How adults with a profound intellectual disability engage others in interaction

Antaki, Charles, Crompton, Rebecca J., Walton, Chris and Finlay, W. M. L. (2017) How adults with a profound intellectual disability engage others in interaction. Sociology of Health and Illness, 39 (4). pp. 581-598. ISSN 1467-9566

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Using video records of everyday life in a residential home, we report on what interactional practices are used by people with severe and profound intellectual disabilities to initiate encounters. There were very few initiations, and all presented difficulties to the interlocutor; one (which we call "blank recipiency") gave the interlocutor virtually no information at all on which to base a response. Only when the initiation was of a new phase in an interaction already under way (for example, the initiation of an alternative trajectory of a proposed physical move) was it likely to be successfully sustained. We show how interlocutors (support staff; the recording researcher) responded to initiations verbally, as if to neurotypical speakers - but inappropriately for people unable to comprehend, or to produce well-fitted next turns. This misreliance on ordinary speakers' conversational practices was one factor that contributed to residents abandoning the interaction in almost all cases. We discuss the dilemma confronting care workers.

Item Type: Journal Article
Additional Information: This is the peer reviewed version which has been published in final form at: This article may be used for non-commercial purposes in accordance with Wiley's terms and conditions for self-archiving.
Keywords: profound intellectual disabilities, communication, interaction, conversation analysis, social care
Faculty: ARCHIVED Faculty of Science & Technology (until September 2018)
Depositing User: Dr W.M.L. Finlay
Date Deposited: 30 Sep 2016 09:27
Last Modified: 05 May 2022 12:52

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