Representing voices from the life-world in evidence-based practice

International Journal of Language & Communication Disorders
Dana Kovarsky

Abstract

Current models of evidence-based practice marginalize and even silence the voices of those who are the potential beneficiaries of assessment and intervention. These missing voices can be found in the reflections of clients on their own life-world experiences. This paper examines how voices from the life-world are silenced in current models of evidence-based practice and why this is inappropriate. It is argued that personal experience narratives rooted in the inter-subjective life-worlds of clients - currently conceptualized as mere anecdotal information or consumer opinion in evidence-based practice - should be elevated to the status of a bona fide unit of analysis in the construction of evidence. The aim is not to supplant more traditional, objective units of measurement, but, rather, to enhance our ability to interpret the ecological validity of evidence by listening to our clients' voices. Written discourse from professional position statements, technical reports, and other sources of information are analysed in terms of how they conceptualize evidence within evidence-based practice. Findings from this analysis are then compared with personal experience narratives from clients, and significant others, reflecting on the outco...Continue Reading

Citations

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