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INDONESIA
Indonesian Journal of Medical Linguistics
Published by CV Narasi Khatulistiwa Indonesia
ISSN : -     EISSN : 31633676     DOI : -
Core Subject :
Indonesian Journal of Medical Linguistics is a double blind peer-reviewed scholarly journal that publishes original research articles and critical studies at the intersection of linguistics, medicine, and health communication. This journal is published quarterly as a platform for the dissemination of theoretical, empirical, and interdisciplinary findings that explore how language is used, interpreted, and negotiated in medical, clinical, and healthcare contexts. It addresses a broad range of topics, including but not limited to medical discourse analysis, doctor–patient communication, clinical interaction, health narratives, language and illness, medical terminology and semantics, health communication in media and digital platforms, cross-cultural medical communication, and language-centered approaches to healthcare practices and policies.
Arjuna Subject : -
Articles 18 Documents
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Whose pain is taken seriously? linguistic credibility, gendered expression, and diagnostic inequality in Indonesian clinical encounters Sri Astutik Andayani
Indonesian Journal of Medical Linguistics Vol. 1 No. 2 (2026): Artificial intelligence, multilingual care, and communicative safety in Indones
Publisher : CV Narasi Khatulistiwa Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67490/ijml.v1i2.947

Abstract

Background: Pain credibility in clinical encounters is often shaped by language, gendered expectations, and diagnostic uncertainty, making unequal recognition of suffering a communicative as well as biomedical problem. Objective: This study examines how Indonesian public clinical communication frames pain as credible, doubtful, ordinary, urgent, or diagnostically actionable. Method: Using a corpus-assisted discourse-pragmatic design, this study analyses 25 deduplicated public documents from national health institutions, hospital sources, public campaigns, and media texts through linguistic credibility analysis, a gendered pain legitimacy matrix, and a clinical communication and language-justice audit. Results: Pain was most frequently legitimised through communication contexts, symptom recognition, treatment pathways, service access, and warning-sign language. Gendered pain gained seriousness mainly when attached to reproductive, menstrual, pelvic, sexual, fertility, or screening-related categories, indicating that women’s pain was recognised through specific biomedical thresholds rather than through gender-neutral suffering. Implication: Language access, plain explanation, informed consent, patient rights, listening, and diagnostic safety emerged as conditions through which pain testimony became clinically intelligible and actionable. Novelty: This study contributes by repositioning diagnostic inequality in pain care as an epistemic and linguistic process in which credibility, gendered expression, and communicative access jointly shape whose pain is taken seriously within Indonesian healthcare communication and patient-safety discourse contexts
Empathy by design? evaluating relational language and emotional safety in Indonesian mental health chatbots Handono Fatkhur Rahman
Indonesian Journal of Medical Linguistics Vol. 1 No. 2 (2026): Artificial intelligence, multilingual care, and communicative safety in Indones
Publisher : CV Narasi Khatulistiwa Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67490/ijml.v1i2.948

Abstract

Background: Mental health chatbots are increasingly positioned as accessible support tools in Indonesia, yet their capacity to provide care depends not only on technical responsiveness but also on relational language, emotional safety, and cultural-pragmatic fit. Objective: This study aims to evaluate how Indonesian mental health chatbot discourse constructs empathy, manages emotional risk, and aligns with local communicative norms of help-seeking. Method: Using a qualitative discourse-pragmatic design, this study analysed 23 public text units from chatbot-related platforms, institutional pages, government health resources, and scholarly documents through a relational empathy matrix, emotional safety audit, and cultural-pragmatic alignment checklist. Results: Findings show that empathy is most visible through relational presence and autonomy support, while affective recognition, validation, and explicit non-judgmental stance appear less consistently. Emotional safety is strongest when chatbot discourse foregrounds boundary transparency, diagnosis restraint, and human-in-the-loop referral, but weaker when crisis wording, refusal style, and consent framing remain underdeveloped. Implication: Cultural alignment is supported by accessible Indonesian and locally credible referral pathways, although stigma, family pressure, multilingual diversity, and regional variation receive limited explicit attention. Novelty: This study offers a novel framework for evaluating mental health chatbot empathy as a relationally expressed, emotionally bounded, and culturally situated design practice.
Understanding without Consent? Medical Explanation, Patient Autonomy, and the Linguistic Limits of Informed Consent in Indonesia Eka Emilia Salsabila
Indonesian Journal of Medical Linguistics Vol. 1 No. 3 (2026): Health literacy, consent, and institutional trust in Indonesian healthcare
Publisher : CV Narasi Khatulistiwa Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67490/ijml.v1i3.1044

Abstract

Background: Informed consent in Indonesia is often treated as a legal and administrative requirement, yet patient autonomy remains ethically fragile when medical explanation is difficult to understand, insufficiently dialogic, or detached from health-literacy realities. Objective: This study examines how Indonesian consent-related discourse linguistically frames medical explanation, patient choice, refusal, clarification, relational support, and comprehension as conditions of meaningful autonomy. method: This study applies qualitative discourse analysis to 25 coded units drawn from 20 publicly accessible legal, institutional, patient-education, and scholarly documents, using a plain-language comprehension audit, patient autonomy and agency framework, and interactional access lens. Results: Consent discourse strongly recognizes explanation, approval, and patient rights, but explicit risk elaboration, alternative explanation, and refusal space appear less consistently. Results: Patient agency is more visible as rights vocabulary than as practical interactional design, especially because clarification prompts and understanding checks remain largely absent or unclear. Results: Health literacy is relevant across all coded units, while language accommodation, relational mediation, and digital or AI-supported explanation remain unevenly embedded. implication: These findings suggest that consent should be evaluated through comprehensibility, agency, and access, not merely procedural documentation. Novelty: This study offers an integrated medical-linguistic model for analyzing informed consent as a communicative threshold where legal validity, patient autonomy, and ethical understanding intersect.
Translating risk into everyday language: health literacy, uncertainty, and patient decision-making in Indonesian clinical encounters Wulan Kurnia Sari
Indonesian Journal of Medical Linguistics Vol. 1 No. 3 (2026): Health literacy, consent, and institutional trust in Indonesian healthcare
Publisher : CV Narasi Khatulistiwa Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67490/ijml.v1i3.1045

Abstract

Background: Risk communication in Indonesian clinical encounters remains shaped by unequal health literacy, medical uncertainty, professional authority, and uneven access to patient-centred explanation. Objective: This study examines how clinical risk, uncertainty, and treatment-relevant information are translated into everyday Indonesian language and how such translation enables or constrains patient decision-making. Method: This study applies qualitative discourse-pragmatic analysis to a 25-item corpus of public patient-facing health materials, consent-related texts, hospital education documents, and regulatory-context sources, coded through risk translation, uncertainty management, and decision-participation indicators. Results: Risk is most frequently translated as everyday manageability through chronic disease control, warning signs, treatment adherence, and professional escalation rather than abstract probability. Uncertainty is commonly organised through conditional boundaries, patient profiles, safety thresholds, and institutional procedures that make indeterminate clinical futures practically navigable. Patient decision-making appears as guided participation, where patients are encouraged to act responsibly but are less frequently invited to compare options, express preferences, or deliberate over alternatives. Implication: This study argues that health literacy should be understood as a communicative condition of clinical justice rather than merely as an individual patient capacity. Novelty: This study contributes an integrated Indonesian framework for analysing risk translation, uncertainty disclosure, and patient participation within one consistent discourse corpus.
Bureaucratic voice in hospital(ity)?: institutional language, patient confusion, and trust in Indonesian healthcare administration Ivan Riyadi
Indonesian Journal of Medical Linguistics Vol. 1 No. 3 (2026): Health literacy, consent, and institutional trust in Indonesian healthcare
Publisher : CV Narasi Khatulistiwa Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67490/ijml.v1i3.1046

Abstract

Background: Healthcare administration in Indonesia increasingly mediates patient access through registration portals, queue systems, referral rules, identity verification, and digital health platforms, making bureaucratic language a crucial yet underexamined site of healthcare communication. Objective: This study examines how Indonesian hospital administration constructs institutional authority, generates patient confusion, and shapes trust through patient-facing administrative texts. Method: Using a qualitative discourse-pragmatic design, this study analyses 28 administrative utterance segments from publicly verifiable hospital, BPJS Kesehatan, SATUSEHAT, and Ministry of Health sources, supported by structured coding of institutional voice, comprehension risk, and trust/accountability functions. Results: Procedural sequencing is the most dominant bureaucratic pattern, indicating that hospital language primarily organizes patients through ordered steps, documents, queues, and eligibility checks. Confusion risk emerges most clearly in compressed procedures, unexplained acronyms, hidden prerequisites, and unclear agency, showing that administrative difficulty is produced by textual organization rather than patient deficiency alone. Trust cues appear mainly through direct action clarity and verification transparency, but repair pathways and relational reassurance remain limited. Implication: This study shows that patient-centred healthcare must include administrative texts through which patients first encounter institutional care. Novelty: This study advances medical-linguistic scholarship by conceptualizing hospital bureaucracy as a communicative actor whose textual voice organizes access, confusion, and trust before clinical interaction begins.
From diagnosis to doubt: epistemic authority, patient questions, and the pragmatics of medical explanation in Indonesia Hasanudin
Indonesian Journal of Medical Linguistics Vol. 1 No. 3 (2026): Health literacy, consent, and institutional trust in Indonesian healthcare
Publisher : CV Narasi Khatulistiwa Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67490/ijml.v1i3.1047

Abstract

Background: Diagnostic explanation in Indonesian healthcare discourse is shaped by asymmetrical expertise, patient uncertainty, institutional authority, and increasing reliance on public digital health information. Objective: This study examines how epistemic authority is constructed, questioned, and recalibrated through patient questions and medical explanations in Indonesian diagnostic discourse. Method: Using a qualitative corpus-assisted pragmatic design, this study analyzed 35 public Indonesian explanation sequences drawn from patient Q&A texts, verified health education materials, and contextual documents on patient rights, second opinion, medical records, and diagnostic accountability. Results: Diagnostic authority was most visibly organized through expert interpretation, procedural validation, institutional diagnostic pathways, test-mediated evidence, professional redirection, and rights-based accountability. Patient questions functioned not merely as requests for information but as pragmatic acts of clarification, confirmation, risk inquiry, procedural checking, second-opinion comparison, and reassurance seeking. Medical explanations managed uncertainty through terminological simplification, evidential grounding, referral, risk calibration, uncertainty acknowledgement, and legally or institutionally framed accountability. Implication: This study shows that diagnostic trust depends on whether clinical authority remains intelligible, answerable, and reviewable when patients voice doubt. Novelty: This study contributes a pragmatic model for analyzing diagnostic doubt as a structured form of epistemic participation rather than a failure of patient compliance.
Communicating effects, producing compliance: pharmaceutical counseling and the language of therapeutic responsibility in Indonesian clinics Novella Putri Dwijayanti
Indonesian Journal of Medical Linguistics Vol. 1 No. 3 (2026): Health literacy, consent, and institutional trust in Indonesian healthcare
Publisher : CV Narasi Khatulistiwa Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67490/ijml.v1i3.1048

Abstract

Background: Pharmaceutical counseling in Indonesian clinics is increasingly central to medication safety, yet side-effect communication is often treated as technical information rather than as language that shapes patient responsibility and therapeutic compliance. Objective: This study examines how publicly available Indonesian pharmaceutical counseling materials frame side effects, produce compliance, and distribute therapeutic responsibility among patients, pharmacists, clinicians, and institutional texts. Method: Using qualitative discourse-pragmatic analysis, this study analysed 29 verified public and scholarly documents, with 16 primary counseling texts coded through side-effect framing, compliance pragmatics, and therapeutic responsibility mapping. Results: Side effects were most frequently framed through warning and risk consequence, especially in relation to antibiotics, tuberculosis therapy, hypertension medication, psychotropic drugs, and self-medication. Compliance was mainly produced through continuation directives, professional consultation instructions, monitoring obligations, dose discipline, and reassurance-supported guidance. Therapeutic responsibility was distributed across patient self-management, professional explanation, shared monitoring, and institutional medication information, although patient responsibility appeared most prominently. Implication: These findings suggest that improving adherence requires not only more counseling but also more accountable, comprehensible, and patient-sensitive ways of communicating uncertainty, risk, and continued treatment. Novelty: This study advances pharmaceutical communication research by repositioning adherence from a behavioural outcome to a discourse-pragmatic process through which side effects become obligations, warnings, and shared therapeutic duties.
When patients do not ask: silence, deference, and the unequal distribution of voice in Indonesian medical consultations Helen Qurrotu Aini
Indonesian Journal of Medical Linguistics Vol. 1 No. 3 (2026): Health literacy, consent, and institutional trust in Indonesian healthcare
Publisher : CV Narasi Khatulistiwa Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67490/ijml.v1i3.1049

Abstract

Background: Patient silence in Indonesian medical consultations remains insufficiently examined, although formal patient rights, medical hierarchy, linguistic difficulty, family involvement, and digital consultation formats increasingly shape how voice is distributed in clinical encounters. Objective: This study examines how silence, deference, and unequal access to question-asking are institutionally framed and pragmatically mediated in Indonesian medical communication. Method: This study applies a qualitative corpus-based discourse-pragmatic design to 26 public document–excerpt units, classified as primary, secondary, and contextual data, using institutional voice allocation analysis, pragmatic silence coding, and interactional mediation mapping. Results: Formal rights discourse strongly recognises patients as entitled to information, explanation, complaint, consent/refusal, and second opinion, yet these rights are more often stated as institutional entitlements than translated into concrete interactional procedures. Silence and deference appear as communicative risks linked to power asymmetry, embarrassment, jargon, language barriers, and compliance-oriented positioning. Patient voice is frequently mediated through family members, legal complaint channels, telemedicine, documentation systems, and comprehension supports rather than expressed as direct individual questioning. Implication: This study suggests that non-questioning should not be interpreted as understanding, consent, or satisfaction without examining the interactional conditions that make speaking possible. Novelty: This study contributes a three-part analytical model that reframes patient silence as an institutionally distributed, pragmatically constrained, and relationally mediated form of unequal voice.

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