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dc.contributor.authorLian, Olaug S.
dc.contributor.authorNettleton, Sarah
dc.contributor.authorWifstad, Åge
dc.contributor.authorDowrick, Christopher
dc.date.accessioned2021-11-29T13:45:28Z
dc.date.available2021-11-29T13:45:28Z
dc.date.issued2021-10-09
dc.description.abstractBased on a narrative analysis of 20 naturally occurring clinical consultations between general practitioners and patients in England, sourced from the One in a million data archive, we explore how they conceptualize and negotiate medical and existential uncertainty. To capture the interactional element, which is often overlooked, three consultations receive special attention. While exploring the ongoing dynamics of the moment-to-moment realization of negotiations, we relate their actions to the institutionalized positions of doctor and patient. Situating their negotiations in the sociocultural context in which their interaction is embedded reveals how consultations unfold as a result of communication between two different positions in a normatively structured system. When uncertainty prevails, both patients and GPs mainly conceptualize uncertainty indirectly. By conceptualizing uncertainty indirectly and in a depersonalized manner, GPs manage to safeguard against clinical errors without compromising their authority and credibility. Contrary to medical uncertainty, which is continuously discussed, existential uncertainty usually recedes in the background. However, as our consultations unfold it becomes evident that medical and existential dimensions of uncertainty are inextricably linked. By acknowledging that clinical uncertainty is not only an epistemic concern but also an existential one, existential aspects may usefully rise to the surface.en_US
dc.identifier.citationLian, Nettleton, Wifstad, Dowrick. Negotiating Uncertainty in Clinical Encounters: A Narrative Exploration of Naturally Occurring Primary Care Consultations. Social Science and Medicine. 2021en_US
dc.identifier.cristinIDFRIDAID 1944287
dc.identifier.doi10.1016/j.socscimed.2021.114467
dc.identifier.issn0277-9536
dc.identifier.issn1873-5347
dc.identifier.urihttps://hdl.handle.net/10037/23200
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalSocial Science and Medicine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Samfunnsvitenskap: 200::Sosiologi: 220en_US
dc.subjectVDP::Social sciences: 200::Sociology: 220en_US
dc.subjectUsikkerhet / Uncertaintyen_US
dc.titleNegotiating Uncertainty in Clinical Encounters: A Narrative Exploration of Naturally Occurring Primary Care Consultationsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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