The Structure of Conversations in Counseling Discourse for Cognitively Impaired Patients in Embu General Hospital
Ireri, N. N.
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The proposed study will be an analysis of the structure of conversations between counselors and patients in Embu General Hospital, Embu County, Kenya. The study will seek to establish the structure("of conversations that the interactants apply in order to achieve effective communication. The objectives of the proposed study are: to describe the structure of counselor - patient conversation in counseling discourse of the cognitively impaired, establish the nature of any breakdown in such conversations and determine the repair mechanisms (remedy) used to rectify such conversation breakdowns. The background to the study will exploit basic concepts in discourse analysis which will offer some insights in understanding the intended study. The observations in the study will be made within the framework of the Conversation Analysis Theory with special reference to Hymes (1972) and Sacks et al (1974) as well as Grice's cooperative principle. The proposed study will achieve its objectives through the use of spontaneous conversational data between counselors and patients during the counseling sessions. The qualitative research design-which is descriptive in nature-will be used in the proposed study which seeks to describe the structure of counseling discourse for cognitively impaired patients. Data collection will be through tape recording and the target population is a number of patients attending counseling sessions. This will be complemented with research notes. Radom sampling procedure will be used to select the patients. The tape-recorded data shall be transcribed and then analyzed together with any research notes using the stated theory and cooperative principle to establish structure of conversations in counseling discourse for cognitively impaired patients, breakdowns in such conversations and the repair mechanisms that the interactants use to repair the conversations.