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set of rules for interpretation + set of rules for change or the system + set of rules for interpretation + set of rules for change + set of rules for presentation). |
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At the start of this chapter we looked at two basic kinds of classification system: Aristotelian and prototypical. We have seen in the course of our analysis that medical classification systems are ''naturally" prototypical, and that they nevertheless have to appear Aristotelian to bear the bureaucratic burden that is put on them. This burden is to act as a gateway between the worlds of the laboratory and the hospital (with precisely defined, closed environments) and the workaday world. As we consider the stories embedded in the system, from the point of view of work and practice, we understand that both the intuitive and the technical are always present in systems such as the ICD. |
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The way in which this gateway function is provided is twofold. First, the Aristotelian classification embeds within itself a set of implicit narratives that align the artificial categories of the ICD with the real world. Second, the rules for interpretation and presentation sit on top of the ICD and nudge its categories along prepared, legitimate pathways. This combination of embedded and supervenient narratives provides the give through which the prototypical classification can be made to look and feel Aristotelian. |
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