Talking morphine: Pain and prognosis in Indian cancer care.

Pain can be a pervasive feature of cancer, particularly in regions such as India, where the disease is rarely detected in its early stages. Yet over recent decades, morphine, a "gold standard" pain medicine, has been rarely used in India. This article draws on anthropological discussions of clinical...

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Published in:Medical Anthropology Quarterly Vol. 39; no. 1; pp. 1 - 13
Main Author: Surawy‐Stepney, Nickolas
Format: Article
Published: Wiley-Blackwell Mar2025
Subjects:
Online Access:View this record in EBSCOhost
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        atl: Talking morphine: Pain and prognosis in Indian cancer care.
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        au: Surawy‐Stepney, Nickolas
        affil: Department of Global Health and Social Medicine, King's College London, London, UK
      su:
        India
        Pain management
        Medical disclosure
        Morphine
        Prognosis
        Cancer treatment
        Communication strategies
      sug:
        subj:
          Pain management
          Medical disclosure
          India
          Pharmaceutical and medicine manufacturing
          Medicinal and Botanical Manufacturing
          Morphine
          Prognosis
          Cancer treatment
          Communication strategies
      keyword:
        cancer
        morphine
        pain
        palliative care
        cancer
        morphine
        pain
        palliative care
      ab: Pain can be a pervasive feature of cancer, particularly in regions such as India, where the disease is rarely detected in its early stages. Yet over recent decades, morphine, a "gold standard" pain medicine, has been rarely used in India. This article draws on anthropological discussions of clinical disclosure in Indian cancer care to complicate assertions that this is because pain is missed or ignored by healthcare workers. Instead, in a context where the disclosing of prognoses is partial and indirect, I argue that morphine has gained a communicative function. Typically withheld until the "end of life", the drug has come to be read as a death sentence. It has become an analgesic and a prognosis. It is an object that talks in situations where direct communication is often avoided.
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    language: English
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