American medicine as culture

著者

書誌事項

American medicine as culture

Howard F. Stein ; with the editorial assistance of Margaret A. Stein

Westview Press, 1990

  • : pbk

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注記

Includes bibliographical references (p. 247-269) and index

内容説明・目次

巻冊次

ISBN 9780813307374

内容説明

Medicine in America, argues Professor Howard Stein, is not merely the product of a biomedical model, but rather an intricate human culture. In this ethnographic study of the American medical system, Dr. Stein uses anthropological, small-group, and psychoanalytic paradigms to interpret diverse and often hidden aspects of medical culture in the United States.Based on two decades of teaching and counseling physicians, Dr. Stein's case studies allow us to hear doctors speak candidly about themselves, their feelings, their fears of failure, their interactions with nurses and other hospital staff, and the ways in which they sometimes internalize the problems of their patients. We also learn how doctors come to label their clients as "good" or "bad" patients, and we see how these labels can affect a patient's care. In addition, Dr. Stein explores the rich symbolism of money in a profession that has great difficulty discussing financial concerns with its clients.Taking the reader on an odyssey through the socialization process of becoming a physician in America, Dr. Stein links the culture of medicine with both the psychodynamics of individual practitioners and the currents of American society at large. He uncovers a rich vein of moralism lying beneath medicine's official position of scientific neutrality and finds that American values such as activism and mastery, and metaphors from competitive sports, warfare, and technology pervade clinical decisionmaking, treatment, and education.This is a fascinating study of a complex culture within our society, a book that will interest scholars, students, and the general reader.
巻冊次

: pbk ISBN 9780813319100

内容説明

Medicine in America, argues Professor Howard Stein, is not merely the product of a biomedical model, but rather an intricate human culture. In this ethnographic study of the American medical system, Dr. Stein uses anthropological, small-group, and psychoanalytic paradigms to interpret diverse and often hidden aspects of medical culture in the United States. }Medicine in America, argues Professor Howard Stein, is not merely the product of a biomedical model, but rather an intricate human culture. In this ethnographic study of the American medical system, Dr. Stein uses anthropological, small-group, and psychoanalytic paradigms to interpret diverse and often hidden aspects of medical culture in the United States.Based on two decades of teaching and counseling physicians, Dr. Steins case studies allow us to hear doctors speak candidly about themselves, their feelings, their fears of failure, their interactions with nurses and other hospital staff, and the ways in which they sometimes internalize the problems of their patients. We also learn how doctors come to label their clients as good or bad patients, and we see how these labels can affect a patients care. In addition, Dr. Stein explores the rich symbolism of money in a profession that has great difficulty discussing financial concerns with its clients.Taking the reader on an odyssey through the socialization process of becoming a physician in America, Dr. Stein links the culture of medicine with both the psychodynamics of individual practitioners and the currents of American society at large. He uncovers a rich vein of moralism lying beneath medicines official position of scientific neutrality and finds that American values such as activism and mastery, and metaphors from competitive sports, warfare, and technology pervade clinical decisionmaking, treatment, and education.This is a fascinating study of a complex culture within our society, a book that will interest scholars, students, and the general reader. }

目次

  • Introduction: An Anthropological Interpretation of American Biomedical Culture
  • Medicine, Value Orientations, and Their Meanings
  • Medical Metaphors and Their Role in Clinical Decisionmaking and Practice
  • Medicine, Moralism, and Social Control
  • The Influence of Group Dynamics on Clinical Thinking and Practice
  • Money and Medicine: An Identity Problem
  • Socialization and the Process of Becoming a Physician
  • The Self of the Physician: Links Between Culture and Personality
  • Conclusion: Implications of an Anthropological Approach for the Study, Teaching, and Practice of Biomedicine.

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