Please use this identifier to cite or link to this item: http://hdl.handle.net/10316/33256
DC FieldValueLanguage
dc.contributor.authorLechner, Elsa-
dc.contributor.authorSolovova, Olga-
dc.date.accessioned2016-12-06T17:06:07Z-
dc.date.available2016-12-06T17:06:07Z-
dc.date.issued2014-
dc.identifier.issn1470-8477por
dc.identifier.issn1747-759Xpor
dc.identifier.urihttp://hdl.handle.net/10316/33256-
dc.description.abstractThis paper attempts to reflect on the impossibilities of intercultural communication implied in institutional medical encounters. Drawing from an ethnographic case study among patients of a transcultural consultation for migrants in Portugal, the analysis focuses on the contents and forms of the interaction observed by the anthropologist in the clinical setting. A repetitive pattern of communication between a refugee women patient and her psychiatrist foregrounded the unsaid within the interaction as well as the unwillingness of the refugee to speak about her life with the anthropologist. In this sense, we propose to understand silence as a form of communication pointing to both the condition of the patient but more significantly embedded in the institutional framework of the clinical setting, discursive positions of the participants, as well as their social statuses. Following the theoretical work of Jaworski, Wagner and Winter, our analysis of silence leads us to the critical examination of the question of privilege in intercultural situations pointing to a necessary deconstruction of post-colonial institutional object/subject positions. In practical terms, this challenge corresponds to the work of international cross-cultural psychiatry (in terms of clinical matters) as well as that of biographical research and research on memory among migrants and refugees.por
dc.description.abstractEste texto propõe uma reflexão sobre comunicação intercultural num contexto institucional comprometedor da sua possibilidade efectiva. Partindo de um caso ocorrido no trabalho de campo na consulta do migrante num hospital psiquiátrico em Lisboa, é feita uma análise sobre as formas e conteúdos da comunicação entre os interlocutores envolvidos: paciente refugiada, médico e antropóloga. Tanto o caracter repetitivo da comunicação entre médico e paciente, como a recusa da refugiada em contar a sua história à antropóloga, trazem para o centro da análise a questão do silêncio que é aqui entendido como uma forma de comunicação substantiva. Neste sentido são aqui analisados também o peso institucional do contexto nas posições discursivas possíveis bem como o peso dos estatutos sociais dos diversos intervenientes. Seguindo o trabalho teórico de Jarowski, Wagner e Winter, a nossa reflexão sobre o silêncio conduziu-nos a uma análise crítica da questão do privilégio nas relações interculturais indicando uma necessária desconstrução da 'dominação incorporada' nas nossas próprias posições de sujeito (médicos e cientistas sociais face a migrantes e refugiados). O trabalho da nova psiquiatria cultural, apelidada de internacional, traduz-se nisso mesmo na prática clínica, bem como o trabalho da pesquisa biográfica junto de migrantes e refugiados.por
dc.language.isoengpor
dc.publisherRoutledgepor
dc.rightsopenAccesspor
dc.subjectCommunicationpor
dc.subjectSilencepor
dc.subjectAsymmetriespor
dc.subjectNew cross-cultural psychiatrypor
dc.subjectBiographical researchpor
dc.titleThe migrant patient, the doctor and the (im)possibility of intercultural communication: silences, silencing and nondialogue in an ethnographic contextpor
dc.typearticle-
degois.publication.firstPage369por
degois.publication.lastPage384por
degois.publication.issue3por
degois.publication.locationLondonpor
degois.publication.titleLanguage and Intercultural Communicationpor
dc.relation.publisherversionhttp://www.tandfonline.com/loi/rmli20por
dc.peerreviewedyespor
dc.identifier.doi10.1080/14708477.2014.914727por
degois.publication.volume14por
item.fulltextCom Texto completo-
item.languageiso639-1en-
item.grantfulltextopen-
crisitem.author.deptFaculty of Sciences and Technology-
crisitem.author.parentdeptUniversity of Coimbra-
crisitem.author.researchunitCIEPQPF – Chemical Process Engineering and Forest Products Research Centre-
crisitem.author.researchunitCES – Centre for Social Studies-
crisitem.author.parentresearchunitFaculty of Sciences and Technology-
crisitem.author.parentresearchunitUniversity of Coimbra-
crisitem.author.orcid0000-0002-5029-1243-
crisitem.author.orcid0000-0003-3481-5323-
Appears in Collections:I&D CES - Artigos em Revistas Internacionais
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