risk + representation
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Image: A microscopic conceptual visualization of breast cancer cells
Risk & Representation: A Tumor Board StudyChrista B. Teston | Kent State University
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Haas & Witte (2001); Bracewell & Witte (2003); Bazerman (1994); Bazerman & Prior (2004); Barton (2004); Sauer (1996); Medway (1996); Winsor (2001)
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See Herndl, Fennell, and Miller (1991); Walzer & Gross (1994); Sauer (1996)
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See Simon (1976); Varela, Thompson, and Rosch (1991); and Baron (2006)
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Q: What means and modes of deliberation do medical workplace professionals
employ while constructing and communicating knowledge
about future action?
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Problems of action = Problems of knowledge
(Miller, 1990)
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“uncertainty lies in the discrepancy between
information available and information needed”
(Miller re: Herbert A. Simon, 1990)
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•Weekly, 60 min meetings
•Collaborative, multidisciplinary medical
discussions about “difficult” patient cases
•Patient is not present
•Decisions are made about potential treatment
options
•Standards of care collide with in situ, clinical
practice
Tumor Boards
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Tumor Board handout’s opening statement
“This is a patient-oriented conference which we hope will provide a forum for rendering multi-disciplinary opinion and benefit our patients with cancer.”
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1 : gesturing {+ pointer}
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2 : imaging {base-line comparisons of MRI, CT,
PET}
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3 : metaphor{Lakoff & Johnson's Conceptual}
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The Case of "Edith"
(reference handout)
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The Case of "Edith"
21 minutes of deliberation
Gesture: at least 24
Imaging: at least 7
Conceptual metaphor: at least 41
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metaphormetaphora=transfere
nce
meta (over)
pherin (carry)
“carry over”
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L & J: conceptual metaphor
Linguistic representations
of reality are founded in
subjective and sensorimotor experiences
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Figure 1
Figure 2
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Conceptual mapping
A B
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BA
Conceptual mapping
Metaphor that has explanatory &
descriptive power
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Conceptual mapping
A: Prior spatial | bodilyexperiences
B: Unknown,difficult, complex
process(es)
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BA
Conceptual mapping
bodily experience aids in understanding
complex concepts
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Image: A microscopic conceptual visualization of breast cancer cells
Risk & Representation: A Tumor Board StudyChrista B. Teston | Kent State University