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Patient-centered interaction in interpreted primary care consultations
Stockholm University, Faculty of Social Sciences, Department of Education.
Number of Authors: 22018 (English)In: Journal of Pragmatics, ISSN 0378-2166, E-ISSN 1879-1387, Vol. 138, p. 98-118Article in journal (Refereed) Published
Abstract [en]

In this article, we analyze the interactional work of interpreters from the viewpoint of patient-centered care. Interpreters can support patient-centered care by both translational and non-translational actions. They can calibrate the talk in rendition so as to benefit the intersubjective understanding of all parties, and can also help doctors and patients understand each other better through various embodied means. Our analysis draws on a multimodal analysis of interaction (see e.g. Goodwin, 2018; Mondada, 2016) and is based on a detailed analysis of three primary care consultations video recorded at a Finnish health center. In each consultation, the patient is a refugee or an asylum seeker and the interpreter is a professional community interpreter. We demonstrate three practices that seem to enhance patient-centeredness. Firstly, we show how interpreters can balance between direct interpretation and mediation to produce a clear yet precise rendition of turns at talk. Secondly, we demonstrate how interpreters display recipiency and provide interactional space for the patient by producing response particles that encourage the patient to continue talking. Thirdly, we illustrate how embodied co-operation in interpreted consultations makes the renditions more intelligible and tangible for all the parties involved in interpreter -mediated interaction.

Place, publisher, year, edition, pages
2018. Vol. 138, p. 98-118
Keywords [en]
Conversation analysis, Doctor-patient interaction, Gestures, Patient-centered care, Primary care consultation, Public service interpreting
National Category
Languages and Literature
Identifiers
URN: urn:nbn:se:su:diva-163579DOI: 10.1016/j.pragma.2018.10.003ISI: 000452570000007OAI: oai:DiVA.org:su-163579DiVA, id: diva2:1278455
Available from: 2019-01-14 Created: 2019-01-14 Last updated: 2019-01-14Bibliographically approved

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Majlesi, Ali Reza
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Citation style
  • apa
  • ieee
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  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf