specific disease in a geographical locality. Ex: The study concludes that further research should focus on understanding the impact of delays in diagnosis on morbidity and Incidence is a hyponym of morbidity as it also represents ratio but underlies the number of newly diagnosed cases during a specific time period. The notion of incidence is distinct from prevalence which refers to the number of cases alive on a certain date. In medicine and psychology, syndrome refers to the association of several clinically recognizable features, signs (observed by a physician), symptoms (reported by the patient), phenomena or characteristics that often occur together. While disease, disorder and medical condition are value-neutral in terms of pragmatics and functional perspective, syndrome is more oriented towards the process of medical treatment and doctor-patient relationship. Distemper involves a derangement of the health; mental derangement or perturbation. The word is mostly applied to the morbid state of the animal system. For example, canine distemper is an infectious viral disease occurring in dogs.
Ex: We call it a strong mental distemper. Our dog suffered from distemper (a very serious viral disease).
Acuteness,
Permanence,
infirmity,
malady,
indisposition,
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unsoundness, unhealthiness also belong to the medical domain but are more oriented towards the feeling of being ill. Most of these words are related to the strength or permanence of the condition or are localized in terms of bodily perception, thus representing the relationship PART-WHOLE. Ailment is a bodily infirmity, more often appled to chronic than to acute diseases. It applies to mental uneasiness, to disorders that are not voilent. Ex: No, you cant call thiss cold in the head malady. It is simply a slight ailment and will be over in a day or two. Malady is a physical or mental disorder of any kind, especially a lingering and deep-seated one. It refers more to the suffering than to the state of the body. Ex: Work in the open is the cure for most of the maladies of man (sufferings). Indisposition is a minor illness, especially one of a temporary nature; the state of not being disposed or inclined; the condition of being sick. Ex: She was back in her place at Raggett Street after a temporary indisposition. There was a general Aramaic indisposition to literary composition at the time in question. Infirmity is a physical weakness or defect; frailty or ailment, as from old age; a moral weakness; defect. Ex: Thirst, hunger and weariness are natural to the flesh, not infirmities of the flesh. Affliction is a condition of pain, suffering, or distress, something responsible for physical or mental suffering, such as a disease, grief, etc. Ex: Our merit and progress consist not in many pleasures and comforts but rather in enduring great afflictions and sufferings. Unsoundness means being not mentally or physically healthy; "no one can be a poet without a certain unsoundness of mind; a condition of damage or decay; a misconception that is fallacious and not
true or valid. In this sense, the concept oversteps the boundaries of medical discourse and has general truth values. Unhealthiness relates to being in a state of illhealth; sick, or characterized by or symptomatic of illhealth: an unhealthy pallor. Causing or conducive to poor health; unwholesome: an unhealthy diet.
5. Conclusion
Although the presented analysis by no means exhausts the innumerable semantic aspects of the words in question, it serves its purpose of gaining an insight into the matter. Having in mind, though, the multiplicity of relations and levels the notions work at, we can nevertheless conclude, that in general, the terms in question fall into two major groups. The first one is more oriented towards the analysis of the problematic area in this specific field of discourse, or the diagnosis, as it is more abstract and denotative, while the second deals mostly with the process of a certain condition, and is more connotative, thus referring to the course of therapy.
References
[1] [2] [3] [4] Wilce J., Medical Discourse, Annual Review of Anthropology, October 2009, Vol. 38, Pages 199-215. Lyons J., Linguistic Semantics: An introduction. Cambridge, UK: Cambridge University Press, 1995. Leech J., Semantics, Penguin, Harmondsworth,1974. Quirk R., Greenbaum S., Leech G., Svartvik J - A Comprehensive Grammar of the English Language, UK, Longman Group Limited, 1985. Besse, Nkwenti-Azeh & Sager 1997, "GLOSSARY OF TERMS USED IN TERMINOLOGY", Terminology (4)1, p 117-156. Krusteva, E., Trenev, B, Iliev, Ts. English Synonyms. St.Kliment Ohridski University Press, Sofia, 1995. . . . : . , 2005. Dokova A, Trendafilova S., English for Medical Purposes, Varna, 1999.
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