Clinical encounter and the logic of relationality: Reconfiguring bodies and subjectivities in clinical relations

Karolina A. Kazimierczak

doi:10.1177/1363459316688521

Clinical encounter and the logic of relationality: Reconfiguring bodies and subjectivities in clinical relations

Karolina A. Kazimierczak

Business Management

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

14 Downloads (Pure)

Abstract

This article critically examines the significance of relational approaches for sociological understandings of clinical interactions, relations and practices, by exploring the ways in which relational theories and concepts have been employed in the recent sociological accounts of clinical encounters to trouble the classical dyadic models of clinical interaction and the related atomistic conceptions of agency and accountability. Reading this work through the theoretical contributions from feminist science studies scholarship, and particularly the work of Donna Haraway and Karen Barad, the article proposes an alternative understanding of clinical interactions, relations and practices, where relations are conceived as constitutive of individuals (objects/bodies and their attributes/identities), rather than being constituted by encounters between individuals. Key for this understanding is the reconceptualisation of clinical encounter as an apparatus of bodily production through which different agents (patients, clinicians, diseases and healthcare services) are materialised and enacted.

Original language	English
Pages (from-to)	185-201
Number of pages	17
Journal	Health
Volume	22
Issue number	2
Early online date	12 Apr 2017
DOIs	https://doi.org/10.1177/1363459316688521
Publication status	Published - 1 Mar 2018

Bibliographical note

Acknowledgements
I would like to thank all the patients and staff for their collaboration in the study and to acknowledge the other members of the team: James N’Dow and Sara MacLennan for their helpful guidance. I am grateful to Zoë Skea and Vikki Entwistle for the early discussions of the paper, to Natasha Mauthner and Lorna McKee for their insightful comments to various drafts, and to two anonymous reviewers for their thoughtful suggestions, which helped to clarify its argument.

Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by a grant from the Big Lottery Fund. The views expressed here are the author’s and do not necessarily reflect those of the funding bodies
or any other organisation.

Keywords

clinical interaction
relationality
identity
agency

Access to Document

10.1177/1363459316688521Licence: Unspecified

Clinical Encounter and the Logic of Relationality - final accepted version
Karolina A Kazimierczak, Clinical encounter and the logic of relationality: Reconfiguring bodies and subjectivities in clinical relations, Health 22(2) pp. 185-201. © The Author(s) 2017. Reprinted by permission of SAGE Publications.
Accepted author manuscript, 384 KBLicence: Other

Cite this

@article{1daa258d29d248fa91a83315a8cb1932,

title = "Clinical encounter and the logic of relationality: Reconfiguring bodies and subjectivities in clinical relations",

abstract = "This article critically examines the significance of relational approaches for sociological understandings of clinical interactions, relations and practices, by exploring the ways in which relational theories and concepts have been employed in the recent sociological accounts of clinical encounters to trouble the classical dyadic models of clinical interaction and the related atomistic conceptions of agency and accountability. Reading this work through the theoretical contributions from feminist science studies scholarship, and particularly the work of Donna Haraway and Karen Barad, the article proposes an alternative understanding of clinical interactions, relations and practices, where relations are conceived as constitutive of individuals (objects/bodies and their attributes/identities), rather than being constituted by encounters between individuals. Key for this understanding is the reconceptualisation of clinical encounter as an apparatus of bodily production through which different agents (patients, clinicians, diseases and healthcare services) are materialised and enacted.",

keywords = "clinical interaction, relationality, identity , agency",

author = "Kazimierczak, {Karolina A.}",

note = "Acknowledgements I would like to thank all the patients and staff for their collaboration in the study and to acknowledge the other members of the team: James N{\textquoteright}Dow and Sara MacLennan for their helpful guidance. I am grateful to Zo{\"e} Skea and Vikki Entwistle for the early discussions of the paper, to Natasha Mauthner and Lorna McKee for their insightful comments to various drafts, and to two anonymous reviewers for their thoughtful suggestions, which helped to clarify its argument. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by a grant from the Big Lottery Fund. The views expressed here are the author{\textquoteright}s and do not necessarily reflect those of the funding bodies or any other organisation.",

year = "2018",

month = mar,

day = "1",

doi = "10.1177/1363459316688521",

language = "English",

volume = "22",

pages = "185--201",

journal = "Health",

issn = "1363-4593",

publisher = "SAGE Publications Ltd",

number = "2",

}

TY - JOUR

T1 - Clinical encounter and the logic of relationality

T2 - Reconfiguring bodies and subjectivities in clinical relations

AU - Kazimierczak, Karolina A.

N1 - Acknowledgements I would like to thank all the patients and staff for their collaboration in the study and to acknowledge the other members of the team: James N’Dow and Sara MacLennan for their helpful guidance. I am grateful to Zoë Skea and Vikki Entwistle for the early discussions of the paper, to Natasha Mauthner and Lorna McKee for their insightful comments to various drafts, and to two anonymous reviewers for their thoughtful suggestions, which helped to clarify its argument. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by a grant from the Big Lottery Fund. The views expressed here are the author’s and do not necessarily reflect those of the funding bodies or any other organisation.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - This article critically examines the significance of relational approaches for sociological understandings of clinical interactions, relations and practices, by exploring the ways in which relational theories and concepts have been employed in the recent sociological accounts of clinical encounters to trouble the classical dyadic models of clinical interaction and the related atomistic conceptions of agency and accountability. Reading this work through the theoretical contributions from feminist science studies scholarship, and particularly the work of Donna Haraway and Karen Barad, the article proposes an alternative understanding of clinical interactions, relations and practices, where relations are conceived as constitutive of individuals (objects/bodies and their attributes/identities), rather than being constituted by encounters between individuals. Key for this understanding is the reconceptualisation of clinical encounter as an apparatus of bodily production through which different agents (patients, clinicians, diseases and healthcare services) are materialised and enacted.

AB - This article critically examines the significance of relational approaches for sociological understandings of clinical interactions, relations and practices, by exploring the ways in which relational theories and concepts have been employed in the recent sociological accounts of clinical encounters to trouble the classical dyadic models of clinical interaction and the related atomistic conceptions of agency and accountability. Reading this work through the theoretical contributions from feminist science studies scholarship, and particularly the work of Donna Haraway and Karen Barad, the article proposes an alternative understanding of clinical interactions, relations and practices, where relations are conceived as constitutive of individuals (objects/bodies and their attributes/identities), rather than being constituted by encounters between individuals. Key for this understanding is the reconceptualisation of clinical encounter as an apparatus of bodily production through which different agents (patients, clinicians, diseases and healthcare services) are materialised and enacted.

KW - clinical interaction

KW - relationality

KW - identity

KW - agency

U2 - 10.1177/1363459316688521

DO - 10.1177/1363459316688521

M3 - Article

SN - 1363-4593

VL - 22

SP - 185

EP - 201

JO - Health

JF - Health

IS - 2

ER -

Clinical encounter and the logic of relationality: Reconfiguring bodies and subjectivities in clinical relations

Abstract

Bibliographical note

Keywords

Access to Document

Fingerprint

Cite this