Department of Adult Speech and Language Therapy, 374448Gloucestershire Health and Care NHS Foundation Trust, Gloucestershire, UK.
Department of Nursing, 5289Manchester Metropolitan University, Manchester, Greater Manchester, UK.
Qual Health Res. 2023 Jan;33(1-2):3-12. doi: 10.1177/10497323221139803. Epub 2022 Nov 16.
As speech and language therapists, we explored theories of communication and voice that are familiar to our profession and found them an inadequate basis on which to generate deep and rich analysis of the qualitative data from people who have communication difficulties and who use augmentative and alternative communication. Expanding our conceptual toolkit to include the work of John Shotter allowed us to reconceptualise voice and where it is emergent in dialogue. Reimaging voice will inform clinical and research praxis with people who have communication difficulties as it allows practitioners to attend more closely to the complexity and nuance inherent in interactions with this population. Our proposition is exemplified with excerpts from a single participant who has communication difficulties to illustrate the value of dialogic theory in praxis. This article presents a provocation for the wider academy of qualitative health research; do we have the concepts and tools to develop meaning with people whose lived experiences may also be hard to voice in monologues?
作为言语和语言治疗师，我们探讨了我们专业熟悉的沟通和声音理论，并发现这些理论不足以深入和丰富地分析那些有沟通困难并使用辅助和替代性沟通的人的定性数据。扩展我们的概念工具包，包括约翰·肖特（John Shotter）的工作，使我们能够重新构想声音及其在对话中出现的位置。重新想象声音将为与有沟通困难的人进行临床和研究实践提供信息，因为它允许从业者更密切地关注与这一人群互动所固有的复杂性和细微差别。我们的主张通过一个有沟通困难的参与者的摘录得到了例证，以说明对话理论在实践中的价值。本文为更广泛的定性健康研究领域提出了一个挑战；我们是否有概念和工具来与那些生活经历也可能难以用独白表达的人一起发展意义？
