Morality in clinical space

treatment of youngsters with functional somatic symptoms in a Western clinical context

Sara Seerup Laursen, Birgitte Dehlholm-Lambertsen, Egon Stenager, Helle Johannessen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

This paper explores the moral implications of treatment of young people with functional somatic symptoms. Based on an ethnographic field study at a Danish pain clinic for youngsters (age 8 to 18), the paper seeks to unearth the cultural, moral values that clinical practice steers by and upholds, and the implications this has for the assessment and management of ill body-selves. Through an exposition of the general practice of the clinic and an investigation of two specific cases of youngsters, it is found that the assessment of symptoms and selves and the goals of treatment are informed by cultural ideals of 'the good self' and 'the good life' in which agency and work ethic - both pertaining to the notion of individual responsibility - figure as prevalent virtues. The study underpins the findings of other researchers who have found that ideals of individual autonomy and responsibility for own life and health permeate the Western health care system and the discourses of ill individuals. The contribution of this article is to portray in ethnographic detail how such a cultural ethics manifests in practice and what implications this have for the treatment of young people with functional symptoms at a specific location and in specific cases. The two cases illustrate that the underlying norms and values can give rise to very different moral assessments of symptoms and selves within the same diagnostic category.

OriginalsprogEngelsk
TidsskriftAnthropology & Medicine
Vol/bind26
Udgave nummer2
Sider (fra-til)228-243
ISSN1364-8470
DOI
StatusUdgivet - aug. 2019

Fingeraftryk

morality
Ethics
moral philosophy
Pain Clinics
responsibility
General Practice
pain
Values
diagnostic
autonomy
Research Personnel
health care
Delivery of Health Care
discourse
Health
health
management
Medically Unexplained Symptoms
Morality
Ethnographic

Citer dette

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Morality in clinical space : treatment of youngsters with functional somatic symptoms in a Western clinical context. / Laursen, Sara Seerup; Dehlholm-Lambertsen, Birgitte; Stenager, Egon; Johannessen, Helle.

I: Anthropology & Medicine, Bind 26, Nr. 2, 08.2019, s. 228-243.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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