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Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff

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journal contribution
posted on 31.05.2019, 10:55 by Charles AntakiCharles Antaki, Deborah Chinn
Objective
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 Counseling

Volume

102

Issue

11

Pages

2024 - 2030

Citation

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

© Elsevier

Version

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

20/05/2019

Publication date

2019-05-23

ISSN

0738-3991

Language

en