LINGUIST List: Vol-19-115. Thu Jan 10 2008. ISSN: 1068 - 4875.
Subject: 19.115, Review: Discourse Analysis: Pöchhacker & Shlesinger
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From: Randall Eggert < [email protected] >
Subject: Review: Discourse Analysis: Pöchhacker & Shlesinger (2007)
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Date: Thu, 10 Jan 2008 18:07:21
From: Randall Eggert [[email protected]]
Subject: Review: Discourse Analysis: Pöchhacker & Shlesinger (2007)
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Announced at http://linguistlist.org/issues/18/18-1962.html
EDITORS: Pöchhacker, Franz and Shlesinger, Miriam
TITLE: Healthcare Interpreting
SUBTITLE: Discourse and Interaction
SERIES: Benjamins Current Topics 9
PUBLISHER: John Benjamins
Laura Callahan, The City College of the City University of New York
This volume was first published as a special issue of the journal
International Journal of Research and Practice in Interpreting_ (7:2,
prior to which the papers had been presented at the Fourth Critical Link
Conference (Stockholm, 2004). It contains an introduction, five articles,
five book reviews. The articles cover various ''settings and specialties,
general medicine to pediatrics, psychiatry and speech therapy'' (p. 6).
pairs include ''Arabic, Dari, Farsi, Italian and Spanish in combination
Danish, Dutch, English and French'' (p. 6). As the editors inform us, the
common focal points are discourse-based analysis of interpreter-mediated
interaction, which in turn forms part of the larger field of cross-cultural
communication in healthcare settings (p. 2).
Franz Pöchhacker and Miriam Shlesinger. Introduction: Discourse-based
on healthcare interpreting.
Pöchhacker and Shlesinger describe the trajectory of healthcare
both practice and object of research, within the larger field of community
interpreting as well as in other disciplines. As recognition of its
has grown since the mid 1990s, various theoretical approaches have been
study this type of interaction. The editors highlight the influence of
Wadensjo (cf. Wadensjo 1992, 1998), whose approach centers on dialogic
in triadic interaction. Pöchhacker and Shlesinger next offer brief reviews
other important literature in healthcare interpreting, noting that the
investigations came from researchers outside the field of interpreting
Having situated this volume's work within its broader historic and
methodological context, the editors conclude the Introduction with a
of each of the five papers.
1. Yvan Leanza. Roles of community interpreters in pediatrics as seen by
interpreters, physicians and researchers.
Leanza highlights the need for professional interpreters in order to avoid
linguistic errors and subsequent misdiagnoses that may occur with ad-hoc
interpreters. Noting the presence of cultural differences between the
pediatricians and their patients and patients' parents, the author examines
whether the interpreter exercises linguistic skills only or also cultural
knowledge. Reference is made to Jalbert's (1998) taxonomy, which shows a
of involvement and hence, visibility, moving successively from the minimum
presence of the translator up to cultural informant, culture broker or
mediator, advocate, and finally, bilingual professional. Leanza examines
videotaped preventive pediatric consultations in a clinic in Switzerland to
determine which role the interpreter plays. The languages used are French
Albanian or Tamil. Stimulated recall interviews with the physicians were
Critical incidents were the unit of analysis in the interpreter-mediated
interactions, defined by the author as a sequence in the consultation in
the topic under discussion corresponded to the study interest, ''discourses
educational issues in a multicultural pediatric setting'' (p. 22). In
the interpreter's role and Jalbert's taxonomy, Leanza finds that the
provider's dominance remains unchallenged, with interpreters having little
chance to advocate for patients, acting instead as agents of assimilation.
proposes a new role typology as well as some training recommendations,
recognition of the need for healthcare providers to receive instruction on
working with interpreters. He promotes giving interpreters an official
so that they may be ''acknowledged as professionals in their own right,''
experience less of a temptation to align themselves with the healthcare
in order to demonstrate their superiority over fellow immigrants who happen
be patients (p. 30).
2. Carmen Valero Garces. Doctor-patient consultations in dyadic and triadic
Valero Garces studied consultations with and without ad-hoc interpreters in
Madrid, Spain and with trained interpreters in Minneapolis, U.S.A., using
institutional discourse analysis as her theoretical framework. The
involved were Spanish and Bulgarian or Arabic, and English and Spanish.
in general the power imbalance inherent to the institutional context is
maintained, manifested by the doctor's dominance in dyads with the patient,
there are some unexpected changes. These revolve around changes in the
interaction order, contribution types, and lexical choice.
In consultations with no interpreter or with an interpreter who lacks
proficiency in the doctor's language, the doctor may adjust his or her
constructions and lexical choices, sometimes resulting in ungrammatical
utterances. The untrained interpreters may struggle to translate even
medical terms. The author notes that there is less direct interaction
doctor and patient when an ad-hoc interpreter is present. A reduction in
interaction between primary speakers in interpreter-mediated encounters has
cited by many investigators. But, as Valero Garces observes, this effect
greater in the case of ad-hoc interpreters, due to the fact that many who
this role are relatives of the patient, who may feel more at liberty to add
turns and speak for the patient without prior consultation.
3. Friedel Dubslaff and Bodil Martinsen. Exploring untrained interpreters'
of direct versus indirect speech.
The authors analyzed four simulated medical interviews, focusing on direct
indirect speech, as measured by pronoun shifts and their interactional
functions. The languages involved are Danish and Arabic. The original
the interviews, each of which followed the same scripted role-play, had
evaluate the skills of four untrained Arabic interpreters who worked for a
Danish interpreting agency. As Dubslaff and Martinsen and other authors in
volume point out, use of the direct mode (the first person) is widely
to be superior and more professional. Among the advantages cited is an
enhancement of accuracy. Nevertheless, the indirect mode (the third person)
been found to be more common among ''so-called natural interpreters or lay
interpreters'' (p. 54).
In the corpus for this paper two of the interpreters used the direct style
and two used the indirect style more. The authors posit that direct address
used to express solidarity with the monolingual participant with whom the
interpreter shares a dominant language, in this case the patient.
whether they spoke in the first or third person, all four of the
personalized the indefinite pronoun ''one'' when interpreting the doctor's
to the patient. Dubslaff and Martinsen conclude that, contrary to received
wisdom and standards in the profession, indirect speech may be necessary at
times, for example when use of the first person pronoun would result in an
ambiguous construction. They also observed problems caused by deficiencies
the interpreters' medical knowledge, and for this reason recommend training
4. Hanneke Bot. Dialogue interpreting as a specific case of reported
Bot's data come from psychotherapy sessions in the Netherlands in which
experienced interpreters worked between Dari or Persian and Dutch. She
that indirect speech may not be so problematic as traditionally assumed,
that, among other things, its use simply acknowledges the reality of the
situation: that of an interpreter-mediated dialogue in which a third party
necessity has a presence.
The author found that in many cases the interpreters did not actually
first person pronoun; they merely prefaced their renditions of the primary
speakers' (the therapist and patient) utterances with ''he says.'' Thus,
than ''repeat'' they ''report'' (p. 96). Using perspective and mental space
(Fauconnier 1985; Sanders 1994), Bot shows how interpreters make it clear
listeners that their rendition of another person's utterances are not the
interpreters' own words. They do this by presenting it as reported speech,
especially when there is a chance that the person to whom the message is
directed could be offended by its content.
5. Raffaela Merlini and Roberta Favaron. Examining the ''voice of
in speech pathology.
Merlini and Favaron studied English-speaking speech pathologists' sessions
Italian-speaking immigrants in Australia. This type of encounter represents
special case in the field of healthcare interpreting, since the interpreter
responsible for transmission of not only ''what is said [but also] what
have been said'' by the patient, so that the speech pathologist can
the extent and causes of the language impairment and provide appropriate
feedback'' (pp. 102-103). Hence the interpreter uses knowledge of the
which the patient is speaking to provide the doctor with a normative model
against which to measure the patient's utterances.
The authors use two analytic categories from Mishler (1984), the ''voice of
lifeworld'' and the ''voice of medicine,'' and add a third, the ''voice of
interpreting'' (p. 105). The exposition follows a conversation analytic
perspective, focusing on items such as turn-taking and topic control,
divergent renditions, and prosody. Unlike in typical medical interviews, in
which the doctor's voice dominates, in Merlini and Favaron's data the
interpreter is a ''powerful participant'', who self-selects as next speaker
performs other functions that exceed the boundaries of the professional
dictating an invisible presence. The authors conclude that ''strict
a dry, formal, passive and detached interpreting style, though it might be
line with an idealized notion of professional conduct, is not always the
way to serve one's clients, especially when their intention is to engage in
friendly and co-operative dialogue'' (p. 132).
Five books of great relevance to the topic of the main volume are reviewed.
1. Carmen Valero Garces and Guzman Mancho Bares, eds.: _Traduccion e
interpretacion en los servicios publicos: Nuevas necesidades para nuevas
realidades / Community Interpreting and Translating: New Needs for New
2. Carmen Valero Garces, ed. _Traduccion e interpretacion en los servicios
publicos. Contextualizacion, actualidad y futuro_. Reviewed by Holly
As Mikkelson explains, the first title is a CD of proceedings from the
International Conference on Translation and the First National Conference
Translation and Interpretation in Public Services (Alcala de Henares,
2002). The second title is a book that was compiled to provide an update
expansion of community interpreting issues covered in the CD.
3. Bernd Meyer: _Dolmetschen im medizinischen Aufklärungsgespräch. Eine
diskursanalytische Untersuchung zur Wissensvermittlung im mehrsprachigen
Krankenhaus_. Reviewed by Christina Schaffner
Meyer investigates doctor-patient communication interpreted by nurses or
relatives of the patient, using data from German hospitals. The patients
interpreters share Portuguese as their first language, with the former
acquired it in Portugal and the latter as a heritage language at home in
4. Claudia V. Angelelli: _Revisiting the interpreter's role. A study of
conference, court, and medical interpreters in Canada, Mexico, and the
5. Claudia V. Angelelli: _Medical interpreting and cross-cultural
communication_. Reviewed by Helen Slatyer
The first of these volumes reports on a quantitative study carried out in
countries, and the second is an ethnographic study focusing on interpreters
one hospital in Northern California. Both examine the construct of the
interpreter's visibility or invisibility. Of special interest in the second
volume are the interpreting services provided by telephone, and the
that this has for visibility and other concerns.
This volume offers a very coherent examination of healthcare interpreting
wide range of settings, and as such it will be of great use to students and
instructors in courses having to do with this profession. Its editing is
impeccable, and the presentation of data in each article is clear and easy
follow. The book will also be of interest to scholars and practitioners in
disciplines, such as translation, discourse analysis, and linguistic
Each of the papers contains authentic data as well as a wealth of
models, only a few of which have been cited here. The book reviews that
the volume constitute another valuable resource for researchers.
The authors of all five papers challenge the idealized myth of neutrality
dominates the Western medical profession, part and parcel of which is the
assumption that the function of an interpreter in a medical encounter can
should be confined to direct translation. Another common conclusion is the
importance of providing training for community interpreters, as well as for
healthcare professionals who will work with them. As can be seen from this
collection, both types of training are still fairly scarce worldwide.
Interpreting represents a step in the right direction, since it documents
need with empirical evidence.
Fauconnier, G. 1985. _Mental spaces: Aspects of meaning construction in
language_. Cambridge: Cambridge University Press.
Jalbert, M. 1998. Travailler avec un interprete en consultation
_P.R.I.S.M.E_. 8(3), 94-111.
Mishler, E. G. 1984. _The discourse of medicine: Dialectics of medical
interviews_. Norwood, NJ: Ablex.
Sanders, J. M. 1994. _Perspective in narrative discourse_. Ph.D.
Katholieke Universiteit Brabant, Tilburg.
Wadensjo, C. 1992. _Interpreting as interaction: On dialogue interpreting
immigration hearings and medical encounters_. Linkoping: Linkoping
Wadensjo, C. 1998. _Interpreting as interaction_. London/New York: Longman.
ABOUT THE REVIEWER
Laura Callahan is Assistant Professor of Hispanic Linguistics at the City
College, City University of New York (CUNY), and Research Fellow at the
Institute for the Study of Language in Urban Society (RISLUS), at the
Center, CUNY. Her research interests include intercultural communication,
language and identity, and heritage language maintenance. She worked for
years as a health educator, medical assistant, and interpreter in a
clinic in the San Francisco Bay Area, California, and is currently
investigator of a project entitled Increasing the Effectiveness of
Spanish-Language Healthcare Materials: Documenting the Problem and Finding
LINGUIST List: Vol-19-115