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23 Cards in this Set
- Front
- Back
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The use of so many machines in pregnancy to ensure the production of a healthy baby tacitly implies that to the woman that she is an imperfect machine
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Davis-Floyd
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Western model focuses on quantity of life at the expense of quality
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Konner
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West assumes particular diseases always present in the same way, and so the importance of the patient is minimised
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Fabrega
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The rise of the iPatient and paper patient
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Verghese (2011) and Helman (2007)
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The advanced diagnostic machines have made diagnosis, treatment and communication with patients harder - they are picking things up but the patient may have no illness.
Medical technology is so precise and focused it promotes the idea of reductionism and mind-body dualism |
Helman
Think of patient with the kidney lumps and knee scan confusion! |
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Even in the West, medical models will vary from country to country and even doctor to doctor
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Helman
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Social organisation of Western hospitals - Doctor = Father, Nurse = Mother, Patient = Child
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Helman
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The 'medical gaze'
In Europe --> Mainly on the patient's body, and less on subjective features |
Foucault
NOTE: Sack's gaze of Rebecca changes. He says he was trained to not look at the whole, but dissect out the individual features. NOTE: Laennec's stethoscope and Roentgen's X-rays |
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A single minded quest for psychoanalytic reality can dehumanise the patient every bit as much as the numbing reductionism of an obsessively biomedical investigation
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Kleinman 88
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Modern technology has blurred the boundaries of the body - note the use of X-rays and CAT scans.
Move from history and examination to diagnostic machines (there has been an increasing shift from collection of subjective information to objective information) |
Helman
Verghese |
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Social identity is stripped in a ward, and hospitals are their own small societies with their own rules of behaviour, rituals etc.
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Goffman
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Patients forced to wear a gown...patient depersonalised in hospital, gender, sex etc. irrelevant
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...but DWS keeps a picture of the patient in the notes
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Some 'alternative' medical systems have become professionalised (such as....)
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Unani in India.
Advice given by Hakims and rare gems treat certain diseases |
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Modern medicine is increasingly becoming dangerous and damaging to ill health.
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Illich
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Medicine is a way of trying to control the behaviour of the population by medicalising deviant behaviour (pregnancy is increasingly seen this way)
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Stacey
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Medicine is so good that we see so many chronic conditions where people need to take responsibility. But some don't feel prepared
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Pill 82
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'Crisis in western medicine' - what is it, and who came up with it?
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Helman
The revenge of the chronic (Tenner) Ageing population with chronic diseases are a huge burden on the service and are extremely costly |
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Religious decline in west has meant moral concerns of people are being expressed in medical, rather than religious, terms
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Helman
'Sinful life' becomes 'unhealthy lifestlye' Gluttony and sloth sins replaced by overeating and lack of exercise Sinful behaviours (alcoholism) have become diseases for psychiatry to deal with |
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The way the doctor dresses is important
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Booth (think: Photo booth)
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The physician's gaze is on the biological organism, this person thinks it should be extended to wider cultural issues
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Sokolowska
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If a person's illness is not registered and labelled by a HCP, the person is stigmatised and not included
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Sokolowska
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Death used to be a continuation of life, an origin and not an end
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Sokolowska
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More people dying in hospital. Doctors not well trained to cope with death (from medical school we are told to prolong life as the first principle).
The systematic knowledge of the psyche is not included in the area of professional medical knowledge |
Sokolowska
Think of Rachel Clark's story |
