Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health staff.
other · Level V
Where this comes from
- Record sourced from PubMed, PMID 31178164.
- Also identified by DOI 10.1016/j.pec.2019.05.020.
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Abstract
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. 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. 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. 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. Practitioners may need to check the patients themselves when their companions intervene at the most assertive end of the gradient of help.
Medical subject headings
- Caregivers
- Communication
- Intellectual Disability
- Physician-Patient Relations
- Professional-Family Relations