Advanced cancer patients’ construction of self during oncology consultations

a transitivity concordance analysis

Neda Karimi, Annabelle Lukin, Alison Rotha Moore, Adam Walczac, Phyllis Butow

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This paper explores advanced cancer patients’ self-identification from a grammatical-concordance perspective. It combines corpus linguistics tool of concordance and transitivity analysis to investigate the grammatical choices that advanced cancer patients make to identify and construct themselves during an oncology consultation. The data comprises 69 oncology consultations between advanced cancer patients (and in some consultations a companion or companions) and their oncologist. Findings reveal that these advanced cancer patients identified themselves with an active and informed role in terms of self-care, decision-making and other administrative activities; they identified their everyday life as an indispensable part of the domain of medicine; and they did not associate themselves with emotive mental processes during the consultation.
Original languageEnglish
Pages (from-to)1-23
Number of pages23
JournalFunctional linguistics
Publication statusPublished - Dec 2018


Bibliographical note

Copyright the Author(s) 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • systemic functional linguistics
  • transitivity-concordance analysis
  • health communication
  • patient-centred communication
  • advanced cancer patient

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