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En samtalsanalytisk studie av kommunikativa strategier och professionell interaktion mellan logoped-patient med afasi och arbetsterapeutpatient med afasi
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology. Linköping University, Faculty of Health Sciences.
2012 (Swedish)Independent thesis Basic level (university diploma), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

In the present study, the institutional discourse in health care was examined, focusing onspeech therapists and occupational therapists in interaction with a common patient withaphasia. The purpose of the present study was to identify common communication strategiesused in the professional conversation between a speech therapist and a patient and between anoccupational therapist and the same patient. Specific research questions were: Whatcommunicative strategies are used in interaction between a speech therapist and a patient withaphasia and between the occupational therapist and the same patient? Are theredifferences/similarities between how speech therapists and occupational therapists interactwith patients with aphasia?Six people in total, two patients in interaction with a speech therapist and an occupationaltherapist respectively, were recorded during treatment sessions of each profession. Generaland specific aspects of the institutional interaction were then analysed according to principlesof conversation analysis.Similarities in the use of closed questions as a strategy to increase the effectiveness ininteraction could be seen between the two different professions studied. The use ofevaluations in interaction was also relatively similar between the two occupations.Some differences were identified in the ways that each profession used repetitious behavior,co-constructions and non-verbal communication. In terms of use of communication aids tosupport the patient's understanding, clear differences between the professions were observed.

Abstract [sv]

I föreliggande studie undersöks det institutionella samtalet inom vården, med inriktning pålogoped och arbetsterapeut i samspel med gemensam patient. Syftet med studien var attkartlägga de vanligt förekommande kommunikativa strategier som används i detprofessionella samtalet mellan logoped och patient med afasi samt mellan arbetsterapeut ochsamma patient. Specifika frågeställningar var: Vilka kommunikativa strategier används isamtal mellan logoped och patient med afasi och i relationen mellan arbetsterapeut ochsamma patient? Finns det skillnader/likheter mellan hur logopeder och arbetsterapeuterinteragerar med patienter som har afasi?Två patienter i interaktion med varsin logoped och varsin arbetsterapeut, sex personer totalt,spelades in under patientens behandlingstillfällen hos respektive profession. Generella ochspecifika aspekter av det institutionella samtalet analyserades sedan enligt samtalsanalytiskaprinciper.Likheter i användandet av slutna frågor som strategi för att effektivisera kommunikationenkunde ses mellan yrkeskategorierna i studien. Även användandet av utvärderingar var relativtlika mellan yrkesgrupperna.Vissa skillnader synliggjordes i respektive yrkesgrupps sätt att använda repetitioner,reparationer, samkonstruktioner och icke-verbal kommunikation. Gällande användande avkommunikativa hjälpmedel som stöd för patientens förståelse, sågs tydliga skillnader mellanyrkeskategorierna.

Place, publisher, year, edition, pages
2012. , 52 p.
Keyword [en]
Institutional discourse, speech therapist, occupational therapist, communication strategies, conversation analysis, aphasia
Keyword [sv]
Institutionella samtal, logoped, arbetsterapeut, kommunikativa strategier, samtalsanalys, afasi
National Category
Other Health Sciences
URN: urn:nbn:se:liu:diva-78082ISRN: LIU-IKE/SLP-A--12/009--SEOAI: diva2:531159
Subject / course
Master (one year thesis)/Speech and Language Pathology
2012-05-21, Linköping, 19:43 (Swedish)
Available from: 2012-12-17 Created: 2012-06-05 Last updated: 2012-12-17Bibliographically approved

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