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Bilingual Health Communication and Medical Interpreters: Managing Role Performances and Communicative Goals
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Abstract:
319 p. ; Thesis (Ph.D.)--University of Illinois at Urbana-Champaign, 2004. ; This study examines medical interpreters' communicative strategies in naturalistic settings, explores the roles medical interpreters assume in health care settings, and provides a theory of bilingual health communication that accounts for individuals' (e.g., providers, patients, and interpreters) communicative behaviors in provider-patient interactions. This study includes data collected through participant observation of interpreter-mediated provider-patient interactions and individual/dyadic in-depth interviews with medical interpreters, which were analyzed through grounded theory methods. In total, 42 participants were recruited for this study, including 26 medical interpreters who represented 16 languages. The study examines interpreters' communicative strategies and role performances through three perspectives. First, I explore interpreters' self-perceived roles (i.e., conduit, advocate, manager, and professional) through their narratives, developing an insider perspective of how these roles were conceptualized and practiced by interpreters. Second, I investigate interpreters' conflicts in role performances and conflict resolutions. By demonstrating interpreters' sense of role conflicts, I examine the sources of conflicts (i.e., others' communicative practices, changes in participant dynamics, institutional constraints, and unrealistic expectations) in interpreters' role performances and classified interpreters' resolutions to these conflicts. Finally, based on the typology of roles (i.e., conduit, co-diagnostician, patient advocate, institutional manager, and professional) presented in the study, I analyze interpreters' roles and their corresponding communicative goals and strategies. The theory of bilingual health communication is presented to explain the effectiveness and appropriateness of the communicative strategies adopted by different individuals involved in medical encounters. In addition to demonstrating interpreters as active participants in provider-patient interactions, I theorize how the communicative goals of other speakers, institutions, and interpreters themselves can motivate interpreters to deviate from the original text in their interpretation. More importantly, I propose that interpreters act as stage managers, defining the stages for other participants, providing necessary props for the participants' appropriate performance, and controlling the stages to avoid provider-patient conflicts. Finally, I discuss how the study of interpreter-mediated interactions can contribute to the field of communication studies.
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Keyword:
Health Sciences; Public Health
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URL: http://hdl.handle.net/2142/87518
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Communication in the Management of Uncertainty: The Case of Persons Living with HIV or AIDS - Communication is a means of managing uncertainty. In a state of uncertainty: (a) information seeking can reduce uncertainty by allowing for better discrimination between or among alternatives; (b) information seeking can increase uncertainty by increasing the number of alternatives, or by blurring the distinction between or among alternatives; and (c) information avoidance can maintain uncertainty. Individuals living with HIV or AIDS, like many other chronically-ill or terminally-ill individuals, must manage high levels of uncertainty about their manage illness. Participants in a focus group study of persons with HIV or AIDS reported effective uncertainty management, including managing uncertainty that was challenging, managing uncertainty that was essential for maintaining hope, learning to live with chronic uncertainty, and managing information problems. New information can serve uncertainty management even if it fails to reduce the number or ambiguity of alternatives, because new information can invite a reappraisal of uncertainty. A theory of uncertainty management, based on these findings is offered
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In: Communication monographs. - London [u.a.] : Routledge 67 (2000) 1, 63-84
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OLC Linguistik
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Argument in Group Decision Making: Explicating a Process Model and Investigating the Argument-Outcome Link - For this research, we extended previous descriptive studies of group argument by (a) positing a theoretical process model of group argument and (b) investigating the predictive nature of argument in groups. Following development of the group argument process model, we employed two frameworks-the Group Valence Model and two versions of the Distribution of Valence Model-to study the argument-outcome link. We expanded all three models to include proportional, as well as dichotomous, variables. The results revealed that all models were fairly accurate predictors: However, in cases in which the models differed in prediction, the DVM Rank Sum model was more accurate. All the argument acts investigated were fairly accurate predictors of group outcomes, except for disagreement-relevant intrusions. Interpretations of these findings are offered, and avenues for future research are suggested
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In: Communication monographs. - London [u.a.] : Routledge 65 (1998) 4, 261-281
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OLC Linguistik
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