Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff
journal contribution
posted on 2019-05-31, 10:55 authored by Charles Antaki, Deborah ChinnObjective
We analyse, for the first time, how companions intervene in the answers that an adult patient with intellectual disabilities gives to their medical practitioner in primary care.
Methods
Video records of 25 health-check consultations in a large multi-ethnic city in the UK were analysed with the qualitative methods of Conversation Analysis.
Results
We found that companions' interventions in patients' answers fell along a gradient of low to high entitlement, from mere hinting to outright direct take-over.
Conclusion
Companions have to manage the dilemma of displaying information which is the proper domain of the patient: encroachment on the patient's epistemic rights versus the needs of the medical practitioner.
Practice Implications
Practitioners may need to check the patients themselves when their companions intervene at the most assertive end of the gradient of help.
We analyse, for the first time, how companions intervene in the answers that an adult patient with intellectual disabilities gives to their medical practitioner in primary care.
Methods
Video records of 25 health-check consultations in a large multi-ethnic city in the UK were analysed with the qualitative methods of Conversation Analysis.
Results
We found that companions' interventions in patients' answers fell along a gradient of low to high entitlement, from mere hinting to outright direct take-over.
Conclusion
Companions have to manage the dilemma of displaying information which is the proper domain of the patient: encroachment on the patient's epistemic rights versus the needs of the medical practitioner.
Practice Implications
Practitioners may need to check the patients themselves when their companions intervene at the most assertive end of the gradient of help.
Funding
National Institute for Health Research (NIHR) Postdoctoral Fellowship (grant number: PDF-2013-06-060)
History
School
- Social Sciences
Department
- Communication, Media, Social and Policy Studies
Published in
Patient Education and CounselingVolume
102Issue
11Pages
2024 - 2030Citation
ANTAKI, C. and CHINN, D., 2019. Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff. Patient Education and Counseling, 102 (11), pp.2024-2030.Publisher
© ElsevierVersion
- AM (Accepted Manuscript)
Publisher statement
This paper was accepted for publication in the journal Patient Education and Counseling and the definitive published version is available at https://doi.org/10.1016/j.pec.2019.05.020.Acceptance date
2019-05-20Publication date
2019-05-23ISSN
0738-3991Publisher version
Language
- en
