The Sociolinguistic Journal of Korea 14(1). This study examines how asymmetry is produced in medical interviews as institutional interaction. In medical interaction, there are two primary asymmetries caused by status and power differences: the asymmetry of knowledge and the asymmetry of tasks between participants. For this research, dialogues between a doctor and his patients were investigated. In terms of analysis, this paper identifies five functional stages into which the procedures of a medical interview are arranged: opening, examination, diagnosis, prescription, and closing. As a result, two distinct exchanges were found: the question-answer sequence and the directive-response sequence. First, initiation of each sequence was conducted mainly by the doctor at each stage. A distinctive feature of the exchange was that the doctor's questions at the introduction stage did not have any special purpose but were just an automatic courtesy greeting. The doctor's initiations were usually followed by the patient's response without any interruption. Second, the directive-response sequence was the most distinct phenomenon at the prescription stage. Two different forms of directives were used: warning and advising. The doctor's directives had two functions. The first function was to maintain the doctor's institutional authority and the second was to gain patient compliance with the doctor's directives.

I. 들어가기
 II. 의료면담에서 나타난 상호행위의 불균형
  1. 참여자들 간의 지식의 불균형
  2. 참여자들 간의 과제(tasks)의 불균형
 Ⅲ. 의료면담의 구성
  1. 도입 단계
  2. 문진 단계
  3. 진단 단계
  4. 처방 단계
  5. 종료 단계
 Ⅳ. 실제 의료면담 자료의 기능단계별 대화이동연속체 분석
  1. 자료 수집 및 절차
  2. 의료면담 전사자료와 기능단계별 분류
  3. 기능단계별 대화이동연속체 분석
 V. 연구 결과 요약
 VI. 맺음말
 참고 문헌

• 진제희(연세대학교)