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

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Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff. / Antaki, Charles; Chinn, Deborah.

In: Patient Education and Counseling, Vol. 102, No. 11, 01.11.2019, p. 2024-2030.

Research output: Contribution to journalArticlepeer-review

Harvard

Antaki, C & Chinn, D 2019, 'Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff', Patient Education and Counseling, vol. 102, no. 11, pp. 2024-2030. https://doi.org/10.1016/j.pec.2019.05.020

APA

Antaki, C., & Chinn, D. (2019). Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff. Patient Education and Counseling, 102(11), 2024-2030. https://doi.org/10.1016/j.pec.2019.05.020

Vancouver

Antaki C, Chinn D. Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff. Patient Education and Counseling. 2019 Nov 1;102(11):2024-2030. https://doi.org/10.1016/j.pec.2019.05.020

Author

Antaki, Charles ; Chinn, Deborah. / Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff. In: Patient Education and Counseling. 2019 ; Vol. 102, No. 11. pp. 2024-2030.

Bibtex Download

@article{8e67d9e89f3740f8be3000009bcd537d,
title = "Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff",
abstract = "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.",
keywords = "Companions, Conversation analysis, Health-check interviews, Intellectual disability, Medical consultation",
author = "Charles Antaki and Deborah Chinn",
year = "2019",
month = nov,
day = "1",
doi = "10.1016/j.pec.2019.05.020",
language = "English",
volume = "102",
pages = "2024--2030",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "11",

}

RIS (suitable for import to EndNote) Download

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

VL - 102

SP - 2024

EP - 2030

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 11

ER -

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