title: Mediating words, mediating worlds: interpreting as hidden care work in a South African psychiatric institution.
abstract: Many mental health clinicians in South Africa use informal interpreters, who are employed to perform other functions, such as cleaners and security guards; there are no formally trained interpreters. Drawing on qualitative semistructured interviews, this paper examines the experiences of informal interpreters working within a psychiatric setting. Furthermore, this paper explores how working in this invisible capacity affects informal interpreters' views of themselves and the contribution they feel they are making by acting as interpreters. An interpretative phenomenological approach enabled an in-depth analysis of the experiences of the ad hoc interpreters. The results of this study reveal a dilemma. On the one hand, informal interpreters interviewed jeopardize ethical principles by breaching confidentiality and reporting on patient behaviour without their consent. On the other hand, they report fulfilling an additional beneficial role in terms of the overall care of patients which goes beyond the ambit of the interpreting session. The impact and extent of the informal interpreters' involvement in care could not be ascertained solely from the data obtained in this study, but it is clear that informal interpreting may usefully be viewed as a form of hidden care work. A detailed ethnographic study aimed at exploring this further is therefore recommended.
authors.affiliation: Stellenbosch University.
authors.forename: Jénine
authors.initials: J
authors.lastname: Smith
authors.forename: Leslie
authors.initials: L
authors.lastname: Swartz
authors.forename: Sanja
authors.initials: S
authors.lastname: Kilian
authors.forename: Bonginkosi
authors.initials: B
authors.lastname: Chiliza
mesh_terms: D000328:Adult; D000368:Aged; D054521:Cultural Competency; D005260:Female; D006778:Hospitals, Psychiatric / Q000941:ethics; D006801:Humans; D007407:Interviews as Topic; D007802:Language; D001523:Mental Disorders / Q000208:ethnology* / Q000628:therapy; D008875:Middle Aged; D010817:Physician-Patient Relations / Q000941:ethics; D011570:Psychiatry / Q000941:ethics / Q000379:methods; D013019:South Africa; D014175:Translating; D055815:Young Adult
keywords: South Africa; ethical considerations; ethics of care; informal interpreting; language barrier; mental health care; psychiatry