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Questioning the answer : questioning style, choice and self-determination in interactions with young people with intellectual disabilities. / Pilnick, Alison; Clegg, Jennifer; Murphy, Elizabeth; Almack, Kathryn.

In: Sociology of Health and Illness, Vol. 32, No. 3, 03.2010, p. 415-36.

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@article{5238b4fb85a244479b3baa7fcbb3fccf,
title = "Questioning the answer: questioning style, choice and self-determination in interactions with young people with intellectual disabilities",
abstract = "For young people with intellectual disabilities (ID), the transition from children's to adult services has long been recognised as a challenging move. One of the aims of the White Paper Valuing People (2001) was to address some of the problems associated with this transition. This paper reports on data from a project which examines the impact of these service changes, and the ways in which transition is negotiated by carers, professionals and users. It presents a conversation analysis of eight tape-recorded formal review meetings at which transition to adult services is discussed. It takes as its starting point the existing interactional work on ID and the way in which this demonstrates the effects of the local and contextual specifics of particular kinds of interaction on the eventual outcomes (e.g. Rapley 2004, Antaki 2001, Maynard and Marlaire 1992). We show that an attempt to allow self-determination in the context of transitions can paradoxically result in undermining user choice and control. We also argue that, while a rule-based approach to practice may offer moral clarity for professionals, it can result in interactional and practical difficulties which cannot be easily reconciled.",
keywords = "Adolescent, Adult, Cohort Studies, Communication, Female, Humans, Intellectual Disability, Male, Needs Assessment, Personal Autonomy, Power (Psychology), Journal Article",
author = "Alison Pilnick and Jennifer Clegg and Elizabeth Murphy and Kathryn Almack",
year = "2010",
month = mar,
doi = "10.1111/j.1467-9566.2009.01223.x",
language = "English",
volume = "32",
pages = "415--36",
journal = "Sociology of Health and Illness",
issn = "0141-9889",
publisher = "Wiley-Blackwell",
number = "3",

}

RIS

TY - JOUR

T1 - Questioning the answer

T2 - questioning style, choice and self-determination in interactions with young people with intellectual disabilities

AU - Pilnick, Alison

AU - Clegg, Jennifer

AU - Murphy, Elizabeth

AU - Almack, Kathryn

PY - 2010/3

Y1 - 2010/3

N2 - For young people with intellectual disabilities (ID), the transition from children's to adult services has long been recognised as a challenging move. One of the aims of the White Paper Valuing People (2001) was to address some of the problems associated with this transition. This paper reports on data from a project which examines the impact of these service changes, and the ways in which transition is negotiated by carers, professionals and users. It presents a conversation analysis of eight tape-recorded formal review meetings at which transition to adult services is discussed. It takes as its starting point the existing interactional work on ID and the way in which this demonstrates the effects of the local and contextual specifics of particular kinds of interaction on the eventual outcomes (e.g. Rapley 2004, Antaki 2001, Maynard and Marlaire 1992). We show that an attempt to allow self-determination in the context of transitions can paradoxically result in undermining user choice and control. We also argue that, while a rule-based approach to practice may offer moral clarity for professionals, it can result in interactional and practical difficulties which cannot be easily reconciled.

AB - For young people with intellectual disabilities (ID), the transition from children's to adult services has long been recognised as a challenging move. One of the aims of the White Paper Valuing People (2001) was to address some of the problems associated with this transition. This paper reports on data from a project which examines the impact of these service changes, and the ways in which transition is negotiated by carers, professionals and users. It presents a conversation analysis of eight tape-recorded formal review meetings at which transition to adult services is discussed. It takes as its starting point the existing interactional work on ID and the way in which this demonstrates the effects of the local and contextual specifics of particular kinds of interaction on the eventual outcomes (e.g. Rapley 2004, Antaki 2001, Maynard and Marlaire 1992). We show that an attempt to allow self-determination in the context of transitions can paradoxically result in undermining user choice and control. We also argue that, while a rule-based approach to practice may offer moral clarity for professionals, it can result in interactional and practical difficulties which cannot be easily reconciled.

KW - Adolescent

KW - Adult

KW - Cohort Studies

KW - Communication

KW - Female

KW - Humans

KW - Intellectual Disability

KW - Male

KW - Needs Assessment

KW - Personal Autonomy

KW - Power (Psychology)

KW - Journal Article

U2 - 10.1111/j.1467-9566.2009.01223.x

DO - 10.1111/j.1467-9566.2009.01223.x

M3 - Article

C2 - 20415789

VL - 32

SP - 415

EP - 436

JO - Sociology of Health and Illness

JF - Sociology of Health and Illness

SN - 0141-9889

IS - 3

ER -