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The dispositions of things

The Non-Human Dimension of Power and Ethics in Patient-Centred Medicine

Dados Bibliográficos

ID2249133
AutoresJohn Gardner (0000-0001-7417-348X, Science and Technology Studies Unit Department of Sociology University of York York UK, autor correspondente), Alan Cribb (0000-0002-7908-5195, Department of Education and Professional Studies Kings College London London UK)
Ano2016
Volume38
Fascículo7
Páginas1043-1057
Data de publicação2016-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology of Health & Illness (JOURNAL)
Identificadores do periódicoISSN: 0141-9889 • E-ISSN: 1467-9566
EditoraWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12431
PMID27460832
OpenAlexW2491917921
IdiomaEN
Citações recebidas15
Referências citadas30

This article explores power relations between clinicians, patients and families as clinicians engage in patient-centred ethical work. Specifically, we draw on actor-network theory to interrogate the role of non-human elements in distributing power relations in clinical settings, as clinicians attempt to manage the expectations of patients and families. Using the activities of a multidisciplinary team providing deep brain stimulation to children with severe movement disorders as an example, we illustrate how a patient-centred tool is implicated in establishing relations that constitute four modes of power: 'power over', 'power to', 'power storage' and 'power/discretion'. We argue that understanding the role of non-human elements in structuring power relations can guide and inform bioethical discussions on the suitability of patient-centred approaches in clinical settings

Bioethics · Clinical Ethics · Dimension (graph theory · Discretion · Engineering ethics · Epistemology · Multidisciplinary approach · Non-human · Political science · Power (physics · Social science · Sociology · Structuring · Engineering · Ethics in medical practice · Healthcare Decision-Making and Restraints · Law · Mental Health and Psychiatry · Psychology

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Obras citantes distintas15
Citações por ano1,67
Intervalo de citações2017 - 2026 (10)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 15
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