Saying no to the staff: an analysis of refusals in a care home for people with severe communication difficulties.

Psychology

Research output: Contribution to Journal/Magazine › Journal article › peer-review

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Saying no to the staff: an analysis of refusals in a care home for people with severe communication difficulties. / Finlay, W. M. L.; Antaki, Charles; Walton, Chris.
In: Sociology of Health and Illness, Vol. 30, No. 1, 01.2008, p. 55-75.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Finlay, WML, Antaki, C & Walton, C 2008, 'Saying no to the staff: an analysis of refusals in a care home for people with severe communication difficulties.', Sociology of Health and Illness, vol. 30, no. 1, pp. 55-75. https://doi.org/10.1111/j.1467-9566.2007.01028.x

APA

Finlay, W. M. L., Antaki, C., & Walton, C. (2008). Saying no to the staff: an analysis of refusals in a care home for people with severe communication difficulties. Sociology of Health and Illness, 30(1), 55-75. https://doi.org/10.1111/j.1467-9566.2007.01028.x

Vancouver

Finlay WML, Antaki C, Walton C. Saying no to the staff: an analysis of refusals in a care home for people with severe communication difficulties. Sociology of Health and Illness. 2008 Jan;30(1):55-75. doi: 10.1111/j.1467-9566.2007.01028.x

Author

Finlay, W. M. L. ; Antaki, Charles ; Walton, Chris. / Saying no to the staff: an analysis of refusals in a care home for people with severe communication difficulties. In: Sociology of Health and Illness. 2008 ; Vol. 30, No. 1. pp. 55-75.

Bibtex

@article{8c83b158b2d846c0b6321c6578322447,

title = "Saying no to the staff: an analysis of refusals in a care home for people with severe communication difficulties.",

abstract = "People with severe communication difficulties may attempt to exercise control over their lives by verbally or non-verbally refusing an activity proposed by supporters. We detail examples in which such refusals are treated by care home staff as a temporary reluctance, warranting further attempts to persuade the individual to co-operate. We identify the following conversational (and bodily) practices by which staff achieve their institutional ends: appreciating a resident's behaviour as something other than refusal; formulating the invitation again in a no-blame format; minimising the task required; escalating the invitation to a request and an order; moving the person bodily; and positively glossing the proceedings. Dealing with refusals illustrates the dilemma faced by institutional personnel in health and care settings in accepting choices which might disrupt the efficient management of the service.",

keywords = "empowerment • refusals • interaction • self-determination • intellectual disabilities",

author = "Finlay, {W. M. L.} and Charles Antaki and Chris Walton",

note = "The definitive version is available at www.blackwell-synergy.com",

year = "2008",

month = jan,

doi = "10.1111/j.1467-9566.2007.01028.x",

language = "English",

volume = "30",

pages = "55--75",

journal = "Sociology of Health and Illness",

issn = "0141-9889",

publisher = "Blackwell Publishing Ltd",

number = "1",

}

RIS

TY - JOUR

T1 - Saying no to the staff: an analysis of refusals in a care home for people with severe communication difficulties.

AU - Finlay, W. M. L.

AU - Antaki, Charles

AU - Walton, Chris

N1 - The definitive version is available at www.blackwell-synergy.com

PY - 2008/1

Y1 - 2008/1

N2 - People with severe communication difficulties may attempt to exercise control over their lives by verbally or non-verbally refusing an activity proposed by supporters. We detail examples in which such refusals are treated by care home staff as a temporary reluctance, warranting further attempts to persuade the individual to co-operate. We identify the following conversational (and bodily) practices by which staff achieve their institutional ends: appreciating a resident's behaviour as something other than refusal; formulating the invitation again in a no-blame format; minimising the task required; escalating the invitation to a request and an order; moving the person bodily; and positively glossing the proceedings. Dealing with refusals illustrates the dilemma faced by institutional personnel in health and care settings in accepting choices which might disrupt the efficient management of the service.

AB - People with severe communication difficulties may attempt to exercise control over their lives by verbally or non-verbally refusing an activity proposed by supporters. We detail examples in which such refusals are treated by care home staff as a temporary reluctance, warranting further attempts to persuade the individual to co-operate. We identify the following conversational (and bodily) practices by which staff achieve their institutional ends: appreciating a resident's behaviour as something other than refusal; formulating the invitation again in a no-blame format; minimising the task required; escalating the invitation to a request and an order; moving the person bodily; and positively glossing the proceedings. Dealing with refusals illustrates the dilemma faced by institutional personnel in health and care settings in accepting choices which might disrupt the efficient management of the service.

KW - empowerment • refusals • interaction • self-determination • intellectual disabilities

U2 - 10.1111/j.1467-9566.2007.01028.x

DO - 10.1111/j.1467-9566.2007.01028.x

M3 - Journal article

VL - 30

SP - 55

EP - 75

JO - Sociology of Health and Illness

JF - Sociology of Health and Illness

SN - 0141-9889

IS - 1

ER -

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