Visibility of Chinese ad hoc medical interpreters through text ownership: A case study
Keywords:ad-hoc interpreters, text ownership, medical setting, visibility, habitus
Professional interpreters’ visibility in the European context has been widely discussed in the field of community interpreting, but the visibility of untrained ad hoc interpreters in non-European contexts such as China has received little academic attention. By adopting the concept of “text ownership” proposed by Angelelli (2004a), this study examines Chinese ad hoc interpreters’ manifestations of visibility in an authentic medical setting. Based on field observations, audio recordings and interviews, the study reports on four types of visibility demonstrated by ad hoc interpreters: (a) replacing the interlocutor; (b) expressing affect towards a patient; (c) exploring answers; and (d) brokering comprehension. Other forms of visibility are also identified, such as omissions of doctors’ or patients’ remarks and small talk between doctor and interpreter. Interpreters’ deeply held views on social factors as well as the institutional and social norms they have been exposed to are believed to influence their manipulation of medical discourses. This study concludes that in a context where professional medical interpreting services are unavailable, ad hoc interpreters may act as linguistic facilitators by taking on various roles that go beyond mere interpreting. However, their excessive visibility may give rise to potential clinical risks, especially when direct doctor–patient communication is compromised. Attention is drawn to the importance of proper training as well as to the need for the professionalization of medical interpreting in China.
Angelelli, C. V. (2004a). Medical interpreting and cross-cultural communication. Cambridge University Press. https://doi.org/10.1017/CBO9780511486616
Angelelli, C. V. (2004b). Revisiting the interpreter's role: A study of conference, court, and medical interpreters in Canada, Mexico, and the United States. John Benjamins. https://doi.org/10.1075/btl.55
Baraldi, C., & Gavioli, L. (2017). Intercultural mediation and “(non)professional” interpreting in Italian healthcare institutions. In R. Antonini, L. Cirillo, L. Rossato, & I. Torresi (Eds.), Non-professional interpreting and translation (pp. 83–106). John Benjamins. https://doi.org/10.1075/btl.129.05bar
Bolden, G. B. (2000). Toward understanding practices of medical interpreting: Interpreters’ involvement in history taking. Discourse Studies, 2(4), 387–419. https://doi.org/10.1177/1461445600002004001
Bourdieu, P. (1977). Outline of a theory of practice. R. Nice. (Translated into English. Original Esquisse d'une théorie de la pratique, précédé de trois études d'ethnologie kabyle, 1972). Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511812507
Bischoff, A., & Hudelson, P. (2010). Access to healthcare interpreter services: Where are we and where do we need to go? International Journal of Environmental Research and Public Health, 7(7), 2838–2844. https://doi.org/10.3390/ijerph7072838
Bührig, K., & Meyer, B. (2004). Ad hoc-interpreting and the achievement of communicative purposes in doctor-patient-communication. In J. House & J. Rehbein (Eds.), Multilingual communication (pp. 43–62). John Benjamins. https://doi.org/10.1075/hsm.3.04buh
California Healthcare Interpreters Association. (2002). California standards for healthcare interpreters: Ethical principles, protocols, and guidance on roles and intervention. California Endowment.
Clifford, A. (2005). Healthcare interpreting and informed consent: What is the interpreter’s role in treatment decision-making? TTR: Traduction, Terminologie, Rédactio, 18(2), 225–247. https://doi.org/10.7202/015772ar
Cox, A. (2015). Do you get the message?: Defining the interpreter’s role in medical interpreting in Belgium. MonTI. Monografías De Traducción E Interpretación, 161–184. https://doi.org/10.6035/MonTI.2015.ne2.6
Crezee, I. H. M., & Ng, E. N. S. (2016). Introduction to healthcare for Chinese-speaking interpreters and translators. John Benjamins. https://doi.org/10.1075/z.202
Davidson, B. (2000). The interpreter as institutional gatekeeper: The social linguistic role of interpreters in Spanish-English medical discourse. Journal of Sociolinguistics, 4(3), 379–405. https://doi.org/10.1111/1467-9481.00121
Davidson, B. (2001). Questions in cross-linguistic medical encounters: The role of the hospital interpreter. Anthropological Quarterly, 74(4), 170–178. https://doi.org/10.1353/anq.2001.0035
Dysart-Gale, D. (2005). Communication models, professionalization, and the work of medical interpreters. Health Communication, 17(1), 91–103. https://doi.org/10.1207/s15327027hc1701_6
Gerrish, K., Chau, R., Sobowale, A., & Birks, E. (2004). Bridging the language barrier: The use of interpreters in primary care nursing. Health & Social Care in the Community, 12(5), 407–413. https://doi.org/10.1111/j.1365-2524.2004.00510.x
Goffman, E. (1956). The presentation of self in everyday life. University of Edinburgh.
Goffman, E. (1981). Forms of talk. University of Pennsylvania Press.
Herrera, L. (2008). The unsolved problem, medical interpretation in Japan. Kokusai Hoken Tryo (Journal of International Health), 23(1), 13–14. https://doi.org/10.11197/jaih.23.13
Hsieh, E. (2006). Understanding medical interpreters: Reconceptualizing bilingual health communication. Health Communication, 20(2), 177–186. https://doi.org/10.1207/s15327027hc2002_9
Hsieh, E. (2007). Interpreters as co-diagnosticians: Overlapping roles and services between providers and interpreters. Social Science and Medicine, 64, 924–937. https://doi.org/10.1016/j.socscimed.2006.10.015
Hsieh, E. (2008). “I’m not a robot!”: Interpreters’ views of their roles in health care settings. Qualitative Health Research, 18(10), 1367–1383. https://doi.org/10.1177/1049732308323840
Hsieh, E., & Hong, S. J. (2010). Not all are desired: Providers’ views on interpreters’ emotional support for patients. Patient Education Counseling, 81(2), 192–197. https://doi.org/10.1016/j.pec.2010.04.004
Kaufert, J. M., & Putsch, R. W. (1997). Communication through interpreters in healthcare: Ethical dilemmas arising from differences in class, culture, language, and power. The Journal of Clinical Ethics, 8(1), 71–87. http://www.tararogersinterpreter.com/uploads/1/0/3/7/103709790/kaufert_029_communication_through_interpreters_in_healthcare.pdf
Knapp-Potthoff, A., & Knapp, K. (1986). Interweaving two discourses: The difficult task of the non-professional interpreter. In J. House & S. Blum-Kulka (Eds.), Interlingual and intercultural communication: Discourse and cognition in translation and second language acquisition studies (pp. 151–168). Gunter Narr.
Larrison, C. R., Velez-Ortiz, D., Hernandez, P. M., Piedra, L. M., & Goldberg, A. (2010). Brokering language and culture: Can ad hoc interpreters fill the language service gap at community health centers? Social Work in Public Health, 25(3–4), 387–407. https://doi.org/10.1080/19371910903241009
Lee, K. C., Winickoff, J. P., Kim, M. K., Campbell, E. G., Betancourt, J. R., Park, E. R., Maina, A. W., & Weissman, J. S. (2006). Resident physicians' use of professional and nonprofessional interpreters: A national survey. Jama, 296(9), 1049–1054. https://doi:10.1001/jama.296.9.1050
Massachusetts Medical Interpreters Association and Education Development Center, I.M. (1995). Medical interpreting standards of practice. Massachusetts Medical Interpreters Association.
Merlini, R. (2015). Empathy: A ‘zone of uncertainty’ in mediated healthcare practice. Cultus: The Journal of Intercultural Mediation and Communication, 8, 27–49.
Merlini, R., & Gatti, M. (2015). Empathy in healthcare interpreting: Going beyond the notion of role. The Interpreters‘ Newsletter, 20, 139–160.
Meyer, B. (2006). Aufklärungsgespräche mit Dolmetscherbeteiligung: Fachexterne Fachkommunikation im mehrsprachigen Kontext. Fachsprache (1990), 28(1–2), 15–28.
Nimmon, L., & Stenfors-Hayes, T. (2016). The “Handling” of power in the physician-patient encounter: perceptions from experienced physicians. BMC Medical Education, 16(1), 1–9. https://doi.org/10.1186/s12909-016-0634-0
Penn, C., & Watermeyer, J. (2012). When asides become central: Small talk and big talk in interpreted health interactions. Patient Education and Counseling, 88(3), 391–398. https://doi.org/10.1016/j.pec.2012.06.016
Pöllabauer, S. (2017). Issues of terminology in public service interpreting. In R. Antonini, L. Cirillo, L. Rossato, & I. Torresi (Eds.). Non-professional interpreting and translation (pp. 131–155). John Benjamins. https://doi.org/10.1075/btl.129.07pol
Prince, C. D. (1986). Hablando con el doctor: Communication problems between doctors and their Spanish-speaking patients [Doctoral dissertation]. ProQuest Dissertations and Theses database.
Reddy, M. (1979). The conduit metaphor: A case of frame conflict in our language about language. Cambridge University Press.
Ren, W. (2010). The liaison interpreter’s subjectivity consciousness. Foreign Language Teaching and Research Press.
Roy, C. B. (2000). Interpreting as a discourse process. Oxford University Press.
Simeoni, D. (1998). The pivotal status of the translator’s habitus. Target, 10(1), 1–39. https://doi.org/10.1075/target.10.1.02sim
Su, W. (2009). Community interpreting in China. Shanghai Journal of Translators, 4, 42–45.
Tebble, H. (1998). Medical interpreting: Improving communication with your patients. Language Australia.
Ticca, A. C. (2017). More than mere translators: The identities of lay interpreters in medical consultations. In R. Antonini, L. Cirillo, L. Rossato, & I. Torresi (Eds.). Non-professional interpreting and translation (pp. 107–130). John Benjamins. https://doi.org/10.1075/btl.129.06tic
Valero-Garcés, C. (2005). Doctor–patient consultations in dyadic and triadic exchanges. Interpreting, 7(2), 193–210. https://doi.org/10.1075/intp.7.2.04val
Van De Mieroop, D. (2016). Small talk in interpreted interactions in a medical setting. Language and Intercultural Communication, 16(2), 292–312. https://doi.org/10.1080/14708477.2015.1117483
Wadensjö, C. (1998). Interpreting as interaction: On dialogue interpreting in immigration hearings and medical encounters. Addison Wesley Longman.
Wang, Y. C. (2011). Translation through a Bourdieusian sociological lens. Chinese Translators Journal, 1, 5–13.
Zhan, C., & Yan, M. B. (2013). Status quo, problems, and future development of medical interpreting in China: A study of medical interpreting. Journal of Guangdong University of Foreign Studies, 3, 47–50.
Zhan, C., & Zeng, L. S. (2017). Chinese medical interpreters’ visibility through text ownership: An empirical study on interpreted dialogues at a hospital in Guangzhou. Interpreting, 19(1), 98–118. https://doi.org/10.1075/intp.19.1.05zha
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