Experiential expertise in the co-development of social and health-care services: Self-promotion and self-dismissal as interactional strategies

Elina Weiste, Melisa Stevanovic, Lise Lotte Uusitalo

Research output: Contribution to journalArticleScientificpeer-review

8 Citations (Scopus)
4 Downloads (Pure)

Abstract

Increasing client involvement in the development of social and health-care services has resulted in clients being invited to present their experiential knowledge in service co-development groups. Nevertheless, research has shown that their opportunities to really contribute to actual decision-making are limited. This article investigates how client representatives initiate turns-at-talk in the decision-making context and the way in which professionals respond to them. Using conversation analysis, we analyzed 15 h of recorded interactions in five co-development workshops. Our data exhibited a systematic pattern that linked client representatives’ self-promoting and self-dismissive turns-at-talk to specific types of responses from professionals. When the client representatives highlighted the relevance of their experiential knowledge for making decisions, the professionals disregarded their contributions. However, if instead, the client representatives cast their experiential knowledge as irrelevant to the decision-making activity at hand, the professionals subsequently appreciated this knowledge. Thus, paradoxically, in order to establish the relevance of their views, client representatives diminished their positions as experiential experts.

Original languageEnglish
JournalSOCIOLOGY OF HEALTH AND ILLNESS
Volume44
Issue number4-5
DOIs
Publication statusPublished - 2022
Publication typeA1 Journal article-refereed

Keywords

  • client involvement
  • co-development
  • decision-making
  • experience knowledge
  • expertise
  • social and health care

Publication forum classification

  • Publication forum level 2

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health

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