Pediatrics

Get All in Your Head: Making Sense of Pediatric Pain PDF

By Mara Buchbinder

Even though soreness is a common human adventure, many view the soreness of others as inner most, proof against language, and, accordingly, basically unknowable. And, but, regardless of the most obvious limits to comprehending another’s inner kingdom, language is all that we've got to translate soreness from the solitary and unknowable to a phenomenon richly defined in literature, medication, and way of life. with no denying the non-public dimensions of discomfort, All on your Head bargains a wholly clean standpoint that considers how discomfort can be configured, controlled, defined, or even skilled in deeply relational ways.

Drawing on ethnographic fieldwork in a pediatric soreness sanatorium in California, Mara Buchbinder explores how clinicians, adolescent sufferers, and their households make experience of perplexing indicators and paintings to relieve ache. via cautious realization to the language of pain—including narratives, conversations, types, and metaphors—and special research of the way younger ache victims make that means via interactions with others, her e-book unearths that in spite of the fact that deepest soreness could be, making experience of it really is profoundly social.

NOTE: the writer doesn't hypocritically handle the problem of male neonatal circumcision, perhaps simply because she is Jewish?

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Extra info for All in Your Head: Making Sense of Pediatric Pain

Example text

All in your head” is thus a powerful metaphor for illness because of the multiple meanings that it crystallizes and collapses. In this chapter, I examine the metaphors that clinicians use to explain pain to adolescents and families. 1 For Sontag, metaphors stigmatize cancer sufferers by cloaking a terrible disease in an aesthetic veil, which, as it lends meaning, distorts. 3 Here, I highlight in particular the pragmatic function that metaphors serve within clinical explanations. Drawing on interviews I conducted with clinicians on the West Clinic team, as well as other pediatric pain practitioners, I examine a set of metaphors used to present chronic pain as a problem of neural circuitry.

As with most health-care resources in the United States, access to tertiary care medical services such as specialized pediatric pain clinics is stratified according to families’ insurance status and ability to pay. The story of fifteen-year-old Crystal Martinez, the first patient that I enrolled in my study, is quite telling in this regard. -born daughters with the best available educational, extracurricular, and travel opportunities. The three lived in a two-bedroom apartment with Lucinda’s sister and nephew in a part of town known for high crime rates, where the buildings were more weathered than in the Siegel family’s community.

81 Pain medicine has also left its imprint on American society more broadly. 83 Such effects highlight the ways in which pain far outstrips facile distinctions between public and private. As we will see, pain reverberates through households and communities in ways that belie its frequent characterization as solitary and private. Situating Pediatric Pain In the United States, pediatric pain medicine is located in the realm of tertiary care, medical services performed by physicians with specialized training.

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All in Your Head: Making Sense of Pediatric Pain by Mara Buchbinder


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