| Interactional patterns between staff and clients with borderline to mild intellectual disabilities. | |
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MedLine Citation:
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PMID: 22283853 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background Client-centred models of care imply that clients should have a collaborative relationship with staff providing support. This study investigates whether dialogues between staff and clients in naturally occurring contexts reflect this collaborative ideal. Methods Nineteen staff members video recorded a social interaction with one of their clients. The topic of the interaction concerned an aspect of their support needs. The recordings were transcribed and analysed using the Initiative Response Analysis designed by Linell et al. Results Staff were more dominant than clients, albeit the level of asymmetry in the dialogues was relatively small. However, a different pattern of turns was used by staff and clients. Staff asked more direct questions and sometimes neglected meaningful client contributions. Clients, on the other hand, provided more extended turns in response to staff members' questions, thereby helping to maintain the dialogue. However, in a notable minority of communicative turns, the clients failed to link with the staff member's contribution. Conclusions The interactional patterns found in this study suggest that staff and clients can face difficulties establishing collaborative dialogues on shared topics. Future research should take account of what staff and clients want to achieve in dialogues, along with the nature of their non-verbal communication. |
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Authors:
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E Reuzel; P J C M Embregts; A M T Bosman; M van Nieuwenhuijzen; A Jahoda |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-29 |
Journal Detail:
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Title: Journal of intellectual disability research : JIDR Volume: - ISSN: 1365-2788 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9206090 Medline TA: J Intellect Disabil Res Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012 The Authors. Journal of Intellectual Disability Research © 2012 Blackwell Publishing Ltd. |
Affiliation:
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Tilburg University, Tilburg, Noord-Brabant, The Netherlands J.P. van den Bentstichting, Deventer, Overijssel, The Netherlands HAN University of Applied Sciences, Nijmegen, Gelderland, The Netherlands Kennisn@Dichterbij, Oostrum, Limburg, The Netherlands Behavioural Science Institute, Radboud University, Nijmegen, Gelderland, The Netherlands VU University of Amsterdam, Amsterdam, Noord-Holland, The Netherlands University of Glasgow, Glasgow, UK. |
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