The Politics of Medical Encounters: How Patients and Doctors Deal with Social Problems

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Yale University Press, 1993 - 311 頁

The complaints that patients bring to their doctors often have roots in social issues that involve work, family life, gender roles and sexuality, aging, substance use; or other problems of nonmedical origin. In this book, physician/sociologist Howard Waitzkin examines interactions between patients and doctors to show how physicians' focus on physical complaints often fails to address patients' underlying concerns and also reinforces the societal problems that cause or aggravate these maladies. A progressive doctor-patient relationship, Waitzkin argues, fosters social change.

Waitzkin provides a pathbreaking analysis of medical encounters, applying perspectives from structuralism, post-structuralism, and critical literary theory to transcripts of recorded conversations between doctors and patients. He demonstrates how doctors unintentionally maintain dominance in their dealings with patients, encourage conforming social behavior and attitudes, and marginalize patients' concerns with social problems. Waitzkin urges physicians to attend to the social as well as the medical problems that emerge from patients' narratives and suggests ways to restructure the manner in which patients and doctors communicate with each other. Physicians and patients, for example, should work together to demystify medical discourse, should refrain from medicalizing social problems through medications or reassurances that dull socially caused pain, and should be prepared to call on advocacy organizations seeking to change the social conditions that create personal distress.

This book will influence and challenge physicians scholars, and students in the social sciences and humanities, as well as anyone concerned about the present problems and future direction of medicine.

 

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內容

Chapter
10
Chapter
11
Chapter 3
27
On Method
49
Chapter 6
107
Chapter 7
143
Chapter 8
177
Chapter 9
211
Nonproblematic Encounters
231
Three
257
Notes
279
Index
305
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第 285 頁 - Fredric Jameson, The Political Unconscious: Narrative as a Socially Symbolic Act (Ithaca: Cornell University Press, 1981), pp. 74, 102. 22. EP Thompson, The Poverty of Theory and Other Essays (London: Merlin Press, 1978). 23. Ian Hacking, "The Archaeology of Foucault," New York Review of Books, 28 (May 14, 1981), p.
第 296 頁 - She had no understanding for her children's more active interests, and was occupied all day long in cleaning the house with its furniture and utensils and in keeping them clean — to such an extent as to make it almost impossible to use or enjoy them.
第 300 頁 - ... the category of the subject (which may function under other names: eg, as the soul in Plato, as God, etc.) is the constitutive category of all ideology, whatever its determination (regional or class) and whatever its historical date -since ideology has no history.

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