JELL (Journal of English Language and Literature) STIBA-IEC Jakarta
Vol 11 No 01 (2026): JELL STIBA IEC

The Discursive Contestation of Care: A Critical Analysis of Medical Communication, Power, and Ethics in Heart of a Child (1994)

Budiarto, Budiarto (Unknown)
Suhendar, Suhendar (Unknown)



Article Info

Publish Date
02 Mar 2026

Abstract

This study provides a multi-theoretical discourse analysis of the 1994 film Heart of a Child, focusing on how language mediates institutional power, emotional vulnerability, and ethical decision-making in medical contexts. Drawing on Norman Fairclough's Critical Discourse Analysis (CDA), Mikhail Bakhtin’s theory of heteroglossia, Deborah Tannen’s distinction between “report-talk” and “rapport-talk,” John Gottman’s research on relational communication, and J.L. Austin and John Searle’s Speech Act Theory, this analysis demonstrates how clinical discourse functions as a centralizing force while parents’ emotional language provides a decentralized counter-discourse. The findings reveal that medical authority is actively performed and contested through linguistic choices, not merely asserted. The study emphasizes the historical tension between medical paternalism and the emerging emphasis on patient autonomy, particularly in relation to anencephalic organ donation. This paper contributes to the understanding of contemporary healthcare communication and bioethics by emphasizing the performative nature of medical decision-making

Copyrights © 2026






Journal Info

Abbrev

jell

Publisher

Subject

Languange, Linguistic, Communication & Media

Description

Journal of English Language and Literature (JELL) is a journal published by STIBA-IEC Jakarta. This journal is published two times a year (March and September). The main purpose of this journal is to advance and foster English Language Teaching or education, research, and Literature. The journal ...