The agency in language and the professionals’ intercultural competences: A case study on the educators’“pivot move” in medical visits of unaccompanied minors
Abstract
The presence of unaccompanied minors (UAM) in the Italian health care system represents a recent phenomenon, not fully investigated from a pedagogical perspective. The article reports findings from an exploratory study on medical visits involving UAMs with low communicative competence in the language of interaction, and their accompanying educators. Adopting a Conversation Analysis-informed approach to a corpus of video-recorded visits, we analyze the “problem presentation” and “history taking” phases. We singled out two resources (the ‘pivot move’ and the ‘oscillating addressivity’) respectively used by the educator and the physician to 1) pursue the “incompatible goals” of their agendas and 2) manage the UAM’s participation in the interaction by attributing him agency (or not). Focusing on the (inter)professional challenges of this triadic medical encounter, in the conclusion we advance that the awareness of the communicative details through which agency can be allocated or revoked is part of the intercultural competences of professionals working for UAM’s inclusion in the host society.
Keywords
Full Text
PDF (English)Riferimenti bibliografici
Ahearn, L.M. (2001), “Language and agency”, in Annual review of anthropology, vol. 30, n. 1, pp. 109-137.
Amato, A.A.M. (2009), “L’orientamento dell’interprete ai parlanti nell’interazione mediata”, in La mediazione linguistico-culturale: una prospettiva interazionista, Perugia: Guerra Edizioni, pp. 111-150.
Aronsson, K., & Rundström, B. (1988), “Child discourse and parental control in pediatric consultations”, in Text, vol. 8, n. 3, pp. 159-189.
Baraldi, C., & Gavioli, L. (eds.) (2012), Coordinating Participation in Dialogue Interpreting, Amsterdam and Philadelphia: John Benjamins.
Idd. (2013), “La mediazione nell’interazione centrata sul paziente: il caso delle domande del medico”, in Salute e Società, vol. XII, n. 1, pp. 94-109.
Bazzanella, C. (2009), “Agency e interazione: quando l’agency altrui è negata o assunta nella conversazione”, in Attanti, Attori, Agenti–Lexia (New Series), 03-04, pp. 249-270.
Besoli, S., & Caronia, L. (a cura di) (2018), Il senso della realtà. L’orizzonte della fenomenologia nello studio del mondo sociale, Macerata: Quodlibet.
Bolden, G. (2000), “Toward understanding practices of medical interpreting: Interpreters’ involvement in history taking”, in Discourse Studies, vol. 2, n. 4, pp. 387-419.
Caronia, L., & Orletti, F. (2019), “The agency of language in institutional talk: An introduction”, in Language and Dialogue, vol. 9, pp. 1-27.
Caronia, L., Ranzani, F., & Colla, V. (2019), “Quando ‘il parlar chiaro’ non basta. Il lavoro di attribuzione di agency nelle visite triadiche a minori stranieri non accompagnati”, La comunicazione medica. Ciclo di seminari “Un Lessico per le Scienze Umane”. Centro Internazionale di Studi Umanistici “Umberto Eco”– Università di Bologna.
Contini, M. (2014), Deontologia pedagogica. Riflessività e pratiche di resistenza, Milano: FrancoAngeli.
Cooren, F. (2004), “Textual Agency: How texts do things in organizational settings”, in Organization, vol. 11, n. 3, pp. 373-393.
Id. (2010), Action and Agency in Dialogue: Passion, Incarnation and Ventriloquism, Amsterdam: John Benjamins.
Cronin, M. (2006), Translation and identity, London: Routledge.
Davidson, B. (2002), “A model for the construction of conversational common ground in interpreted discourse”, in Journal of Pragmatics, vol. 34, pp. 1273-1300.
Demozzi, S. (2017), “Elogio della cura. Una riflessione sull’incontro tra pedagogia e medicina”, in G.M. Anselmi & P. Fughelli (a cura di), Narrare la medicina, Bologna: Dipartimento di Filologia Classica e Italianistica, pp. 91-100.
Donzelli, A., & Fasulo A. (a cura di) (2007), Linguaggio e Agency. Etnoteorie della soggettività e della responsabilità nell’azione sociale, Roma: Meltemi.
Drew, P. (2013), “Turn Design”, in J. Sidnell & T. Stivers (eds.), The Handbook of Conversation Analysis, Hoboken, NJ: Wiley-Blackwell, pp. 131-149.
Drew, P., & Heritage, J. (eds.) (1992), Talk at Work: Interaction in Institutional Settings, Cambridge, UK: Cambridge University Press.
Civitas educationis – Education, Politics and Culture
Duranti, A. (1997), Linguistic Anthropology, Cambridge: Cambridge University Press.
Id. (ed.) (2004), A Companion to Linguistic Anthropology, Malden: Blackwell.
Fabbri, M. (1996), La competenza pedagogica. Il lavoro educativo fra paradosso e intenzionalità, Bologna: Clueb.
Id. (2012), Il transfert, il dono, la cura, Milano: FrancoAngeli.
Id. (2016), “Sciogliere i nodi del tempo. Ingiunzioni e predizioni paradossali fra esperienze personali e realtà storica”, in Rassegna di Pedagogia, vol. LXXIV, n. 1-2, pp. 55-72.
Fasulo, A. (2007), “Cosa ha veramente detto X: due casi di agency contesa”, in A. Donzelli & A. Fasulo (a cura di), Linguaggio e Agency. Etnoteorie della soggettività e della responsabilità nell’azione sociale, Roma: Meltemi, pp. 215-236.
Freemon, B., Negrete, V., Davis, M., & Korsch, B. (1971), “Gaps in doctor-patient communication: Doctor-patient interaction analysis”, in Pediatric Research, n. 5, 298-311.
Giddens, A. (1984), The Constitution of Society: Outline of the Theory of Structuration, Berkeley: University of California Press.
Goodwin, C. (1981), Conversational Organization: Interaction between Speakers and Hearers. New York: Academic Press.
Id. (1994), “Professional vision”, in American Anthropologist, vol. 96, n. 3, pp. 606-633.
Id. (2000), “Action and Embodiment within Situated Human Interaction”, in Journal of Pragmatics, n. 32, pp. 1489-1522.
Hall, J.A., Roter, D.L., & Katz, N.R. (1987), “Task versus socio-emotional behaviors in physicians”, in Medical Care, n. 25, pp. 399-412.
Hayashi, M. (2013), “Turn allocation and turn sharing”, in J. Sidnell & T. Stivers (eds.), The Handbook of Conversation Analysis, Hoboken, NJ: Wiley Blackwell, pp. 167-190.
Heritage, J. (1997), “Conversation Analysis and Institutional Talk: Analyzing Data”, in D. Silverman (ed.), Qualitative Research: Theory, Method and Practice, London: Sage Publications, pp. 222-245.
Id. (2002), “Ad hoc inquiries: Two preferences in the design of ‘routine’ questions in an open context”, in D. Maynard, H. Houtkoop-Steenstra, N.K. Schaeffer, & H.
van der Zouwen (eds.), Standardization and Tacit Knowledge: Interaction and Practice in the Survey Interview, New York: Wiley Interscience, pp. 313-333.
Id. (2010), “Questioning in medicine”, in A.F. Freed & S. Ehrlich (eds.), “Why do you ask?”: The function of questions in institutional discourse, New York: Oxford University Press, pp. 42-68.
Id. (2012), “Epistemics in Action: Action Formation and Territories of Knowledge”, in Research on Language and Social Interaction, vol. 45, n. 1, pp. 1-29.
Heritage, J., & Maynard, D.W. (eds.) (2006a), Communication in Medical Care: Interactions between Primary Care Physicians and Patients, Cambridge: Cambridge University Press.
Idd. (2006b), “Problems and Prospects in the Study of Physician-Patient Interaction: 30 years of research”, in Annual Review of Sociology, n. 32, pp. 351-374.
Heritage, J., & Raymond, G. (2005), “The terms of agreement: indexing epistemic authority and subordination in talk-in-interaction”, in Social Psychology Quarterly, vol. 68, n. 1, pp. 15-38.
The agency in language – L. Caronia, V. Colla, F. Ranzani 77
Jefferson, G. (2004), “Glossary of Transcript Symbols with an Introduction”, in G. Lerner (ed.), Conversation Analysis: Studies from the First Generation, Amsterdam: John Benjamins, pp. 13-31.
Kendon, A. (1972), “Some Relationships between Body Motion and Speech. An Analysis of an Example”, in A. Siegman & B. Pope (eds.), Studies in Dyadic Communication, Elmsford (NY): Pergamon Press, pp. 177-210.
Id. (2009), “Kinesic Components of the Multimodal Utterances”, in Berkeley Linguistics Society Proceedings, Berkeley: Berkeley Linguistics Society, pp 36-53.
Lerner, G. (2003), “Selecting next speaker: The context-sensitive operation of a context-free organization”, in Language in Society, n. 32, pp. 177-201.
Machin, L.L., Bellis, K.M., Dixon, C., Morgan, H., Pye, J., Spencer, P., & Williams, R.A. (2019), “Interprofessional education and practice guide: Designing ethics-orientated interprofessional education for health and social care students”, in Journal of Interprofessional Care, n. 33, pp. 608-618.
Mason, I. (2006), “On mutual accessibility of contextual assumptions in dialogue interpreting”, in Journal of Pragmatics, vol. 8, n. 3, pp. 359-373.
Mead, N., & Bower, P. (2000), “Patient-centredness: A conceptual framework and review of the empirical literature”, in Social Science & Medicine, vol. 51, n. 7, pp. 1087-1110.
Mishler, E.G. (1984), The discourse of medicine: dialectics of medical interview, Norwood: Ablex Publishing.
Mondada, L. (2007), “Multimodal resources for turn-taking: Pointing and the emergence of possible next speakers”, in Discourse studies, vol. 9, n. 2, pp. 194-225.
Mortari, L. (2003), Apprendere dall’esperienza, Roma: Carocci.
Ong, L.M., De Haes, J.C., Hoos, A.M., & Lammes, F.B. (1995), “Doctor-patient communication: A review of the literature”, in Social Science & Medicine, vol. 40, n. 7, pp. 903-918.
Orletti, F. (2000), La conversazione diseguale. Potere e interazione, Roma: Carocci.
Orletti, F., & Iovino, R. (2018), Il parlar chiaro nella comunicazione medica. Tra etica e linguistica, Roma: Carocci.
Pasquandrea, S. (2013), “Uso del linguaggio tecnico e rapporto medico-paziente: un’analisi in contesti interculturali”, in Salute e società, n. 1, pp. 76-93.
Perakyla, A. (1997), “Reliability and validity in research based on naturally occurring social interaction”, in D. Silverman (ed.), Qualitative Research. Theory, Method and Practice, London: Sage.
Pomerantz, A., & Heritage, J. (2013) “Preference”, in J. Sidnell & T. Stivers (eds.), The Handbook of Conversation Analysis, Hoboken, NJ: Wiley Blackwell, pp. 210-228.
Raymond, G., & Heritage, J. (2006), “The epistemics of social relations: Owning grandchildren”, in Language in Society, n. 35, pp. 677-705.
Sacks, H., Schegloff, E.A., & Jefferson, G. (1974), “A simplest systematics for the organization of turn-taking for conversation”, in Language, n. 50, pp. 696-735.
Saglietti, M. (2019), “‘Inevitable distinctions’: The discursive construction of unaccompanied minors’ agency in Italian residential care”, in Language and Dialogue, vol. 9, n. 1, pp. 172-190.
Schegloff, E.A. (1968), “Sequencing in Conversational Openings”, in American Anthropologist, n. 70, pp. 1075-1095.
Id. (1984), “On some questions and ambiguities in conversation”, in J. Atkinson & Heritage (eds.), Structures of Social Action: Studies in Conversation Analysis, Cambridge: Cambridge University Press, pp. 28-52.
Schegloff, E.A., Jefferson, G., & Sacks, H. (1977), “The preference for self-correction in the organization of repair in conversation”, in Language, vol. 53, n. 2, pp. 361-382.
Schön, D. (1983), Il professionista riflessivo. Per una nuova epistemologia della pratica professionale, Bari: Dedalo.
Schutz, A. (1967[1932]), The phenomenology of the social world, Evanston, IL: Northwestern University Press.
Stivers, T. (2001), “Negotiating who presents the problem: Next speaker selection in pediatric encounters”, in Journal of Communication, vol. 51, n. 2, pp. 252-282.
Ead. (2005a), “Non-antibiotic treatment recommendations: Delivery formats and implications for parent resistance”, in Social Science & Medicine, n. 60, pp. 949-964.
Ead. (2005b), “Parent resistance to physicians’ treatment recommendations: One resource for initiating a negotiation of the treatment decision”, in Health Communication, n. 18, pp. 41-74.
Ead. (2007), Prescribing Under Pressure. Parents-Physician Conversations and Antibiotics, Oxford: Oxford University Press.
Stivers, T., & Robinson, J.D. (2006), “A preference for progressivity in interaction”, in Language in Society, n. 35, pp. 367–392.
Stivers, T., Mondada, L., & Steensig, J., (eds.) (2011), The morality of knowledge in conversation, Cambridge: Cambridge University Press.
Tates, K., & Meeuwesen, L. (2001), “Doctor-parent-child communication. A (re)view of the literature”, in Social Science and Medicine, n. 52, pp. 839-851.
Tates, K., Elbers, E., Meeuwesen, L., & Bensing, J. (2002), “Doctor-parent-child relationships: a ‘pas de trois’”, in Patient Education and Counseling, n. 48, pp. 5-14.
ten Have, P. (1999), Doing Conversation Analysis. A Practical Guide. London: Sage.
van Dulmen, A.M. (1998), “Children’s contributions to pediatric outpatient encounters”, in Pediatrics, 102(3 Pt 1), pp. 563-568.
Wandensjö, C. (1998), Interpreting as interaction, London & New York: Longman
Refback
- Non ci sono refbacks, per ora.
Iscrizione al Registro Operatori della Comunicazione R.O.C. n. 10757