Gardner, John Grant orcid.org/0000-0001-7417-348X and Cribb, Alan (2016) The Dispositions of Things:the non-human dimension of power and ethics in patient-centred medicine. Sociology of Health and Illness. ISSN 1467-9566
Abstract
This paper 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 within 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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Date of Acceptance: 06/02/2016. Embargo period: 24 months |
Keywords: | Actor-Network theory, Empirical ethics; Bioethics; Shared decision-making |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Sociology (York) |
Depositing User: | Pure (York) |
Date Deposited: | 27 Jul 2016 09:24 |
Last Modified: | 21 Jan 2025 17:19 |
Status: | Published online |
Refereed: | Yes |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:102998 |
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