Full Description
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
Contents
PART ONEDecision-Making DiscoursePart 1Decision-Making DiscoursePart 2A Policy InterventionThe Pre-Admission ClinicGoing PrivateCeremonial Forms in a Medical Oncology ClinicPART TWO: CONSTITUTING SUBJECTSCoercive Interpretation in the ClinicThe Social Constitution of the Down's Syndrome ChildConsumerist Medicine in a Cleft-Palate ClinicConstituting Clinical SubjectsThe Discourse of the SocialPolicing the Lying PatientSurvelliance and Self-Regulation in Consultations with Adolescent DiabeticsMoral Versions of ParenthoodCharge-Rebuttal Sequences in Two Diabetic ClinicsAndytic Scheme - Paediatric Cardiology Unit Outpatients' Routines