Participation in atypical encounters: The interactional consequences of inclusion/exclusion

Aktivitet: Foredrag og mundtlige bidragKonferenceoplæg


This paper is based on a video observational study of interaction, targeted at investigating recurrent inclusion/exclusion practices of institutional life. The study was carried out in a Danish care home facility for residents with severe language and communication disorders (LCDs) and acquired brain injury. A series of encounters involving a case resident, occupational therapists and participant researchers was recorded via video-recording (30 hours) and fieldwork over a period of 14 months, between 2012 and 2013. The dataset has been analyzed by adopting an approach that combines integrational linguistics and ethnomethodology and conversation analysis. In this presentation, I specifically focus on what can be labeled ‘trouble talk’ and how trouble talk is formulated, received and responded to. With reference to encounters between the case resident and the occupational therapist, the trouble spots can be identified when the case resident takes initiatives and/or addresses criticisms, which may be heard by the occupational therapist as complaints about institutional life. In drawing attention to instances of manifest misalignments in the data extracts, I discuss how practices of inclusion and exclusion are emergent in the interaction itself, which can have further institutional ramifications. In conclusion, following the useful notion of ‘letting pass’, it is suggested that instead of aggravating trouble talk, professional practitioners can choose to downgrade the force of apparent misalignments and minimize interactional exclusion, thus promoting a person-centered approach to Quality of Life.
Periode1 jul. 20203 jul. 2020
BegivenhedstitelCOMET 2020
PlaceringAalborg, DanmarkVis på kort
Grad af anerkendelseInternational


  • Quality of life
  • Acquired brain injury
  • Video observation
  • Interaction analysis
  • trouble talk
  • Social inclusion
  • Social exclusion
  • professional practice
  • Health communication