When the larger objective matters more: support workers’ epistemic and deontic authority over adult service‐users
Autor: | Joe Webb, Charles Antaki |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male 050101 languages & linguistics Health (social science) Attitude of Health Personnel media_common.quotation_subject Decision Making Control (management) Resistance (psychoanalysis) Epistemics 03 medical and health sciences 0302 clinical medicine Intellectual Disability medicine Humans Disabled Persons 0501 psychology and cognitive sciences 030212 general & internal medicine Empowerment Conversation Analysis media_common Patient Care Team learning disability support deontics business.industry Health Policy Deontic logic 05 social sciences Public Health Environmental and Occupational Health Original Articles Public relations Intellectual impairment Conversation analysis empowerment Learning disability Spite Female Original Article epistemics medicine.symptom Psychology business |
Zdroj: | Antaki, C & Webb, J 2019, ' When the larger objective matters more: support workers’ epistemic and deontic authority over adult service-users ', Sociology of Health and Illness, vol. 41, no. 8, pp. 1549-1567 . https://doi.org/10.1111/1467-9566.12964 Sociology of Health & Illness |
ISSN: | 1467-9566 0141-9889 |
DOI: | 10.1111/1467-9566.12964 |
Popis: | We report on how support workers sometimes over‐ride the wishes of people living with cognitive impairments. This can happen when they are both involved in some project (such as an institutionally‐managed game, a physical journey, an educational activity and so on). The support worker might use their deontic authority (to propose, decide or announce future actions) to do things that advance the over‐arching project, in spite of proposals for what are cast as diversions from the person with impairments. They might also use their epistemic authority (their greater knowledge or cognitive capacity) to trump their clients’ choices and preferences in subordinate projects. Not orienting to suggested courses of actions is generally interactionally dispreferred and troublesome, but, although the providers do sometimes orient to their actions as balking their clients’ wishes, they usually do not, and encounter little resistance. We discuss how people with disabilities may resist or palliate such loss of control, and the dilemmas that support staff face in carrying out their duties. |
Databáze: | OpenAIRE |
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