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This book examines how professionals practising in various health and welfare settings go about the ordinary, but complicated, business of making sense of the symptoms and troubles with which their patients or clients present. Our motivations for writing the book are varied, but are the result of our conversations with each other about the problem of judgement in clinical practice, which have taken place over many years of professional, academic and research collaboration. We share a practice background in child health and welfare services, but also an academic interest in the importance of language and social interaction in human life. There is a complex dialogue, and at times an. | rj I Open University Press McGraw - Hill Education Clinical Judgement in the Health and Welfare Professions Extending the evidence base How do clinicians use formal knowledge in their practice What other kinds of reasoning are used What is the place of moral judgement in clinical practice In the last decade the problem of clinical judgement has been reduced to the simple question of what works However before clinicians can begin to think about what works they must first address more fundamental questions such as what is wrong and what sort of problem is it The complex ways in which professionals negotiate the process of case formulation remain radically under-explored in the existing literature. This timely book examines this neglected area. Drawing on the authors own detailed ethnographic and discourse analytic studies and on developments in social science the book aims to reconstitute clinical judgement and case formulation as both practical-moral and rational-technical activities. By making social scientific work more accessible and meaningful to professionals in practice it develops the case for a more realistic approach to the many reasoning processes involved in clinical judgement. Clinical Judgement in the Health and Welfare Professions has been written for educators managers practitioners and advanced students in health and social care. It will also appeal to those with an interest in the analysis of institutional discourse and ethnographic research. Susan White is Professor of Health and Social Care at the University of o Huddersfield. She is interested in the social and moral dimensions of professional practice and has completed discourse analytic and ethnographic studies in a range of health and welfare settings. 1 John Stancombe is a full time consultant clinical psychologist in the NHS with over twenty years experience of practice. He currently works in the I Child Psychological Service of the Trafford Healthcare NHS Trust in g Manchester. .