Communication and Medical Practice: Social Relations in the Clinic

Communication and Medical Practice: Social Relations in the Clinic

by David Silverman


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@3David Silverman provides a comprehensively researched and analytically sensitive account of how doctors and patients relate. Drawing on a wide range of original fieldwork from both the UK and elsewhere and from a variety of hospital settings, both privately and publicly funded, he demonstrates the complexity of medical interactions and the importance of their context.

@3Among the key themes of the book are: the way in which doctor-patient talk varies according to the trajectory of the patient's medical career and the method of payment for treatment; the implicit problems in paediatric medicine in negotiating between the rights and responsibilities of children and their parents; and the difficulties intrinsic to ref

Product Details

ISBN-13: 9780803981089
Publisher: SAGE Publications
Publication date: 02/01/1988
Pages: 288
Product dimensions: 6.50(w) x 1.50(h) x 9.50(d)

About the Author

David Silverman is Visiting Professor in the Business School, University of Technology, Sydney, Emeritus Professor in the Sociology Department, Goldsmiths’ College and Adjunct Professor in the School of Education, Queensland University of Technology. He has lived in London for most of his life, where he attended Christ's College Finchley and did a BSc (Economics) at the London School of Economics in the 1960s. Afterwards, he went to the USA for graduate work, obtaining an MA in the Sociology Department, University of California, Los Angeles. He returned to LSE to write a Ph D on organization theory. This was published as The Theory of Organizations in 1970.

Apart from brief spells teaching at UCLA, his main teaching career was at Goldsmiths College. His three major research projects were on decision making in the Personnel Department of the Greater London Council (Organizational Work, written with Jill Jones, 1975), paediatric outpatient clinics (Communication and Medical Practice, 1987) and HIV-test counselling (Discourses of Counselling, 1997).

He pioneered a taught MA in Qualitative Research at Goldsmiths in 1985 and supervised around 30 successful Ph D students. Since becoming Emeritus Professor in 1999, he has continued publishing methodology books. David regularly runs qualitative research workshops for five universities in Sydney and Brisbane. He has also run workshops for research students in Finland, Norway, Sweden, Denmark, France, Sri Lanka and Tanzania. Since 2000, he has done voluntary work with people with dementia. resident in an old people’s home

Besides all this, David's other interests include classical music, literary fiction, bridge, county cricket and spending time with his grandchildren.

Table of Contents

Decision-Making Discourse
Part 1
Decision-Making Discourse
Part 2
A Policy Intervention
The Pre-Admission Clinic
Going Private
Ceremonial Forms in a Medical Oncology Clinic
Coercive Interpretation in the Clinic
The Social Constitution of the Down's Syndrome Child
Consumerist Medicine in a Cleft-Palate Clinic
Constituting Clinical Subjects
The Discourse of the Social
Policing the Lying Patient
Survelliance and Self-Regulation in Consultations with Adolescent Diabetics
Moral Versions of Parenthood
Charge-Rebuttal Sequences in Two Diabetic Clinics
Andytic Scheme - Paediatric Cardiology Unit Outpatients' Routines

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