Health care as participatory sense-making. An enactive perspective on relations between patients and health care providers

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F67985955%3A_____%2F25%3A00638921" target="_blank" >RIV/67985955:_____/25:00638921 - isvavai.cz</a>

Result on the web

<a href="https://doi.org/10.1007/s11299-024-00311-y" target="_blank" >https://doi.org/10.1007/s11299-024-00311-y</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s11299-024-00311-y" target="_blank" >10.1007/s11299-024-00311-y</a>

Result language

angličtina

Original language name

Health care as participatory sense-making. An enactive perspective on relations between patients and health care providers

Original language description

Participatory sense-making is already an established concept within enactivism. It is used to define the participatory nature of cognitive relations, designating that humans and other organisms make sense of their surrounding environments not just on their own. They build cooperative networks, working together, to create ways of making sense of the world. However, so far little attention has been paid to how enactive concepts, such as participatory sense-making, may apply to the field of bioethics, understood here as health care ethics. In this paper, I examine health care practices cases of participatory sense-making. The paper aims to show that relations between patients and health care providers (HCPs) can be understood as participatory sense-making relations. To make my case, I discuss the so-called phenomenological interview, as proposed technique in health care. I argue that this interview technique has essential features that can be viewed also as features of participatory sense-making. More specifically, the phenomenological interview is an open-minded, a critical, and pro-active dialogue between patient and health care provider that is meant for the patient to raise self-awareness of their body and medical condition, as well as of the social conditions that may affect that experience and condition. I will argue that phenomenological interviews are exemplary cases of patient-health care provider relations in which both parties actively work together to make sense of what the patient is going through and to find adequate medical responses to that experience. I will conclude by proposing normative guidance based on my analysis of health care practice as participatory sense-making. I argue that viewing patient-HCP relations as participatory sense-making may be helpful for both patients and health care providers in that it shows that health care practice is not just a technical exercise or routine task, but essentially relational and patient-oriented.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

60302 - Ethics (except ethics related to specific subfields)

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Mind & Society

ISSN

1593-7879

e-ISSN

1860-1839

Volume of the periodical

24

Issue of the periodical within the volume

1

Country of publishing house

CH - SWITZERLAND

Number of pages

21

Pages from-to

69-89

UT code for WoS article

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EID of the result in the Scopus database

2-s2.0-85206601562