On the creation of 'problem' patients

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Recent debates regarding clinical transactions oppose a macro-level approach which emphasizes political, economic and institutional forces, and those analysts who consider patient perceptions regarding illness to be major influences on the outcome of clinical encounters. This paper utilizes both approaches to illuminate the interactions between medical personnel and 'problem patients'. The macro-level approach draws attention to the way power is negotiated and expressed in clinical interactions, and to medicalization that gives priority to medical values and condemns patients who do not act in accord with these values. The patient belief approach explores one of the major weapons in the struggle for control, the disease model of illness. Use of both approaches permits a better understanding of clinical medicine in these problematic interactions.

Original languageEnglish (US)
Pages (from-to)951-959
Number of pages9
JournalSocial Science and Medicine
Volume30
Issue number9
DOIs
StatePublished - 1990

Fingerprint

macro level
illness
interaction
medicalization
Medicalization
weapon
Weapons
transaction
Values
Clinical Medicine
personnel
medicine
Disease
Economics
economics
Interaction
Illness

Keywords

  • doctor/patient interaction
  • macro-level analyses
  • patient beliefs
  • problem patients

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

Cite this

On the creation of 'problem' patients. / Wright, Anne L; Morgan, Wayne J.

In: Social Science and Medicine, Vol. 30, No. 9, 1990, p. 951-959.

Research output: Contribution to journalArticle

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