Understanding and Interaction in Clinical and Educational Settings - Barry Saferstein

Understanding and Interaction in Clinical and Educational Settings - Barry Saferstein

12. Sociocultural Complexities of Interpretation Activities and Discourse Frameworks

Understanding and Interaction in Clinical and Educational Settings - Barry Saferstein

Barry Saferstein [+-]
California State University, San Marcos
Professor Barry Saferstein is a cognitive sociologist whose research interests include the effects of multimedia health information technology on clinical interaction; explanations and understandings of genetics and medical information in schools, science centres, and clinics; the application of digital technologies to qualitative research methods; and the construction of ideology through mediated and face-to-face interaction. His recent work examines how professional authority affects the development of understandings. He has also published studies of agenda setting activities and the interactional construction of ideology in television production settings.

Description

Chapter Twelve considers the sociocultural variables related to discourse frameworks and the production of understanding. Discourse frameworks can incorporate components reflecting the cultural and social systems affecting participants. The chapter presents examples of commonplace complexities related to the contemporary social and cultural realities of many clinical and educational settings. It describes the diversity of the research participants and settings in the context of earlier chapters’ discussion of their interpretation activities. Topics discussed include: socioeconomic categories, gender and interpretation activities, and recognizing agency by analyzing processes of understanding. Rather than emphasizing behavioral or status differences that precede interaction as determinants of understandings, analysis of discourse frameworks, process narratives, and grey boxes explains the role of interpretation activities in producing and reproducing professional culture and professional authority. The radiology consultation data show how changes to traditional organizational routines and professional culture can occur and benefit all patients’ understandings of medical information relevant to treatment decisions. Removing negative effects of organizational environments and professional cultures on patients' understandings of their medical conditions and treatment options requires recognizing the components of interpretation activities.

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Citation

Saferstein, Barry . 12. Sociocultural Complexities of Interpretation Activities and Discourse Frameworks. Understanding and Interaction in Clinical and Educational Settings. Equinox eBooks Publishing, United Kingdom. p. 305-317 Nov 2016. ISBN 9781845534363. https://www.equinoxpub.com/home/view-chapter/?id=27844. Date accessed: 18 Sep 2019 doi: 10.1558/equinox.27844. Nov 2016

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