Talking ‘cognition’ in the audiology clinic*

Brouwer, Catherine E.

doi:10.1075/pbns.225.09bro

Cited by 4 publications

(4 citation statements)

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“…Selection of third parties as respondents is also frequent in institutional encounters involving children (Aronsson and Rundstrom1988; Tates and Meeuwesen, 2001;Stivers 2001;Cahill and Papageorgiou 2007;Rindstedt 2014) and older people who are accompanied when visiting the doctor (Laidsaar-Powell et al 2013). Thus losing a turn at talk is a routine occurrence for some categories of individuals (Bolden 2012), and can result in foregrounding one's incompetence (Simonen 2012;Brouwer 2012). In institutional encounters, people with intellectual or cognitive disabilities may thus face two connected forms of asymmetry, namely that connected with the authority of the practitioner, and the epistemic authority of their own companion or supporter.…”

Section: Introductionmentioning

confidence: 99%

Third-party turns and shared knowledge: Supports and challenges to disabled people in social care and research settings

Williams

Porter

2016

Communication & Medicine

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Adopting a conversation analysis (CA) perspective, this paper explores data which include disabled people in three-party contexts, where the institutional goal is to focus on the wishes, voice and agency of the disabled person. It explores 274 occasions where a third party self-selects for a turn, during social care planning meetings and research interviews. Five broad action patterns are discussed, showing how third parties used their epistemic closeness to the disabled person in order to (1) clarify, (2) respond, (3) prompt, (4) expand and (5) challenge. The sequential consequence of these turns depended on how they were heard and taken up by other parties in the talk. The vast majority of third-party turns could be glossed as supportive to the disabled person. Third parties displayed their sensitivity towards the precise moment that they were ‘needed’ in the talk. Occasionally, there were challenges and counterinformings done by the third party, which could be analysed as ‘epistemic traps’. These moments signaled tensions between the best interests of the disabled person and the imperative to foreground their voice.

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Section: Introductionmentioning

confidence: 99%

Third-party turns and shared knowledge: Supports and challenges to disabled people in social care and research settings

Williams

Porter

2016

Communication & Medicine

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“…EMCA studies have revealed the systematic structure of central and specific practices within the medical encounter, such as patients providing accounts for having come to seek medical attention (Heritage and Robinson 2006) and doctors prefacing questions with 'and' (Heritage and Sorjonen 1994). Likewise, medical encounters in specialized settings such as audiology clinics (Brouwer 2012;Heinemann and Matthews 2015), physiotherapy (Martin 2009) and speech-language pathology (Isaksen and Brouwer 2015;Rasmussen 2013;Wilkinson 2015) or involving specific populations such as children (Clemente 2010) have also been investigated. Furthermore, interaction between healthcare professionals, technology in healthcare practice interactions and patient-patient communication has been researched (Andersen 2015).…”

Section: Literature Reviewmentioning

confidence: 99%

Getting to ‘no’

Andersen¹,

Rasmussen²,

Brouwer

et al. 2019

Communication & Medicine

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This paper aims to describe the interactional processes through which a medical professional and a patient collaboratively accomplish filling out answers to a questionnaire. Empirical analysis of three different sequences from a video-recorded doctor-patient interaction in which questions of a questionnaire were answered with a ‘no' reveals three different ways (or methods) in which doctor and patient accomplish this jointly. Applying ethnomethodological conversation analysis (EMCA) as our methodological framework, we conclude that the three interactional practices are fitted in relation to the constraints of the interview that is itself methodically aligned to the practices and organizational structures of the institution, a Danish hospital. Furthermore, we make the case that questionnaires are designed as idealizations of question-answer sequences, and as such do not operate at the same level of detail as the actual question-answer situation. Details that are crucial for the objective of the questionnaire (in this case providing information to a third party) may not be included in the recorded answer. Thus, we argue that in order to understand the informational value of recorded answers in questionnaires, we need to diagnose the interaction in which they were produced, i.e. to critically examine it.

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“…It may consist of descriptions and analyses that concern: a) patterns and structures that are recognizable and ascribable to specific social interactional activities and encounters, e.g. ways of organizing doctor-patient interactions (68), audiologist-client interactions (69), courtroom interactions (70), classroom interactions (71), driving lessons (72), and the interactional organisation of museum visits (73). In all cases, the aim is to describe organizational structures that may be specific to the encounter but which transcend e.g.…”

Section: Introductionmentioning

confidence: 99%

Professional interactional practices in dementia care

Rasmussen

Andersen

Kristiansen

2019

Logopedics Phoniatrics Vocology

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Corresponding author: Gitte Rasmussen, email: gitter@sdu.dk terms of preparing food, cooking, and dining are co-managed by professional caregivers and people with dementia in a home environment, a residential care home, and a day care centre in Sweden.The multi-modal analyses demonstrate how the timely availability of an object, e.g. a colander, a pot, cooking ingredients, is crucial for the management of the activities in which the object should be used. This point is substantiated by analyses of how difficulties in managing the sequential order of such activities may occur by reference to when and where the object is put in place for use in the activity. Furthermore, the paper demonstrates how such troubles are solved by arranging and rearranging the working space by repositioning the object and by providing timely instructions concerning its use. Samuelsson and Ekström (this volume), "Digital communication support in interaction involving people with dementia" addresses the question of whether conversations between persons with dementia and professional caregivers, in this case in Sweden, may be enhanced through digital communication support. The authors study and compare how conversations unfold without communication support, and how they unfold when co-conversationalists draw upon digitalized communication support with generic content that is provided through photos, videos and sound files or personalized content which is provided through photos and videos. The comparative analyses of these conversations are based on video-recordings. The authors supplement these analyses with semi-structured interviews to get insights into the co-conversationalist descriptions of their experiences with having conversations with and without digitalized communication support. The study concludes that the two types of communication support result in more symmetrical conversations as compared to non-supported conversations, as they enhance the possibilities of persons with dementia to take initiative, initiate new topics and maintain conversation, all of which is challenged in conversations without support. The positive results are supported by the descriptions of the co-conversationalists, and so the study points to possible solutions to communicative challenges in rehabilitation and person-centered care.

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Talking ‘cognition’ in the audiology clinic*

Cited by 4 publications

References 0 publications

Third-party turns and shared knowledge: Supports and challenges to disabled people in social care and research settings

Third-party turns and shared knowledge: Supports and challenges to disabled people in social care and research settings

Getting to ‘no’

Professional interactional practices in dementia care

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