The Impossible Clinic


Book Description

Once considered revolutionary, evidence-based medicine (EBM) has failed. The Impossible Clinic explores the conundrum of EBM’s attempt to translate evidence from medical research into recommendations for practice. Ironically, when medical institutions combine disciplinary regulations with EBM to produce clinical practice guidelines, the outcomes are antithetical to the aim. Such guidelines fail to increase individual physicians’ decision-making capacities – as EBM promises – because they externalize judgment through disciplinary control. Ariane Hanemaayer uses a critical sociology approach to argue that EBM persists because it has congealed within the dominant liberal political strategy of governance, which seeks to improve health care “at a distance,” at the least cost, and without investment in infrastructure. As such, The Impossible Clinic is the first book to interrogate the history, practice, and pitfalls of EBM and explain how it persists due to intersecting relationships between professional medical regulation and liberal governance strategies.




Clinic


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An Impossible Inheritance


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Weaving sound historical research with rich ethnographic insight, An Impossible Inheritance tells the story of the emergence, disavowal, and afterlife of a distinctive project in transcultural psychiatry initiated at the Fann Psychiatric Clinic in Dakar, Senegal during the 1960s and 1970s. Today’s clinic remains haunted by its past and Katie Kilroy-Marac brilliantly examines the complex forms of memory work undertaken by its affiliates over a sixty year period. Through stories such as that of the the ghost said to roam the clinic’s halls, the mysterious death of a young doctor sometimes attributed to witchcraft, and the spirit possession ceremonies that may have taken place in Fann’s courtyard, Kilroy-Marac argues that memory work is always an act of the imagination and a moral practice with unexpected temporal, affective, and political dimensions. By exploring how accounts about the Fann Psychiatric Clinic and its past speak to larger narratives of postcolonial and neoliberal transformation, An Impossible Inheritance examines the complex relationship between memory, history, and power within the institution and beyond.




The Clinic


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Enchantments of the Clinic


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Reflecting on his experience in the clinical trenches, a pragmatic existential therapist offers a provocative study of power, erotic influence, and illusion in the clinical relationship. Written in a conversational style that makes a challenging subject accessible to specialists in the clinical professions, teachers and students of the psychological disciplines, and scholars in the humanities and social sciences, Enchantments of the Clinic introduces readers to interesting ways in which language, ideas, and speech as well as illusions of the clinical station enable therapists to cast an unintentional spell that captivates and charms unsuspecting patients. Exposing this suggestive underworld of clinical experience, where the high-stakes game of persuasive dialogical therapy is often won or lost, critical attention is focused on the erotization of the clinic, the erotization of the clinician, and the erotization of clinical confession. Using dramatic examples from clinical practice, Carl P. Ellerman challenges prevailing dogmas of the therapeutic to demonstrate his thesis that enchantments of the clinic facilitate psychological healing if managed well, but if mismanaged, these volatile erotic enchantments may undermine the struggle against emotional illness in the clinical trenches. This ambitious study of the clinical relationship also addresses the disturbing fact that we are dwelling in a postmodern era in which clinical nihilism is flourishing. Ellerman conceives the dialogical therapist as a potentially dangerous, ethically vulnerable therapeutic artiste, whose strategic encounters in the postmodern clinic may be likened to aesthetic experiences in which an education to reality and a love of truth are obsolete or irrelevant, notwithstanding a clinical masquerade that reinforces in spellbound patients a blind trust in the phantastic therapist's honesty, truthfulness, and intellectual integrity. Embracing the Socratic mystique, Ellerman offers a vigorous philosophic critique of clinical nihilism while warning readers of the communal risks involved in surrendering the perennial quest for truth.




The Alkaloidal Clinic


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Management Lessons from the Mayo Clinic (PB)


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Management Lessons from Mayo Clinic reveals for the first time how this complex service organization fosters a culture that exceeds customer expectations and earns deep loyalty from both customers and employees. Service business authority Leonard Berry and Mayo Clinic marketing administrator Kent Seltman explain how the Clinic implements and maintains its strategy, adheres to its management system, executes its care model, and embraces new knowledge - invaluable lessons for managers and service providers of all industries. Drs. Berry and Seltman had the rare opportunity to study Mayo Clinic's service culture and systems from the inside by conducting personal interviews with leaders, clinicians, staff, and patients, as well as observing hundreds of clinician-patient interactions. The result is a book about how the Clinic's business concept produces stellar clinical results, organizational efficiency, and interpersonal service. By examining the operating principles that guide every management decision at this legendary healthcare institution, the authors Demonstrate how a great service brand evolves from the core values that nourish and protect it Extrapolate instructive business lessons that apply outside healthcare Illustrate the benefits of pooling talent and encouraging teamwork Relate historical events and perspectives to the present-day Mayo Clinic Share inspiring stories from staff and patients An innovative analysis of this exemplary institution, Management Lessons from Mayo Clinic presents a proven prescription for creating sustainable service excellence in any organization.




The Chicago Clinic


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The Lancet-clinic


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Clinical Medicine


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