Abstract
Within healthcare settings we can observe various ways of "doing care" (Mol, Moser, & Pols, 2010) which is often combined with the question of best practice. At the same it is not always clear what the best practice is.
This paper compares four situations from two different health care settings focussing on how the bodily positioning (Heath, 1986) of the care personals enables or limits the agency of the other participants. The two examples from the first case focus on hospital interactions in which a student nurse is supervised by a trained nurse, when caring for the patient. We show how the bodily positioning of the nurse and student either affords a nurse-patient relation or a nurse- student nurse relation as thus frame the student's agency as more or less independent. The other two examples focus on different ways of enabling a disabled person to reach products in a supermarket. It can be seen that the positioning of the caretaker either scaffold or rejects the wishes of the shopper and thus constructs or limits the person's agency.
In both cases the bodily arrangements displays different ways of care taking, which cannot easily be reduced to the discussion of good or bad/ right or wrong. Even though the participants are engaged in the same practice, their embodied interactional management of the health care encounters has an impact on the construction of the participants’ relation to each other, their agency and identity.
The paper is based on authentic video recorded data, analysed by means of embodied conversation analysis (Streeck, Goodwin, & LeBaron, 2011). We focus on the notion on professional vision (Goodwin, 1994) and show how the participants show and carry out their epistemic stance of knowledge (Heritage, 2012).
References
Goodwin, C. (1994). Professional vision. American Anthropologist, 96(3), 606–633.
Heath, C. (1986). Body movement and speech in medical interaction. New York: Cambridge University Press.
Heritage, J. (2012). The epistemic engine: Sequence organization and territories of knowledge. Research on Language & Social Interaction, 45(1), 30–52.
Mol, A., Moser, I., & Pols, J. (2010). Care in practice : on tinkering in clinics, homes and farms.
Streeck, J., Goodwin, C., & LeBaron, C. (2011). Embodied Interaction: Language and Body in the Material World. (J. Streeck, C. Goodwin, & C. LeBaron, Eds.). New York, N.Y.: Cambridge University Press
Original language | English |
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Publication date | Jul 2018 |
Publication status | Published - Jul 2018 |
Event | 5th International Conference on Conversation Analysis - Loughborough University, Loughborough, United Kingdom Duration: 11 Jul 2018 → 15 Jul 2018 Conference number: 5 http://www.icca2018.org/ |
Conference
Conference | 5th International Conference on Conversation Analysis |
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Number | 5 |
Location | Loughborough University |
Country/Territory | United Kingdom |
City | Loughborough |
Period | 11/07/2018 → 15/07/2018 |
Internet address |