This article critically examines the significance of relational approaches for sociological understandings of clinical interactions, relations and practices, by exploring the ways in which relational theories and concepts have been employed in the recent sociological accounts of clinical encounters to trouble the classical dyadic models of clinical interaction and the related atomistic conceptions of agency and accountability. Reading this work through the theoretical contributions from feminist science studies scholarship, and particularly the work of Donna Haraway and Karen Barad, the article proposes an alternative understanding of clinical interactions, relations and practices, where relations are conceived as constitutive of individuals (objects/bodies and their attributes/identities), rather than being constituted by encounters between individuals. Key for this understanding is the reconceptualisation of clinical encounter as an apparatus of bodily production through which different agents (patients, clinicians, diseases and healthcare services) are materialised and enacted.
BaradK (2001) Re(con)figuring space, time and matter. In: DeKovenM (ed.) Feminist Locations: Global and Local, Theory and Practice. New Brunswick, NJ; London: Rutgers University Press, pp. 75–109.
2.
BaradK (2003) Posthumanist performativity: Toward an understanding of how matter comes to matter. Signs28(3): 801–831.
3.
BaradK (2007) Meeting the Universe Halfway: Quantum Physics and the Entanglement of Matter and Meaning. Durham, NC; London: Duke University Press.
4.
BaradK (2012) On touching – The inhuman that therefore I am. Differences: A Journal of Feminist Cultural Studies23(5): 206–223.
5.
ChodorowN (1978) The Reproduction of Mothering. Berkeley, CA: University of California Press.
6.
CrossleyN (2011) Towards Relational Sociology. London: Routledge.
7.
CrossleyN (2015) Relational sociology and culture: A preliminary framework. International Review of Sociology25(1): 65–85.
8.
DépelteauF (2015) Relational sociology, pragmatism, transactions and social fields. International Review of Sociology25(1): 45–64.
9.
DonatiP (2010) Relational Sociology: A New Paradigm for the Social Sciences. London: Routledge.
10.
DonatiP (2015) Manifesto for a critical realist relational sociology. International Review of Sociology25(1): 86–109.
11.
DownieJLlewellynJJ (eds) (2012) Being Relational: Reflections on Relational Theory and Health Law. Vancouver, BC, Canada: University of British Columbia Press.
12.
ElwynGLloydAMayCet al. (2014) Collaborative deliberation: A model for patient care. Patient Education and Counseling97(2): 158–164.
13.
EmirbayerM (1997) Manifesto for a relational sociology. American Journal of Sociology103(2): 281–317.
14.
EpsteinRM (2013) Whole mind and shared mind in clinical decision-making. Patient Education and Counseling90(2): 200–206.
15.
GilliganC (1982) In a Different Voice: Psychological Theory and Women’s Development. Cambridge, MA; London: Harvard University Press.
16.
GoodwinD (2009) Acting in Anaesthesia: Ethnographic Encounters with Patients, Practitioners and Medical Technologies. Cambridge: Cambridge University Press.
17.
GoodwinD (2014) Decision-making and accountability: Differences of distribution. Sociology of Health and Illness36(1): 44–59.
18.
HarawayD (1988) Situated knowledges: The science question in feminism and the privilege of partial perspective. Feminist Studies14(3): 575–599.
19.
HarawayD (1994) A game of cat’s cradle: Science studies, feminist theory, cultural studies. Configurations2(1): 59–71.
HarawayD (2008) When Species Meet. Minneapolis, MN; London: Minnesota University Press.
22.
JohanssonJAndrénOAnderssonSet al. (2004) Natural history of early, localized prostate cancer. Journal of American Medical Association291(22): 2713–2719.
23.
KazimierczakKASkeaZC (2015) ‘I’ve used the word cancer but it’s actually good news’: Discursive performativity of cancer and the identity of urological cancer services. Sociology of Health & Illness37(3): 340–354.
24.
KellerJ (1997) Autonomy, relationality, and feminist ethics. Hypatia12(2): 152–164.
25.
KirbyV (2011) Quantum Anthropologies. Durham, NC; London: Duke University Press.
26.
LawJ (2009) Actor network theory and material semiotics. In: TurnerBS (ed.) The New Blackwell Companion to Social Theory. Chichester, Malden, MA: Wiley-Blackwell, pp. 141–158.
27.
MackenzieCStoljarN (eds) (2000) Relational Autonomy: Feminist Perspectives on Autonomy, Agency, and the Social Self. New York: Oxford University Press.
28.
MayC (2007) The clinical encounter and the problem of context. Sociology41(1): 29–45.
29.
MayC (2011) Mundane medicine, therapeutic relationships and the clinical encounter: Current and future agendas for sociology. In: PescosolidoBAMartinJKMcLeodJDet al. (eds) Handbook of the Sociology of Health, Illness and Healing: A Blueprint for 21st Century. New York: Springer, pp. 309–322.
30.
MayCEtonDTBoehmerKet al. (2014) Rethinking patient: Using burden of treatment theory to understand the changing dynamics of illness. BMC Health Services Research14: 281–292.
31.
MayCRapleyTMoreiraTet al. (2006) Technogovernance: Evidence, subjectivity, and the clinical encounter in primary care medicine. Social Science & Medicine62(4): 1022–1030.
32.
MolA (2008) I eat an apple: On theorizing subjectivities. Subjectivity22(1): 28–37.
33.
MoserI (2011) Dementia and the limits to life: Anthropological sensibilities, STS interferences, and possibilities for action in care. Science, Technology and Human Values36(5): 704–722.
34.
MützelS (2009) Networks as culturally constituted processes: A comparison of relational sociology and actor-network theory. Current Sociology57(6): 871–887.
35.
National Institute for Health and Care Effectiveness (NICE) (2002) Guidance on cancer services: Improving outcomes in urological cancers: The manual. London: NICE.
36.
National Institute for Health and Care Effectiveness (NICE) (2008) Prostate cancer: Diagnosis and treatment. London: NICE.
37.
NoddingsN (2013) Caring: A Relational Approach to Ethics and Moral Education. Oakland, CA: University of California Press.
38.
ParsonsT (1951) The Social System. London: Routledge.
39.
PrandiniR (2015) Relational sociology: A well-defined sociological paradigm or a challenging ‘relational turn’ in sociology?International Review of Sociology25(1): 1–14.
40.
Puigde laBellacasaM (2011) Matters of care in technoscience: Assembling neglected things. Social Studies of Science41(1): 85–106.
41.
Puigde laBellacasaM (2012) ‘Nothing comes without its world’: Thinking with care. Sociological Review60(2): 197–216.
42.
RaddenJ (1996) Relational individualism and feminist therapy. Hypatia1(3): 71–96.
43.
RapleyT (2008) Distributed decision-making: The anatomy of decisions-in-actions. Sociology of Health and Illness30(3): 429–444.
44.
SomersM (1994) The narrative constitution of identity: A relational and network approach. Theory and Society23(5): 605–649.
45.
StruhkampR (2005) Patient autonomy: A view from the kitchen. Medicine, Health Care and Philosophy8(1): 105–114.
