Purpose The purpose of this paper is to explore how, and under what conditions, professionals involve relatives in clinical practice. Design/methodology/approach Two cases were constructed from two studies in Denmark, theoretically inspired by Bourdieu’s concepts of doxa and position and analyzed with focus on the involvement of relatives from the perspective of professionals. Findings Support to relatives in practice is rarely included in the way that treatment and care are organized in healthcare. Professionals’ views of the involvement of relatives were characterized by the values of neoliberal ideology and medical-professional rationality, in which relatives are not regarded as a subject of care and support in clinical practice. The involvement of relatives aimed to ensure patients’ participation in randomized clinical trial and to help professionals to care for patients when the professionals were not absolutely needed. Professionals were relatively higher positioned in the clinic than relatives were, which allowed professionals to in – and exclude relatives. Neoliberal ideology and medical-professional rationality go hand in hand when it comes to patient treatment, care and the involvement of relatives; it is all about efficiency, treatment optimization and increased social control of the diagnosed patient. These neoliberal, organizational values consolidate doxa of the medical field and the positions that govern the meeting with patients’ relatives – if it takes place at all. Originality/value The results put into perspective how the combination of neoliberalism and medical logic work as an organizing principle in contemporary healthcare systems, and challenge a normative, humanistic view on involving patients’ relatives in the medical clinic.

中文翻译：

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专业人士的亲戚参与–只有良好的意愿？

目的本文的目的是探讨专业人员如何以及在什么条件下使亲属参与临床实践。设计/方法论/方法从丹麦的两项研究中构造了两个案例，这些案例在理论上受到布尔迪厄的doxa和位置概念的启发，并从专业人员的角度着眼于亲戚的参与进行分析。调查结果在医疗保健中组织治疗和护理的方式很少包括对亲属的支持。专业人士对亲属参与的看法以新自由主义意识形态和医学专业理性的价值为特征，在这种情况下，亲戚在临床实践中不被视为关心和支持的对象。亲属的参与旨在确保患者参与随机临床试验，并在并非绝对需要专业人员的情况下帮助专业人员护理患者。专业人员在诊所中的位置要比亲戚相对高，这使得专业人员可以进入亲戚，也可以排除亲戚。当涉及患者的治疗，护理和亲属的参与时，新自由主义的意识形态和医学专业的理性是齐头并进的。关键在于效率，治疗优化和对已诊断患者的社会控制。这些新自由主义的组织价值观巩固了医学领域的主导地位，也巩固了与患者亲属开会的支配地位（如果有的话）。