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The presentation of competence in health care.

This paper briefly addresses the views of social reality which underpin our interpretation of data, and argues that a social actor's statement is one account in a potentially infinite series, in which the actor presents him or herself as morally competent. This argument is illustrated by data from a study of subfertile couples, and other data from studies of parenting handicapped children. There is, however, a disjunction between these calm measured self-presentations, and the professional literature which describes a host of negative emotions. This raises questions about how needs, particularly emotional needs, are defined in health care.