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Constructing Patienthood in Brokered Medical Interaction

Iraqi-English Encounters
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Drawing on extensive firsthand experience of face-to-face meetings between patients and healthcare practitioners, Constructing Patienthood is the first book-length work dedicated to situating limited-English-speaking patients on equal footing with their interlocutors as essential partners in the process of meaning-making. Afaf Ali Nash builds on theoretical and empirical advancements in socio-medical research and language brokering to show how immigrant patients strike a balance between working cooperatively with their language brokers, or independently by overriding the language-assistance process to actuate multiple membership categories as patients, parents, and language brokerees. In doing so, they secure interactional zones that challenge the discursive asymmetries inherent in mediated doctor-patient encounters. This timely work makes it clear that impactful change in healthcare begins with successful communication.
Afaf Ali Nash is assistant professor at the University of California, Los Angeles's Center for the Study of International Migration.
Chapter 1: The Interaction of Medicine and Art: Key Concepts and Theoretical Applications Chapter 2: Ethnographic Notes: The Poetics of Collecting Language-Brokering Vignettes Chapter 3: Patients' Initiatives: Constructing Patienthood Cooperatively and Independently Chapter 4: Asserting Patienthood through Expansion Chapter 5: The Distribution of Mediated Talk: Who Talks and Who talks Next? Chapter 6: Brokering Medical Decisions
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