List of Figures List of Tables Chapter 1 Introduction Chapter 2 Literature Review Connecting Words with World: A Critical Approach to ESP 2.1.1 The Cultural Politics of English Language Teaching 2.1.2 A Critical Approach to ESP Research in English for Medical Purposes: The State of the Art 2.2.1 Trends in English for Medical Purposes 2.2.2 Medical Englishin China:The Missing Perspectives Needs Analysis 2.3.1 The \