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Credibility work and moral evaluation at the ED

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  • Wamsiedel, Marius

Abstract

This paper contributes to the understanding of triage decision making by analyzing the credibility work jointly performed by patients and staff and its contribution to the non-clinical evaluation of clientele. I argue that the assessment of credibility occurs at the intersection between staff-devised typifications and patients' interactional performance, and is mediated by staff's experiential knowledge. In ordinary circumstances, patients can achieve credibility through three interactional strategies: embodying distress, limiting the voice of the lifeworld, and conveying narrative frankness. Patients belonging to groups associate by triage workers with disreputable characteristics, such as dishonesty, have the additional task of establishing themselves as trustworthy interlocutors by mobilizing worth claims. Embodying distress and limiting the voice of the lifeworld are instrumental to asserting legitimacy, whereas narrative frankness is an interactional prerequisite for manufacturing reasonableness.

Suggested Citation

  • Wamsiedel, Marius, 2020. "Credibility work and moral evaluation at the ED," Social Science & Medicine, Elsevier, vol. 248(C).
    • Handle: RePEc:eee:socmed:v:248:y:2020:i:c:s0277953620300642
    DOI: 10.1016/j.socscimed.2020.112845
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    References listed on IDEAS

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    1. Werner, Anne & Malterud, Kirsti, 2003. "It is hard work behaving as a credible patient: encounters between women with chronic pain and their doctors," Social Science & Medicine, Elsevier, vol. 57(8), pages 1409-1419, October.
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    Cited by:

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    2. Wu, Xinyan, 2024. "Performative credibility: How opioid researchers sustain public trust during the opioid epidemic," Social Science & Medicine, Elsevier, vol. 340(C).

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