Caronia-etal2017

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Caronia-etal2017
BibType ARTICLE
Key Caronia-etal2017
Author(s) Letizia Caronia, Arturo Chieregato, Marzia Saglietti
Title Assembling (non) treatable cases: The communicative constitution of medical object in doctor–doctor interaction
Editor(s)
Tag(s) EMCA, Medical, Antibiotic treatment recommendation, co-construction of the medical object, conversational analysis, diagnostic reasoning, doctor–doctor interaction, medical talk, team decision-making, Medical EMCA
Publisher
Year 2017
Language English
City
Month
Journal Discourse Studies
Volume 19
Number 1
Pages 30–48
URL Link
DOI 10.1177/1461445616683594
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Research on medical interactions shows how the discursive construction of the clinical case impacts diagnostic reasoning and treatment recommendations. Drawing on an ethnographic study in an intensive care unit, we illustrate how this process is at play in a ward that adopts an extreme, guideline-divergent policy as to the use of antibiotics. The article focuses on how physicians assemble the case as ‘treatable’ or ‘not yet treatable’, and how in doing so they ‘talk into being’ two contrastive policies on antibiotics and position themselves toward the one adopted in the ward. The analysis identifies the discursive resources displayed by physicians to both project an infectious disease diagnosis and resist this treatment-implicative trajectory. We argue that the physicians’ contentious discursive construction of the case has crucial consequences in the way the ward’s extreme policy is jointly accomplished as a highly reflexive process sensitive to the contingencies of any particular case.

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