Research and Social Change

McNamee, Sheila; Hosking, Dian Marie

doi:10.4324/9780203127537

Cited by 79 publications

(45 citation statements)

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“…Relational constructionism is the “meta-theory” or “philosophy” that underlies the Discourse Analysis that is presented in this article. It can be seen as a particular version of social constructionism (McNamee and Hosking 2012; Gergen 1999). One of the characteristics of relational constructionism is that it centres relational processes and focuses on the social production of multiple local realities (Hosking 2011).…”

Section: A Discourse Analytic Approachmentioning

confidence: 99%

“…Rather then referring to a geographical location, these local realities need to be understood as standing in contrasting relation to the more traditional focus on a universal, stable reality ‘out there’ (Hosking 2007). Practitioners from different countries who enact the same discourse of patient-centeredness could, for instance, be seen as a local community with its local-historical and local-cultural constructions of “good healthcare”, on the basis of local criteria of ethics and quality (McNamee and Hosking 2012). Discourse can be seen as a tool that helps us study local realties.…”

Section: A Discourse Analytic Approachmentioning

confidence: 99%

“…Self (such as a particular discourse of patient-centeredness) is often constructed by creating a devalued Other - a realm that is not us, not what we believe, not true, or not good (Gergen et al 2001). This theme thus draws our attention to how a particular discourse is promoted on the basis of a process of “self-other differentiation” (McNamee and Hosking 2012). Consequently, the importance of caring for patients as “whole persons” (“Self” in discourse one) is promoted by pointing at the downsides of disease-centeredness (a “significant Other” for discourse one), and how disease-centeredness overlooks the psychosocial aspects of illness.…”

Section: Overview Of the Three Discoursesmentioning

confidence: 99%

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Differences that matter: developing critical insights into discourses of patient-centeredness

Pluut

2016

Med Health Care and Philos

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Patient-centeredness can be considered a popular, and at the same time “fuzzy”, concept. Scientists have proposed different definitions and models. The present article studies scientific publications that discuss the meaning of patient-centeredness to identify different “discourses” of patient-centeredness. Three discourses are presented; the first is labelled as “caring for patients”, the second as “empowering patients” and the third as “being responsive”. Each of these discourses has different things to say about (a) the why of patient-centeredness; (b) the patient’s identity; (c) the role of the healthcare professional; (d) responsibilities for medical decision-making, and (e) the role of health information. This article compares and contrasts the discourses in ways that allow us to see differences that matter for practitioners in healthcare. On the basis of a relational constructionist philosophy, it is argued that discursive diversity is both an inevitable and a potentially valuable aspect of conversations in healthcare. We are therefore invited to center the challenge of dealing with diversity in productive ways. This article ends with a discussion of the practical implications of the discourse analysis for projects that aim to make healthcare more patient-centered. Debates on patient-centered “Health Information Exchange” are used to explain the need for a recognition of different discourses of patient-centeredness and a reflexive stance towards them.

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Section: A Discourse Analytic Approachmentioning

confidence: 99%

Section: A Discourse Analytic Approachmentioning

confidence: 99%

Section: Overview Of the Three Discoursesmentioning

confidence: 99%

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Differences that matter: developing critical insights into discourses of patient-centeredness

Pluut

2016

Med Health Care and Philos

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“…In this way, for instance, a new Fuqing Chinese community has been established in Argentina since the 1990s, now accounting for over 10,000 Chinese supermarkets and employing around 25,000 Chinese citizens (Kreutzbruck, 2014). Fuzhou migrant entrepreneurs are now to be found in Europe, especially in the United Kingdom (Pieke, 2004), and Africa, especially in South Africa (McNamee et al, 2012).…”

Section: The Min Qiaoxiangmentioning

confidence: 99%

Moving the Migration Frontier: A Chinese Qiaoxiang Migration Model?

Li¹,

Wong

2017

International Migration

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The New Chinese Migration is frequently contrasted to the earlier 19 th century mass migrations in terms of its origins (urban vs rural), migrant types (students and professionals vs coolies) and destinations (developed vs developing countries). A significant component of this new migration from the PRC however, continues to originate from the qiaoxiang -the emigrant-sending areas of the 19 th century migrations. Based on an extensive review of the literature on the old and new Chinese migration, as well as several years of fieldwork in the major rural sending areas or qiaoxiang of China, we examine the continuities between the new qiaoxiang migration and the old, and propose a qiaoxiang migration model of the entrepreneurial nature of the migration enterprise to account for the sustained and global character of the mobility generated.

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“…Having a postmodern intelligibility, social constructionism invites a review of some modern assumptions about knowledge production, such as (a) individual rationality, (b) empirical evaluation, (c) language as representation, and (d) the narrative of progress (McNamee & Hosking, 2012). In a constructionist perspective, individual rationality is not conceived of as an attribute of individual thinking but as a consequence of cultural convention.…”

Section: Social Constructionism: a Postmodern Approach To Knowledgementioning

confidence: 99%

Social Constructionism in the Context of Organization Development

Camargo-Borges

Rasera

2013

Sage Open

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The world faces rapid changes that call for new epistemologies and methodologies that can generate innovative forms of “being” and “doing” within organizations. This article investigates conceptual and practical resources from the social constructionist perspective that can be useful in realizing the transformation of organizations. Initially, a global context of the world in change is described, explaining the consequences for organizations; then social constructionism is introduced as a postmodern epistemology and offered as a potential approach to the organizational development field in supporting research and intervention. Some perspectives for action and knowledge production are offered in the context of an organization. Finally, some resources with examples will be articulated; these new frameworks for action can be effective for organizations coping in times of change.

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Research and Social Change

Cited by 79 publications

References 0 publications

Differences that matter: developing critical insights into discourses of patient-centeredness

Differences that matter: developing critical insights into discourses of patient-centeredness

Moving the Migration Frontier: A Chinese Qiaoxiang Migration Model?

Social Constructionism in the Context of Organization Development

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