Contemporary research on the communicative constitution of organization conceives organization as made up of multiple voices embodied in and enacted by the different actors inhabiting this social world. This paper illustrates the inner polyphony at play in the complex and sensitive workplace of an Intensive Care Unit. The study focuses on the diagnostic talk concerning infectious disease and on the communicative resources deployed by physicians to pursue or resist their often conflicting diagnostic trajectories and professional stances toward the use of antibiotics. Adopting a conversation analytical approach to video-recorded morning briefings, we will illustrate how polyphony characterises the team members’ conduct during this communicative event and the consequences this polyphony has on the decision-making process. As we will illustrate, in this as in most cases, the members of the community appear to be active users of their professional culture, yet are also — and unavoidably — its carriers.
American Thoracic Society and Infectious Disease Society of America
2005 “Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia.” American Journal of Respiratory and Critical Care Medicine 171 (4): 388–416.
Anspach, Renee R
1993Deciding Who Lives: Fateful Choices in the Intensive-care Nursery. Berkeley, CA: University of California Press.
Ashcraft, Karen L., Timothy R. Kuhn, and François Cooren
2009 “Constitutional Amendments: ‘Materializing’ Organizational Communication.” Academy of Management Annals 3 (1): 1–64.
Atkinson, Paul
1995Medical Talk and Medical Work. The Liturgy of the Clinic. London: Sage.
Atkinson, Paul
1999 “Medical Discourse, Evidentiality and the Construction of Professional Responsibility.” In Talk, Work and Institutional Order. Discourse in Medical, Mediation and Management settings, ed. by Srikant Sarangi, and Celia Roberts, 75–108. Berlin/New York: Mouton de Gruyter.
Bakhtin, Michael M
1981The Dialogic Imagination: Four Essays by M.M. Bakhtin. Austin, TX: University of Texas Press.
Bakhtin, Michael M
1984Rabelais and his World. Bloomington, IN: Indiana University Press.
Bazzanella, Carla
1996Repetition in Dialogue. Tubingen, DE: Niemeyer.
Bencherki, Nicolas, and François Cooren
2011 “Having to be: The possessive constitution of organization.” Human Relations, 641: 1579–1607.
Bourdieu, Pierre
1984Distinction: A Social Critique of the Judgement of Taste. London: Routledge. Originally published in Pierre Bourdieu, La distinction. Critique sociale du jugement (Paris: Les Éditions de Minuit, 1979).
Bourdieu, Pierre
1990The Logic of Practice. Stanford, CA: Stanford University Press. Originally published in Pierre Bourdieu, Le sens pratique (Paris: Les Éditions de Minuit, 1980).
Byrne, Patrick S., and Barrie E.L. Long
1976Doctors Talking to Patients: A Study of the Verbal Behaviours of Doctors in the Consultation. London, UK: HMSO.
Caronia, Letizia
2002La socializzazione ai media. Contesti, interazioni e pratiche educative [Media Socialization. Contexts, Interactions and Educational Practices]. Milano, IT: Guerini.
Caronia, Letizia, and Arturo Chieregato
2015 “Assembling (Non)Treatable Cases: Physicians’ Epistemic and Interactive Resources to Pursue and Resist an “Off-label” Policy in an Intensive Care Unit.” Paper presented at the annual ICA International Conference, San Juan, Puerto Rico, May 21–25.
Caronia, Letizia, and François Cooren
2014 “Decentering Our Analytical Position: The Dialogicity of Things.” Discourse & Communication 8 (1): 41–61.
Caronia, Letizia, and Luigina Mortari
2015 “The Agency of Things: How Spaces and Artefacts Organize the Moral Order of an Intensive Care Unit.” Social Semiotics 25 (4): 401–22.
Choo, Chun Wei
2005The Knowing Organization. How Organizations Use Information to Construct Meaning, Create Knowledge and Make Decision. Oxford, UK: Oxford University Press.
Cicourel, Aaron V
1986 “The Reproduction of Objective Knowledge: Commonsense Reasoning in Medical Decision Making.” In Contemporary Perceptions of Language: Interdisciplinary Dimensions, ed. by Heidi Byrnes, 48–78. Georgetown, DC: Georgetown University Press.
Cicourel, Aaron V
1987 “Cognitive and Organizational Aspects of Medical Diagnostic Reasoning.” Discourse Processes 10 (4): 346–367.
Cicourel, Aaron V
1992 “The Interpenetration of Communicative Contexts: Examples from Medical Encounters.” In Rethinking Contexts: Language as an interactive phenomenon, ed. by Alessandro Duranti, and Charles Goodwin, 291–310. Cambridge, MA: Cambridge University Press.
Cicourel, Aaron V
1999 “The Interaction of Cognitive and Cultural Models in Health Care Delivery.” In Talk, Work and Institutional Order. Discourse in Medical, Mediation and Management settings, ed. by Srikant Sarangi, and Celia Roberts, 183–224. Berlin/New York: Mouton de Gruyter.
Cooren, François
2004 “Textual agency: How Texts Do Things in Organizational Settings.” Organization 11 (3): 373–393.
Cooren, François
2006 “The Organizational World as a Plenum of Agencies.” In Communication as Organizing: Practical Approaches to Research into the Dynamic of Text and Conversation, ed. by François Cooren, James R. Taylor, and Elizabeth J. Van Every, 81–100. Mahwah, NJ: Lawrence Erlbaum.
2012 “Communication Theory at the Center: Ventriloquism and the Communicative Constitution of Reality.” Journal of Communication 62 (1): 1–20.
Cooren, François, Gail T. Fairhurst, and Romain Huët
2012 “Why Matter Always Matters in (Organizational) Communication.” In Materiality and Organizing: Social Interaction in a Technological World, ed. by Paul M. Leonardi, Bonnie A. Nardi, and Jannis Kallinikos, 296–314. Oxford, UK: Oxford University Press.
Cooren, François, and Sergeiy Sandler
2014 “Polyphony, Ventriloquism, and Constitution: In Dialogue with Bakhtin.” Communication Theory 24 (3): 225–244.
Eggiman, Philippe, and Didier Pittet
2001 “Infections Control in the ICU.” CHEST 120 (6): 2059–2093.
Erikson, Frederick
1999 “Local Identities and Presentation of Self as a Fellow Physician: Aspects of a Discourse of Apprenticeship in Medicine.” In Talk, Work and Institutional Order. Discourse in Medical, Mediation and Management settings, ed. by Srikant Sarangi, and Celia Roberts, 109–143. Berlin/New York: Mouton de Gruyter.
Fairhurst, Gail T
2004 “Textuality and Agency in Interaction Analysis.” Organization 11 (3): 335–353.
Garfinkel, Harold
2002Ethnomethodology’s Program. Working out Durkheim’s Aphorism. Lanham, MD: Rowman & Littlefield.
Goodwin, Charles
1994 “Professional Vision.” American Anthropologist 96 (3): 606–633.
Heath, Christian
1992 “The Delivery and Reception of Diagnosis and Assessment in General Practice Consultation.” In Talk at Work: Interaction in Institutional Settings, ed. by Paul Drew, and John Heritage, 235–267. Cambridge, MA: Cambridge University Press.
Heritage, John
1984Garfinkel and Ethnomethodology. Cambridge, MA: Cambridge University Press.
Heritage, John
1997 “Conversation Analysis and Institutional Talk: Analyzing Data.” In Qualitative Research: Theory, Method and Practice, ed. by David Silverman, 221–245. London, UK: Sage.
Heritage, John
2006 “Revisiting Authority in Physician-Patient Interaction.” In Diagnosis as Cultural Practice, ed. by Judith Felson Duchan, and Dana Kovarsky, 83–102. Berlin/New York: Mouton de Gruyter.
Heritage, John
2012 “Epistemics in Action: Action Formation and Territories of Knowledge.” Research on Language & Social Interaction 45 (1): 1–29.
Heritage, John, and Douglas W. Maynard
2006Communication in Medical Care: Interaction between Primary Care Physicians and Patients. Cambridge, MA: Cambridge University Press.
Heritage, John, and Geoffrey Raymond
2005 “The terms of agreement: Indexing epistemic authority and subordination in talk-in- interaction.” Social Psychology Quarterly, 681: 15–38.
Heritage, John, and Rod Watson
1979“Formulations as Conversational Objects.” In Everyday Language: Studies in Ethnometodology, ed. by George Psathas, 123–162. New York, NJ: Irvington Press.
Husserl, Edmund G.A
1954The Crisis of European Sciences and Trascendental Philosophy. Evantson, IL: Northwestern University Press.
Koschmann, Timothy, Curtis LeBaron, Charles Goodwin, and Paul Feltovich
2011 “ ‘Can You See the Cystic Artery Yet?’ A Simple Matter of Trust.” Journal of Pragmatics 43 (2): 521–541.
Maynard, Douglas W
1992 “On Clinicians’ Co-Implicating Recipients’ Perspective in the Delivery of Diagnostic News.” In Talk at Work: Interaction in Institutional Settings, ed. by Paul Drew, and John Heritage, 331–358. Cambridge, MA: Cambridge University Press.
Maynard, Douglas W
2003Bad News, Good News: Conversational Order in Everyday Talk and Clinical Settings. Chicago, IL: University of Chicago Press.
Mishler, Elliot G
1984The Discourse of Medicine: Dialectics of Medical Interviews. Norwood, NJ: Ablex.
Moerman, Michael
1988Talking Culture: Ethnography and Conversation Analysis. Philadelphia, PA: University of Pennsylvania Press.
Mondada, Lorenza
2011 “The Organization of Concurrent Courses of Action in Surgical Demonstration.” In Embodied Interaction: Language and Body in the Material World, ed. by Jürgen Streeck, Charles Goodwin, and Curtis LeBaron, 207–226. Cambridge, MA: Cambridge University Press.
Nicolini, Davide
2009 “Zooming in and out: Studying Practices by Switching Theoretical Lenses and Trailing Connections.” Organization Studies 30 (12): 1391–1418.
Niederman, Michael S
2005The clinical diagnosis of VAP. Respiratory Care 50 (6): 788–796.
Sacks, Harvey, Emmanuel A. Schegloff, and Gail Jefferson
1974“A symplest systematics for the organization of turn-taking for conversation.”Language 50(4): 696–735.
Sanchez Svenssson, Marcus, Paul Luff, and Christian Heath
2010 “Embedded Instruction in Practice: Contingency and Collaboration during Surgical Training.” Communication in healthcare settings. Policy, Participation and New Technologies, ed. by Alison Pilnick, John Hindmarsh, and Virginia Teas Gill, 99–116. Oxford, UK: Wiley-Blackwell.
Schegloff, Emmanuel
1987 “Between Micro and Macro. Context and other connections”. In The micro-macro link, eds. by Jeffrey C. Alexander, Bernhard Giesen, Richard Munch, and Neil J. Smelser, 207–234. Berkeley, CA: University of California Press.
Schegloff, Emmanuel
1992 “On talk and its institutional occasions”. In Talk at Work. Interaction in institutional settings, eds. by Paul Drew, and John Heritage, 101–134. Cambridge, MA: Cambridge University Press.
Schütz, Alfred
1962Collected Papers I: The Problem of Social Reality. Dordrecht, NL: Martinus Nijhoff Publishers.
Schütz, Alfred, and Thomas Luckmann
1973The Structure of the Life-world. Vol.11. Evanston, IL: Northwestern University Press.
Silverman, David
2005Doing Qualitative Research. A Practical Handbook. London, UK: Sage.
Stivers, Tania
2002 “Participating in Decisions about Treatment: Overt Parent Pressure for Antibiotic Medication in Pediatric Encounters.” Social Science & Medicine 54 (7): 1111–1130.
Stivers, Tania
2005 “Non-antibiotic Treatment Recommendations: Delivery Formats and Implications for Parents Resistance.” Social Science & Medicine 60 (5): 946–964.
Stivers, Tania
2006“Treatment decisions: negotiations between doctors and patients in acute care encounters.” In Communication in Medical Care: Interaction between Primary Care Physicians and Patients, eds. by John Heritage, and Douglas Maynard, 279–312. Cambridge, MA: Cambridge University Press.
Stivers, Tania
2007Prescribing Under Pressure. Parents-Physician Conversations and Antibiotics. Oxford, UK: Oxford University Press.
Stivers, Tania
2008 “Stance, Alignment, and Affiliation during Storytelling: When Nodding is a Token of Affiliation.” Research on Language & Social Interaction 41 (1): 31–57.
2018. How “at home” is an ethnographer at home? Territories of knowledge and the making of ethnographic understanding. Journal of Organizational Ethnography 7:2 ► pp. 114 ff.
2017. Assembling (non) treatable cases: The communicative constitution of medical object in doctor–doctor interaction. Discourse Studies 19:1 ► pp. 30 ff.
2020. Challenging the interprofessional epistemic boundaries: The practices of informing in nurse-physician interaction. Social Science & Medicine 246 ► pp. 112732 ff.
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