NO ONE WANTS TO BE THE CANDY MAN: Ambivalent Medicalization and Clinician Subjectivity in Pain Management.

Pain, despite being an elemental bodily experience and the most common reason for seeking medical care, occupies a place of profound ontological and moral uncertainty in U.S. biomedicine. Taking seriously the highly charged emotions-frustration, anger, even disgust-frequently expressed by clinicians...

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Publicado en:Cultural Anthropology (Wiley-Blackwell) Vol. 27; no. 4; pp. 689 - 713
Autores principales: CROWLEY-MATOKA, MEGAN, TRUE, GALA
Formato: Artículo
Publicado: Wiley-Blackwell Nov2012
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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          CROWLEY-MATOKA, MEGAN
          TRUE, GALA
        affil:
          Northwestern University
          Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, and University of Pennsylvania
      su:
        Pain management
        Medicalization
        Ethics
        Pain medicine
        Physicians' attitudes
        Pain -- Social aspects
        Subjectivity
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        subj:
          Pain management
          Medicalization
          Ethics
          Offices of Physicians (except Mental Health Specialists)
          Offices of physicians
          Pain medicine
          Physicians' attitudes
          Pain -- Social aspects
          Subjectivity
      keyword:
        medicalization
        pain]
        subjectivity
        [culture of biomedicine
        medicalization
        pain]
        subjectivity
        [culture of biomedicine
      ab: Pain, despite being an elemental bodily experience and the most common reason for seeking medical care, occupies a place of profound ontological and moral uncertainty in U.S. biomedicine. Taking seriously the highly charged emotions-frustration, anger, even disgust-frequently expressed by clinicians regarding their patients with pain, this article draws on ethnographic research to explore both the origins and the implications of such anxiously ambivalent responses to pain and pain medications among the clinicians charged with treating it. Set against the recent history of pain medicine as an emergent specialty in the highly fragmented landscape of U.S. biomedicine, we examine at close ethnographic range some of the key ways that U.S. clinicians frame the experience of contending with pain in their everyday practice. Emergent from these clinician experiences are the ways in which pain and pain medications remain both incompletely medicalized and ineffectively medicalizing in U.S. biomedicine, as well as the threatening effects on what we call the pharmaceutical subjectivity of clinicians themselves of this persistently ambivalent medicalization.
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    language: English
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