If You Have to Prove You Are Ill, You Canʼt Get Well

Hadler, Nortin M.

doi:10.1097/00007632-199610150-00021

Cited by 168 publications

(72 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Such paradoxical responses have been noted elsewhere. 14 Thirdly, many women attached great importance to having an explanation for their pain, and some regarded this as being more important than a cure. However, explanation was often perceived as poor.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of women with chronic pelvic pain to the gynaecological consultation: a qualitative study

Price¹,

Farmer

Harris³

et al. 2006

BJOG

View full text Add to dashboard Cite

Objective To describe the attitudes that women with chronic pelvic pain (CPP) attending gynaecology clinics have to their consultations and to determine the ways in which their health care can be improved.Design Qualitative study using semistructured individual interviews.Setting UK gynaecology outpatient clinics in district general and teaching hospitals.Sample Twenty-six women with CPP.Methods Semistructured individual interviews were conducted. Data gathering and analysis followed a grounded theory approach.Main outcome measures Women's wishes regarding their care and their actual experiences of care.Results Four main themes emerged. The women wanted (a) personal care, which they often did not receive; (b) to feel understood and to be taken seriously, although they often felt dismissed, which applied both to women with and without an explanation for their pain; (c) explanation as much as cure, but an adequate explanation was often not provided; and (d) to be reassured, which often they were not. Effective reassurance was complex as it included general reassurance and specific reassurance about cause and treatment.Conclusions Improvements are needed in the outpatient care of women presenting with CPP. Changes should focus on providing more personal care, so that presenting problems are seen to be taken seriously, findings and management are appropriately explained, and women are more effectively reassured. Interventions need to be developed that meet these needs and tested to determine if they are feasible, acceptable, and improve outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Attitudes of women with chronic pelvic pain to the gynaecological consultation: a qualitative study

Price¹,

Farmer

Harris³

et al. 2006

BJOG

View full text Add to dashboard Cite

show abstract

“…Hadler reflects upon both the causes and the limitations of this catch-all psychogenic labelling, calling it a 'contest of diagnosis', and describing medicine as 'not [being] likely to accept blame for subjecting the patient to months of an exercise that turn[s] out to be flawed in design and iatrogenic in execution' (Hadler, 1996). Nettleton (2006) similarly reports the important effort of trying to compensate for and palliate symptoms in the absence of a diagnosis as being as onerous as the symptoms themselves.…”

Section: Psychiatry To Explain the Unexplainablementioning

confidence: 99%

Medically unexplained symptoms and the disease label

Jutel

2010

Soc Theory Health

View full text Add to dashboard Cite

Medically unexplained symptoms are a source of frustration for clinician and patient alike. They simultaneously test the credibility of the doctor and the patient; the former, for his or her inability to label the patient's complaint, and the latter, for the ignominy of being perceived to have a factitious symptom. This review explores the discursive construction of such symptoms in the medical literature in order to appreciate the context in which medicine understands and manages non-diagnosed complaints. It uses medically unexplained symptoms as a heuristic for understanding the role of classification in constituting medicine as a social authority. In the absence of diagnostic category, medically unexplained symptoms are recast as a discrete category of their own. However, this category implies the infallibility of the physician and the relevance of the medical model in all circumstances. It transfers responsibility for the disorder to the patient in a way that may hinder resolution, and it ignores socio-historical practices that influence when and why patients consult a physician.

show abstract

“…This colors the relationship between the afflicted and family members, coworkers, and caregivers. Furthermore, it thwarts healing; if you have to prove you are ill, you cannot get well [9]. This dialectic plays out with viciousness in the medicolegal context [10].…”

mentioning

confidence: 99%

Not the Last Word: Fibromyalgia is Real

Bernstein

2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

If You Have to Prove You Are Ill, You Canʼt Get Well

Cited by 168 publications

References 21 publications

Attitudes of women with chronic pelvic pain to the gynaecological consultation: a qualitative study

Attitudes of women with chronic pelvic pain to the gynaecological consultation: a qualitative study

Medically unexplained symptoms and the disease label

Not the Last Word: Fibromyalgia is Real

Contact Info

Product

Resources

About