Breaking the ceremonial order: patients' and doctors' accounts of removal from a general practitioner's list.
Breaking the ceremonial order: patients' and doctors' accounts of removal from a general practitioner's list.
复制标题
违反仪式秩序：患者和医生关于从全科医生名单中除名的叙述。
DOI：
10.1111/j.1467-9566.2006.00509.x
复制
发表时间：
2006
影响因子：
2.9
通讯作者：
S. Williams
中科院分区：
文献类型：
--
作者：
T. Stokes;M. Dixon;S. Williams
英国将患者从全科医生（GP）名单中删除，为了解当医患关系“出错”时会发生什么提供了重要的社会学见解。互动主义分析表明，移除者（医生）和移除者（患者）如何策略性地援引“行为规则”来解释医患关系中的困难以及全科医生决定终止与患者的关系。在本文中，我们通过求助于布迪厄的实践理论，通过并置移除者和被移除者对同一移除事件的“配对”描述来扩展这一分析。我们的分析表明了人们对社会互动规则的理解是不加思考或不反思的，但也表明了明显的规则违反如何使规则变得明确并暴露权力分配模式。我们认为，转移患者相当于全科医生战略性地行使象征性权力，而这在患者看来是一种公然暴力的象征性行为。医患关系的互动主义理论与布迪厄的实践理论在理论上的协调既是可能的，也是有益的，提供了一种微观宏观的联系，使健康（护理）领域的资本和权力问题脱颖而出。
The removal of patients from general practitioners' (GPs) lists in the UK offers important sociological insights into what happens when the doctor-patient relationship 'goes wrong'. An interactionist analysis shows how removers (doctors) and removed (patients) strategically invoke 'rules of conduct' to account for difficulties in the doctor-patient relationship and for GPs' decisions to end their relationships with patients. In this paper we extend this analysis through recourse to Bourdieu's theory of practice, by juxtaposing 'paired' accounts of the same removal event by both remover and removed. Our analysis demonstrates the unthinking or non-reflective nature of people's understanding of the rules governing social interactions, but also demonstrates how apparent rule violations make the rules explicit and expose patterns of power distribution. We argue that removal of patients amounts to a strategic exercise of symbolic power by GPs, and that this is experienced as an overtly violent symbolic act by patients. A theoretical reconciliation of interactionist theories of the doctor-patient relationship with Bourdieu's theory of practice is both possible and profitable, providing a micro-macro link in which issues of capital and power within the health (care) field are brought to the fore.
叙事在自我和疾病呈现中的战略运用：研究报告。
DOI：
10.1016/0277-9536(90)90259-u
发表时间：
1990
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Riessman,CK
通讯作者：
Riessman,CK