The two findings to be presented are as follows : 1 ) the question - answer patterns observed in a doctor - patient consultation reflect an asymmetrical relationship in which the doctor plays the dominant role while the patient the subordinate one . 2 ) however , by choosing appropriate follow - up responses to the answers provided by patients , doctors are able to build a more symmetrical interaction 我們所要介紹的二個議題包括了, ( 1 )醫(yī)病溝通過程里的問答句使用情形顯示了醫(yī)師與病人之間為上對下之不平等的互動關系; ( 2 )藉由適當的回應病人可以營造一個較平等之互動。