Um olhar enunciativo para interlocuções entre médico e paciente em consultas ambulatoriais pelo sistema único de saúde

Abstract

In this work, we seek to understand what Benveniste calls intersubjective communication, to examine, from this notion, the nature of the interlocution that establishes itself every time that, in the specific situation of enunciation in outpatient visit, the interlocutors (doctor and patient) take on the language. In the process, we derive from studies of Benveniste, the concepts of allocution and exchange. We understand that allocution results from the reversibility between I and you, being necessary to establish the pragmatic effect of intersubjective communication. However, this is not sufficient to ensure intersubjective communication, which is related to the establishment of exchange, defined as the taking of a position of prominence in the enunciation by the partners. Based on this theoretical work, we analyze an outpatient visit to see if the taking of the word by the interlocutors enables (or not) the exchange between the two, being able to establish intersubjective communication. The analysis results show that the establishment of an exchange between doctor and patient, in this situation, establish itself as a discontinuous and contingent process because it puts at stake a number of factors, not all likely to be identified. Thus, we can say that intersubjective communication, in an outpatient visit, occurs as a momentary effect always that, in the enunciation, the pair I and you makes movements towards establishing an exchange. We conclude that the taking of a subjective engagement in the enunciation by the participants of the dialogue is always subject to oscillating in the process.