Turn Exchange in an Interpreted Medical Encounter

Sanheim, Laura M.

doi:10.2307/jj.4820315.6

Cited by 3 publications

(2 citation statements)

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“…28,32,33 In this potentially high-consequence setting, “an incorrect explanation of symptoms to the practitioner or incomplete instructions to the patient can have serious ramifications: the wrong diagnosis or treatment can be life threatening.” 34 So it is important that interpreters seek clarification from HCPs while interpreting if they do not understand something to ensure that medical information is accurately conveyed and to support the relationship between the HCP and deaf signer. 35,36…”

Section: Sign Language Interpreter-mediated Health Carementioning

confidence: 99%

“…34 So it is important that interpreters seek clarification from HCPs while interpreting if they do not understand something to ensure that medical information is accurately conveyed and to support the relationship between the HCP and deaf signer. 35,36 Thus, despite the importance of training medical interpreters, it is also imperative that HCPs do not solely rely on interpreters to mediate interactions with their deaf-signing patients. HCPs themselves should be prepared to provide the best care for their deaf-signing patients by understanding Deaf culture and considering the provision of direct language-concordant services.…”

Section: Sign Language Interpreter-mediated Health Carementioning

confidence: 99%

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Health Care Needs of Deaf Signers: The Case for Culturally Competent Health Care Providers

et al. 2022

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There is a need for culturally competent health care providers (HCPs) to provide care to deaf signers, who are members of a linguistic and cultural minority group. Many deaf signers have lower health literacy levels due to deprivation of incidental learning opportunities and inaccessibility of health-related materials, increasing their risk for poorer health outcomes. Communication barriers arise because HCPs are ill-prepared to serve this population, with deaf signers reporting poor-quality interactions. This has translated to errors in diagnosis, patient nonadherence, and ineffective health information, resulting in mistrust of the health care system and reluctance to seek treatment. Sign language interpreters have often not received in-depth medical training, compounding the dynamic process of medical interpreting. HCPs should thus become more culturally competent, empowering them to provide cultural- and language-concordant services to deaf signers. HCPs who received training in cultural competency showed increased knowledge and confidence in interacting with deaf signers. Similarly, deaf signers reported more positive experiences when interacting with medically certified interpreters, HCPs with sign language skills, and practitioners who made an effort to improve communication. However, cultural competency programs within health care education remain inconsistent. Caring for deaf signers requires complex, integrated competencies that need explicit attention and practice repeatedly in realistic, authentic learning tasks ordered from simple to complex. Attention to the needs of deaf signers can start early in the curriculum, using examples of deaf signers in lectures and case discussions, followed by explicit discussions of Deaf cultural norms and the potential risks of low written and spoken language literacy. Students can subsequently engage in role plays with each other or representatives of the local signing deaf community. This would likely ensure that future HCPs are equipped with the knowledge and skills necessary to provide appropriate care and ensure equitable health care access for deaf signers.

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Section: Sign Language Interpreter-mediated Health Carementioning

confidence: 99%

Section: Sign Language Interpreter-mediated Health Carementioning

confidence: 99%

Health Care Needs of Deaf Signers: The Case for Culturally Competent Health Care Providers

et al. 2022

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Sociolinguistic Studies of Signed Language Interpreting

Metzger

Roy

2013

The Oxford Handbook of Sociolinguistics

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Sociolinguistic processes are inherent in the practice of interpretation. Interpreters, within seconds, receive, interpret, and reconstruct utterances between two languages, using their linguistic, social and cultural, or sociolinguistic, knowledge to create a successful, communicative exchange. This chapter describes some major and minor sociolinguistic studies of interpretation with the underlying assumption that interpretation itself constitutes a sociolinguistic activity from the moment an assignment is accepted, including the products and processes inherent to the task, reflecting variously issues of bilingualism or multilingualism, language contact, variation, language policy and planning, language attitudes, and, of course, discourse analysis.

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Cooperation in interpreter-mediated monologic talk

Napier

2007

Discourse & Communication

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A B ST R A C T Discourse-based interpreting research has determined that interpreters are participants within interaction. Grice (1975) established that conversation participants conform to a cooperative principle. With respect to interpreting, what is the cooperative principle? How do sign language interpreters and deaf people work together to negotiate meaning in interpretation? The aim of this article is to present a case study of a deaf presenter and two sign language interpreters and evidence of their strategies for cooperation in interpreter-mediated monologic talk. Drawing on a framework of interactional sociolinguistics, naturalistic data from a seminar presentation was analysed, focusing on the use of pauses, nods and eye contact as contextualization cues in the interpreter-mediated event. It was found that these three participants used these cues deliberately and strategically for signalling comprehension, marking episodes, clarification and controlling the pace of the presentation; drawing on their frames of reference. Thus, the data suggest that the cooperative principle of interpreting involves the establishment of particular cues for communication.

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Turn Exchange in an Interpreted Medical Encounter

Cited by 3 publications

References 0 publications

Health Care Needs of Deaf Signers: The Case for Culturally Competent Health Care Providers

Health Care Needs of Deaf Signers: The Case for Culturally Competent Health Care Providers

Sociolinguistic Studies of Signed Language Interpreting

Cooperation in interpreter-mediated monologic talk

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