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'I had to stifle my feelings' - bilingual health professionals translating for family members in a healthcare setting. A qualitative study
Open accessAbstract
Background: As an alternative to a professional interpreter, children or relatives often act as so‐called ‘language brokers’ in the healthcare sector. Litterature have demonstrated that the cultural context is significant for the potential outcome for child language brokers. For individuals from a collectivistic family pattern, it becomes natural and is often regarded as respectful, to assist older relatives day and night. Aim: Very little is known about young people providing informal translation services in a Scandinavian context. We therefore aimed to capture the lived experiences of bilingual health professionals, students and postgraduates who have experienced interpreting for family members in a healthcare setting. By interviewing bilingual health professionals, we aimed to obtain two perspectives, the translators and the professionals, in one interview. Results: Analysing the conditions, meanings and reasoning, it became possible for us to understand the young translators’ situations and how their life conditions affected their reasons for action in certain ways and in certain conditions. The analysis revealed four main themes: (i) the importance of social relations and cultural conditions; (ii) the hidden burden of consequences for participants’ health conditions due to the focus on health‐related consequences and emotionally difficult situations experienced by the participants; (iii) participants experienced limitations in language skills as a challenge; and (iv) being ‘in between’ in the encounter with the professional system. Conclusion: When family members interpret for the family, the family interpreter is at risk of being excluded by the family or being exposed to and involved in highly sensitive dilemmas that may forever impair normal family relations: health professionals should be aware of this and take professional responsibility.
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Studies document increased anxiety and depression among child language brokers exposed to parental medical problems and asylum proceedings.
“The literature supports this concept, with studies documenting increased anxiety and depression among child language brokers exposed to parental medical problems and asylum proceedings [12].”
From Interpreter Child Syndrome Leading to Parentification and Anxiety in a Refugee Girl: A Case Report (2025) · cites this paper as [12]
The Author Manuscript reports that childhood language brokering in healthcare can be associated with increased depression and serious anxiety. It also describes the emotional difficulty of interpreting relatives’ medical diagnoses. Our copy does not connect those outcomes to exposure to asylum proceedings. (LLM, conf=0.88)
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Metadata
- Authors
- Nielsen, D. S., Abdulkadir, L. S., Lynnerup, C., & Sodemann, M.
- Affiliations
- University of Southern Denmark (DK)
- Odense University Hospital (DK)
- Corresponding author
- Nielsen, Dorthe Susanne
- Venue
- Scandinavian Journal of Caring Sciences
- Publisher
- Wiley
- Published
- 2019-12-12
- Volume
- 34
- Issue
- 4
- Pages
- 929-937
- ISSN
- 0283-9318 (ISSN-L)
- 1471-6712
- OpenAlex
- W2996688471
- Semantic Scholar
- 7178e26b5889272bdce32fdc4b154cebcae4ecdb
- Cited by
- 16
- References
- 30
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 2
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Scandinavian Journal of Caring Sciences (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion, other-oa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Interpreting and Communication in Healthcare
- Social Sciences › Arts and Humanities › Language and Linguistics › Translation Studies and Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
- Keywords
- language brokers, children as interpreters, lived experience, emotional burden, interpersonal relationships, family relationships, professional responsibility, healthcare communication
- MeSH terms
- Adolescent, Animals, Child, Delivery of Health Care, Emotions, Family, Humans, Stifle, Translating
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