Dialogue and deliberation are most useful when people see a discrepancy between what is happening and what they think should be happening in the world or on an issue yet there is no widespread agreement or shared understanding about what specifically should change in her book getting a grip ncdd member frances moore lappe asks a powerful . Dialogue and deliberative democracy being central ones as well as power and empowerment dialogue is seen as an ethical and fruitful way for research agenda setting as it helps researchers understand the societal impact of their research and integrates patients experiential knowledge and voice. The rhetoric of dialogue is sometimes adopted rather uncritically in academic organizational and policy circles too often that rhetoric is deployed with little understanding of the variety of principles and practices enacted in dialogic