ABSTRACT
This chapter presents the research by articulating and applying the theoretical principle that cognitive imbalance and dissonance in many key organisational situations are reduced or eliminated through organisational arrangements, and practices. It focuses specifically on organisational discourses, design, and rituals that minimise or resolve cognitive imbalance through information selectivity, re-interpretation, and redefinition or re-framing. One of the main organisational measures in reducing or preventing cognitive imbalance is to separate potentially clashing domains or procedures into discrete parts. In general, organisational designers establish a set-up, for instance particular institutional arrangements as well as architecture so as to minimise the possibilities of cognitive imbalance, and thereby contribute to stabilising a particular judgement frame. Another instrument of an organisational character has been the creation of the special role of the transplantation nurse or transplantation coordinator, who contributes to defining ambiguous situations and to resolving dissonance.
