The adoption of Randomised Controlled Trials between institutional norm, medical domination and hope of promoting physiotherapy. The case of the downgrading of bronchial drainage in cases of bronchiolitis: The instrumental rationality of randomized controlled trials between institutional norms, hope of valorisation of physiotherapy and reaffirmation of medical domination. L’adoption des essais contrôlés randomisés entre norme institutionnelle, domination médicale et espoir de valorisation de la kinésithérapie : le cas de la remise en question du drainage bronchique en cas de bronchiolite
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1 septembre 2023
- handle: 10670/1.le59ss
- hal: hal-04193023
- doi: 10.4000/rac.30579
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Physiological therapeutics Physiotherapy PhysiotherapyCiter ce document
Jeremy Rollin, « L’adoption des essais contrôlés randomisés entre norme institutionnelle, domination médicale et espoir de valorisation de la kinésithérapie : le cas de la remise en question du drainage bronchique en cas de bronchiolite », HAL-SHS : sociologie, ID : 10.4000/rac.30579
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From both a Bourdieusian and a new political sociology of science perspective, this research focuses on the relations of domination within the medical research field. The empirical case focuses on the disqualification of bronchial clerance in cases of bronchiolitis. The controversy involves actors with asymmetrical social positions, physiotherapists and paediatricians, and an institution supporting a process of expertise, the HAS. Oppositions are set up to try to legitimize contradictory scientific results, in a more general context of increasing Evidenced Based Practice. Despite these changes, in the end, medical academics reaffirm their domination of the biomedical research field and their claim to control the work of their auxiliaries.