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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Companions' dilemma of intervention when they mediate between patients with intellectual disabilities and health
Charles Antaki1, Deborah Chinn2
1Loughborough University, England.
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.
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