A Grounded Practical Theory Reconstruction of the Communication Practice of Instructor-facilitated Collegiate Classroom Discussion

Instructor-facilitated collegiate classroom discussion (IFCCD) is a highly valued yet undertheorized instructional practice. Research examining the structure of classroom interaction, scholarship advocating rationales for discussion-based pedagogy, and an investigation of a related interactive classroom communication practice provide an informative backdrop for this study. The data in the study were collected using action-implicative discourse analytic techniques throughout a semester in three classrooms at the same university. Reconstructing the three levels of the practice through grounded practical theory—the problem/dilemma level, the normative situated ideals level, and the talk/discourse techniques level—provides some insight into why in two of these cases of IFCCD, engaged and participatory discussion was accomplished. The shared dilemma of the practice is reconstructed as the problem of engagement in which both individual engagement with curricular content and shared engagement in co-creation of the discussion are valued. The dilemmatic nature of the practice is explored specifically in terms of traditional and nontraditional teacher talk and associated participation structures. Significant similarities and differences across the three cases are found and examined in the reconstructions of instructor situated ideals and third-turn facilitation techniques. Initial conclusions are incorporated in the discussion of discourse-based applications for practitioners interested in facilitating discussion in college classrooms.     

Managing Patient-centered Communication across the Type 2 Diabetes Illness Trajectory: A Grounded Practical Theory of Interactional Sensitivity

This article uses the theoretical and methodological framework of Grounded Practical Theory (GPT) to provide a lens for analyzing and interpreting discourse as a situated form of social action in routine Type 2 diabetes visits. Drawing on a total data-set of 400 audio-recorded routine visits, we randomly selected 55 visits for qualitative analysis. In this article, we use Conversation Analysis to document communication techniques, which we in turn use as evidence to ground our claims within the GPT framework. We use two single cases of interaction to analyze communication techniques physicians use when recommending a change from oral medication to insulin. We argue treatment intensification is a key moment in health communication to reflect about patient centeredness because physicians can find themselves in an interactional dilemma: while insulin may effectively help control unstable disease, an insulin recommendation may simultaneously counter patient values and treatment preferences. Our analysis suggests that physicians use what we call interactional sensitivity to balance medical need and patient preferences when making medical decisions by tailoring their communication according to the local situation and the patient's larger illness trajectory. We propose that interactional sensitivity is a type of communication work and a quality of patient-centered communication characterized by the theoretical relationship between tailoring communication to the contingencies of the local interaction and the global illness trajectory. Overall, this article contributes to health communication scholarship by proposing a normative model for reflecting on how physicians negotiate challenging interactions with patients during routine chronic illness visits.     

Negotiating Language in Transnational Health Care: Exploring Translingual Literacy through Grounded Practical Theory

An increased interest in studying the nature of communication in health care and the use of interpreters has revealed the need for more collaboration and understanding of multilingual health-care practices. Theory and practice concerning cross-cultural health-care communication can benefit from examining the intersections between translingual literacy and transnational programs through hybrid interpretive strategies. In this study, I argue that these strategies move across, between, and among different languages, dialects, and nonverbal gestures to develop mutual understanding. To account for literacy practices that might engage this hybridity in health care, I use grounded practical theory to analyze a case study of participants who ran temporary medical and dental clinics in the Dominican Republic. This analysis finds that hybrid strategies with English–Spanish and Spanish–Spanish interpretation are used to overcome problems with balancing efficiency and rapport-building. By integrating ethnographic methods and grounded practical theory, this study's practical implications emerge in the negotiations of language employed by participants to connect translingual theory and practice in health-care communication.     

被经验的中介和被中介的经验——从传播理论教材的译介看传播学在中国

本文以国外传播理论教材的译介作为视角,考察了欧美传播理论话语在中国的诠释和变异,研究了西方客观经验主义的大众传播理论如何被潜移默化地等同于传播学的过程,同时以《传播理论导引:分析与应用》为例,对我国目前传播学的教学与研究中存在的一些问题进行了探讨,提出应该进一步开阔视野、注重研究范式、重新思考传播理论的教学与应用。