Abstract:Epilepsy is a neurological disorder that affects the central nervous system and causes seizures or periods of unusual behavior, sensations, and sometimes loss of awareness. In clinical diagnosis, a conversation analysis approach to patients’ interaction has proved to be an effective method to diagnose epilepsy. Most typically, the interactional, topical, and linguistic features in patients’ talk are analyzed to help the differentiation of epileptic seizure (ES) and psychogenic non-epileptic seizure (PNES), two types of epilepsy that are difficult to be distinguished in clinical practice. With a conversation analysis of the talks of Chinese patients with ES and PNES, this study shows that the initiative of providing seizure information, the efforts of presentation, and the use of negative expressions in patients’ talk are of great value in differentiating ES from PNES. The study also indicates that conversation analysis has practical and applicational value in medical clinical diagnosis, which can provide a reference for differential diagnosis of some neurological diseases through an analysis of doctor-patient interactions in medical history records.
马 文,金丽日. 癫痫鉴别诊断中的会话特征分析[J]. 语言战略研究, 2021, 6(6): 59-66.
Ma Wen and Jin Liri. Analysis of Conversational Features in Differential Diagnosis of Epilepsy. , 2021, 6(6): 59-66.