Breast cancer talk: A cross-linguistic study of lexical verbs occurring with generic pronoun ‘you’

Abstract

Breast cancer discourse is increasingly studied within medical humanities, reflecting a broader interest in illness narratives and patient-centered storytelling (DeShazer, 2005; Frank, 1995). Using a cognitive, usage-based approach, we explore how New Zealand (NZ) English and Pakistani (PK) Urdu speakers use language, particularly metaphor, speech acts, pronouns and verbs to express their cancer experiences on YouTube. This paper focuses on one aspect: the use of lexical verbs following generic second-person pronouns, analysing their semantic patterns which offer insight into how speakers construe illness. Drawing on Payne’s (2011) verb categories and expanding Durst-Andersen et al.’s (2013) classification of state verbs, this study explores the range and types of verbs in both datasets. The data includes 46 narratives from NZ and 36 from PK, posted between 2011 and 2023 by organisations such as the NZ Breast Cancer Foundation and Pink Ribbon Pakistan. These videos were transcribed using Whisper AI and filtered to include only patients’ discourse, then organised into eight narrative topics. A mixed-method approach was used: quantitative analysis with AntConc extracted keyword-in-context (KWIC) instances of you, followed by qualitative analysis to identify generic uses of you and the types of verbs that follow it. The study investigates (a) shared and distinct lexical verbs across datasets, and (b) insights from the most frequent verbs. Preliminary findings show that most verb types are similar across both datasets, with action and state verbs being the most frequently used. Building on Stirling and Manderson’s (2011) findings about the use of generic you pronoun in Australian English, we report that speakers of both NZ English and PK Urdu similarly use generic you, along with state verbs to foster empathy and action verbs to convey credibility and authority in illness narratives. We argue that pronoun-verb pairings function as strategic tools for positioning cancer experiences within speaker narratives.