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Centre for Policy on Ageing | |
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The interactional management of patients' physical incompetence
— a conversation analytic study of physiotherapy interactions | | Author(s) | Ruth Helen Parry |
| Journal title | Sociology of Health & Illness, vol 26, no 7, November 2004 |
| Pages | pp 976-1007 |
| Source | http://www.blackwellpublishing.com |
| Keywords | Stroke ; Competence ; Physiotherapy ; Communication skills ; Physiotherapists ; Patients ; Evaluation. |
| Annotation | Patients' physical incompetence is a feature of many clinical interactions; the challenges it presents are not only technical but also interactional. This paper examines how interpretations and interactional consequences of physical incompetence are dealt with during stroke physiotherapy. A conversation analytical approach was used to examine video-recorded treatment sessions. Analysis demonstrated that managing physical incompetence forms an important element of the organisation of these interactions. Through their conduct, patients and therapists limit and counter its various negative implications, including those which attribute it to failure of a patient's efforts, co-operation and personal competence, and failure of therapy. Understanding orientations to incompetence and their influence upon interactions provides some explanations or "good reasons" for certain features of clinical interaction that have attracted criticism. Analysis also shows that management of incompetence is grounded in the clinician's authority and contributes to its maintenance. In the face of failure of physical competence, participants collaboratively and continually work to portray patients' as deserving of treatment rather than sanction, and to convey that despite evident difficulties, the therapeutic process is a co-operative and successful endeavour. (RH). |
| Accession Number | CPA-050117213 A |
| Classmark | CQA: DPB: LOA: UO: QTM: LF: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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