Doctors' and interpreters' conversational styles in paediatric diabetes encounters : A case study of empowering language use
(2016) In Communication & Medicine. An Interdisciplinary Journal of Healthcare, Ethics and Society 13(2). p.155-167- Abstract
During the last few decades, ideas of empowerment, person-centred care (PCC) and shared decision-making (SDM) have informed western health care. An increasing interest in conversational styles aligned with these ideas is visible e.g. in the work to make motivational interviewing (MI) an evidence-based communicative practice. But linguistic competence is needed to identify the subtle nuances of the communicative practices in a doctor-patient consultation. It is therefore particularly important to investigate conversation styles in mediated encounters with immigrant patients. Mitigation strategies (indirect speech, hedging etc.) and confirming strategies (back-channelling, encouragement etc.) are considered to be typical of an... (More)
During the last few decades, ideas of empowerment, person-centred care (PCC) and shared decision-making (SDM) have informed western health care. An increasing interest in conversational styles aligned with these ideas is visible e.g. in the work to make motivational interviewing (MI) an evidence-based communicative practice. But linguistic competence is needed to identify the subtle nuances of the communicative practices in a doctor-patient consultation. It is therefore particularly important to investigate conversation styles in mediated encounters with immigrant patients. Mitigation strategies (indirect speech, hedging etc.) and confirming strategies (back-channelling, encouragement etc.) are considered to be typical of an 'empowering' conversation style. The distribution of these features in encounters with or without interpreters was analysed in a case study of two consultations with the same doctor in a children's diabetes clinic in Sweden. The results of this study indicate that the mitigation strategies and confirming strategies characteristic of a conversation style aimed at strengthening and encouraging the patient tend to get lost in mediation. The implications of these findings are discussed.
(Less)
- author
- Gustafsson, Anna W. LU
- organization
- publishing date
- 2016
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Conversation style, Empowering strategies, Interpreter, L2 speakers, Paediatric diabetes, Person-centred care, Politeness
- in
- Communication & Medicine. An Interdisciplinary Journal of Healthcare, Ethics and Society
- volume
- 13
- issue
- 2
- pages
- 13 pages
- publisher
- Equinox Publishing
- external identifiers
-
- scopus:85020172332
- ISSN
- 1613-3625
- DOI
- 10.1558/cam.18296
- project
- Communicative strategies in diabetes care in when doctors meet immigrant families
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: The Vårdal Institute (016540000), Swedish (015011001)
- id
- 2b21fcef-093d-4b93-886e-72c2fe2ba57c (old id 4882150)
- date added to LUP
- 2016-04-01 10:19:11
- date last changed
- 2022-01-25 22:01:55
@article{2b21fcef-093d-4b93-886e-72c2fe2ba57c,
abstract = {{<p>During the last few decades, ideas of empowerment, person-centred care (PCC) and shared decision-making (SDM) have informed western health care. An increasing interest in conversational styles aligned with these ideas is visible e.g. in the work to make motivational interviewing (MI) an evidence-based communicative practice. But linguistic competence is needed to identify the subtle nuances of the communicative practices in a doctor-patient consultation. It is therefore particularly important to investigate conversation styles in mediated encounters with immigrant patients. Mitigation strategies (indirect speech, hedging etc.) and confirming strategies (back-channelling, encouragement etc.) are considered to be typical of an 'empowering' conversation style. The distribution of these features in encounters with or without interpreters was analysed in a case study of two consultations with the same doctor in a children's diabetes clinic in Sweden. The results of this study indicate that the mitigation strategies and confirming strategies characteristic of a conversation style aimed at strengthening and encouraging the patient tend to get lost in mediation. The implications of these findings are discussed.</p>}},
author = {{Gustafsson, Anna W.}},
issn = {{1613-3625}},
keywords = {{Conversation style; Empowering strategies; Interpreter; L2 speakers; Paediatric diabetes; Person-centred care; Politeness}},
language = {{eng}},
number = {{2}},
pages = {{155--167}},
publisher = {{Equinox Publishing}},
series = {{Communication & Medicine. An Interdisciplinary Journal of Healthcare, Ethics and Society}},
title = {{Doctors' and interpreters' conversational styles in paediatric diabetes encounters : A case study of empowering language use}},
url = {{http://dx.doi.org/10.1558/cam.18296}},
doi = {{10.1558/cam.18296}},
volume = {{13}},
year = {{2016}},
}