Reframing Evidence Synthesis As Rhetorical Action in the Policy Making Drama

  • Greenhalgh T
  • Russell J
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Abstract

This paper presents a novel conceptualization of policy making as social drama. The selection and presentation of evidence for policy making, including the choice of which questions to ask, which evidence to compile in a synthesis and which syntheses to bring to the policy making table, should be considered as moves in a rhetorical argumentation game and not as the harvesting of objective facts to be fed into a logical decision-making sequence. Viewing policy making as argument does not mean it is beyond rationality--merely that we must redefine rationality to include not only logical inference and probabilistic reasoning, but also the consideration of plausibility by a reasonable audience. We need better evidence, but we also urgently need better awareness by policy makers of the language games on which their work depends.

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Greenhalgh, T., & Russell, J. (2006). Reframing Evidence Synthesis As Rhetorical Action in the Policy Making Drama. Healthcare Policy | Politiques de Santé, 1(2), 34–42. https://doi.org/10.12927/hcpol.2006.17873

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