Discourse Analysis Study of Clarification Requests in selected medical Dialogues
Abstract
The ability to communicate effectively and efficiently is one of the most vital skills in a work-related context, and if you want to reduce miscommunication, your communication has to be accurate and concise. This study investigates clarification requests within English for Specific Purposes (ESP) health communication as a lens on how learners manage understanding and collaboratively fix misunderstanding while developing their professional linguistic competence. Utilizing discourse analysis as the methodological framework, the study focuses on the analysis of authentic data of clarification requests used in role-plays and case discussions by Iraqi undergraduate students enrolled in an ESP healthcare program. The study results show students employ multiple functions of the discourse markers "so" and "you mean" to request a repeat, clarification, or explanation. This study extends our understanding of clarification request use for developing the students' medical vocabulary within an expanded and professional discourse. Similarly, this study also extends our understanding of the function of interactional adjustments to maintain coherence and develop fluency in the discourse, such as paraphrase or repetition. The results of the study suggest the pedagogical significance of teaching clarification request strategies in ESP classes for providing students with the tools to effectively navigate professional healthcare interaction.
References
Brown, R. (1968). The development of wh questions in child speech. Journal of Verbal Learning and Verbal Behavior, 7(2), 279-290.
Cherry, L. J. (1979). The role of adults' requests for clarification in the language development of children. In R. O. Freedle (Ed.) New Directions in Discourse Processing (p. 273). Praeger.
Cicognani, E., & Zani, B. (1988). The clarification request in teacher-child conversation. European Journal of Psychology of Education, 3(3), 303-315.
Corsaro, W. A. (1977). The clarification request as a feature of adult interactive styles with young children. Language in Society, 6(2), 183-207.
Doughty, C., & Pica, T. (1986). “Information gap” tasks: Do they facilitate second language acquisition? TESOL Quarterly, 20(2), 305-325.
Ellis, R. (2015). The study of second language acquisition. Oxford University Press.
Ellis, R., Basturkmen, H., & Loewen, S. (2001). Learner uptake in communicative ESL lessons. Language Learning, 51(2), 281-318.
Foster, P. (1998). A classroom perspective on the negotiation of meaning. Applied Linguistics, 19(1), 1-23.
Foster, P., & Ohta, A. S. (2005). Negotiation for meaning and peer assistance in second language classrooms. Applied Linguistics, 26(3), 402-430.
Jenks, C. J. (2009). When is it appropriate to talk? Managing overlapping talk in multi- participant voice-based chat rooms. Computer Assisted Language Learning, 22(1), 19-30.
Kaur, J. (2010). Achieving mutual understanding in world Englishes. World Englishes, 29(2), 192-208.
Langford, D. (1981). The clarification request sequence in conversation between mothers and their children. Adult-child Conversation, 159-174.
Long, M. H. (1980). Input, interaction, and second language acquisition. University of California Press, Los Angeles.
Long, M. H. (1996). The role of the linguistic environment in second language acquisition. In W. C. Ritchie, & T. K. Bhatia (Eds.), Handbook of second language acquisition (pp. 413-468). Academic Press.
Oliver, R. (2002). The patterns of negotiation for meaning in child interactions. The Modern Language Journal, 86(1), 97-111.
Panova, I., & Lyster, R. (2002). Patterns of corrective feedback and uptake in an adult ESL classroom. TESOL Quarterly, 36(4), 573-595.
Robinson, W. P. (1984). The development of communicative competence with language in young children: a social psychological perspective. The Social Dimension, 1, 28-51.
Smith, B. (2003). Computer–mediated negotiated interaction: An expanded model. The Modern Language Journal, 87(1), 38-57.
Ten Have, P. (2007). Doing conversation analysis. Sage.
Van Lier, L. (2000). 11 From input to affordance: Social-interactive learning from an ecological perspective. In J. P. Lantolf (Ed.), Sociocultural Theory and Second Language Learning: Recent Advances (pp. 245-259). Oxford University Press.
Walsh, S.(2012). Conceptualising classroom interactional competence. Novitas-Royal, 6(1),1-14.

This work is licensed under a Creative Commons Attribution 4.0 International License.
1. The Authors submitting a manuscript do so on the understanding that if accepted for publication, copyright of the article shall be assigned to Al-Qadisiyah Journal For Humanities scinces (QJHS), University of Al-Qadisiyah as publisher of the journal.
2. Copyright encompasses exclusive rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc. , will be allowed only with a written permission from Al-Qadisiyah Journal of Humanities scinces (QJHS), University of Al-Qadisiyah.
3. Al-Qadisiyah Journal of Humanities scinces (QJHS) , University of Al-Qadisiyah, the Editors and the Advisory International Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in the journal Al-Qadisiyah Journal of Humanities scinces (QJHS), University of Al-Qadisiyah are sole and exclusive responsibility of their respective authors and advertisers.

