Collaborative decision-making in return-to-work negotiations

Hanna Leena Ristimäki, Sanni Tiitinen, Pirjo Juvonen-Posti, Johanna Ruusuvuori

Research output: Contribution to journalArticleScientificpeer-review

1 Citation (Scopus)
17 Downloads (Pure)


This study addresses the ways in which shared decision-making in multi-party return-to-work (RTW) negotiations is constructed as a collaborative practice. The research data are video-recorded Finnish RTW negotiations (n = 14), in which the physician, employer and employee make highly sensitive decisions concerning the employee's return to work after a long sick leave. We show how the participants used turn design, gazes and gestures as resources in both treating their co-participants as eligible to participate in decision-making and claiming the deontic rights for themselves. We also present a deviant case in which a negotiator included only one participant in the decision-making in their initial proposal, which was treated as accountable by the co-participants.

Original languageEnglish
Pages (from-to)189-205
Number of pages17
Publication statusPublished - Dec 2020
Publication typeA1 Journal article-refereed


  • Conversation analysis
  • Deontic rights
  • Embodied interaction
  • Multi-party setting
  • Negotiation
  • Shared decision-making

Publication forum classification

  • Publication forum level 3

ASJC Scopus subject areas

  • Language and Linguistics
  • Linguistics and Language
  • Artificial Intelligence


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