'Shared decision-making? A linguistic perspective', by Dariusz Galasiński (Wolverhampton)

Date: Friday 23 November 2018, 2:00pm to 3:00pm
Venue: Bowland North Seminar Room 19
Open to: Postgraduates, Public, Staff
Registration: Registration not required - just turn up

Event Details


Shared decision-making (SDM) is more and more commonly assumed to be the preferred method of communicating with the patient. However, while there is significant research on its ‘nature’ and its limitations, a micro-discourse analytic perspective is adopted rarely. In this paper I go beyond the dominant discussions on SDM and explore the discourses underpinning shared decision-making, both as a concept and a process in the local context of interaction.

I focus on three kinds of texts which constitute SDM in different contexts – definitions, decision aids, and doctor-patient interactions in which decisions are negotiated. I argue that the discursive constructions of shared decision-making are at some odds with its explicit goals. I want to show that, despite SDM claims, its discourses construct paternalistic relations of power between the medic and the person in her/his care.

I conclude with an argument for a much closer collaboration between medicine and the social sciences offering a deeper reflection on how SDM is constructed in discourses about it as well as how it is performed in medical practices.

Contact Details

Professor Elena Semino
+44 1524 594176
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