"Medical Professionals and the Organization of Knowledge"
conveys how medical people shape and organize the knowledge,
perception, and experience of illness, as well as the substance of
illness behavior, its management, and treatment. It is now well
established that the unique symbolic equipment of the human animal
is intimately connected with the functioning of the body. Freidson
and Lorber believe that the proper understanding of specifically
human rather than generally "animal" illness requires careful and
systematic study of the social meanings surrounding illness.
The content of social meanings varies from culture to culture
and from one historical period to another. As important as the
content of those social meanings, is the organization of groups who
serve as carriers and, sometimes, creators. In the case of illness,
a critical difference exists between those considered to be
competent to diagnose and treat the sick and those excluded from
this special privilege--a separation as old as the shaman or
medicine-man. Such differences become solidified when the expert
healer becomes a member of an organized, full-time occupation,
sustained in monopoly over the work of diagnosis and treatment by
the force of the state and invested with the authority to make
official designation of the social meanings to be ascribed to
physical states.
The medical profession in advanced nations is in a vise between
professional needs and political demands. Its organization and its
knowledge establish many of the conditions for being recognizably
and legitimately ill, and the professional controls for many of the
circumstances of treatment. It thus plays a central role in shaping
the experience of being ill. With this fact of modern life in mind,
this collection on the character of experts or professionals in
general and of medicine as a profession in particular is uniquely
fashioned.
Eliot Freidson was professor emeritus of sociology in the
Graduate School of Arts and Science of New York University. He
served on scientific advisory boards for the Social Security
Administration, the National Institutes of Health, and the National
Center for Health Services Research.
"Judith Lorber" is a professor emerita of sociology at Brooklyn
College and the City College of New York Graduate Center. She is
author of "Gender Inequality: Feminist Theories and Politics,
Breaking the Bowls: Degendering and Feminist Change," and "Gender
and the Social Construction of Illness."
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