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Interactional patterns between staff and clients with borderline to mild intellectual disabilities
E Reuzel1, P J C M Embregts, A M T Bosman
1Tilburg University, Noord-Brabant, The Netherlands. ereuzel@jpvandenbent.nl
Journal of Intellectual Disability Research : JIDR
|January 31, 2012
Summary
Client-centered care models aim for collaboration, but dialogues between staff and clients show some dominance by staff and missed client contributions. Achieving true collaboration in support interactions requires further attention to communication dynamics.
Area of Science:
- Social Sciences
- Communication Studies
- Healthcare Interaction
Background:
- Client-centered care emphasizes collaborative relationships between clients and support staff.
- This study examines if real-world dialogues between staff and clients align with this collaborative ideal.
Purpose of the Study:
- To investigate the collaborative nature of dialogues in naturally occurring staff-client interactions.
- To analyze communication patterns and identify potential barriers to collaboration.
Main Methods:
- Nineteen staff members recorded social interactions with clients concerning support needs.
- Transcribed recordings were analyzed using the Initiative Response Analysis (IRA).
Main Results:
- Staff exhibited slightly more dominance than clients, with differing turn-taking patterns.
- Staff sometimes overlooked client contributions, while clients provided extended responses.
- A minority of client turns did not connect with staff contributions.
Conclusions:
- Difficulties in establishing collaborative dialogues between staff and clients were observed.
- Future research should consider participants' goals and non-verbal communication in interaction analysis.
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