Title:
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Taking education seriously : developing Bourdieuan social theory in the context of teaching and learning medical ethics in the UK undergraduate medical degree
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This thesis offers a social theoretical development of Bourdieu' s habitus in order that it might
be used to 'take education seriously'. It is conducted from within the later Wittgenstein's
view of language and according to a Winchean methodology for 'doing social theory'. The
context used for this theoretical exercise in UK medical education, particularly ethics
education. The first aim of the thesis is to develop a more cognitive aspect to the habitus and
to this end I draw on the idea of 'thinking dispositions.' I argue that 'thinking dispositions'
should be considered the product of enculturation rather than socialisation and that former is
implied by Bourdieu's construal of this latter process as a 'collective process of inculcation.'
I then give a historical account of the development of medical education in the UK over the
past 30-40 years making particular reference to the General Medical Councils document
Tomorrow's Doctors (1993, revised 2003, 2009). Subsequentially I return to the more
theoretical ground which is the central concern of this thesis and attempt to give more
definition to the idea of a cognitive habitus through a consideration of the reflective practice
and education of medical professionals, the concept of meta-cognition (drawn from science
education research), and the idea of a cognitive apprenticeship emerging from socio-cultural
learning theory, a branch of Vygotskian psychology. The final chapter returns to Bourdieuan
grounds and considers the relationship between enculturation, a cognitive apprenticeship and
the habitus. In the conclusion I consider some reflexive implications of my thesis for medical
ethics education delivered as part of a medical education and for applied ethics considered as
a branch of philosophy which seeks to extend its insights beyond its disciplinary borders as,
for example, in medical ethics education.
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