作者: Alison Pilnick , Jennifer Clegg , Elizabeth Murphy , Kathryn Almack
DOI: 10.1111/J.1467-9566.2009.01223.X
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摘要: For young people with intellectual disabilities (ID), the transition from children's to adult services has long been recognised as a challenging move. One of aims White Paper Valuing People (2001) was address some problems associated this transition. This paper reports on data project which examines impact these service changes, and ways in is negotiated by carers, professionals users. It presents conversation analysis eight tape-recorded formal review meetings at discussed. takes its starting point existing interactional work ID way demonstrates effects local contextual specifics particular kinds interaction eventual outcomes (e.g. Rapley 2004, Antaki 2001, Maynard Marlaire 1992). We show that an attempt allow self-determination context transitions can paradoxically result undermining user choice control. also argue that, while rule-based approach practice may offer moral clarity for professionals, it practical difficulties cannot be easily reconciled.