In:Imperative Turns at Talk: The design of directives in action
Edited by Marja-Leena Sorjonen, Liisa Raevaara and Elizabeth Couper-Kuhlen
[Studies in Language and Social Interaction 30] 2017
► pp. 299–324
Chapter 10Imperatives in Swedish medical consultations
Published online: 18 August 2017
https://doi.org/10.1075/slsi.30.10lin
https://doi.org/10.1075/slsi.30.10lin
Abstract
This chapter investigates the use of imperative-formatted directives in Swedish medical consultations. The specific focus of the chapter is the division of labor between straight, non-modulated imperative turns and imperative turns which are modulated with a discourse particle or some other verbal mitigating device. The results show that non-modulated imperative turns are embedded in diagnostic work, nominating subsequent actions in a series. Orientations to projected trajectories of action and the other participant’s expectations are clearly present when modulated imperative turns are produced; they are also frequent in the opening and closing routines of the consultations. Thus, there is a link between routinized and projectable actions and the use of imperatives with a pragmatic modulating element.
Article outline
- 1.Introduction
- 2.Data and method
- 3.Overview of imperatives in the data
- 4.Non-modulated imperative turns: The physical examination
- 5.Modulated imperative turns: Projected routine actions
- 6.Conclusion
Acknowledgements Notes References
References (31)
Byrne, Partick S., and Barrie E. L. Long. 1976. Doctors Talking to Patients. A Study of the Verbal Behaviour of General Practitioners Consulting in Their Surgeries. London: Dept. of Health and Social Security.
Clyne, Michael. 1992. “Pluricentric Languages – Introduction”. In Pluricentric Languages, ed. by Michael Clyne, 1–9. Berlin: Mouton de Gruyter.
Drew, Paul, and John Heritage. 1992. “Introduction”. In Talk at Work: Interaction in Institutional Settings, ed. by Paul Drew, and John Heritage, 3–65. Cambridge: Cambridge University Press.
Ervin-Tripp, Susan. 1976. “‘Is Sybil there?’ The Structure of Some American English Directives.” Language in Society 5: 25–66.
Hakulinen, Auli, and Mirja Saari. 1995. “Temporaalisesta adverbista diskurssipartikkeliksi [From a temporal adverb to a discourse particle].” Virittäjä 4: 481–500.
Hellberg, Staffan. 1990. “Uppmaningarnas syntax och direktiva satsers betydelse [On the syntax of directives and the meaning of directive clauses].” In Svenskans beskrivning 17, ed. by Erik Andersson, and Marketta Sundman, 21–37. Åbo: Åbo Akademis förlag.
Heritage, John, and Douglas W. Maynard (eds). 2006. Communication in Medical Care. Interaction between Primary Care Physicians and Patients. Studies in Interactional Sociolinguistics 20 Cambridge: Cambridge University Press.
Heritage, John, and Tanya Stivers. 1999. “Online Commentary in Acute Medical Visits: A Method of Shaping Patient Expectations.” Social Science & Medicine 49: 1501–1517.
Keevallik, Leelo. 2003. From Interaction to Grammar. Estonian Finite Verb Forms in Conversation. Uppsala: Acta Universitatis Upsaliensis.
Lindholm, Camilla. 2003. Frågor i praktiken. Flerledade frågeturer i läkare-patientsamtal [Questions in practice. Multi-unit question turns in doctor-patient interaction]. Helsinki: Svenska litteratursällskapet i Finland.
Lindström, Anna. 2005. “Language as Social Action. A Study of How Senior Citizens Request Assistance with Practical Tasks in the Swedish Home Help Service.” In Syntax and Lexis in Conversation. Studies on the Use of Linguistic Resources in Talk-in-interaction, ed. by Auli Hakulinen, and Margret Selting, 209–230. Amsterdam: Benjamins.
Lindström, Jan, Camilla Lindholm, and Ritva Laury. 2016. “The Interactional Emergence of Conditional Clauses as Directives: Constructions, Trajectories and Sequences of Actions.” Language Sciences 58: 8–21. .
Linell, Per. 2009. Rethinking Language, Mind, and World Dialogically. Interactional and Contextual Theories of Human Sense-making. Charlotte, NC: Information Age Publishing.
. 2011. Samtalskulturer. Kommunikativa verksamhetstyper i samhället [Conversation cultures. Communicative activity types in society]. Linköping: Linköping University.
Melander Marttala, Ulla. 1995. Innehåll och perspektiv i läkare‑ patientsamtal. En språklig och samtalsanalytisk undersökning [Content and perspective in doctor-patient conversations. A linguistic and conversation analytic investigation]. Uppsala: Uppsala University. [URL]
Mishler, Elliott G. 1984. The Discourse of Medicine: Dialectics of Medical Interviews. Norwood, NJ: Ablex.
Norrby, Catrin, Camilla Wide, Jan Lindström, and Jenny Nilsson. 2015a. “Interpersonal Relationships in Medical Consultations. Comparing Sweden Swedish and Finland Swedish Address Practices.” Journal of Pragmatics 84: 121–138.
Norrby, Catrin, Camilla Wide, Jenny Nilsson, and Jan Lindström. 2015b. “Address and Interpersonal Relationships in Finland-Swedish and Sweden-Swedish Service Encounters.” In Address Practice as Social Action. European Perspectives, ed. by Catrin Norrby, and Camilla Wide, 75–96. Basingstoke: Palgrave Macmillan.
Ottesjö, Cajsa, and Jan Lindström. 2005. “
Så som diskursmarkör [
Så as a discourse marker].” Språk och stil 15: 85–127.
Reuter, Mikael. 1992. “Swedish as a Pluricentric Language.” In Pluricentric Languages. Different Norms in Different Nations, ed. by Michael Clyne, 101–116. Berlin/New York: Mouton de Gruyter.
Rossi, Giovanni. 2012. “Bilateral and Unilateral requests: The Use of Imperatives and Mi X? Interrogatives in Italian.” Discourse Processes 49: 426–458.
Rothstein, Björn. 2010. “Mood in Swedish.” In Mood in the Languages of Europe, ed. by Björn Rothstein, and Rolf Thieroff, 71–84. Amsterdam: Benjamins.
Ruusuvuori, Johanna. 2000. Control in the Medical Consultation. Practices of Giving and Receiving the Reason for the Visit in Primary Health Care. Acta Electronica Universitatis Tamperensis 16. Tampere: University of Tampere.
Saari, Mirja. 1995. “’Jo, nu kunde vi festa nog’. Synpunkter på svenskt språkbruk i Sverige och Finland [On the use of Swedish language in Sweden and Finland].” Folkmålsstudier 36: 75–108.
Saari, Mirja, and Hanna Lehti-Eklund. 2016. “The Swedish Nu. A Historical Perspective.” In “Nu” and “Na”: A Family of Discourse Markers across the Languages of Europe and Beyond, ed. by Peter Auer, and Yael Maschler. Berlin: de Gruyter.
Statistics Finland. 2015. Population Structure 2014. Helsinki: Statistics Finland. ([URL])
Statistics Sweden. 2015. Population Statistics. Statistics Sweden, Stockholm. ([URL])
Stivers, Tanya, Lorenza Mondada, and Jakob Steensig. 2011. “Knowledge, Morality and Affiliation in Social Interaction.” In The Morality of Knowledge in Conversation, ed. by Tanya Stivers, Lorenza Mondada, and Jakob Steensig, 3–26. Cambridge: Cambridge University Press.
Teleman, Ulf, Staffan Hellberg, and Erik Andersson. 1999. Svenska Akademiens grammatik. Vol. 4. Stockholm: Svenska Akademien.
Wide, Camilla, and Benjamin Lyngfelt. 2009. “Svenskan i Finland, grammatiken och konstruktionerna” [Swedish in Finland, the grammar and the constructions]. In Konstruktioner i finlandssvensk syntax. Skriftspråk, samtal och dialekter, ed. by Camilla Wide, and Benjamin Lyngfelt, 11–43. Helsinki: Svenska litteratursällskapet i Finland.
Cited by (3)
Cited by three other publications
Kannisto, Antti, Samu Pehkonen & Maria Frick
Barron, Anne
Lindström, Jan, Camilla Lindholm, Inga-Lill Grahn & Martina Huhtamäki
2020. Consecutive clause combinations in instructing activities. In Emergent Syntax for Conversation [Studies in Language and Social Interaction, 32], ► pp. 245 ff.
This list is based on CrossRef data as of 4 december 2025. Please note that it may not be complete. Sources presented here have been supplied by the respective publishers. Any errors therein should be reported to them.
