Substitution as a Cohesive Grammatical Device in Selected Medical Discourse

    By

    Okoye, Raphael Ikechukwu, Ph.D.
    Department of General Studies
    Federal University of Agriculture, Mubi
    https://orcid.org/0009-0004-7656-0095
    okoyeagaraph@gmail.com

    Abstract

    This study investigates the use of substitution as a cohesive grammatical device in selected texts of HIV/AIDS magazines, to examine its textual impact and communicative effectiveness in medical magazine discourse. Rooted in Bloor and Bloor's (2004) adaptation of Halliday and Hasan’s 1976 model of cohesion, the study situates substitution within the broader discourse of medical communication.  While it is assumed that medical writers put together different sentences, clauses and other expressions without paying adequate attention to cohesive language requirements and the interconnectedness of structures that bring about cohesion to the text, this study investigates the use of substitution in selected HIV texts. Despite its potential to reduce redundancy and enhance conciseness, substitution remains underutilized in HIV/AIDS publications. Through a qualitative textual analysis of purposively selected clauses from magazines sourced from the National Agency for the Control of Aids (NACA) and Kaduna State Agency for the Control of Aids (KADSACA), the research identifies nominal and clausal substitutions as the primary types employed, while verbal substitution is entirely absent. Comparing substitution to other grammatical cohesive techniques such as conjunction and reference, the analysis shows that it happens infrequently. Findings suggest that although substitution is scarcely used in the analysed text, it enhances connectivity and the interpretation of the medical discourse, such as that of HIV/AIDS. Nonetheless, when employed, substitution aids in maintaining textual unity, avoiding repetition, and enhancing readability. The paper concludes that while substitution averagely textualizes and contributes to cohesion in HIV/AIDS magazine discourse, its minimal deployment underscores a reliance on more explicit grammatical cohesive strategies.

    Keywords: Substitution, grammatical cohesive devices, HIV/AIDS Publications, Functional Linguistics, Cohesion

    DOI: www.doi.org/10.57233/tjllc.2026.v05i03.005

    author/Okoye, Raphael Ikechukwu

    journal/Tasambo JLLC 5(3) | February 2026 |