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This book reports the results of a linguistic analysis of reflective written texts, produced during medical education or practice. It explores the topics and communication skills the authors write about, how the narratives develop, how these texts are shaped, what genres influence their composition, how relational work surfaces in them and how the writers linguistically create their identities as experts or novices. It is clear that both experienced and trainee medics grapple with the place of emotions in their communicative acts, and with the idea of what it means to be a doctor. The book makes a valuable contribution to genre analysis, interpersonal pragmatics and the study of linguistic identity construction, and will be essential reading for those involved in teaching doctor–patient communication skills.