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Celia Roberts1, Srikant Sarangi2

  • 1King's College, London.

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Summary
This summary is machine-generated.

Family members acting as medical interpreters in general practice create intimate, collaborative consultations. These lay-interpreted sessions share more similarities with monolingual triadic consultations than professional ones.

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Area of Science:

  • Medical Sociology
  • Linguistics in Healthcare
  • Communication Studies

Background:

  • General practice consultations often involve third parties, such as family members, acting as mediators.
  • Existing research on interpreting predominantly focuses on professional interpreters and information transmission models.
  • Few studies address monolingual mediated consultations or the unique dynamics of trust and emotion in family-mediated interactions.

Purpose of the Study:

  • To analyze the role and impact of lay interpreters (companions) in general practice consultations.
  • To contrast family-mediated consultations with professionally interpreted and monolingual triadic consultations.
  • To explore the influence of companions on patient-doctor relationships and communication dynamics.

Main Methods:

  • Analysis of data from the London-based Patients with Limited English and Doctors in General Practice: Educational Issues (PLEDGE) project.
  • Application of Goffman's participant framework and narrative performance theories.
  • Examination of two detailed case studies of mediated general practice consultations.

Main Results:

  • Consultations mediated by family members (lay interpreters) exhibit greater similarities to monolingual triadic consultations than to professionally interpreted ones.
  • The presence of a companion can lead to shifts in participant roles, fostering intimacy and collaboration.
  • The patient's voice may be subdued or amplified depending on the dynamics of the mediated consultation.

Conclusions:

  • Family carers acting as lay interpreters create distinct communication patterns in primary care settings.
  • Findings have significant implications for understanding and supporting family carers in their mediator role.
  • Primary care providers should be aware of the unique dynamics and potential benefits/drawbacks of lay-mediated consultations.