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Titre Orientation culturelle et profession médicale. La relation thérapeutique dans les unités de rein artificiel et son environnement
Auteur Olgierd Kuty
Mir@bel Revue Revue Française de Sociologie
Numéro 1975, 16-2
Page 189-214
Résumé anglais Olgierd Kuty : Cultural Orientation and the Medical Profession : The Therapeutic Relationship in an Artificial Kidney Unit. The author searches for the independent variables at the origin of structures which he discovered within four medical units concerned with artificial kidneys. Two of these were Belgian ; two, French. Two types of structures appear, basically characterized by the following three traits : the more or less great homogeneization of the statute of the patients ; the differentiating or overlapping of the roles of patients and of professionals; and the kind of relationship with the family. Technology is not at the origin of these differences as Perrow's and Freidson's hypotheses, discussed herein, would have us believe. It is therefore necessary to turn toward the professional culture and extricate two types of orientation, two styles of interactions which characterize the relationships that doctors have with patients as well as those that they have among themselves. The collegial relationship, i.e., between colleagues, seems to play a determining role in structuring the therapeutic relationship. The concept of orientation, which basically emphasizes the degree of dependence and autonomy induced by the relationship, whether therapeutic or collégial, relies on a theory of power in human relationships.
Source : Éditeur (via Persée)
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