Health Communication Fudan Dec 09

Thomas A. Bauer, University of Vienna

Visiting Professor at Fudan University, Shanghai

Lecture Dec 09

www.thomasbauer.at

www.thomasbauer.at

www.thomasbauer.at

AS MODEL OF KNOWLEDGE:

Health and Illness: culturally programmed, interpretative configurations to order and to value H/I in relation to the meaning of life:H/I Concepts of Life facing the uncertainty of its meaning – in individual as in social-collective / cultural context of life

AS MODEL OF KNOWLEDGE:

Health and Illness: culturally programmed, interpretative configurations to order and to value H/I in relation to the meaning of life:H/I Concepts of Life facing the uncertainty of its meaning – in individual as in social-collective / cultural context of life

AS MODEL OF EVIDENCE:

Health and Illness:In formal languages defined complex in order to classify and the state and the process of life in the interest of counting chances and risks:Organizational concepts of definition (normatization) of style and way of life

AS MODEL OF EVIDENCE:

Health and Illness:In formal languages defined complex in order to classify and the state and the process of life in the interest of counting chances and risks:Organizational concepts of definition (normatization) of style and way of life

www.thomasbauer.at

HEALTH

INTUITIVE KNOWLEDGE

SCIENTIFIC KNOWLEDGE

HEALTH / ILLNESS DISTINCTIONAS CONCEPTS OF LIFE

HEALTH

INTUITIVE KNOWLEDGE

SCIENTIFIC KNOWLEDGE

HEALTH / ILLNESS DISTINCTIONAS CONCEPTS OF LIFE

COMMUNICATION

INTUITIVE COMMUNICATI0N

ORGANIZATIONAL DISCOURSE

DISTINCTION IN CONSIDERATION OF LIFE

COMMUNICATION

INTUITIVE COMMUNICATI0N

ORGANIZATIONAL DISCOURSE

DISTINCTION IN CONSIDERATION OF LIFE

HEALTH AS A SOCIO-CONTEXTUAL GOODHEALTH AS A SOCIO-CONTEXTUAL GOOD

PUBLIC GOOD PUBLIC GOOD

PERSONAL GOOD PERSONAL GOOD

POLIT-ECONOMICAL DISCOURSE

POLIT-ECONOMICAL DISCOURSE

PRIVATE MILIEU DISCOURSE

PRIVATE MILIEU DISCOURSE

Public Health Care Concepts

Health Care Management

Application Individual Care

Personal Style of Life

Communication Knowledge between Vision and RealityCommunication Knowledge between Vision and Reality

Vision of Meaning of Communication Vision of Meaning of Communication

Real Model – Communication Practice Real Model – Communication Practice

Scient. KnowledgeScient. Knowledge Intuitive TheoriesIntuitive Theories

Notion of Norms

Empirical Analysis

Critical Reflection

Pragmatism

Health/Illness Concept - Communicatively Generated Health/Illness Concept - Communicatively Generated Knowledge Knowledge

Ideal Notion of Health Ideal Notion of Health

Real Health Behaviour Real Health Behaviour

Scientific KnowledgeScientific

KnowledgeAlltagswissenAlltagswissen

Organization of normative discourse

Social distribution of organi-

zational knowledge on H/I

Cultural norm-discourse

Social distribution

of everyday cultural knowledge

Health-/ Illness Concepts - Knowledge in Codes of DominationHealth-/ Illness Concepts - Knowledge in Codes of Domination

Ideal Model: Meaning of Health Ideal Model: Meaning of Health

Real Model – Health Management Real Model – Health Management

Scientific KnowledgeScientific

KnowledgeIntuitive KnowledgeIntuitive Knowledge

Organisation of normative discourse

Social Distribution of

Organizational knowledge

Cultural normative discourse

Social distribution of

intuitive theories

HEALTH-/ ILLNESS KNOWLEDGE BETWEEN ORGANIZATION AND COMMUNICATIONHEALTH-/ ILLNESS KNOWLEDGE BETWEEN ORGANIZATION AND COMMUNICATION

Context of Life -Individual as PatientContext of Life -Individual as Patient

Nurse Nurse

PhysicianPhysician Management Management

DISTRIBUTION OF COMPETENCE THROUGH COMMUNICATION

Hospital Organisation

COMMUNICATION as Mode of Collectivization of Meaning

www.thomasbauer.at

CONGRUENCE-COMMUNICATION : Collectivization through similarity, congruence, affirmation, hierarchy as prevention of surprise: identity-partnership: we belong together, because we are similar: Definition of truth via prove of identity(closed social model: border as separation, distinction, territorialization) UNITY- PERSPECTIVE

DIFFERENCE-COMMUNICATION : Collectivization of difference and diversity, construction of reality, Heterarchy as source of surprise.Partnership made of difference: we belong together, because we need each other because we: truth vis prove of dialogue(open social model: border as source of differentiation: you are for me an interesting partner, because you think different DIVERSITY-PERSPECTIVE

DIFFERENCE-COMMUNICATION : Collectivization of difference and diversity, construction of reality, Heterarchy as source of surprise.Partnership made of difference: we belong together, because we need each other because we: truth vis prove of dialogue(open social model: border as source of differentiation: you are for me an interesting partner, because you think different DIVERSITY-PERSPECTIVE

www.thomasbauer.at

HIERARCHYHIERARCHY

HETERARCHYHETERARCHY

DISTANCEDISTANCE CLOSENESS

CLOSENESS

www.thomasbauer.at

HIERARCHYHIERARCHY

HETERARCHYHETERARCHY

DISTANCEDISTANCE CLOSENESSCLOSENESS

Regulating DiscourseRegulating Discourse

Contacting DiscourseContacting Discourse

Administrating Discourse

Administrating Discourse

Partizipatiing Discourse

Partizipatiing Discourse

CONGRUNCE-COMMUNICATION: DISCOURSE

Power, weakness, comsequences – Communication as determination?

Physician – Patient: Varying Knowledge, SAME Interpretation?Physicion – Nurse: Differing Competence, SAME Decision?Phycician/Nurse - Management: Different Fields of Responsibility, SAME Criteria?Hospital – Public Sphere:Manifold Stakes , SAME Strategies?

www.thomasbauer.at

DIFFERENCE–COMMUNICATION: DIALIGUE

POWER, WEAKNESS, CONSEQUENCES – Communication as Negotiation?

Physician – Patient: Varying Knowledge, Common Interpretation?Physician – Nurse: Differing Competences, COMMON Decision?Physician/Nurse– Management: Different Fields of Responsibility, Common Criteria?Hospital – Public Sphere:Different stakes, COMMON Strategies?

www.thomasbauer.at