Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Connective and Tactfully Tactical

Connective Tactics and Professional Authority in Doctor-Patient Relationships

Bibliographic Data

ID4861206
AuthorsLars Thorup Larsen (0000-0003-4100-5425, Aarhus University, corresponding author), Mathilde Cecchini (0000-0003-3946-9116, University of Southern Denmark)
Year2023
Volume326
Pages115924
Publication date2023-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2023.115924
PMID37141679
OpenAlexW4367301091
LanguageEN
Citations received8
References cited27

Medical authority is often thought to be threatened by lay access to information, but how does professional authority work when citizens have more knowledge and choices? We seek to understand how professional authority works in doctor-patient relationships and what each side does to navigate medical encounters. Our abductive study is relational as it builds on qualitative interviews with both doctors and patients. While doctors and patients each try to steer the encounter towards their desired outcomes, they also employ a series of 'connective tactics' to maintain a good, professional relationship. These connective tactics are often draped in a 'tactful' and informal manner so as not to threaten the continuous authority relationship between professionals and citizens. Both sides have a repertoire of how to act on authority relations, often supported by courteous attempts to not insist on formal superiority or patient rights. Each side shifts between what may seem like traditional and connective ways to perform medical authority. Doctors can continue to act as knowledge authorities if they also at least appear to be equals with patients; and patients can use internet findings to get involved in medical decisions as long as they pretend to still respect medical authority

Political science · Public relations · Sociology · Ethics in medical practice · Medicine · Mental Health and Patient Involvement · Patient-Provider Communication in Healthcare · Psychology

  • “Do what that expert says – until you know better”

    Open Access•Lars Thorup Larsen•Current Sociology•2026

  • Health promotion roles shaped by professional identity

    Open Access•Fia van Heteren, Nadine Raaphorst et al.•Health Promotion International•2024

  • The effect of doctor-patient relationship on doctor’s altruistic purpose from pediatrician data in China

    Open Access•Guangwei Deng, Ming Jin et al.•Current Psychology•2024

  • Negotiating protection and propriety

    Open Access•A Schneider-Kamp, Askegaard et al.•SSM - Qualitative Research in…•2026

  • Warm hands entangled in cold technology? Psychologists’ tinkering expertise in digital psychiatry

    Open Access•Emilie Kristine Dyrlev•Social Science & Medicine•2026

  • Healthcare Professionals’ Discursive Constructions of Parental Vaccine Hesitancy

    Open Access•Esther Lermytte, Piet Bracke et al.•Qualitative Health Research•2024

  • What Is Normal?”

    Open Access•Rachael Sharman, Andrew Allen et al.•Archives of Sexual Behavior•2024

  • I read a bit of information

    Open Access•Aleksandr Shirokov•Social Science & Medicine•2025

  • Learning From Strangers

    Robert S Weiss•Learning From Strangers•1995

  • Consumerism in medicine

    Marie R Haug•Consumerism in medicine•1983

  • The End of the Golden Age of Doctoring

    Open Access•John B Mckinlay, Lisa D Marceau et al.•International Journal of Health…•2002

  • The Oxford Handbook of Danish Politics

    Peter Munk Christiansen, Jørgen Elklit et al.•Oxford Handbook of Danish Politics•2020

  • Economy and Society

    Claus Wittich, Guenther Roth et al.•Economy and Society•2013

  • Interpretive Research Design

    Peregrine Schwartz-Shea, Dvora Yanow•Interpretive research design•2013

  • Legislators and interpreters

    Zygmunt Bauman•Legislators and interpreters•1987

  • Patients’ engagement in primary care

    Open Access•Nicolette Sheridan, Timothy Kenealy et al.•Health Expectations•2015

  • Administrative Capital and Citizens’ Responses to Administrative Burden

    Open Access•Ayesha Masood, Arif Masood et al.•Journal of Public Administration…•2020

  • The Professional Agency Narrative—Conceptualizing the Role of Professional Knowledge in Frontline Work

    Open Access•Mathilde Cecchini, Gitte Sommer Harrits•Journal of Public Administration…•2022

  • The Cultural-Cognitive Mapping of Scientific Professions

    Open Access•Gordon Gauchat, Kenneth T Andrews•American Sociological Review•2018

  • Methodological Pluralism and the Possibilities and Limits of Interviewing

    Open Access•M Lamont, Ann Swidler•Qualitative Sociology•2014

  • Talk Is Cheap

    Open Access•Colin Jerolmack, Shamus Khan•Sociological Methods & Research•2014

  • Advice Not Safely Ignored

    Open Access•Gitte Sommer Harrits, Lars Thorup Larsen•Sociology•2021

  • From Medicine to Health

    Open Access•Steven Epstein, Stefan Timmerman•Journal of Health and Social…•2021

  • Medical Authority under Siege

    Open Access•T Stivers, Stefan Timmerman•Journal of Health and Social…•2020

  • Problems and Prospects in the Study of Physician-Patient Interaction

    J Heritage, D W Maynard•Annual Review of Sociology•2006

  • Beyond 'doctor and patient

    Open Access•Alison Pilnick, J Hindmarsh et al.•Sociology of Health & Illness•2009

  • Managing medical advice seeking in calls to Child Health Line

    Open Access•C W Butler, Danby et al.•Sociology of Health & Illness•2009

  • Constrained collaboration

    Open Access•Alexandra H Vinson•Sociology of Health & Illness•2016

  • When do doctors follow patients' orders? Organizational mechanisms of physician influence

    Open Access•Daniel A Menchik, Lei Jin•Social Science Research•2014

Unique citing works8
Citations per year4
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 8

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae