Commentary on “The role of argumentative strategies in the construction of emergent common ground in a patient-centered approach to the medical encounter”

2018 ◽  
Vol 7 (2) ◽  
pp. 157-160
Author(s):  
Frans H. van Eemeren
2018 ◽  
Vol 7 (2) ◽  
pp. 141-156 ◽  
Author(s):  
Sarah Bigi

Abstract In this paper, argumentation practices will be discussed in view of their potential for favoring effective information sharing and the creation of ‘emergent common ground’, i.e. the common ground that is sought, created and co-constructed in the process of communication. Argumentation is usually tightly knit with information sharing: if the parties have not previously shared a sufficient amount of relevant knowledge, it is difficult for them to produce effective argumentation. Based on these premises, in this paper the argumentation stages of medical encounters will be viewed as opportunities to reveal and integrate insufficient common ground between clinicians and patients. By relying on the analysis of a corpus of real life encounters in a chronic care setting, the interaction between information sharing and argumentation will be shown, along with problematic cases of misunderstandings or ineffective argumentation due to lack of common ground. Implications for the clinical practice will be discussed.


2018 ◽  
Vol 7 (2) ◽  
pp. 120-137 ◽  
Author(s):  
Orit Karnieli-Miller ◽  
Galit Neufeld-Kroszynski

Abstract Recent research on medical communication discusses the role of argumentation in building physician-patient consensus to enhance shared decision-making. This paper focuses on the potential of using argumentation to establish the preliminary step of shared understanding of the diagnosis. This understanding is important in helping patients accept the disease and in increasing their involvement in care. We conducted an in-depth analysis of an observation of a medical encounter, triangulated with interviews with all participants, to illustrate how the lack of clear information and argumentation concerning the disease hindered the patient’s understanding and acceptance of it. This in turn led to difficulties in building a trusting relationship and in reaching treatment decisions. We discuss how using argumentation focused on the disease can allow a fruitful patient-centered discussion about the medical condition and treatment options.


2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.


2014 ◽  
Vol 31 (1) ◽  
pp. 91-124
Author(s):  
Michael Dorfman

In a series of works published over a period of twenty five years, C.W. Huntington, Jr. has developed a provocative and radical reading of Madhyamaka (particularly Early Indian Madhyamaka) inspired by ‘the insights of post- Wittgensteinian pragmatism and deconstruction’ (1993, 9). This article examines the body of Huntington’s work through the filter of his seminal 2007 publication, ‘The Nature of the M?dhyamika Trick’, a polemic aimed at a quartet of other recent commentators on Madhyamaka (Robinson, Hayes, Tillemans and Garfield) who attempt ‘to read N?g?rjuna through the lens of modern symbolic logic’ (2007, 103), a project which is the ‘end result of a long and complex scholastic enterprise … [which] can be traced backwards from contemporary academic discourse to fifteenth century Tibet, and from there into India’ (2007, 111) and which Huntington sees as distorting the Madhyamaka project which was not aimed at ‘command[ing] assent to a set of rationally grounded doctrines, tenets, or true conclusions’ (2007, 129). This article begins by explicating some disparate strands found in Huntington’s work, which I connect under a radicalized notion of ‘context’. These strands consist of a contextualist/pragmatic theory of truth (as opposed to a correspondence theory of truth), a contextualist epistemology (as opposed to one relying on foundationalist epistemic warrants), and a contextualist ontology where entities are viewed as necessarily relational (as opposed to possessing a context-independent essence.) I then use these linked theories to find fault with Huntington’s own readings of Candrak?rti and N?g?rjuna, arguing that Huntington misreads the semantic context of certain key terms (tarka, d???i, pak?a and pratijñ?) and fails to follow the implications of N?g?rjuna and Candrak?rti’s reliance on the role of the pram??as in constituting conventional reality. Thus, I find that Huntington’s imputation of a rejection of logic and rational argumentation to N?g?rjuna and Candrak?rti is unwarranted. Finally, I offer alternate readings of the four contemporary commentators selected by Huntington, using the conceptual apparatus developed earlier to dismiss Robinson’s and Hayes’s view of N?g?rjuna as a charlatan relying on logical fallacies, and to find common ground between Huntington’s project and the view of N?g?rjuna developed by Tillemans and Garfield as a thinker committed using reason to reach, through rational analysis, ‘the limits of thought.’


Author(s):  
Mitchell Green

We first correct some errors in Lepore and Stone’s discussion of speaker meaning and its relation to linguistic meaning. With a proper understanding of those notions and their relation, we may then motivate a liberalization of speaker meaning that includes overtly showing one’s psychological state. I then distinguish this notion from that of expression, which, although communicative, is less cognitively demanding than speaker meaning since it need not be overt. This perspective in turn enables us to address Lepore and Stone’s broadly Davidsonian view of figurative language, which rightly emphasizes the role of imagination and perspective-taking associated with such language, but mistakenly suggests it is sui generis relative to other types of pragmatic process, and beyond the realm of communication. Figurative utterances may influence conversational common ground, and may be assessed for their aptness; they also have a characteristically expressive role that a Davidsonian view lacks the resources to explain.


Author(s):  
Salma Shickh ◽  
◽  
Sara A. Rafferty ◽  
Marc Clausen ◽  
Rita Kodida ◽  
...  

2021 ◽  
Vol 11 (6) ◽  
pp. 517
Author(s):  
Martin Schulze ◽  
Georg Gosheger ◽  
Sebastian Bockholt ◽  
Marieke De Vaal ◽  
Tymo Budny ◽  
...  

The combination of 3D printing and navigation promises improvements in surgical procedures and outcomes for complex bone tumor resection of the trunk, but its features have rarely been described in the literature. Five patients with trunk tumors were surgically treated in our institution using a combination of 3D printing and navigation. The main process includes segmentation, virtual modeling and build preparation, as well as quality assessment. Tumor resection was performed with navigated instruments. Preoperative planning supported clear margin multiplanar resections with intraoperatively adaptable real-time visualization of navigated instruments. The follow-up ranged from 2–15 months with a good functional result. The present results and the review of the current literature reflect the trend and the diverse applications of 3D printing in the medical field. 3D printing at hospital sites is often not standardized, but regulatory aspects may serve as disincentives. However, 3D printing has an increasing impact on precision medicine, and we are convinced that our process represents a valuable contribution in the context of patient-centered individual care.


2010 ◽  
Vol 9 (2) ◽  
pp. 243-256 ◽  
Author(s):  
Lynne M. Getz

New Mexicans pride themselves on their ability to bridge multicultural divides. Part of what we are urged to understand as “enchanting” about the Land of Enchantment is its diverse cultural background. Native American, Hispano, and Anglo have existed side by side, at times with remarkable harmony and good will, for nearly two centuries. The Land of Enchantment is not altogether a fantasy. Many New Mexicans have shown an uncanny ability to bridge ethnic divides and find common ground in the interstices between cultures. The soil of New Mexico seems to be fertile ground indeed for producing cultural brokers. Margaret Connell Szasz admits that living in New Mexico makes her particularly attuned to the role of the cultural broker.


1997 ◽  
Vol 1 (1) ◽  
pp. 87-107 ◽  
Author(s):  
Eric Clarke ◽  
Richard Parncutt ◽  
Matti Raekallio ◽  
John Sloboda

Seven professional pianists were interviewed to gather their views on various aspects of piano fingering. The issues covered included technical considerations, the influence of interpretation and composers' markings on fingering, the effects of different Performance circumstances, and the role of teachers in determining fingering strategies. An analysis of the participants' responses revealed both a considerable amount of common ground in their attitudes to these matters, and some strikingly different attitudes. Five primary themes emerged: i) while Standard fingerings form the basis for these performers' strategies, a greater use of Standard fingerings in sight-read as opposed to rehearsed or memorised performance was predicted by the participants; ii) those performers with a deeper involvement in, and earlier exposure to, contemporary music considered themselves to have a less Standard approach to fingering; iii) physical considerations not only represent constraints on fingering, but also offer opportunities to employ positively pleasurable fingerings which may be highly idiosyncratic; iv) while interpretation is universally regarded as the primary determinant of finger choice, attitudes range from a refusal to contemplate a fingering until musical matters have been resolved to the belief that a Single best fingering can be found onto which interpretative choices are mapped; v) the participants appear to have good declarative knowledge of the more abstract and Strategic aspects of their approach to fingering, and essentially procedural knowledge of what they do in any particular circumstance, as found in previous research on motor skill.


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