Body work in respiratory physiological examinations

This article focuses on the extent to which violence against family doctors in England is experienced in gendered terms. It draws on data from two studies: a postal survey of 1,300 general practitioners (GPs) (62% response rate) and in‐depth interviews with 26 doctors who have been assaulted or threatened; and 13 focus groups with primary care teams and 19 in‐depth interviews with GPs who had expressed an interest in the topic of violence against doctors. Most GPs, regardless of gender, reported receiving verbal abuse over the last two years, often interpreted as a consequence of declining deference to professionals, while actual physical assaults and threats were much rarer and more likely to be reported by men. Overall, women GPs were much more likely to express concern about violence and to take personal precautions, although younger male GPs working in inner‐city practices also had high levels of concern. The study shows how some aspects of family doctors’ work has been organised on gendered lines and how these contribute to the differences in experience of violence. We suggest that the increasing proportion of women among family doctors may have implications for these, often tacit, organisational routines.

Section: Gps At Risk Of Violence?mentioning

confidence: 99%

Violence in general practice: a gendered risk?

Elston

Gabe

2015

“…Particular forms of body movement and presentation inspired trust and confidence in patients, thus facilitating clinical practice. In a similar vein, Måseide (2011) noted how clinicians used their own bodies to help instruct patients how to use and move their bodies during examinations. Respiratory physiological examinations, for example, require patients to physically interact with technical equipment in a precise (and challenging) fashion.…”

Section: The Clinician‐body Space and Knowledge Production In Medicinementioning

confidence: 99%

“…If this were done successfully, the interaction would generate a textual artefact (such as a note on the patient's medical records) that could subsequently be used to inform further clinical action. Måseide (2011: 297) illustrates that communicative body work is essential to ensuring the success of the examination, and suggests that clinical examinations can be seen as ‘mutually constitutive processes between various agents, bodies and body modes’. These studies illustrate, then, that the body is a key instrument for communicating with patients and ensuring that clinical interactions proceed ‘on script’.…”

Section: The Clinician‐body Space and Knowledge Production In Medicinementioning

confidence: 99%

“…While much of this is done via verbal instruction, the PTs also rely on their body as a means of communication. As Måseide (2011) has demonstrated, clinicians often use bodily gestures to help encourage the compliance of their patients during an examination; compliance that is necessary for the generation of sought after clinical information. Similarly, during the GMFM the PTs use both verbal and corporal communication to instruct Carl how he should position and move his body, often in reference to other material objects within the diagnostic space.…”

Section: Communicative Body Workmentioning

confidence: 99%

See 1 more Smart Citation

Corporal diagnostic work and diagnostic spaces: clinicians’ use of space and bodies during diagnosis

Gardner

Williams

2015

An emerging body of literature in sociology has demonstrated that diagnosis is a useful focal point for understanding the social dimensions of health and illness. This article contributes to this work by drawing attention to the relationship between diagnostic spaces and the way in which clinicians use their own bodies during the diagnostic process. As a case study, we draw upon fieldwork conducted with a multidisciplinary clinical team providing deep brain stimulation (DBS) to treat children with a movement disorder called dystonia. Interviews were conducted with team members and diagnostic examinations were observed. We illustrate that clinicians use communicative body work and verbal communication to transform a material terrain into diagnostic space, and we illustrate how this diagnostic space configures forms of embodied ‘sensing‐and‐acting’ within. We argue that a ‘diagnosis’ can be conceptualised as emerging from an interaction in which space, the clinician‐body, and the patient‐body (or body‐part) mutually configure one another. By conceptualising diagnosis in this way, this article draws attention to the corporal bases of diagnostic power and counters Cartesian‐like accounts of clinical work in which the patient‐body is objectified by a disembodied medical discourse.

“…This sort of work is often understood as 'dirty' work and is, therefore, highly gendered, classed and racialised and mostly carried out by lower class, ethnic minority women (Neysmith and Aronson 1997, Twigg 2000, Twigg et al 2011. Kerr (2013), however, suggests that too narrow a definition of body work risks overlooking types of labour that may include absent bodies or those rendered visible through technology (see Måseide, 2011). She suggests that in the case of assisted conception, practitioners work with imagined bodies in determining 'who gets treatment and how it is delivered' (Kerr, 2013: 476).…”

Section: Pharmacy and The Bodymentioning

confidence: 99%

The pharmacy gaze: bodies in pharmacy practice

Jamie

2014

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