Competenze comunicative in contesti professionali. Il caso della literacy medica


Abstract


In this contribution we tackle the concept of literacy from a novel perspective, i.e. from the point of view of the communicative skills that are necessary to effectively interact in professional contexts, where the social and knowledge unbalance is usually more significant than in everyday conversations. We focus in particular on the medical context and, by analyzing relevant interactional phenomena, we show that literacy, intended as communicative competence, can be weak also for those considered high-skilled individuals (in our case, clinicians). The paper provides an initial interpretative framework to account for pragmatic aspects of clinical interactions that characterize the communicative competence of high-skilled individuals. Our observations can be considered as premises for more detailed research on interventions aimed at improving what we might call ‘clinical literacy’.

 

In questo contributo prendiamo in considerazione il concetto di literacy da un punto di vista originale, considerando le competenze comunicative necessarie per interagire in modo efficace nei contesti professionali, dove spesso lo squilibrio tra ruoli sociali e conoscenze è maggiore rispetto alle interazioni quotidiane spontanee. Osserviamo in particolare il contesto medico e, analizzando alcuni fenomeni interazionali rilevanti, mostriamo che la literacy, intesa come competenza comunicativa, può rivelarsi debole anche nei soggetti normalmente considerati high skilled (in questo caso, i clinici). Lo studio offre un iniziale inquadramento teorico che permette di rendere conto di alcuni fenomeni pragmatici che nelle interazioni in contesto clinico caratterizzano la competenza comunicativa dei soggetti high skilled. Le nostre osservazioni possono costituire le premesse per indagini più dettagliate su possibili interventi volti a migliorare quella che potremmo chiamare ‘literacy medica’.


Keywords: Literacy; Health communication; Low/ high skilled; Argumentation; Communicative strategies

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