Marjoribanks T, Good M J, Lawthers A G, Peterson L M
Department of Social Medicine, Harvard Medical School, Boston MA 02115, USA.
J Health Soc Behav. 1996 Jun;37(2):163-78.
Recent analyses of the professions have considered the question of the changing nature of professional power. This study is an interpretive analysis of the meaning of physicians' discourse in the face of a perceived challenge to the traditional boundaries of clinical practice from malpractice suits. The data for this analysis were drawn from interviews with physicians from three specialties and from documents produced by the AMA/Specialty Society. Four modes of discourse were observed: (1) affective lament; (2) rejection of tort law; (3) complaints about a deterioration in the culture of clinical practice; and (4) a call for active campaigning. Analysis of the modes of discourse highlights both the ways in which professional power is subjected to challenge and the forms of political, financial, and cultural struggle that professional organizations and individuals engage in to resist such challenges.
近期对各职业的分析探讨了职业权力性质变化的问题。本研究是一项解释性分析，旨在探究面对医疗事故诉讼对临床实践传统界限构成的明显挑战时，医生话语的意义。该分析的数据来自对三个专业领域医生的访谈以及美国医学协会/专业协会所产生的文件。观察到四种话语模式：（1）情感哀叹；（2）对侵权法的拒绝；（3）对临床实践文化恶化的抱怨；（4）呼吁积极开展活动。对话语模式的分析既凸显了职业权力受到挑战的方式，也展现了专业组织和个人为抵制此类挑战而进行的政治、财务和文化斗争的形式。
