@incollection{BeckerSpranzFogasy2017, author = {Maria Becker and Thomas Spranz-Fogasy}, title = {Empfehlen und Beraten: {\"A}rztliche Empfehlungen im Therapieplanungsprozess}, series = {Beraten in Interaktion. Eine gespr{\"a}chslinguistische Typologie des Beratens}, editor = {Ina Pick}, publisher = {Lang}, address = {Frankfurt am Main [u.a.]}, isbn = {978-3-631-67453-6}, url = {https://nbn-resolving.org/urn:nbn:de:bsz:mh39-65280}, pages = {163 -- 184}, year = {2017}, abstract = {In this chapter, a conversation-analytic approach is used to study medical recom­mendations as an essential part of medical advice. Tlte analyses are based on renal treatment planning conversations in which physicians inform patients about an upcoming dialysis thera­py. The data reveals that medical recommendations are marked throughout by their strikingly tentative and relativistic phrasing in which the conflict between physicians duty of care and the patient’s autonomy is obvious. The observed discrepancy between what should be said and what patients and physicians want to be said - and heard - not only gives reason to challenge the ethical and legal requirements concerning medical recommendations and their implications for medical practice, but also to rethink the current models of decision-making in medical communication.}, language = {de} }