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Theorizing Team Process Through Deleuzian Rhizomatics: Becoming a Medical Professional in Nomadic Teams

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Patient-Centred Medicine in Transition

Part of the book series: Advances in Medical Education ((AMEDUC,volume 3))

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Abstract

Foucault’s framework shifts attention away from power relations in communication in medicine as sovereign (power over, or authority) to how forms of resistance are established, where power flows through a system (capillary) and is productive of new structures rather than reproductive of existing structures. Deleuze reads power for its intensity or potency. The identity construction of the doctor is described in terms of the intensity of a work that is always in progress—one of ‘becoming’ rather than a final ‘being’. How is such a permanently labile and multiple identity construction managed, temporarily stabilized, and understood as a process amongst many intersecting processes, particularly in the process of becoming an interprofessional team player or ‘becoming a democrat’?

Identity can be described as an ‘assemblage’ (A thousand years of nonlinear history, New York; A new philosophy of society: Assemblage theory and social complexity, London) and as potential or always in process. In the professional identity formation of the doctor, often expressed as ‘lifelong learning’, there is not just an accumulation or sedimentation of knowledge, skills, and attitudes, but a process of ‘becoming doctor’ as assemblage—a dynamic identity construction shaped within a web of regulatory devices.

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Bleakley, A. (2014). Theorizing Team Process Through Deleuzian Rhizomatics: Becoming a Medical Professional in Nomadic Teams. In: Patient-Centred Medicine in Transition. Advances in Medical Education, vol 3. Springer, Cham. https://doi.org/10.1007/978-3-319-02487-5_14

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