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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.
The following analysis explores the nature of everyday activities of people in economic leadership positions. It inquires as to the institutions and people they are in contact with, and the way they communicate with them. First, I will present existing studies in this field and the ethnographic procedure of this study. I will then describe the communicative activities of high-level personnel and their communication networks based on observations. These are then linked to their communicative tasks and types of interaction. Finally, I will discuss some characteristics of the communicative style.