The lived body as a medical topic: an argument for an ethically informed epistemology

Kirkengen, Anna Luise; Thornquist, Eline

doi:10.1111/j.1365-2753.2012.01925.x

Cited by 38 publications

(52 citation statements)

References 36 publications

(38 reference statements)

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“…The presented connection between allostatic load and the phenomenon embodiment ) is highly concordant with our thinking (Getz, Kirkengen, & Ulvestad, 2011;Kirkengen, 2001Kirkengen, , 2010Kirkengen et al, 2015;Kirkengen & Thornquist, 2012;Mjolstad, Kirkengen, Getz, & Hetlevik, 2013;Thornquist & Kirkengen, 2015;Tomasdottir et al, 2014;Tomasdottir et al, 2015;Vogt, Ulvestad, Eriksen, & Getz, 2014). The interrelatedness of human biology and biography has long been evident to experienced doctors in general practice (GPs) who encounter individuals over time across varying circumstances and stages of life (Kirkengen, 2005).…”

Section: Introductionmentioning

confidence: 65%

“…See also http://developingchild.harvard.edu/). In order to further refine the metaphors of allostasis it is also important to keep underlining the fundamental difference between an exposure (objectively categorized) and an experience (subjectively lived) (Kirkengen & Thornquist, 2012;Seery, 2011;Tomasdottir et al, 2015;Ulvestad, 2012;Vie, Hufthammer, Holmen, Meland, & Breidablik, 2014;Waller, 2015).…”

Section: The Metaphors Of Allostasis: From 'Wear and Tear' To 'Gains mentioning

confidence: 99%

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Origins of heath inequalities: the case for Allostatic Load

Delpierre¹,

Barbosa-Solis²,

Torrisani³

et al. 2016

LLCS

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Section: Introductionmentioning

confidence: 65%

Section: The Metaphors Of Allostasis: From 'Wear and Tear' To 'Gains mentioning

confidence: 99%

Origins of heath inequalities: the case for Allostatic Load

Delpierre¹,

Barbosa-Solis²,

Torrisani³

et al. 2016

LLCS

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“…As we conclude so, it is, however, not our intention to medicalise every aspect of the human lifeworld and suggest that human happiness should be subjected to systematic, medical surveillance 60. What we hope to contribute to is a more comprehensive medical understanding that does justice to the human nature 61. This is ultimately a fundamental prerequisite for good healthcare.…”

Section: Discussionmentioning

confidence: 88%

Does ‘existential unease’ predict adult multimorbidity? Analytical cohort study on embodiment based on the Norwegian HUNT population

et al. 2016

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ObjectivesMultimorbidity is prevalent, and knowledge regarding its aetiology is limited. The general pathogenic impact of adverse life experiences, comprising a wide-ranging typology, is well documented and coherent with the concept allostatic overload (the long-term impact of stress on human physiology) and the notion embodiment (the conversion of sociocultural and environmental influences into physiological characteristics). Less is known about the medical relevance of subtle distress or unease. The study aim was to prospectively explore the associations between existential unease (coined as a meta-term for the included items) and multimorbidity.SettingOur data are derived from an unselected Norwegian population, the Nord-Trøndelag Health Study, phases 2 (1995–1997) and 3 (2006–2008), with a mean of 11 years follow-up.ParticipantsThe analysis includes 20 365 individuals aged 20–59 years who participated in both phases and was classified without multimorbidity (with 0–1 disease) at baseline.MethodsFrom HUNT2, we selected 11 items indicating ‘unease’ in the realms of self-esteem, well-being, sense of coherence and social relationships. Poisson regressions were used to generate relative risk (RR) of developing multimorbidity, according to the respondents' ease/unease profile.ResultsA total of 6277 (30.8%) participants developed multimorbidity. They were older, more likely to be women, smokers and with lower education. 10 of the 11 ‘unease’ items were significantly related to the development of multimorbidity. The items ‘poor self-rated health’ and ‘feeling dissatisfied with life’ exhibited the highest RR, 1.55 and 1.44, respectively (95% CI 1.44 to 1.66 and 1.21 to 1.71). The prevalence of multimorbidity increased with the number of ‘unease’ factors, from 26.7% for no factor to 49.2% for 6 or more.ConclusionsIn this prospective study, ‘existential unease’ was associated with the development of multimorbidity in a dose–response manner. The finding indicates that existential unease increases people's vulnerability to disease, concordant with current literature regarding increased allostatic load.

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“…These concepts will be illustrated using case histories in order to reframe current knowledge to focus on the lived body, that is, on the impact that embodied lifetime experiences have on health [17,18].…”

Section: Introductionmentioning

confidence: 99%