|Section 2: Exercise 5 More on power imbalances
The following photograph was taken on the wards by a photographer/surgeon. Describe what you see, and then answer the questions below.
Andreas Schreiber, Unititled. With permission.
- What does this photograph say about the structured nature of power?How do conventions and rituals reaffirm power relationships?
- Listen to another comment by Dr. McCann.
Whose problem is McCann's experience? Discuss the role of hospital rituals--give examples of how they may empower or disempower individuals.
- Give examples from what you have seen in your clinical sites that illustrate how seating arrangements, dress, order of entry and other formalities depict hierarchical relationships.
- Is the doctor-patient hierarchy necessarily a negative? Can you identify a transition where it stops being a negative and becomes a positive?What might justify a power imbalance? The clinical correlate will provide you with some references to use in your answer. Clinical correlate 6: Doctor as placebo Imagine an illustrative scenario.
- Now imagine a scenario where there is a conflict between the patient and the doctor around the issue of power; for example, when the patient makes a decision against medical advice. How would you handle such a conflict?