Interpreter-mediated dementia evaluations: On the use of artifacts in tests of cognitive functioning
2014 (English)Conference paper, Abstract (Refereed)
Interpreter-mediated demenƟa evaluaƟons: On the use of artefacts in tests ofcogniƟve funcƟoningThe current paper presents results from an invesƟgaƟon of interpreter-mediated interacƟon between clinical staff andethnic minority paƟents during demenƟa assessment in a Swedish memory clinic. More specifically, the study deals withthe part of the assessment in which tests of cogniƟve funcƟoning are carried out. Within such tests, various artefacts areused, such as pen, paper, pictures and other objects (e.g. a torch, a comb etc.). The use of these artefacts is constrainedby the formal nature of the test, i.e. quesƟons are to be asked in a specific way in order for test answers to count as valid.However, due to mulƟlingual and mulƟcultural aspects of the context, and the fact that the interacƟon between clinicianand paƟent is mediated by an interpreter, parƟcipants are faced with many challenges. In the current presentaƟon,we will demonstrate, by means of mulƟmodal interacƟon analysis, how parƟcipants orient to problems related to thefact that the test is neither adapted to the language and culture of the paƟent, nor to paƟents with limited readingand wriƟng skills. The paƟent's unfamiliarity with an object or picture may, for example, lead to extensive repair-workbetween paƟent and interpreter, which in turn, negaƟvely affects the administraƟon (and validity) of the test and testanswers.The results presented are supported by current research and reports from clinicians that state that European memoryclinics are generally unprepared for a rapidly growing number of immigrants, that there is a lack of clinical rouƟnes forthis kind of interacƟonal encounter, and that test materials are not adapted to the needs of these clients (Nielsen, 2011;Nielsen et al., 2011).
Place, publisher, year, edition, pages
interaction, test, interpreter-mediated interaction, dementia
IdentifiersURN: urn:nbn:se:liu:diva-113631OAI: oai:DiVA.org:liu-113631DiVA: diva2:783534
Nordisco 2014 (Nordic Interdisciplinary Conference on Discourse and Interaction),Jyväskylä, Finland, 12-14 November