Abandonment

, 4, 23, 65–67, 85, 99–107, 115, 121

Activity contamination

, 47

Activity-passivity model

, 9

Advice giver category

, 73–75, 84, 87

Advice giving

, 33, 72–73, 75, 84

Affective neutrality

, 86

Affirmative care

, 107, 108, 114

Affordable Care Act

, 13

Agency, human

, 29

Agency, patient or client

, 20–21, 29, 35, 79–81, 88–89, 116, 130

Agenda setting, patient or client led

, 51–55, 84

Amniocentesis

, 64, 69, 103

Antimicrobial resistance

, 43–46, 61

Asymmetry, in doctor patient encounter

, 8, 20, 24, 72, 89, 90–91, 98, 121, 123, 125

Auspicious interpretation

, 69–70, 75, 104

Authority

deontic

, 85, 92–94, 97, 99, 101, 102, 105–106, 121, 125

epistemic

, 85, 93, 94, 97, 99, 101, 104, 121, 125

Autonomy

, 10, 99–107

and individual choice

, 7, 21–22, 24–25, 37, 42, 46, 51, 85, 113–115

limits of

, 115–117

and professionalism

, 22–23

rise of

, 20–21

Autonomy, patient

, 7, 10, 20–23, 65, 67, 115–116, 118

Autonomy, relational

, 22, 42, 59, 115–116

Balint, Enid

, 8

Balint, Michael

, 7–8, 121–122

Balint’s approach

, 8

Beneficence

, 21, 76, 82, 84, 115

Bio-psychosocial perspective

, 8, 12

Bioethical approach

, 21

Bioethics

, 17, 21, 76

Broad questions, use of

, 10, 48–51

Capacity, for self-determination

, 21, 24, 35, 38, 108, 116

Checklist-based approaches

, 4, 18, 20, 27, 35, 51, 58, 67, 76, 111, 117–118, 124–125

Choice, as an ideological device

, 118

Choice, consumer

, 24, 113–115, 118

Choice, individual

, 7, 21–22, 24–25, 37, 42, 46, 51, 85, 113–115

Choice, patient

, 15, 22, 35, 45, 58, 61, 83, 92, 105, 113–115

Choice concept

, 101

Choice in context

, 117–119

Choice-centred conceptualisation of medicine

, 85

Chronic illness

, 9, 72, 86, 97–99

Chronic illness context, expertise in

, 97–99

Client-led agenda setting

, 51–55

Clinical judgement

, 100–101

Clinical practice guidelines

, 115–116

Co-design, of services and care pathways

, 122

Code and count tradition

, 11

Communication

impairments

, 76

problem of communication in healthcare

, 41–42

skills training

, 33, 49, 76, 112

Complicity of social science

, 119–122

Concordance

, 10

Conflict

limitations of training as solution to interactional conflict in healthcare

, 83–84

problem of managing conflicting moral norms in interaction

, 76–83

Constituting expertise in interaction

, 94–97

Consumer choice, limitations as applied to healthcare

, 113–115

Consumer

, 14, 24, 112

Consumerism

, 5, 14, 24, 108, 112, 113, 114, 122

Consumerist models of medicine

, 114

Context, expertise in

, 117–119

Control, of healthcare interactions

, 12, 16, 21, 35–37, 44–46, 54, 61, 63, 67, 68, 83, 88–92

Conversation analysis (CA)

, 27, 101

as method for studying healthcare interactions

, 28–33

research in primary care

, 91

specific contribution of

, 123–125

COVID-19 vaccination

, 85

Cultural relativity

, 120

Decision making, bilateral

, 106

Decision making, distributed

, 119

Decision making, shared

, 3, 7, 15–20, 35, 46, 59, 67, 92, 101, 104, 106, 111, 118, 123

Decision making, unilateral

, 106

Deontic authority

, 85, 92–94, 97, 99, 101, 102, 105–106, 121, 125

Diagnosis/treatment-oriented interaction

, 14

Doctor-as-person

, 12

Doctor–patient interaction

, 28, 31, 50, 88–92, 117

Doctor–patient relationship

, 3, 8, 9, 12, 19, 31, 36, 57, 90, 118–120

Dominance, interactional

, 89, 90–91

Doorknob phenomenon

, 48

Double bind, for professionals

, 89–90, 107

Double bind, for patients

, 89–90, 106

Effectiveness of PCC

, 14–16

Epistemic authority

, 85, 93–94, 97, 99, 101, 104, 121, 125

Epistemic primacy

, 24

Epistemic stance

, 93, 104

Epistemic status

, 93, 104

Epistemics

, 92, 101

Epistemics of experience

, 4, 85, 104, 106, 122

Epistemics of expertise

, 104, 122

Essential tension

, 70, 71

Ethnomethodology

, 29, 31, 34, 86

Eugenics

, 51, 63

Expert patient

, 115, 119

Expertise

, 85

autonomy, abandonment and

, 99–106

constituting expertise in interaction

, 94–97

in context

, 117–119

in context of chronic illness

, 97–99

Expertise by experience

, 119

Face, loss of

, 72

Face threat

, 55, 73, 81, 108

Garfinkel, Harold

, 29, 31, 34, 61

Genetic counselling

, 3, 33, 51, 66

Genetic medicine

, 51, 99

Goffman, Erving

, 31, 108, 116

Guidance-co-operation model

, 9

Habermas, Jurgen

, 10

Hall, Stuart

, 88

Health Education England

, 1

Health Foundation

, 12, 13, 21, 23, 87

Healthcare

conversation analysis as method for studying healthcare interactions

, 28–33

good organisational reasons for bad healthcare practice

, 34–35

limitations of consumer choice as applied to

, 113–115

problem of communication in

, 27–28

talk, compared with ordinary talk

, 46–48

Holism

, 8

Imperatives, moral

, 76, 82

Imperatives, organizational

, 2, 4, 27, 34–35, 41, 42, 46

Interactional conflict in healthcare

, 4, 83–84

Interactional difficulty of non-directiveness

, 62–68

Interactional dominance

, 89, 91

Interactional dysfunctions

, 47, 58–59, 71

Interactional norms

, 4, 30, 50, 61, 70, 71, 73, 75, 83, 84, 124

Interactional submission

, 91

International Alliance of Patient Organisations

, 12

Jargon, use of

, 97–98

Jefferson, Gail

, 29, 73

Legitimacy

, 21, 57, 99, 124

Logic of care

, 21, 105, 123

Logic of choice

, 21, 46, 66–67, 87, 105, 123

Meaning-making in healthcare interaction

, 64, 66

Medicine

, 97, 125–126

sociology in

, 5, 120

sociology of

, 5, 119

Mental Health Act

, 87

Mishler, Elliott

, 10, 11, 74–75, 103–104, 123

Modern Western psychiatry

, 86

Moral dimensions of healthcare

, 56, 72

Moral norms in interaction

, 30, 61, 75–83

Moral principles, in policy making

, 76, 84, 125

Mutual participation model

, 9

National Institute for Health and Care Excellence (NICE)

, 16, 76, 116

Neo-liberalism

, 21, 66, 88

Non-compliance

, 10, 114

Non-directiveness, interactional difficulty of

, 62–68

One-size-fits-all approach

, 9, 27, 58, 84

problem with

, 46–48, 117–119

Open-ended questions. See Broad questions

Ordinary talk as compared with healthcare talk

, 46–48

Orphan consultations

, 118

Parsons, Talcott

, 8, 20, 29, 31, 57, 86–87, 98, 111, 115

Passivity, patient

, 9, 58

Paternalism

, 11, 58, 62, 92, 97, 99, 117, 125

Patient troubles telling

, 73–75

Patient affirmation

, 85, 107–109

Patient autonomy

, 7, 10, 20–23, 65, 67, 115–116

Patient centred care (PCC)

and the complicity of social science

, 119–122

conversation analysis as method for studying

, 28–33

difficulties of distinguishing between good and bad practice

, 58–59

evidence for effectiveness of

, 14–16

and good organisational reasons for bad healthcare practice

, 34–35

and limitations of consumer choice as applied to healthcare

, 113–115

and limits of autonomy

, 115–117

person centred care vs.

, 23–26

pervasiveness of

, 26

shared decision-making and

, 16–20

Patient centred medicine (PCM)

, 2, 10–12, 16, 23, 78, 101, 111, 123

Patient Centred Outcomes Research Institute

, 13

Patient dependency

, 9

Patient engagement

, 67, 118

Patient-as-person

, 12

Patient-centredness

, 11, 14, 125

Patient-led agenda setting

, 51–55

Patient-oriented medicine

, 8, 117, 119, 122

Person centred care

, 1, 2, 7, 13, 23–26

Person-centred interaction

, 62

Personal health

, 43–46

Personhood

, 24–26, 76

Professional autonomy

, 115

Professionalism

, 86–87, 106

autonomy and

, 22–23

Progressivity

, 89, 91

Psychoanalysis

, 86

Psychotherapy

, 24, 33, 62–63, 93, 109, 117

Public health

, 42–47

Quality of shared decisions

, 17–18

Question design, the impact of

, 38, 47, 50

Refusal, of requests

, 76–78, 82

Relational autonomy

, 22, 42, 59, 116

Risk, communication of

, 33, 64

Risk, to health

, 97, 129, 136

Rogers, Carl

, 24, 62

Role convergence

, 22

Roter Interaction Analysis System (RIAS)

, 11

Sacks, Harvey

, 29, 73, 75

Schegloff, Emmanuel

, 29

Shared decision making (SDM)

, 3, 7, 15–20, 35, 46, 59, 67, 92, 101, 104, 106, 111, 118, 123

Sick role model

, 8, 22, 46, 57, 98, 115

Smoking cessation

, 55, 57, 61, 74

Social science, complicity of

, 119–122

Sociology in medicine

, 5, 120

Sociology of medicine

, 5, 119

Sociology of professions

, 87

Structural functionalism

, 29

Struggle for control

, 4, 16, 21, 85, 88–92, 108

Theory of communicative action, Habermas’

, 10

Theory/practice gap

, 111

Therapeutic alliance

, 12

Therapeutic citizenship

, 46

Treatment recommendations

, 32, 43, 45, 47, 88, 92, 105

Troubles telling

, 73–75

Trust

, 51, 76, 87, 117, 121

UK Department of Health

, 1, 33, 40, 71, 98, 114, 121

UK National Institute of Clinical Excellence

, 97, 116

Uncertainty

, 35, 68–71, 75, 95

US Patient Centered Outcomes Research Institute

, 2

Values-based policy

, 121, 125

Voice of medicine, the

, 103

Voice of the lifeworld, the

, 10, 76, 103

Waitzkin, Howard

, 28, 32, 44, 123

World Health Organisation (WHO)

, 23, 43