TY - JOUR
T1 - Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff
AU - Antaki, Charles
AU - Chinn, Deborah
PY - 2019/11/1
Y1 - 2019/11/1
N2 - 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.
AB - 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.
KW - Companions
KW - Conversation analysis
KW - Health-check interviews
KW - Intellectual disability
KW - Medical consultation
UR - http://www.scopus.com/inward/record.url?scp=85066796428&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2019.05.020
DO - 10.1016/j.pec.2019.05.020
M3 - Article
AN - SCOPUS:85066796428
SN - 0738-3991
VL - 102
SP - 2024
EP - 2030
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 11
ER -