Third Party Interaction in the Medical Context: Code-switching and Control.
The purpose of this paper is to examine the micro-interactional co-construction of power within Spanish language concordant medical consultations in California involving a third party family member. Findings indicate the third party instigates code-switching to English on the part of medical providers, a language that the patient does not understand, rendering the patient a non-participant in the medical consultation. In these consultations involving a third party family member, monolingual Spanish-speaking patients are stripped of control in ways that are similar to other powerless groups in medical consultations. Implications include the need to further examine how micro-level interactions reproduce societal ideologies and shape policy on the ground.
English Department, California State University, San Bernardino, 5500 University Parkway, San Bernardino, CA 92407.
Caroline H
CH
Vickers
California State University, San Bernardino.
Ryan
R
Goble
Indiana University of Pennsylvania.
Sharon K
SK
Deckert
Soc Sci Med. 2001 Mar;52(6):839-51
11234859
Patient Educ Couns. 2011 Nov;85(2):295-8
21030193
Soc Sci Med. 2007 Feb;64(4):924-37
17126465
J Health Care Poor Underserved. 2012 Aug;23(3):968-71
24212149
Gerontologist. 1987 Dec;27(6):729-34
3428622
J Gen Intern Med. 2007 Nov;22 Suppl 2:368-70
17957428
Commun Med. 2005;2(1):53-68
16808708
Health Commun. 2002;14(3):339-60
12186492
Health Promot Pract. 2009 Apr;10(2):293-302
18344318
Health Commun. 1989;1(1):55-70
16371004
Med Care. 2010 Dec;48(12):1080-7
21063229
J Gen Intern Med. 2007 Nov;22 Suppl 2:277-8
17957410
Fam Community Health. 2007 Jul-Sep;30(3):237-46
17563485
Soc Sci Med. 2010 Jun;70(12):1888-95
20378224
Health Commun. 2005;18(1):41-74
15918790
Br J Gen Pract. 2007 Nov;57(544):904-11
17976292
J Gen Intern Med. 2007 Nov;22 Suppl 2:324-30
17957419
Commun Med. 2007;4(1):37-49
17714042