Communication and Medical Practice: Social Relations in the Clinic

Communication and Medical Practice: Social Relations in the Clinic

by ProfessorDavidSilverman (Author), David Silverman (Author)

Synopsis

David 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.

Among 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 reformist medical practice and patient-centred medicine

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More Information

Format: Paperback
Pages: 288
Edition: 1
Publisher: SAGE Publications Ltd
Published: 17 Nov 1987

ISBN 10: 0803981090
ISBN 13: 9780803981096

Media Reviews
'I would recommend this book to all those engaged in the practice or study of encounters between patients and health professionals. It is thought-provoking and will fuel many lively debates covering ideology, policy, and clinical practice.' - British Journal of Medical Psychology

'a particularly refreshing book.... a fascinating glimpse of the relationship between professionals in the medical world and their clients.' - Behaviour Research and Therapy

'I would recommend this book to all those engaged in the practice or study of encounters between patients and health professionals. It is thought-provoking and will fuel many lively debates covering ideology, policy, and clinical practice.' - British Journal of Medical Psychology

'All sections of the book provide valuable and original insights into the nature and structure of medical interactions.... should be of interest to scholars and students of medical communication. Its perspective on the form of medical discourse, and its critique of Foucault and Mischler are especially interesting and useful.' -- Patient Education and Counseling

'...well written and well referenced...the encounters documented and analysed can be extrapolated into many situations.' -- Nursing Standard February 1988

'...a painstaking investigation has been carried out by a sensitive and fair minded observer...the appendix gives a fascinating breakdown of the stages of a consultation and proceedings in the clinic.' -- British Medical Journal, Vol 296, April 1988

'......This is fascinating sociology. It goes beyond traditional theories.....' It develops theory while acknowledging practicalities. Research methods and problems are carefully discussed. This is a clearly organised text with index and references.' Nursing Times Sept 14-20 1988

The author provides a comprehensively researched and well documented account of the subject, analysing material from the United Kingdom and elswhere. A model of research technique, the book will be of interest to psychologists and sociologists, doctors and patients and to all with a concern for interpersonal communications.' -- Journal of the Institute of Health Education

`prehaps the most substantial and impressive British study yet published in this genre.... a finely crafted, and eleganted presented analysis' - International Journal of Sociology and Social Policy

`a particularly refreshing book.... a fascinating glimpse of the relationship between professionals in the medical world an their clients' - Behaviour Research and Therapy

`the book has much to offer. Sociologists unfamiliar with sociolinguistics will find an accessible introduction that shows how discourse analysis can contribute to an understanding of the operation of power. Sociolinguistics will appreciate the validation it gives their claim that discourse analysis reveals the substance of social life. Medical sociologists will find sophisticated insights into doctor-patient interaction and professional dominance' - Contemporary Sociology

`The analytic style in handling the data makes this work fascinating....this work is an important contribution to understanding patient-physician interactions. The emphasis on social forms and the deft dismantling of ideological arguments about the nature of medical practice are outstanding contributions.' -Journal of Nervous and Mental Disease

Author Bio
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 PhD 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 PhD 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.