Kevin Dew

Annemarie Jutel

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.

An Introduction for Students and Clinicians

Social Issues in Diagnosis

In contemporary manifestations of public health rituals and events, people are being increasingly united around what they hold in common-their material being and humanity. As a cult of humanity, public health provides a moral force in society that replaces 'traditional' religions in times of great diversity or heterogeneity of peoples, activities and desires. This is in contrast to public health's foundation in science, particularly the science of epidemiology. The rigid rules of 'scientific evidence' used to determine the cause of illness and disease can work against the most vulnerable in society by putting sectors of the population, such as underrepresented workers, at a disadvantage. This study focuses on this tension between traditional science and the changing vision articulated within public health (and across many disciplines) that calls for a collective response to uncontrolled capitalism and unremitting globalization, and to the way in which health inequalities and their association with social inequalities provides a political rhetoric that calls for a new redistributive social programme. Drawing on decades of research, the author argues that public health is both a cult and a science of contemporary society.

A Sociological Investigation

The Cult and Science of Public Health

Annemarie Goldstein Jutel

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.

Anne Scott

Allison Kirkman

This book comprehensively explores social, political and cultural dimensions of health in contemporary society. It addresses many issues and pertinent questions, including the following: Are we over diagnosed and over medicated? How can patients participate in their own care? Do pharmaceutical companies coerce us into medication regimes? What drives inequalities in health outcomes? What is the experience of health care for indigenous communities? Why do different countries have such different health care systems? How do we respond to life-changing conditions? Can we achieve a ‘good death’? How do new genetics shape our identities? Is public health a force of liberation or disempowerment? The book incorporates the range of levels of influence on health, covering individual patient experiences, the health professions, multinational corporations, the state, global organisations as well as examining trends in social organisation, cultural expression and technological developments. It volume provides an accessible, yet in-depth, overview and discussion of the sociology of health. The chapters include an illustrative case study and further readings relating to the topic.

Kevin Dew

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