Abstract
Modern medicine represents what Karin Knorr Cetina (1999) has termed an ‘epistemic culture’. Medical institutions and practitioners produce and warrant medical expert knowledge and insights; hospitals function as expert organizations and much of the medical work is conducted through expert processes. Significant parts of medical work require collaboration between doctors and other professionals with different kinds of expertise. To borrow a formulation from Knorr Cetina (1999), many of the collaborative activities may be described in terms of different social and discursive ‘machines’ that are at work within medical expert systems. This chapter will deal with the collaborative production of clinical knowledge and ventures within a hospital context. A bottomup perspective will focus on the local and situational organization of problem-solving activities. In the following pages the hospital will be seen as an ‘expert organization’, consisting of different kinds of expert systems, working at different organizational levels.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Atkinson, P. (1995) Medical Talk and Medical Work (London: Sage).
Atkinson, P. (1997) The Clinical Experience: the Construction and Reconstruction of Medical Reality (2nd edn) (Aldershot: Ashgate).
Berg, M. (1992) ‘The Construction of Medical Disposals: Medical Sociology and Medical Problem Solving in Clinical Practice’, Sociology of Health and Illness, 14, pp. 151–80.
Berg, M. (1995) Rationalizing Medical Work (Cambridge, Mass.: The MIT Press).
Burke, K. (1973) The Philosophy of Literary Form: Studies in Symbolic Action (Berkeley: University of California Press).
Cicourel, A. V. (1990) ‘The Integration of Distributed Knowledge in Collaborative Medical Diagnosis’, in J. Galegher, R.E. Kraut and C. Egido (eds) Intellectual Teamwork: Sociological and Technological Foundations of Cooperative Work, pp. 221–42 (Erlbaum, NJ: Hillsdale).
Cook-Gumperz, J. and Messerman, L. (1999) ‘Local Identities and Institutional Practice: Constructing the Record of Professional Collaboration’, in S. Sarangi and C. Roberts (eds) Talk, Work and Institutional Order, pp. 145–81 (Berlin: Mouton de Gruyter).
Duranti, A. (1997) Linguistic Anthropology (Cambridge: Cambridge University Press).
Engeström, Y., Engeström, R. and Kerosuo, H. (2003) ‘The Discursive Construction of Collaborative Care’, Applied Linguistics, 24, pp. 286–315.
Freidson, E. (1970) Profession of Medicine (New York: Harper and Row).
Garfinkel, H. (1967) Studies in Ethnomethodology (Englewood Cliffs, NJ: Prentice- Hall).
Goffman, E. (1956) ‘The Nature of Deference and Demeanor’, American Anthropologist, 58, pp. 473–502.
Goffman, E. (1961) Encounters: Two Studies in the Sociology of Interaction (New York: Bobbs-Merrill).
Goffman, E. (1983) ‘The Interaction Order’, American Sociological Review, 48, pp. 1–17.
Goodwin, C. (1994) ‘Professional Vision’, American Anthropologist, 96, pp. 606–33.
Gray, A. and Harrison, S. (eds) (2004) Governing Medicine: Theory and Practice (Maidenhead: Open University Press).
Hacking, I. (1992) ‘The Self-vindication of the Laboratory Sciences’, in A. Pickering (ed.) Science as Practice and Culture, pp. 29–64 (Chicago: The University of Chicago Press).
Hutchins, E. (1995) Cognition in the Wild (Cambridge, Mass.: The MIT Press).
Hymes, D. (1981) ‘In Vain I Tried to Tell You’: Essays in Native American Ethnopoetics (Philadelphia: University of Pennsylvania Press).
Jakobson, R. (1960) ‘Closing Statement: Linguistics and Poetics’, in T. Sebeok (ed.) Style in Language, pp. 350–77 (Cambridge, Mass.: The MIT Press).
Knorr Cetina, K. (1992) ‘The Couch, the Cathedral, and the Laboratory: On the Relationship between Experiment and Laboratory in Science’, in A. Pickering (ed.) Science as Practice and Culture, pp. 113–38 (Chicago: The University of Chicago Press).
Knorr Cetina, K. (1999) Epistemic Cultures. How the Sciences Make Knowledge (Cambridge, Mass.: Harvard University Press).
Latour, B. (1986) ‘Visualization and Cognition: Thinking with Eyes and Hands’, Knowledge and Society, 6, pp. 1–40.
Lave, J. and Wenger, E. (1991) Situated Learning: Legitimate Peripheral Participation (Cambridge: Cambridge University Press).
Levinson, S. C. (1979) ‘Activity Types and Language’, Linguistics, 17, pp. 356–99.
Måseide, P. (2003) ‘Medical Talk and Moral Order: Social Interaction and Collaborative Clinical Work’, TEXT, 23, pp. 369–403.
Mishler, E. G. (1984) The Discourse of Medicine: Dialectics of Medical Interviews (Norwood, NJ: Ablex).
Mol, A. (2002) The Body Multiple: Ontology in Medical Practice (Durham: Duke University Press).
Resnick, M. (1994) Turtles, Termites, and Traffic Jams (Cambridge, Mass.: The MIT Press).
Schatzki, T. R. (2002) The Site of the Social (University Park, Pa: The Pennsylvania State University Press).
Suchman, L. (1987) Plans and Situated Actions (Cambridge: Cambridge University Press).
Timmermans, S. and Berg, M. (2003) The Gold Standard: the Challenge of Evidence Based Medicine and Standardization in Health Care (Philadelphia: Temple University Press).
Editor information
Editors and Affiliations
Copyright information
© 2007 Per Måseide
About this chapter
Cite this chapter
Måseide, P. (2007). The Role of Signs and Representations in the Organization of Medical Work: X-rays in Medical Problem Solving. In: Iedema, R. (eds) The Discourse of Hospital Communication. Palgrave Studies in Professional and Organizational Discourse. Palgrave Macmillan, London. https://doi.org/10.1057/9780230595477_10
Download citation
DOI: https://doi.org/10.1057/9780230595477_10
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-1-349-54695-4
Online ISBN: 978-0-230-59547-7
eBook Packages: Palgrave Language & Linguistics CollectionEducation (R0)