Interpreter-mediated psychiatric assessments
Metacommunication as key
Bibliographic Data
| ID | 2395504 |
|---|---|
| Authors | Orest Weber (0000-0003-2786-7803, University of Lausanne, corresponding author), Jonathan Klemp (University of Lausanne), Florian Chmetz (University of Lausanne), Argyro Daliani (University of Lausanne), Esther-Amélie Diserens (University of Lausanne), Florence Faucherre (University of Lausanne) |
| Year | 2023 |
| Volume | 60 |
| Issue | 4 |
| Pages | 626-636 |
| Publication date | 2023-08-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Transcultural Psychiatric Research Review (JOURNAL) |
| Journal identifiers | ISSN: 0041-1108 • E-ISSN: 0315-4386 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/13634615221119383 |
| PMID | 36083232 |
| OpenAlex | W4295027515 |
| Language | EN |
| Citations received | 1 |
| References cited | 28 |
Psychiatric assessments of non-native migrant patients facilitated by an interpreter pose specific communication challenges to all participants. In this study, we developed an original interdisciplinary approach to the verbal and non-verbal practices in this triadic activity. The aim was a data-based description of challenges for clinicians and interpreters, and the identification of relevant strategies. We filmed, transcribed and translated 10 interpreter-mediated consultations focused on the psychiatric assessment of the patient. Subsequently, we submitted the consultations to clinical, interactional sociolinguistic, and interdisciplinary analyses. We identified six challenges for interpreters and clinicians engaged in psychiatric assessments: barely comprehensible and confusing speech, speech about emotions and subjective perceptions, sensitive remarks in relational terms, conclusive clinician interventions, interruptions during interpreter renditions, and non-verbal communication. Attempts by the interpreter to avoid relational offenses (protection of positive face) and to defend the participants' autonomy (protection of negative face) play a major role in these challenges. So does an insufficient awareness of mutual needs by the clinician and the interpreter. We identified specific strategies of inter-professional metacommunication for each challenge. Clinicians and interpreters should be aware of the challenges they may face in triadic psychiatric assessments. They should take a reflexive stance towards their common practices and may consider using metacommunication tools to reach better communicational and clinical outcomes
Autonomy · Interpreter · Intervention (counseling · Medical education · Perception · Psychiatry · Psychological intervention · Reflexivity · Sociology · Applied Psychology · Computer Science · Interpreting and Communication in Healthcare · Language, Discourse, Communication Strategies · Medicine · Migration, Health and Trauma · Psychology
Improving Immigrant Populations’ Access to Mental Health Services in Canada
On interactional sociolinguistic method
Training interpreters for their involvement in mental health interventions
Nine Types of Turn-taking in Interpreter-mediated GP Consultations
Invisible or invincible? Professional integrity, ethics, and voice in public service interpreting
Offering a candidate answer
Politeness
Body-oriented gestures as a practitioner's window into interpreted communication
Some sources of misunderstanding in talk-in-interaction
On mutual accessibility of contextual assumptions in dialogue interpreting
A Simplest Systematics for the Organization of Turn-Taking for Conversation
Integration of interpreters in mental health interventions with children and adolescents
Super-diversity and its implications
| Citations per year | 0.5 |
|---|---|
| Citation span | 2024 - 2024 (1) |
| Highly cited | No |