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Offers an introduction to the sociology of diagnosis. This title presents articles that explore diagnosis as a process of definition that includes: labeling dynamics between diagnoser and diagnosed; boundary struggles between diverse constituents - both among medical practitioners and between medical authorities and others; and, more.
Finalist, Foundation for the Sociology of Health and Illness Book Prize, British Sociological Association Over a decade after medical sociologist Phil Brown called for a sociology of diagnosis, Putting a Name to It provides the first book-length, comprehensive framework for this emerging subdiscipline of medical sociology. Diagnosis is central to medicine. It creates social order, explains illness, identifies treatments, and predicts outcomes. Using concepts of medical sociology, Annemarie Goldstein Jutel sheds light on current knowledge about the components of diagnosis to outline how a sociology of diagnosis would function. She situates it within the broader discipline, lays out the directions it should explore, and discusses how the classification of illness and framing of diagnosis relate to social status and order. Jutel explains why this matters not just to doctor-patient relationships but also to the entire medical system. As a result, she argues, the sociological realm of diagnosis encompasses not only the ongoing controversy surrounding revisions to the Diagnostic and Statistical Manual of Mental Disorders in psychiatry but also hot-button issues such as genetic screening and pharmaceutical industry disease mongering. Both a challenge and a call to arms, Putting a Name to It is a lucid, persuasive argument for formalizing, professionalizing, and advancing longstanding practice. Jutel’s innovative, open approach and engaging arguments will find support among medical sociologists and practitioners and across much of the medical system.
Understanding the social process of diagnosis is critical to improving doctor-patient relationships and health outcomes. Diagnosis, the classification tool of medicine, serves an important social role. It confers social status on those who diagnose, and it impacts the social status of those diagnosed. Studying diagnosis from a sociological perspective offers clinicians and students a rich and sometimes provocative view of medicine and the cultures in which it is practiced. Social Issues in Diagnosis describes how diagnostic labels and the process of diagnosis are anchored in groups and structures as much as they are in the interactions between patient and doctor. The sociological perspective is informative, detailed, and different from what medical, nursing, social work, and psychology students—and other professionals who diagnose or work with diagnoses—learn in a pathophysiology or clinical assessment course. It is precisely this difference that should be integral to student and clinician education, enriching the professional experience with improved doctor-patient relationships and potentially better health outcomes. Chapters are written by both researchers and educators and reviewed by medical advisors. Just as medicine divides disease into diagnostic categories, so have the editors classified the social aspects of diagnosis into discrete areas of reflection, including • Classification of illness • Process of diagnosis • Phenomenon of uncertainty • Diagnostic labels • Discrimination • Challenges to medical authority • Medicalization • Technological influences • Self-diagnosis Additional chapters by clinicians, including New York Times columnist Lisa Sanders, M.D., provide a view from the front line of diagnosis to round out the discussion. Sociology and pre-med students, especially those prepping for the new MCAT section on social and behavioral sciences, will appreciate the discussion questions, glossary of key terms, and CLASSIFY mnemonic.
Mental illness is many things at once: It is a natural phenomenon that is also shaped by society and culture. It is biological but also behavioral and social. Mental illness is a problem of both the brain and the mind, and this ambiguity presents a challenge for those who seek to accurately classify psychiatric disorders. The leading resource we have for doing so is the American Psychiatric Association’s Diagnostic and Statistical Manual, but no edition of the manual has provided a decisive solution, and all have created controversy. In The Diagnostic System, the sociologist Jason Schnittker looks at the multiple actors involved in crafting the DSM and the many interests that the manual hopes to serve. Is the DSM the best tool for defining mental illness? Can we insure against a misleading approach? Schnittker shows that the classification of psychiatric disorders is best understood within the context of a system that involves diverse parties with differing interests. The public wants a better understanding of personal suffering. Mental-health professionals seek reliable and treatable diagnostic categories. Scientists want definitions that correspond as closely as possible to nature. And all parties seek definitive insight into what they regard as the right target. Yet even the best classification system cannot satisfy all of these interests simultaneously. Progress toward an ideal is difficult, and revisions to diagnostic criteria often serve the interests of one group at the expense of another. Schnittker urges us to become comfortable with the socially constructed nature of categorization and accept that a perfect taxonomy of mental-health disorders will remain elusive. Decision making based on evolving though fluid understandings is not a weakness but an adaptive strength of the mental-health profession, even if it is not a solid foundation for scientific discovery or a reassuring framework for patients.
This reader brings together recent writing on health, illness and health care in contemporary society. It emphasizes the empirical nature of medical sociology and its relationship with the development of sociological theory.
Written with precision and clarity, this is a compelling analysis of the central problems of sociological theory today and of the means to resolve them. Argues that we should build on ideas from the 50s and 60s, and not dismiss them.
The diagnosis of social pathologies has long been a central concern for social researchers working within, and on the peripheries of, Critical Theory. As this volume will elaborate, the pathology diagnosing imagination enables a “thicker” form of social critique, fostering research that pushes beyond the parameters of liberal social and political thought. Faced with impending climatic catastrophe, the accelerating inequities of neoliberalism, the ascent of authoritarian movements globally, and one-dimensional computational modes of thought, a viable form of normative social critique is now more important than ever. The central aim of this volume is thus to champion the pathology diagnosing imagination as a vehicle for conducting such timely social criticism.
First Published in 1943. Routledge is an imprint of Taylor & Francis, an informa company.
This incisive brief guide critically examines the role of medical diagnoses in social life, shining light on both health and disease. Annemarie Goldstein Jutel shows that diagnosis is not simply the labelling of natural disease, but rather is an agreement about what counts as sickness, with far-reaching social consequences.
The announcement of a serious diagnosis is a solemn moment when directions shift, priorities change, and life appears in sharper focus. It is also a moment when a story takes shape. It is a story we are able to imagine, even if we haven't experienced it firsthand, because the moment of diagnosis is as pervasive in popular media as it is in medicine. Diagnosis: Truths and Tales shares stories told from the perspectives of those who receive diagnoses and those who deliver them. Confronting how we address illness in our personal lives and in popular culture, this compelling book explores narratives of diagnosis while pondering the impact they have on how we experience health and disease.