Diagnosing and Acting upon Dementia: Marte Meo

Ingunn Moser

Chapter 11 in Ethnographies of Diagnostic Work, 2010, pp 193-208 from Palgrave Macmillan

Abstract: Abstract Social studies of clinical problem solving in practice have worked to deconstruct cognitivist depictions of clinical reasoning and decision making. Rather than logical steps in a cognitive and unidirectional process, diagnosis and intervention are instead the end or even retrospect results of a complex process in which patient history, examination results, medical knowledge, established practice, technical and organisational arrangements, economic conditions, and other social and ethical concerns, are negotiated (Berg, 1992; Moser and Law, 2006; Goodwin, 2009). Further, a health problem is defined with the current therapeutic possibilities in view. This means that intervention or action is already intrinsic and built into the understanding of a problem in the first place. Marc Berg (1992) has argued that the way ‘patient problems’ are transformed into ‘solvable problems’ implies a disposal, an arrangement with a limited range of appropriate courses of action.

Keywords: Nursing Home; Video Recording; Solvable Problem; Care Approach; Dementia Care (search for similar items in EconPapers)
Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:pal:palchp:978-0-230-29693-0_11

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DOI: 10.1057/9780230296930_11

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