LIBRI DI LAURA GAVIOLI

Questo volume ha alla sua base una ricerca sociologica sull’inclusione dei bambini migranti e delle loro famiglie nel sistema educativo e nei servizi sanitari. Il testo offre un importante contributo alla comprensione della vita sociale e dell’esperienza migratoria dei bambini e dei loro rapporti con coloro che non hanno un’origine migrante (operatori istituzionali, altri bambini e altre famiglie). Si rivolge quindi a una vasta platea, che include ricercatori, operatori e dirigenti nella scuola e nella sanità, mediatori e studenti universitari.

Il volume getta una luce nuova, e ampiamente documentata, sul significato della mediazione linguistico-culturale nei servizi sanitari e sulle differenze tra una mediazione efficace e una inefficace. Obiettivo del testo è di fornire indicazioni per politiche sanitarie basate sulla comprensione della qualità della mediazione e dei modi per osservarla e valutarla. Oltre che agli studenti universitari, il volume si rivolge a mediatori, dirigenti e operatori sanitari, responsabili di politiche sanitarie e studiosi della comunicazione medica e della mediazione, sia linguistica, sia interculturale.

This paper analyses interactions in Italian healthcare services, involving Italian speaking doctors, migrant patients with little or no knowledge of Italian and a bilingual mediator. The mediator participates in the interaction with the double function of assuring linguistic understanding and dealing with cultural differences, which may emerge in talk between doctors and migrant patients. In this study, we look at doctors’ question-patients’ answer sequences and their interactional renditions. In our data, a doctor’s question is often rendered by mediators with a series of questions expanding that initial question. The analysis shows that provision of a series of questions, rather than a single rendition, allows the mediators to re-design the doctor’s question in a patient-mediator dyadic interaction. In (provisionally monolingual) dyadic talk, patients are encouraged to deal with their diseases and tell about their worries and concerns. Mediators’ expansions of doctors’ questions seem thus functional to the achievement of patients’ narratives, which can afterwards be rendered to the doctors. Our study suggests that such expanded renditions may achieve patient-centred communication in triadic bilingual interactions.

This paper analyses interactions in Italian healthcare services, involving Italian speaking doctors, migrant patients with little or no knowledge of Italian and a bilingual mediator. The mediator participates in the interaction with the double function of assuring linguistic understanding and dealing with cultural differences, which may emerge in talk between doctors and migrant patients. In this study, we look at doctors’ question-patients’ answer sequences and their interactional renditions. In our data, a doctor’s question is often rendered by mediators with a series of questions expanding that initial question. The analysis shows that provision of a series of questions, rather than a single rendition, allows the mediators to re-design the doctor’s question in a patient-mediator dyadic interaction. In (provisionally monolingual) dyadic talk, patients are encouraged to deal with their diseases and tell about their worries and concerns. Mediators’ expansions of doctors’ questions seem thus functional to the achievement of patients’ narratives, which can afterwards be rendered to the doctors. Our study suggests that such expanded renditions may achieve patient-centred communication in triadic bilingual interactions.

Una serie di contributi in materia di sociologia della salute. Tra i temi trattati: il principio di stampo behaviorista dell’“invarianza dello stimolo”; la distinzione tra oggettività delle evidenze mediche e oggettività intersoggettiva delle Illness narratives nella loro articolazione di esperienze “dirette”, “mediate” e “rappresentate”; la messa in discussione del modello di indagine della customer satisfaction; le forme diversificate di integrazione tra metodi qualitativi e quantitativi…