Introduction: This paper reports on research conducted within a Hong Kong (HK) accident and emergency department (AED), which investigated the effectiveness of health care worker-patient communication over the course of patients' journeys from triage to disposition. Methods: The research combined qualitative and quantitative ethnographic methods with linguistically-oriented discourse analysis of audiotaped interactions between patients and health care workers. It involved: (1) observations, (2) semi-structured interviews with management and health care workers, (3) surveys with AED staff, (4) audio-recordings of 10 patients' journeys, and (5) follow-up interviews with patients. Results: The paper described the typically complex communication networks involved in AED care. It then exemplified how certain communicative strategies, balancing the communication of medical knowledge with interpersonal communication, could be used to achieve positive healthcare outcomes. This was illustrated by a case study of one patient's journey through the AED, pinpointing health care workers' effective use of communication strategies, their effect on the patient's participation and subsequently the patient's understanding and evaluation of the care he received. Conclusion: The high stress nature of AEDs inevitably poses challenges to communication. The results of this study, however, strongly suggest a correlation between health care workers' use of effective, interpersonally sensitive communication strategies and positive patient outcomes. Health care worker-patient communication that effectively balances interpersonal communication with the communication of medical expertise is integral to ensuring patients' participation in, understanding of, and satisfaction with their healthcare. These communication strategies should be required components in health care worker communication training.

In this article, we report findings from the first qualitatively driven study of patient–clinician communication in Hong Kong Accident and Emergency Departments (AEDs). In light of the Hong Kong Hospital Authority’s policy emphasis on patient-centered care and communication in the public hospitals it oversees, we analyze clinicians’ perceptions of the role and relevance of patient-centered communication strategies in emergency care. Although aware of the importance of effective communication in emergency care, participants discussed how this was frequently jeopardized by chronic understaffing, patient loads, and time pressures. This was raised in relation to the absence of spoken interdisciplinary handovers, the tendency to downgrade interpersonal communication with patients, and the decline in staff attendance at communication training courses. Participants’ frequent descriptions of patient-centered communication as dispensable from, and time-burdensome in, AEDs highlight a discrepancy between the stated Hong Kong Hospital Authority policy of patient-centered care and the reality of contemporary Hong Kong emergency practice.

This study explores the complementarities between systemic functional and cognitive metaphorical approaches to multimodal discourse analysis. Their common concern with the construal of human experience and their shared theoretical foundation of viewing language and other semiotic systems as meaningmaking resource make it possible to integrate them in analyzing linguistic and multimodal data. Meanwhile, as far as multimodal discourse analysis is concerned, the theoretical strengths of systemic functional visual grammar and multimodal metaphor theory are able to bridge existing gaps. on the one hand, the systemic functional framework provides a comprehensive modeling of the visual realization of metaphor; on the other hand, conceptual metaphor theory provides an epistemological status to the semiotic description of visual images. Therefore, 86 dezheng Feng and Elaine Espindola, Integrating Systemic... from the results here obtained, it is possible to conclude that the integration of these two major theoretical approaches is significant to furthering our understanding of multimodal discourse.

This study is inserted within the Audiovisual Translation (AVT) area and it takes up where Espindola (2005) left off. The present study draws on the analysis of the same translational product from two different perspectives: Official Subtitles (OS), rendered by Drei Marc Company in Brazil, and Non-Official Subtitles (NS), rendered by the Internet group 9 th Wonders. This study analyzes the Culture-Specific Items (CSIs) and the treatment given to them in the light of the concepts of Domestication and Foreignization. The analyzed episode presented a total of 42 CSIs that were identified and categorized. The OS presented 33 foreignized items, 07 domesticated items, and 02 omissions, whereas the NS presented 32 foreignized items, 08 domesticated items, and 02 omissions. During the translational process for the subtitles of Heroes, the subtitler was faced with cultural diversity and had to deal with it. The few moments when domestication was used, the strategy used was that of adjustment, diminishing the strangeness towards the cultural elements. When the opposite occurred, the implication was that, by foreignizing, a feeling of strangeness or foreignness might have been created, possibly impacting the processing or acceptance towards these elements.

RESUMO: Neste artigo, realizamos um estudo crítico-descritivo sobre as principais perspectivas teóricas de gênero textual, produzidas internacionalmente na Linguística Sistêmico-Funcional (LSF). Os resultados mostraram compartilhamento de princípios sistêmico-funcionais entre as perspectivas teóricas investigadas, apesar dos enfoques diferenciados do gênero textual. Tais perspectivas foram agrupadas em clássica e tipológica. O estudo caracterizou a LSF como uma abordagem teórica aberta a constantes inovações, o que parece ser promissor para os estudos transdisciplinares da Linguística Aplicada desenvolvidos no Brasil. PALAVRAS-CHAVE: Sociossemiótica. Registro. Gramática. (Con) texto.ABSTRACT: The present paper presents a comparative study of the main theoretical perspectives concerned with textual genre as disseminated internationally in the realm of Systemic Functional Linguistics. Results have shown that scholars do share a systemic-* Universidade Federal do Tocantins (UFT), Araguaína, Tocantins, Brasil, Doutor em Linguística Aplicada pela Unicamp, Professor e Pesquisador

The present article contemplates two complementary dimensions, namely: (i) Audiovisual Translation Studies; and (ii)

To cite this article: Elaine Espindola (2016) A systemic functional translation analysis of thematic structure: directing attention to Yoda's linguistic manifestation, WORD, 62:1, 22-34,

■ ABSTRACT: The present paper investigates some representations of Brazilian basic schoolteachers in professional reflexive writing, that is, a differentiated academic writing produced by pre-service teachers as the final assignment during their supervised compulsory pre-service Portuguese teacher training. The focus of attention is given to the clauses where the schoolteachers are construed as the grammar subject of actions. The methodological framework assumed in this research is that of the transdisciplinary approach of Applied Linguistics, which is characterized by the use of theoretical-methodological categories resulting from the many fields of knowledge applied in the construction of the object of study. Schoolteachers are represented as the main social actors accountable for the processes identified, which might ask for a complexification of pre-service teacher's view as regards the compulsory environment of pre-service teaching. Results indicate the demand for a more useful application of the professional reflexive writing in pre-service teacher education.■