Sentence to Ten Cents: A Case Study of Relevance and Communicative Success in Nonnative-Native Speaker Interactions in a Medical Setting

In cross-cultural interaction in medical settings, there is great potential for mtscommunication This potential is increased when the language proficiency of one of the interactants is low In the data presented here of such interaction, however, the instances of miscommumcation are quickly resolved and communication proceeds Three sources of communicative success are suggested. Most important is the ability of both parties to draw contextually triggered inferences which provide a basis for (1) making perceptual contributions and (2) using communication strategies These inferenctng abilities and communication strategies are guided by the expectation of and search for relevance (Sperber and Wilson 1995) which allows interaction to proceed A third source of success is the professional knowledge and skill of the interactants which not only enable interaction to proceed but to do so toward professional goals The implications of these findings contribute to our understanding of models of intentional communication.