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[SYMP66] Researching Helping Professions for (Applied) Linguistic and Practical Purposes

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Session Information

Jul 19, 2023 10:15 - Jul 19, 2024 13:15(Europe/Amsterdam)
Venue : Hybrid Session (onsite/online)
20230719T1015 20230719T1315 Europe/Amsterdam [SYMP66] Researching Helping Professions for (Applied) Linguistic and Practical Purposes Hybrid Session (onsite/online) AILA 2023 - 20th Anniversary Congress Lyon Edition cellule.congres@ens-lyon.fr

Sub Sessions

The Silent Treatment. The Benefit of Mixed Methods in Researching Touch in Physical Therapy

Oral Presentation[SYMP66] Researching Helping Professions for (Applied) Linguistic and Practical Purposes 10:15 AM - 01:15 PM (Europe/Amsterdam) 2023/07/19 08:15:00 UTC - 2024/07/19 11:15:00 UTC
Touch as an interactional resource has gained a lot of attention in multimodal interaction analysis lately (cf. Cekaite & Mondada 2021) and has been found to be constitutive of many embodied practices in medicine (cf. Kuroshima 2020, Nishizaka 2021). In physical therapy, the co-construction of a session by the therapist and the patient involves touch as a crucial component of the treatment (cf. Roger et al. 2002).
Depending on several situational and relational factors, there may be more or less verbal interaction during physical therapy. This presentation takes a closer look at sequences of acoustic silence during haptic interventions: How is silence sequentially organized, and how is touch embedded and negotiated during these sequences? When and how do transitions from silence to verbal interaction occur? These questions will be tackled by analyzing exemplary sequences of touch in videotaped therapy sessions. Additional qualitative interviews with physical therapists trace their re-constructions and attitudes towards their touching behavior These findings are compared to the interactional analysis of touch.
This type of approach – comparing fundamentally different data sets – is not fully accepted in linguistic research, especially not in multimodal interaction analysis that strictly adheres to those aspects of a situation that can be reconstructed as sequences of actions by observation. The characteristics of each data type need to be taken into account carefully. However, the overlaps, intersections and deviations may contribute to a more thorough framework of touch in physical therapy. So, there is an underlying methodological question intertwined with the specialized topic of silence and touch in physical therapy: How can interactional analysis and scrutinizing interview data profit from one another? What are the benefits of Mixed Methods (cf. Hashemi 2019) for the study of touch in physical therapy, professional practices in Applied Linguistics and the research on helping professions? 
Cekaite, A., and L. Mondada. 2021. "Towards an interactional approach to touch in social encounters." In Touch in social interaction. Touch, language, and body, edited by A. Cekaite and L. Mondada, 1–26. London, New York: Routledge.
Hashemi, M. R. 2019. "Expanding the scope of mixed methods research in applied linguistics." In The Routledge handbook of research methods in Applied Linguistics, edited by J. McKinley and H. Rose, 39–51. London: Routledge.
Kuroshima, S. 2020. "Therapist and patient accountability through tactility and sensation in medical massage sessions." Social Interaction. Video-Based Studies of Human Sociality 3 (1). DOI: 10.7146/si.v3i1.120251.
Nishizaka, A. 2021. "Guided touch: The sequential organization of feeling a fetus in Japanese midwifery practices." In Touch in social interaction. Touch, language, and body, edited by A. Cekaite and L. Mondada, 224–248. London, New York: Routledge.
Roger, J., D. Darfour, A. Dham, O. Hickman, L. Shaubach, and K. Shepard. 2002. "Physiotherapists' use of touch in inpatient settings." Physiotherapy Research International 7 (3): 170–186.


Presenters Heike Ortner
Associate Professor, University Of Innsbruck

Dementia risk prediction, counselling, and autonomous decision-making. Affordances and challenges of risk communication

Oral Presentation[SYMP66] Researching Helping Professions for (Applied) Linguistic and Practical Purposes 10:15 AM - 01:15 PM (Europe/Amsterdam) 2023/07/19 08:15:00 UTC - 2024/07/19 11:15:00 UTC
Individuals with mild cognitive impairment (MCI) and their caregivers face complex probabilistic information in a medical counselling session when seeking diagnostic work-up for early detection of Alzheimer's disease (AD). With this contribution, we aim to outline affordances and challenges of "counselling for dementia risk prediction", a specific form of helping interaction. We will shed light on the subject from both a medical and a linguistic perspective by providing insights into preparatory measures and counselling tools, parts of typical doctor-patient-interactions, and interviews with counselled individuals. 
When counselling about biomarker-based AD detection, clinicians need to consider various medical and non-medical parameters in order to enable an informed decision-making: e.g., the individual's previous knowledge on the topics dementia, Alzheimer's, and risk prediction; the magnitude of cognitive impairment of the MCI-patients as well as the numeracy skills and the understanding of risk/probability of the counselled individuals (Rostamzadeh & Jessen 2020; Rostamzadeh & Schwegler et al. 2021). 
From a linguistic perspective, these counselling sessions show a high susceptibility for talk at cross purposes (Imo 2013), since clinicians target a discourse on educational information in order to lead to a decision for or against risk prediction. On the other hand, patients and caregivers often expect concrete instructions for future actions, information on curing remedies, and therapy planning (Schwegler 2021). Furthermore, subjective theories (Birkner 2006) about the cognitive impairment and coping strategies to normalise the situation affect the interaction. Previous knowledge, preconceptions, assumptions, and information from other credible authorities from the patient's life – which are mentioned in subsequent interview sessions during our interdisciplinary study – encounter biomedically and statistically informed concepts of risk, disease, and symptoms. We aim at contributing in an interdisciplinary way to identify and elaborate how to manage these challenges and affordances in helping interactions.
Birkner, K. (2006) Subjektive Krankheitstheorien im Gespräch. In: Gesprächsforschung 7, 152–183.
Imo, W. (2013) „Aneinander vorbei reden" – Wenn kommunikative Projekte scheitern. In: Deutsche Sprache 2013 (1), 52–71.
Rostamzadeh, A. & Jessen, F. (2020) Früherkennung der Alzheimer-Krankheit und Demenzprädiktion bei Patienten mit leichter kognitiver Störung: Zusammenfassung aktueller Empfehlungen. In: Der Nervenarzt 91 (9), 832–842.
Rostamzadeh, A. & Schwegler, C. et al. (2021) Biomarker-Based Risk Prediction of Alzheimer's Dementia in MCI: Psychosocial, Ethical and Legal Aspects – The PreDADQoL Project. In: Journal of Alzheimer's Disease 80 (2), 601–617.
Schwegler, C. (2021) Prädiktive Medizin als Gegenstand linguistischer Untersuchungen. In: Iakushevich, M.  et al. (Hrsg.) Linguistik und Medizin. Berlin/Boston: De Gruyter. 359–377.
Presenters Carolin Schwegler
Postdoctoral Researcher, University Of Cologne
Co-authors
AR
Ayda Rostamzadeh
University Of Cologne

The Responsiveness Issue – Responsiveness in Questioning Sequences in Coaching from a Linguistic and Psychological Perspective

Oral Presentation[SYMP66] Researching Helping Professions for (Applied) Linguistic and Practical Purposes 10:15 AM - 01:15 PM (Europe/Amsterdam) 2023/07/19 08:15:00 UTC - 2024/07/19 11:15:00 UTC
Responsiveness is a fundamental yet ill-defined concept in helping professional interactions such as coaching. CA-based definitions focusing on intersubjectivity and sequence organization (e.g., Schegloff 2007) or the degree of thematic progression and fulfillment of the initiating turn's social expectations (e.g., Schwitalla 1979) seem insufficient to grasp the concept of responsiveness for helping professional purposes. Such views focus only on the second pair part as (non-)responsive to the initiating action but not regarding higher-level activities (Pomerantz 2021). In coaching, such higher-level orientation is not only shown by coaches but also by clients who may orient to the ongoing activity in which the sequence is embedded (e.g., solution generation). Furthermore, as actions may be both responsive and initiatory (Vehviläinen et al. 2008), responsiveness exists in the second (client's reaction) and third position (coach's reaction to the reaction). In psychology, responsiveness has been described as behavior that is affected by the context and the participants, who adapt to each other and their surrounding circumstances (Kramer & Stiles 2015). Such responsive behavior sees therapists aiming to facilitate the desired outcomes (Stiles et al. 1998). However, as good practice is influenced by many aspects, classical psychological research designs are insufficient to study and fully model responsiveness (Stiles 2015). 


In the interdisciplinary project "Questioning Sequences in Coaching" (Graf et al. 2020), we therefore conceptualize responsiveness in coaching as the orientation of participants towards the progressivity of action at the sequential level, the progressivity towards the goal achievement, relational affiliation, and, in the case of the coach, also their theory of change. Such a view allows insights into "appropriate responsiveness" (Kramer and Stiles 2015:279) according to which professionals and clients "try to do the right thing at the right time" to further their goals. By combining a CA-based approach with psychological understandings of change processes, we thus seek to gain a more profound understanding of how responsiveness is related to the overall effectiveness of coaching. 


In this talk, we focus on second and third positions in questioning sequences occurring in authentic business coaching. We illustrate how clients and coaches are attuned to each other, the goal, the underlying theory etc. by analyzing successful and less successful examples linguistically and psychologically.


Graf, E. et al. (2020). Questioning Sequences in Coaching. DACH-research project funded by FWF, DFG and SNF.


Kramer, U. & Stiles, W.B. (2015). The responsiveness problem in psychotherapy: A review of proposed solutions. Clinical Psychology: Science and Practice, 22(3), 277–295


Pomerantz, A. (2021). Asking and Telling in Conversation. Oxford: OU P.


Schegloff, E.A. (2007). Sequence organization in interaction. New York, NY: CUP.


Schwitalla, J. (1979). Dialogsteuerung in Interviews. München: Hueber.


Stiles, W.B. (2015). Theory Building, Enriching, and Fact Gathering: Alternative Purposes of Psychotherapy Research. In O. Gelo et al. (eds), Psychotherapy Research. Vienna: Springer. 


Stiles, W.B. et al. (1998). Responsiveness in psychotherapy. Clinical Psychology: Science and Practice, 5(4), 439–458.


Vehviläinen, S. et al. (2008). A review of conversational practices in psychotherapy. In A. Peräkylä et al. (eds.), Conversation Analysis and Psychotherapy. Cambridge: CUP.
Presenters
FD
Frédérick Dionne
PhD Student, University Of Klagenfurt
LC
Lara Calasso
PHD Candidate Psychology, Zurich University Of Applied Sciences
Co-authors Melanie Fleischhacker
PhD Reseracher/project Member, University Of Klagenfurt
HK
Hansjörg Künzli
Zurich University Of Applied Sciences
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Associate Professor
,
University of Innsbruck
Postdoctoral Researcher
,
University of Cologne
Senior Teaching and Research Assistant
,
Zurich
University of Zurich
University of Zurich
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PhD Student
,
University of Klagenfurt
She/Her Melanie Fleischhacker
PhD reseracher/project member
,
University of Klagenfurt
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