Medicalization Research Articles

Being Empowered to Reduced Unnecessary Medicalisation of the Latent Phase

Medical care saves lives, but the biomedic al model of care should not be the dominant model in maternity. By offering some insight into global definitions of the latent phase and associated outcomes of a prolonged latent phase, this article highlights how the unnecessary medic alisation of the latent phase occurs within the UK. Discussion surrounds how midwives as a group can claim empowerment and prevent unnecessary medicalisation through leadership, thinking beyond guidelines, constructing midwifery knowledge and listening to women. It acts as an introduction for midwives to suggest how they can change their practice as a professional group.

Birthing out of the system

Could the rise in freebirth in medicalised societies be a sign of a broken maternity system? Dr Clare Davison endeavours to answer this question

Health(ism) at every size: The duties of the “good fatty”

ABSTRACT Discussing health in many “body positive” spaces will provoke a variety of familiar responses, for example, “but it is possible to be both fat and healthy,” “thin people can be just as unhealthy as fat people,” and “what about health at every size?” While there are many different ways to interpret the Health at Every Size (HAES) movement , this article seeks to examine the links between Lindo Bacon’s Health at Every Size: The Surprising Truth about Your Weight and the popularized body positivity movement as it is today. While Bacon and other health professionals subscribed to HAES undoubtedly have good intentions, those intentions do not absolve the negative impact that the popularization of HAES-related body positivity has had on those of us who are both fat and, by the definition of HAES “unhealthy.” The rise of body positivity into mainstream consciousness has popularized an “acceptable” way to be fat and perpetuates the stereotype of the “good fatty.” Using autobiographical writing of fat women who have been associated with fat activism and body positivity, I draw lines between Bacon’s influential text and some of the healthism that exists in the body positivity movement. Inspired by my discomfort with the celebration of HAES in fat body positive spaces, I ask how does HAES promote healthism in the contemporary body positivity movement?

The Medicalization of Marijuana: Legitimacy, Stigma and the Patient Experience. Michelle Newhart and William Dolphin, New York: Routledge, 2019, 302 pp.

The Medicalization of Marijuana: Legitimacy, Stigma and the Patient Experience. Michelle Newhart and William Dolphin, New York: Routledge, 2019, 302 pp.

Medicalizing Modern Motherhood in the Americas

Medicalizing Modern Motherhood in the Americas

Introduction: Death and/as Relationality

1 Exploring eerie uncomfortable feeling—resulting from a combination of grief, distress, and apprehension—that, for many, has characterized our co-existence with a global pandemic, author of article interviewed three social psychologists on subject of the existential anxiety caused by reminders of our own mortality If SARS-CoV-2 has performed any useful function, it has at least accelerated a process that began to develop in 1970s, by forcing us to confront our psychological, cultural, and possibly even neurological propensity to deny death 2 The daily press conferences, news bulletins, and social media feeds, each containing an update on latest death tolls, have rendered mortality shockingly salient Catherine Ceylac's 2018 book A la vie a la mort, which brings together fourteen leading French artists, writers, and personnalites who share with Ceylac—and reader—their thoughts on absence, loss, pain, and beliefs in context of losing a loved one, provides an illustration of France's recent public conversation on death 4 The topical debates taking place in France on euthanasia, following 2018 decision of Assemblee consultative du Conseil economique, social et environnemental (CESE) to adopt a recommendation that people suffering from an incurable disease phase avancee ou terminale, and whose pain is classified as inapaisable, should have right to benefit from a sedation profonde explicitement letale, offer further compelling evidence that France is reconsidering its relationship with death 5 The socio-cultural shifts towards talking and thinking about death are all more remarkable since, as Ceylac observes, Western cultures have traditionally been reticent, even anxious, about subject: Par peur de l'inconnu, du mystere, du vide abyssal, la mort, en Occident, est taboue, on en parle en baissant la voix, a demi-mot, de peur qu'elle nous contamine (Ceylac 10) Citing figures from Strasbourg that show that, whereas in 1840, 15% of population died in hospital, that figure rose to 30% by time of World War One and stands at 75% today, Anne Carol has written extensively on revolution recente in cultural practices of dying in modern France 10 Many important consequences have resulted from cultural shift towards what is termed a medicalized death

TIREM AS CRIANÇAS DO SOFÁ!

Este texto tem como objetivo investigar discursos acerca do sedentarismo infantil, visando analisar o funcionamento de estratégias biopolíticas que constroem um saber sobre a criança sedentária e intervêm sobre corpo infantil, de maneira a controlá-lo e inseri-lo no raio de atuação de um poder que se volta para a regulação da vida. Para tanto, partimos das teorizações de Michel Foucault acerca do biopoder e da biopolítica, bem como do discurso, do enunciado e da formação discursiva. Do ponto de vista metodológico, trata-se de um estudo descritivo-interpretativo, de abordagem qualitativa. O corpus de análise compõe-se de três materialidades discursivas que circularam nas mídias digitais. As análises denotam que os discursos acerca do sedentarismo infantil fazem funcionar estratégias biopolíticas, pois, ao patologizarem o sedentarismo, concebem a prática da atividade física como uma condição essencial para a inserção da criança na ordem do discurso da saúde e do bem-estar.

Medicalization and Masculinities

Medicalization and Masculinities

Feminism, midwifery and the medicalisation of birth

Dr Clare Davison examines the perception of women and midwifery through ages

The medicalization of autonomy

The medicalization of autonomy

Overmedicalization in Children with Medical Complexity.

Children with medical complexity (CMC) are a unique pediatric patient population with increased exposure and interactions with the health care system and reliance on family caregivers. These attributes place CMC at high risk of overmedicalization (OM). This article reviews the risk factors for OM in CMC and presents an algorithm that primary providers can use to recognize and address this issue. Involvement of a broad multidisciplinary team, including child advocacy when needed, is recommended. The article also focuses on challenges and additional considerations that arise when medical child abuse as the cause of OM is suspected in this population. [Pediatr Ann. 2020;49(11):e478-e485.].

The persistent pathologization of BDSM: An interview with Charles Moser

The persistent pathologization of BDSM: An interview with Charles Moser

Salud en la prensa contemporánea

El artículo propone una categorización de las noticias de salud en la prensa gráfica argentina contemporánea. Asimismo, desde la perspectiva de análisis del discurso, se presentan una serie de resultados de investigación que dan cuenta que la salud, en tanto eje temático y conceptual, aparece de forma difusa, amplia y extendida en diferentes artículos y notas, como un valor social transversal que incluye dimensiones que van desde lo político, lo económico, lo artístico y deportivo, hasta la vida cotidiana y los estilos de consumo. Como cierre, se relaciona esta transversalidad de la noción de salud, con la idea de medicalización de la vida.

Interação ensino-serviço e o estágio curricular em atenção primária à saúde: um relato de experiência

Objetivo: Descrever as experiências de discentes do curso de graduação em Saúde Coletiva da Universidade Federal do Rio Grande do Norte (UFRN) durante o estágio curricular na interação ensino-serviço-comunidade na Atenção Primária e a promoção da saúde de usuários. Método: Estudo descritivo, do tipo relato de experiência das vivências durantes o estágio curricular em um serviço de Atenção Primária do município de Natal, Rio Grande do Norte/RN no primeiro semestre de 2019. Resultados: A partir da observação e de conversa com os profissionais e os usuários os alunos puderam traçar objetivos e planejar vivências voltadas a saúde mental, medicalização e escuta qualificada, contando com a participação de profissionais da própria unidade e convidados, além dos usuários da unidade de saúde de realização do estágio. Conclusões: As vivências experenciadas durante o estágio curricular em Atenção Básica se apresentaram como uma importante estratégia para o fortalecimento da interação ensino-serviço-comunidade e na preparação do discente para usa inserção no ambiente vivo de sua prática profissional. Os momentos voltados a promoção da saúde foram ricos e importantes no desenvolvimento dos discentes no tocante a ampliação da sua percepção do conceito de saúde-doença, compreendendo essa como multifatorial e única em cada pessoa.

A constituição da subjetividade na criança com diagnóstico de Transtorno de Déficit de Atenção e Hiperatividade

RESUMO O objetivo deste trabalho é analisar implicações subjetivas decorrentes do processo de patologização da educação. Para tanto, foram realizadas entrevistas com duas crianças com diagnóstico de Transtorno de Déficit de Atenção/Hiperatividade, seus pais e professores, observação em sala de aula, avaliação fonoaudiológica individual e pesquisa documental. Os resultados do estudo apontam que os discursos que se instauram em torno do aluno considerado resistente ao que a escola propõe terminam por comprometer a formação da sua subjetividade, uma vez que ele passa a assimilar parte das percepções de seu grupo de convivência. Assumindo os postulados de Bakhtin, de que a autoimagem se constrói em meio ao olhar do outro, conclui-se que a criança pode apresentar sinais de desatenção e hiperatividade (e sintomas de sofrimento) a depender da qualidade das interações sociais em que está inserida.

Medicalização da infância e psicanálise: o caso TDAH

O presente ensaio teórico, em caráter de revisão narrativa de literatura, visa caracterizar o escopo das discussões sobre a medicalização da infância no campo da atenção à saúde em transtornos de déficit de atenção e hiperatividade no âmbito da abordagem psicanalítica. Parte da caracterização do fenômeno da medicalização do social e da infância em articulação com os desenvolvimentos na psicopatologia psiquiátrica a partir da consolidação do modelo sindrômico e organicista baseado em evidências epidemiológicas para tecer um contraponto crítico a partir da psicopatologia psicanalítica. Apresenta as principais hipóteses sobre a especificidade desse tipo de sintomatologia, indicando um mecanismo de falha de simbolização que não está necessariamente ligado a uma estrutura clínica específica. Discute também a incidência de fatores socioculturais da atualidade na produção e sustentação desse tipo de saída para os conflitos emocionais das crianças. Conclui pela reafirmação de uma posição de singularização e colocação em perspectiva histórica o sofrimento do sujeito como condição para o trabalho de escuta desses casos.

La violencia, ¿es una realidad persistente de la adolescencia del siglo XXI?

El fenómeno de la persistencia de la violencia interpersonal entre los y las adolescentes merece más atención, en particular desde un enfoque que rehúya los sesgos de la patologización de esta población y recoja fielmente diversas manifestaciones de esta violencia. En este texto intentamos dar cuenta de este fenómeno a partir del estudio detallado del caso de la población entre 12 y 14 años de la ciudad de Huelva, revelando la compleja interrelación entre estas manifestaciones, pero también la manera en que cambian y evolucionan los escenarios de la violencia cuando contemplamos variables clave como la edad y el género de los protagonistas.

Should obesity be recognised as a disease?

Categorising obesity as a disease will encourage people to seek treatment say John P H Wilding and Vicki Mooney,but Richard Pile thinks medicalisation would be disempowering and reduce motivation

Medical Practice and Its Relationship to the Medicalization, Biomedicalization and Technologicalization of Society and Life

Medical practice, which is defined as the development of doctor-patient relationships, is a technical procedure that is carried out in a social context, which is historically determined and affects society. Elements of this relationship involve doctors, patients, and social contexts interacting in a bidirectional manner. In the last century, the field of health, through doctor-patient relationships, has permeated society and tendencies derived from medical practice such as medicalization, pharmaceuticalization, and technologicalization of health and life, have emerged. These changes have involved the development of society and the advancement of various fields of knowledge that permeate and modify medical practice. All of these changes are designed to improve the quality of healthcare services. Due to such changes in the doctor-patient relationship and in the practice of medical profession, new questions regarding economic, legal, ethical, epistemological, and ontological ordering have been raised and must be analyzed from different points of view to ensure that the objectives of medical practice are not deviated from an aim to support the welfare of individuals and society. These topics are analyzed in this paper and it is suggested to include this discussion in graduate and undergraduate medical education. Keywords: DOCTOR-PATIENT RELATIONSHIPS, MEDICAL PRACTICE, MEDICALIZATION, PHARMACEUTICALIZATION, TECHNOLOGICALIZATION OF HEALTH CARE

The Relationship between Status of Medical Knowledge of Medical Consumers and Satisfaction of Medical Service

The supply of medical services using high-priced medical equipment is increasing due to the medicalization of medical science. The level of medical knowledge of medical consumers and the ability to select medical institutions are required to provide high quality medical services because of the popularization of medical information. As the attitudes of medical consumers toward medical institutions change, medical institutions also need to change their perception to improve customer satisfaction. The purpose of this study is to analyze the difference of medical service satisfaction according to the medical knowledge about the utility of PET / CT in order to change the consciousness structure of medical service. The results of this study showed that both medical satisfaction and environmental satisfaction were high in those who had medical knowledge about their own illness and the usefulness of PET / CT. Therefore, medical institutions will need a practical medical service countermeasures to provide medical information by noticing the changes in perception of the medical knowledge of medical consumers, rather than providing formal medical services.