Interactions in psychiatric care consultation in Akan speaking communities

  • Nana Aba Appiah Amfo University of Ghana
  • Ekua Essumanma Houphouet University of Ghana
  • Eugene K. Dordoye University of Health and Allied Sciences
  • Rachel Thompson Griffith University
Keywords: Akan, code-mixing, cultural psychiatry, Ghana, mental illness, patient-centered care, proverbs, shared decision-making

Abstract

The present paper examines interactions in psychiatric care consultation in selected hospital settings in three Akan-speaking communities in Ghana, based on 45 audio-recorded doctor/nurse-patient interactions. Using a discourse pragmatics approach, we note how language is used in the management of communication in psychiatric consultations, and how the dominance of healthcare practitioners is enacted. Specifically, we focus on some of the strategies used by the participants to manage the multilingual communicative settings, such as code-mixing. Our findings also suggest that the use of proverbs as a diagnostic tool in psychiatric consultations in Ghana needs to be reviewed. We propose that in order for patients to experience consultation sessions that are more interactive, with possible therapeutic benefits, health practitioners need to make considerable efforts to involve the patients in decisions regarding their health.

Author Biographies

Nana Aba Appiah Amfo, University of Ghana

Nana Aba Appiah Amfo is Professor of Linguistics at the University of Ghana. She has published in the areas of grammaticalization, information structure and (in)definiteness. Her recent research interests include language use in specific domains such as health and politics. She has recently published in Discourse & Society, International Journal of Language and Culture and Issues in Political Discourse Analysis.

Ekua Essumanma Houphouet, University of Ghana

Ekua Essumanma Houphouet is a medical officer at the University Hospital, Legon and a Member of the Ghana College of Physicians. She holds a Master’s of Public Health from the University of Ghana. She has worked as a co-investigator and a study physician on projects with the Noguchi Memorial Institute for Medical Research, University of Ghana.

Eugene K. Dordoye, University of Health and Allied Sciences

Eugene K. Dordoye is a senior lecturer in psychiatry at University of Health and Allied Sciences and a consultant psychiatrist for Ho Teaching Hospital, both in Ghana. He is a fellow of the Ghana College of Physicians and Surgeons and secretary to the faculty of psychiatry. He has a research interest in mental health at the workplace.

Rachel Thompson, Griffith University

Rachel Thompson is currently a PhD candidate at the Department of Languages and Linguistics, Griffith University, Australia. Her major research interest is the use of language in the electronic media. She is also interested in the study of culture and language use, (im)politeness, and discourse analysis across various domains such as politics and health.

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Published
2019-07-03
How to Cite
Amfo, N. A. A., Houphouet, E. E., Dordoye, E. K., & Thompson, R. (2019). Interactions in psychiatric care consultation in Akan speaking communities. Communication & Medicine, 15(1), 40-52. https://doi.org/10.1558/cam.32241
Section
Articles