z-logo
open-access-imgOpen Access
Talen en spiralen: kennis en besluitvorming in anticonceptieconsultaties met een taalbarrière
Author(s) -
Ella van Hest,
July De Wilde
Publication year - 2021
Publication title -
tijdschrift voor taalbeheersing
Language(s) - English
Resource type - Journals
eISSN - 2352-1236
pISSN - 1573-9775
DOI - 10.5117/tvt2021.2.003.vanh
Subject(s) - language barrier , negotiation , conversation analysis , conversation , interpreter , deontic logic , psychology , medicine , sociology , linguistics , computer science , social science , philosophy , communication , programming language
Misconception and contraception: knowledge and decision-making in contraceptive consultations with a language barrier Just like in general medical consultations, different domains of knowledge come together and are negotiated in contraceptive consultations, followed by decision-making on the contraceptive method. Research shows that a language barrier can hamper knowledge negotiation and decision-making in medical consultations. Our paper contributes to those findings by focussing on contraceptive counselling as a specific and underexplored consultation type. We gathered our data in a Belgian abortion clinic, where contraception is discussed during the consultations, and where an important part of the consultations are characterised by a language barrier. We adopt a Bourdieusian view on language as capital, and use a linguistic ethnographic and interactional sociolinguistic approach, complemented with analytical tools from conversation analysis on epistemics and deontics. The analysis of data fragments, ranging from a limited to a double language barrier, shows that this barrier is connected in various ways with how, and how much, knowledge is negotiated. Incomplete renditions, interruptions, epistemic and deontic claims from non-professional interpreters, along with a lack of shared contextualisation, impede clients to gather information and therefore influence decision-making. We conclude that a language barrier involves a potential risk for knowledge negotiation and decision-making in contraceptive consultations. More attention from healthcare professionals to language barriers could empower women in their sexual and reproductive health choices.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.
Having issues? You can contact us here