En samtalsanalytisk studie av kommunikativa strategier och professionell interaktion mellan logoped-patient med afasi och arbetsterapeutpatient med afasi

Sammanfattning: In the present study, the institutional discourse in health care was examined, focusing onspeech therapists and occupational therapists in interaction with a common patient withaphasia. The purpose of the present study was to identify common communication strategiesused in the professional conversation between a speech therapist and a patient and between anoccupational therapist and the same patient. Specific research questions were: Whatcommunicative strategies are used in interaction between a speech therapist and a patient withaphasia and between the occupational therapist and the same patient? Are theredifferences/similarities between how speech therapists and occupational therapists interactwith patients with aphasia?Six people in total, two patients in interaction with a speech therapist and an occupationaltherapist respectively, were recorded during treatment sessions of each profession. Generaland specific aspects of the institutional interaction were then analysed according to principlesof conversation analysis.Similarities in the use of closed questions as a strategy to increase the effectiveness ininteraction could be seen between the two different professions studied. The use ofevaluations in interaction was also relatively similar between the two occupations.Some differences were identified in the ways that each profession used repetitious behavior,co-constructions and non-verbal communication. In terms of use of communication aids tosupport the patient's understanding, clear differences between the professions were observed.