Peter Roger

• MB BS (Hons), PhD
• Faculty Member at Macquarie University

Background Telemedicine allows delivery of healthcare to occur between parties that are not in the same location. As telemedicine users are not co-present, effective communication methods are crucial to the delivery and reception of information. The aim of this study was to explore perspectives of general practitioners (GPs) and patients on the int...

Background The unprecedented increase in telehealth use due to COVID-19 has changed general practitioners’ (GP) and patients’ engagement in healthcare. There is limited specific advice for effective communication when using telehealth. Examining telehealth use in practice in conjunction with perspectives on telehealth as they relate to communicatio...

Background Where a person with aphasia and the treating speech pathologist come from different linguistic backgrounds, an interpreter is often called upon to facilitate the clinical assessment. Previous research has documented the challenges that multilingual aphasia assessment can pose for both interpreter and speech pathologist. These challenges...

Over the past 15 years, Research in the field of second language learning motivation has been dominated by the second language (L2) motivational self system, conceptualizing motivation as a combination of the ideal L2 self, ought-to L2 self, and L2 learning experience. Despite the analytical strength demonstrated by the self components of the L2 mo...

The pursuit of global competence (GC) is heavily promoted as part of university education in Japan, where the government exhorts universities to equip graduates with skills that will enable them to function as global citizens. Foreign language (FL) educators are often expected to cultivate these globally competent individuals. However, there is lit...

Background Due to the COVID-19 pandemic, use of telehealth has expanded rapidly. However, little is known about the impact of delivering care through telehealth on communication between clinicians and patients. At an interactional level, the ways in which clinicians establish rapport and connection with their patients in telehealth consultations is...

In researching second language (L2) learners' motivation, the traditional Gardnerian concept of integrativeness was readily applicable in a world where discrete L2 communities were often clearly identifiable. However, the growing dominance of global English has rendered this construct less relevant for the ever-increasing numbers of L2-English lear...

This research investigates the study abroad experiences of eight Japanese university students through a longitudinal study of changes in the second language (L2) self. Semi-structured interviews and photo narrative journals were used to explore short-term and long-term changes in the participants’ L2 motivational self systems and the effects of the...

Native English speaking language teachers who live and work in various parts of the world often express a desire to learn the language of their host country. Without sustained levels of motivation, however, their desires are unlikely to be realized. This article reports the findings of a longitudinal case study of an American English language instr...

A setting which presents special challenges for interpreter-mediated communication is the speech pathology clinic, particularly when the encounter involves the assessment of a condition known as aphasia. Drawing on a corpus of five interpreter-mediated assessments of aphasia in speakers of a range of languages (Cantonese, Greek, Tagalog and Vietnam...

Background: Empathy in healthcare interactions has been a focus of considerable research since the 1980s, and discourse analysis has been used more recently to identify how empathy is accomplished in interactions between healthcare professionals and their patients. However, there has been little research using naturally occurring nurse/patient inte...

Background While patient education has long been an important part of nurses’ roles in patient care, research has found difficulties with providing patient education. Sound subject matter knowledge is not enough to give effective and meaningful instruction; pedagogical knowledge is also needed, with an understanding of different aspects of learning...

A possible self is a combination of the self knowledge, thoughts and beliefs that we have regarding our future potential (Markus & Nurius, 1986). This study investigated the possible selves of eight Japanese niversity study abroad (SA) students. Dörnyei (2005) posited the L2 motivational self-system, comprised of the L2 ideal self as a construct fo...

This study investigated the willingness of 14 English-speaking EFL instructors living and working in South Korea to invest in practices connected with learning and using the Korean language. A model of investment for the ‘new world order’ (Darvin, R., and B. Norton. 2015. “Identity and a Model of Investment in Applied Linguistics.” Annual Review of...

This study investigated the willingness of 14 English-speaking EFL instructors living and working in South Korea to invest in practices connected with learning and using the Korean language. A model of investment for the 'new world order' (Darvin, R., and B. Norton. 2015. "Identity and a Model of Investment in Applied Linguistics." Annual Review of...

Effective communication skills are important in the health care setting to develop rapport and trust with patients, provide reassurance, assess patients effectively and provide education related to their health condition in a way that patients easily understand. However, with many nurses from culturally and linguistically diverse (CALD) backgrounds...

Good rapport underpins effective patient care; however, communication barriers can undermine the building of rapport and the development of a therapeutic relationship, potentially resulting in poorer health outcomes. This paper examines the development of rapport by registered nurses (RNs) from a variety of cultural and linguistic backgrounds. Disc...

This study was conducted to examine learner beliefs and anxiety among young adult Japanese EFL learners at a university in Tokyo. It discusses the findings from a set of self-report questionnaires and compares the results with those obtained in an earlier study of Japanese, Chinese and Swiss English language learners studying abroad. The findings f...

Objective: Patient education is an important part of nurses' roles; however the inconsistent quality of communication skills, including those of registered nurses (RNs) from culturally and linguistically diverse (CALD) backgrounds, risk patient safety. Empowerment in patient education has been found to influence patients' self-efficacy and partici...

Effective communication is essential in developing rapport with patients, and many nursing roles such as patient assessment, education, and counselling consist only of dialogue. With increasing cultural diversity among nurses and patients in Australia, there are growing concerns relating to the potential for miscommunication, as differences in lang...

As one constituent of second language (L2) motivation, L2 self-­‐confidence has been shown to be a significant predictor of language proficiency. More recently, L2 self-­‐ confidence has been studied as part of the willingness to communicate (WTC) construct. Less is known, however, about the processes by which learners develop self-­‐confidence in...

In the 2013 Course of Study for senior high schools, the Japanese Ministry of Education, Culture, Sports, Science and Technology (MEXT) mandated that English should be taught, wherever possible, through the medium of English. Against this backdrop, we investigated the experiences of foreign language anxiety (FLA) among 15 Japanese teachers of Engli...

The study of computer use during consultations and in clinical communication teaching has generated considerable research interest in recent decades, but few studies have investigated how the use of other technological devices such as the dictaphone may be linked to the acquisition of interpersonal communication skills. Research on the dictaphone h...

Aspiring interpreting professionals need to possess skills which allow them to think quickly in order to deal with unexpected situations that will inevitably arise in the course of interpreting assignments. The complex and inherently unpredictable nature of interpreting can be a major source of anxiety for student interpreters, particularly when th...

Using discourse analytical methods, this article examines the interactional accomplishment of trust. Focusing on a case study drawn from a corpus of 28 surgical consultations collected in a gastro-intestinal clinic, it traces the trust-building process in a specific, communicatively challenging encounter where the patient is seeking a second opinio...

In many parts of the world, speech-language pathologists (SLPs) are frequently called upon to assess aphasia in bilingual speakers, or in speakers of languages of which they have little or no knowledge. One of the strategies that SLPs employ in these situations is to involve an interpreter in the assessment process. Three authentic interpreter-medi...

We present a case of transcortical mixed aphasia caused by a cerebral embolism. A 77-year-old right-handed man was admitted to our hospital with speech disturbance and a right hemianopia. His spontaneous speech was remarkably reduced, and object naming, word fluency, comprehension, reading and writing were all severely disturbed. However, repetitio...

The Japanese language has two different writing systems, Kana (Japanese syllabograms) and Kanji (Japanese ideograms), and Japanese sentences usually consist of combinations of both. Recently, there has been speculation that different pathways are involved in Kanji and Kana reading and writing.1 It has been suggested that the processing of Kanji and...

A 45-year-old right-handed woman suffered transient aphasia and persistent amnesia after a right thalamic haemorrhage. This patient appeared to have crossed aphasia, although it disappeared within 8 weeks. It is noteworthy that the patient had a unilateral right thalamic lesion but exhibited both verbal and non-verbal memory impairment. Computed to...

This paper reports the results of a survey conducted in metropolitan Sydney, Australia, which was designed to look at the assessment and treatment practices adopted by speech-language pathologists when working with individuals with aphasia from language backgrounds other than English. The results of the survey high-light a number of areas of concer...

A case of transcortical sensory aphasia caused by a cerebral haemorrhage in the left frontal lobe is presented. A 72-year-old right-handed woman was admitted to the hospital, with a history of acute onset of speech disturbance and headache. On initial assessment, her spontaneous speech was fluent. She had no difficulty initiating speech, articulate...

The emergence of English as a global language raises issues for the way in which the 'target culture' associated with the language is conceptualised by English language learners in various parts of the world. This paper reports on a focus group study involving language teachers from five different countries (Indonesia, Japan, Kenya, Mauritius and S...