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The dispositions of things: the non‐human dimension of power and ethics in patient‐centred medicine
Author(s) -
Gardner John,
Cribb Alan
Publication year - 2016
Publication title -
sociology of health and illness
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 97
eISSN - 1467-9566
pISSN - 0141-9889
DOI - 10.1111/1467-9566.12431
Subject(s) - bioethics , power (physics) , structuring , multidisciplinary approach , non human , discretion , dimension (graph theory) , engineering ethics , clinical ethics , psychology , epistemology , sociology , social science , political science , engineering , law , philosophy , physics , mathematics , quantum mechanics , pure mathematics
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.