SOSA 2502 Lecture Notes - Lecture 13: Medicalization, Atrocity Story

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Patients may favour medicalization: looking at conflict model, patient oppressed by medialization, but this is not always the case. Patient dissatisfaction not widespread: not a lot of evidence that patients are not happy with their care(during childbirth highly invasive procedures, but most women expressed being happy with the childbirth and did not wish to do things differently) Overestimates physician control of patients: negotiation model. Presupposes conflict and a willingness to work toward agreement. Contingent nature of relationship: relationship with physician can change, depending on aspects and over time, nature of illness, health care setting, social factors such as age, class, gender and ethnicity. Does(cid:374)(cid:859)t assu(cid:373)e eithe(cid:396) (cid:272)o(cid:374)fli(cid:272)t o(cid:396) (cid:272)o(cid:374)se(cid:374)sus is the i(cid:374)e(cid:448)ita(cid:271)le out(cid:272)o(cid:373)e. Ti(cid:373)so(cid:374) & we(cid:271)(cid:271) (cid:862)goi(cid:374)g to see the do(cid:272)to(cid:396)(cid:863) During consultation both drs and patients use strategies and negotiation tactics: ps not merely passive, ps influenced presentation of info, ps subtly express dissatisfaction, rarely criticized dr. After consultation: ps can muster countervailing power to medical authority.

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