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Doctors' and interpreters' conversational styles in paediatric diabetes encounters : A case study of empowering language use

Gustafsson, Anna W. LU (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.

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author
organization
publishing date
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
external identifiers
  • scopus:85020172332
ISSN
1613-3625
DOI
10.1558/cam.18296
project
Kommunikativa strategier i diabetesvården i mötet mellan läkare och invandrarfamiljer
language
English
LU publication?
yes
id
2b21fcef-093d-4b93-886e-72c2fe2ba57c (old id 4882150)
date added to LUP
2014-12-18 11:17:17
date last changed
2017-08-29 09:50:05
@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},
  keyword      = {Conversation style,Empowering strategies,Interpreter,L2 speakers,Paediatric diabetes,Person-centred care,Politeness},
  language     = {eng},
  number       = {2},
  pages        = {155--167},
  publisher    = {Equinox},
  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},
  volume       = {13},
  year         = {2016},
}