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Insights and their emergence in everyday practices: The interplay between problems and solutions in emergency medicine

Artikel i vetenskaplig tidskrift
Författare S. B. Trasmundi
Per Linell
Publicerad i Pragmatics and Cognition
Volym 24
Nummer/häfte 1
Sidor 62-90
ISSN 0929-0907
Publiceringsår 2017
Publicerad vid Institutionen för pedagogik, kommunikation och lärande
Sidor 62-90
Språk en
Länkar doi.org/10.1075/pc.17002.tra
Ämnesord Cognitive event analysis, Ecological cognition, Emergency medicine, Human sense-making, Insight, Interactivity, Problem-finding, Problem-solving
Ämneskategorier Tvärvetenskapliga studier


The aim of this article is twofold. First, it is a theoretical and empirically based contribution to the branch of research that studies enabling conditions of human sense-making. It demonstrates the value of a coherent ecological framework, based on dialogism and interactivity for the study of sense-making, problem-solving and task performance in naturalistic contexts. Second, it presents a promising method for the analysis of cognitive activities, Cognitive Event Analysis (CEA), with which we investigate real-life medical interactions, especially the emergence of insights in procedural task performance in emergency medicine. We show how sense-making and insights are accomplished by medical teams when they integrate cultural expertise, professional skills, inter-bodily dynamics, material constraints and affordances within the environment, i.e. when local co-action is embedded in socio-cultural patterns of behaviour. © John Benjamins Publishing CompanyGrant: Per Linell's work on the text has been supported by a grant from the Swedish Research Council to LinCS, Göteborg University (Grant no. 349-2006-146). We would like to thank two anonymous reviewers who provided valuable comments on a previous version of this paper. Further, without colleagues from the emergency ward in Køge Hospital this research would not have been possible. Finally, we are grateful to Sune Vork Steffensen for his very helpful comments on this paper.

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