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Title: When the larger objective matters more: support workers’ epistemic and deontic authority over adult service-users
Authors: Antaki, Charles
Webb, Joseph
Issue Date: 2019
Publisher: Wiley © The Authors
Citation: ANTAKI, C. and WEBB, J., 2019. When the larger objective matters more: support workers’ epistemic and deontic authority over adult service-users. Sociology of Health and Illness, doi:10.1111/1467-9566.12964.
Abstract: We report on how support workers sometimes over-ride the wishes of people living with cognitive impairments. This can happen when they are both involved in some project (such as an institutionally-managed game, a physical journey, an educational activity and so on). The support worker might use their deontic authority (to propose, decide, or announce future actions) to do things that advance the over-arching project, in spite of proposals for what are cast as diversions from the person with impairments. They might also use their epistemic authority (their greater knowledge or cognitive capacity) to trump their clients' choices and preferences in subordinate projects. Not orienting to suggested courses of actions is generally interactionally dispreferred and troublesome, but, although the providers do sometimes orient to their actions as balking their clients' wishes, they usually do not, and encounter little resistance. We discuss how people with disabilities may resist or palliate such loss of control, and the dilemmas that support staff face in carrying out their duties.
Description: This is an Open Access article. It is published by Wiley under the terms of the Creative Commons Attribution 4.0 International License (CC BY). Full details of this licence are available at: https://creativecommons.org/licenses/by/4.0/
Version: Published
DOI: 10.1111/1467-9566.12964
URI: https://dspace.lboro.ac.uk/2134/37791
Publisher Link: https://doi.org/10.1111/1467-9566.12964
ISSN: 0141-9889
Appears in Collections:Published Articles (Communication, Media, Social and Policy Studies)

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