Keynote Speaker: Christian Matthiessen
Abstract Due Date: Sunday 9 April 2021Register
This conference brings together academics and practitioners from a wide variety of fields, for a collaborative, multidisciplinary exploration of multilinguality in healthcare contexts. Abstracts are peer-reviewed. Themes and issues for the conference include, but are not limited to:
Stream A Language description in healthcare
Medical consultations, the provision for and of healthcare, and the processes of healing and of maintaining health and wellbeing use copious amounts of communication. In all of these contexts, people use language. But the contexts are very varied, and call for different ways of using language — different functional varieties or registers, like the registers of medical consultations, of surgery and of public health campaigns. And in these registers, doctors, nurses, and other practitioners, as well as patients, family members, friends, administrators, and others take different roles, roles that complement one another in any one given register; for example, doctors and patients have different “lines” in medical consultations.
Registers are different ways of meaning in the first instance – adaptations of the meaning resources of a language to the contexts of communication. But variation in meaning (semantics) are also reflected in wording (grammar and lexis) and even in sounding (phonology) or writing (graphology). So we can ask what contextual factors correlate with register variation: the roles of the interactants, the activities they are engaged in and the topics they deal with, the channel of communication?
Once we have characterized register variation, we can try to diagnose potential problems in particular registers: are healthcare professionals able to obtain the information they need from patients, do patients have the opportunity to “tell their stories”, do ambiguities and other forms of indeterminacy arise, are healthcare providers able to establish rapport with patients to facilitate accurate diagnosis and treatment and to enhance their patients’ experience, can we identify semantic strategies that further patient-centred care or relationship-centred care, can we identify patterns, and make generalizations, for specific kinds of therapeutic interactions? Such questions are relevant to registers of medical consultations, and there are of course other questions for different ranges of registers, like public health announcements and campaigns, where questions about the complementarity of linguistic and pictorial strategies are fundamental since public health messages are often “multimodal” in nature.
Stream B Multilinguality in healthcare
Patients, practitioners, administrators, insurers and others involved in the provision of healthcare speak different languages. English has become a common language used in medicine, but practitioners and patients can experience communication issues that mirror differences of culture, ethnicity, age and education. They may have to cope on their own, or have a “mediator” — a multilingual family member of a professional community interpreter.
What are the issues with training and using translators and interpreters? Where these services are not available, how is multilinguality handled, in practice? How can hospitals and clinics evaluate their actual handling of multilingual situations, and identify risks and limitations? How should we handle multilinguality in critical and emergency care? To what degree do issues in multilingual interactions reflect cultural differences in the expression of emotion, discussion of topics such as sexualities, morbidity, social status, family roles, and gender? How does multilinguality impact the treatment of migrants and refugees? In low-resource settings, how are phones used? What are the benefits and drawbacks of this approach? To what degree does effective multilingual healthcare rely on family as translators? What happens to access and outcomes, when health records are stored in a language that patients and their families do not know? What are the cultural, visual, multimodal and linguistic elements of effective multilingual health brochures, posters and e-flyers?
Stream C World Englishes in healthcare contexts
English is now widely used as a language of science, including medicine. At the same time, local and indigenized varieties of English are being used in healthcare communication, in a great variety of global contexts. What are the specificities of grammar, vocabulary — including loanwords or calquing, accent, dialects — and of local cultural modes of meaning, in various world contexts, where English is not the native language? What are the benefits of English as a lingua franca in healthcare interactions, and what are the challenges and difficulties? How can we handle the risks? What are the historical and sociological elements of creolisation, nativisation, stabilisation and differentiation, and how are they manifested in healthcare and therapeutic situations? How will ‘globish’ fare, as a communicative resource in healthcare, for practitioners and for patients? What are the applications, and the limitations of Kachru’s Three Circles or alternative models that have been proposed, in understanding World Englishes in medical and therapeutic contexts?
Stream D Data analytics and multilinguality
In order to explore multilinguality in healthcare situations, we are soliciting research cooperation from healthcare practitioners of all kinds, as well as lecturers and professor, and others. These papers use data from recorded structured interviews, and patient-practitioner interactions, and evaluate the data with content analysis software. Conference participants interested in cooperating with this effort will publish papers in a journal special issue with HEDRA advisory board members. If you are interested in this, please click here.
The conference welcomes abstracts from academics and researchers working in linguistics, medicine and healthcare, the social sciences, and others. We also welcome experience narratives, case studies, and situation reports from members of the public, people working in any related field, and specialists. You can find more information on this here. Participants will be able to watch a plenary session, and participate in a live-stream roundtable, and a conference roundtable discussions.Register