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Under the Medical Gaze - Facts and Fictions of Chronic Pain (Paperback)
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Under the Medical Gaze - Facts and Fictions of Chronic Pain (Paperback)
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This compelling account of the author's experience with a chronic
pain disorder and subsequent interaction with the American health
care system goes to the heart of the workings of power and culture
in the biomedical domain. It is a medical whodunit full of
mysterious misdiagnosis, subtle power plays, and shrewd detective
work. Setting a new standard for the practice of autoethnography,
Susan Greenhalgh presents a case study of her intense encounter
with an enthusiastic young specialist who, through creative
interpretation of the diagnostic criteria for a newly emerging
chronic disease, became convinced she had a painful, essentially
untreatable, lifelong muscle condition called fibromyalgia.
Greenhalgh traces the ruinous effects of this diagnosis on her
inner world, bodily health, and overall well-being. "Under the
Medical Gaze "serves as a powerful illustration of medicine's power
to create and inflict suffering, to define disease and the self,
and to manage relationships and lives.
Greenhalgh ultimately learns that she had been misdiagnosed and
begins the long process of undoing the physical and emotional
damage brought about by her nearly catastrophic treatment. In
considering how things could go so awry, she embarks on a cogent
and powerful analysis of the sociopolitical sources of pain through
feminist, cultural, and political understandings of the nature of
medical discourse and practice in the United States. She develops
fresh arguments about the power of medicine to medicalize our
selves and lives, the seductions of medical science, and the deep,
psychologically rooted difficulties women patients face in
interactions with male physicians. In the end, "Under the Medical
Gaze "goes beyond the critique of biomedicine to probe the social
roots of chronic pain and therapeutic alternatives that rely on
neither the body-cure of conventional medicine nor the mind-cure of
some alternative medicines, but rather a broader set of strategies
that address the sociopolitical sources of pain.
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