Dentist patient relationship: a cultural historical theoretical approach

Date

2010-01-29T22:05:02Z

Authors

Ardenghi, Diego Machado

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Abstract

This thesis is about ethics in the dentist-patient relationships. Using cultural-historical activity theory and discourse analysis as theoretical and methodological frameworks, I investigate (a) how ethics emerges in dentists' discourse when they talk about dental-patient relationships; (b) how dentists deal with conflicts that emerge in their interaction with the patients; and (c) how a dental clinic is organized and works on a daily basis. I also discuss the implications of a theory of unknowability of actions for dentistry practice. My database is composed of dentists' narratives during videotaped interviews, and an ethnographic study in a private dental clinic in Canada. I conclude that ethics is embodied in the dentists' actions; that the development of phronesis helps dentists to solve conflicts in the workplace: and that the trajectory of the dental treatment is conducted in states through a complex division of labor and often in more than one activity system.

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Keywords

dentists, patients, ethics, Canada

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