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Thomas A. Bauer, University of Vienna Visiting Professor at Fudan University, Shanghai Lecture Dec 09 www.thomasbauer.at
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AS MODEL OF KNOWLEDGE: Health and Illness: culturally programmed, interpretative configurations to order and to value H/I in relation to the meaning of life: H/I Concepts of Life facing the uncertainty of its meaning – in individual as in social-collective / cultural context of life AS MODEL OF KNOWLEDGE: Health and Illness: culturally programmed, interpretative configurations to order and to value H/I in relation to the meaning of life: H/I Concepts of Life facing the uncertainty of its meaning – in individual as in social-collective / cultural context of life AS MODEL OF EVIDENCE: Health and Illness: In formal languages defined complex in order to classify and the state and the process of life in the interest of counting chances and risks: Organizational concepts of definition (normatization) of style and way of life AS MODEL OF EVIDENCE: Health and Illness: In formal languages defined complex in order to classify and the state and the process of life in the interest of counting chances and risks: Organizational concepts of definition (normatization) of style and way of life
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www.thomasbauer.at HEALTH INTUITIVE KNOWLEDGE SCIENTIFIC KNOWLEDGE HEALTH / ILLNESS DISTINCTION AS CONCEPTS OF LIFE HEALTH INTUITIVE KNOWLEDGE SCIENTIFIC KNOWLEDGE HEALTH / ILLNESS DISTINCTION AS CONCEPTS OF LIFE COMMUNICATION INTUITIVE COMMUNICATI0N ORGANIZATIONAL DISCOURSE DISTINCTION IN CONSIDERATION OF LIFE COMMUNICATION INTUITIVE COMMUNICATI0N ORGANIZATIONAL DISCOURSE DISTINCTION IN CONSIDERATION OF LIFE
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HEALTH AS A SOCIO-CONTEXTUAL GOOD HEALTH AS A SOCIO-CONTEXTUAL GOOD PUBLIC GOOD PERSONAL GOOD POLIT-ECONOMICAL DISCOURSE PRIVATE MILIEU DISCOURSE Public Health Care Concepts Health Care Management Application Individual Care Personal Style of Life
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Communication Knowledge between Vision and Reality Communication Knowledge between Vision and Reality Vision of Meaning of Communication Real Model – Communication Practice Scient. Knowledge Intuitive Theories Notion of Norms Empirical Analysis Critical Reflection Pragmatism
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Health/Illness Concept - Communicatively Generated Knowledge Health/Illness Concept - Communicatively Generated Knowledge Ideal Notion of Health Real Health Behaviour Scientific Knowledge Alltagswissen Organization of normative discourse Social distribution of organi- zational knowledge on H/I Cultural norm-discourse Social distribution of everyday cultural knowledge
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Health-/ Illness Concepts - Knowledge in Codes of Domination Health-/ Illness Concepts - Knowledge in Codes of Domination Ideal Model: Meaning of Health Real Model – Health Management Scientific Knowledge Intuitive Knowledge Organisation of normative discourse Social Distribution of Organizational knowledge Cultural normative discourse Social distribution of intuitive theories
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HEALTH-/ ILLNESS KNOWLEDGE BETWEEN ORGANIZATION AND COMMUNICATION HEALTH-/ ILLNESS KNOWLEDGE BETWEEN ORGANIZATION AND COMMUNICATION Context of Life -Individual as Patient Nurse Physician Management DISTRIBUTION OF COMPETENCE THROUGH COMMUNICATION Hospital Organisation
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COMMUNICATION as Mode of Collectivization of Meaning www.thomasbauer.at CONGRUENCE- COMMUNICATION : Collectivization through similarity, congruence, affirmation, hierarchy as prevention of surprise: identity- partnership: we belong together, because we are similar: Definition of truth via prove of identity (closed social model: border as separation, distinction, territorialization) UNITY- PERSPECTIVE DIFFERENCE-COMMUNICATION : Collectivization of difference and diversity, construction of reality, Heterarchy as source of surprise. Partnership made of difference: we belong together, because we need each other because we: truth vis prove of dialogue (open social model: border as source of differentiation: you are for me an interesting partner, because you think different DIVERSITY-PERSPECTIVE DIFFERENCE-COMMUNICATION : Collectivization of difference and diversity, construction of reality, Heterarchy as source of surprise. Partnership made of difference: we belong together, because we need each other because we: truth vis prove of dialogue (open social model: border as source of differentiation: you are for me an interesting partner, because you think different DIVERSITY-PERSPECTIVE
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www.thomasbauer.at HIERARCHY HETERARCHY DISTANCE CLOSENESS
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www.thomasbauer.at HIERARCHY HETERARCHY DISTANCE CLOSENESS Regulating Discourse Contacting Discourse Administrating Discourse Partizipatiing Discourse
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CONGRUNCE-COMMUNICATION: DISCOURSE Power, weakness, comsequences – Communication as determination? Physician – Patient: Varying Knowledge, SAME Interpretation? Physicion – Nurse: Differing Competence, SAME Decision? Phycician/Nurse - Management: Different Fields of Responsibility, SAME Criteria? Hospital – Public Sphere: Manifold Stakes, SAME Strategies? www.thomasbauer.at
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DIFFERENCE–COMMUNICATION: DIALIGUE POWER, WEAKNESS, CONSEQUENCES – Communication as Negotiation? Physician – Patient: Varying Knowledge, Common Interpretation? Physician – Nurse: Differing Competences, COMMON Decision? Physician/Nurse– Management: Different Fields of Responsibility, Common Criteria? Hospital – Public Sphere: Different stakes, COMMON Strategies? www.thomasbauer.at
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