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Alexandra Dundas Todd - Intimate adversaries: cultural conflict between doctors and women patients

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title Intimate Adversaries Cultural Conflict between Doctors and Women - photo 1

title:Intimate Adversaries : Cultural Conflict between Doctors and Women Patients
author:Todd, Alexandra Dundas.
publisher:University of Pennsylvania Press
isbn10 | asin:0812212770
print isbn13:9780812212778
ebook isbn13:9780585342085
language:English
subjectPhysician and patient, Women patients--Psychology, Interpersonal conflict.
publication date:1989
lcc:R727.3.T63 1989eb
ddc:610.69/6
subject:Physician and patient, Women patients--Psychology, Interpersonal conflict.
Page iii
Intimate Adversaries
Cultural Conflict Between Doctors and Women Patients
Alexandra Dundas Todd
Page iv Copyright 1989 by Alexandra Dundas Todd All rights reserved - photo 2
Page iv
Copyright1989 by Alexandra Dundas Todd
All rights reserved
Printed in the United States of America
Library of Congress Cataloging-in-Publication Data
Todd, Alexandra Dundas.
Intimate adversaries.
Bibliography: p.
Includes index.
1. Physician and patient. 2. Women patientsPsychol
ogy. 3. Interpersonal conflict. I. Title.
R727.3.T63 1989 610.69'6 88-27957
ISBN 0-8122-8152-7
ISBN 0-8122-1277-0 (pbk.)
Designed by Adrianne Onderdonk Dudden
2nd printing, 1990
Page v
For Drew
Page vii
Contents
Acknowledgments
viii
Introduction
1
1
The Heart of Medicine
9
2
The Diseasing of Reproduction: When the Patient Is a Woman
25
3
"The Patient Doesn't Have Anything to Say About It"
47
4
Delusions in Discourse
77
5
Good Doctors in a Bad Model
101
6
Across a Crowded Room: Some Problems, Some Solutions
131
Bibliography
153
Index
163

Page viii
Acknowledgments
"The loneliness of the long-distance runner" is simultaneously the most appropriate and inappropriate metaphor for the writing of this book. On one hand, it brings to mind long hours spent alone, some glorious, some excruciating, moving toward a goal at times elusive, at times imminent. On the other hand, this book, like most books, is a social product, the result of a multitude of contributions from friends and colleagues.
I am enormously grateful to the following people for the interest they brought to this project. Will Wright and Sue Fisher offered their help and suggestions from the beginning to the end of the study. Rosemary Taylor and Nicole Rafter encouraged me to turn the research into a book, and I have benefited from their critical interest. Joined more recently but with equal intensity by Stephen Fox, these friends read drafts and provided a model for how exciting intellectual exchange can be.
Others contributed by reading individual chapters, offering editorial suggestions, or stimulating conversation. I would like to thank Rae Lesser Blumberg, Kate Ermenc, Joseph Gusfield, Robert Hahn, Evelyn Fox Keller, Jane Leserman, Bud Mehan, Joseph Rouse, Catherine Ryan, Wendy Sanford, Marlie Wasserman, and Irving Zola. I also want to thank all of the peoplemedical staff and women patientswho agreed to participate in this study; Suffolk University reference librarians Kathy Maio and Joe Middleton; secretarial staff Cindy Morley, Annalisa Kebadjian, and Frank Pellegrino; and Patricia Smith, editor at the University of Pennsylvania Press, who has made the publishing process smooth and steady.
My son, Drew Todd, in his usual wonderful way, offered his enthusiasm for and pride in my career, leading me to believe that behind every happy, successful, single parent stands a supportive child.
Page 1
Introduction
Time magazine, in the late 1960s, boldly asked, "Is God Dead?" This question sent shock waves through homes and offices, creating controversy at every level of American life. The high priests of religion were said to be losing ground. Today, in the 1980s, when "post-industrial prophets" (Kuhns 1971) have asserted that science is the guiding light for modern society, a similar question might be asked: "Is science dead?" The answer to these queries is both yes and no. Religion is still very much with us, and a scientific view provides much of our conceptual appreciation of the world. But in recent years skepticism about science has grown, particularly with regard to medical science. Doctors, the most highly visible applied scientists, experience this skepticism perhaps most acutely. Scandals abound in research, and medical mistakes regularly make front-page copy. We all have our own personal stories of medical heresy. This represents a dramatic shift.
For much of this century, Americans have placed their faith in doctors and in the prevailing medical system. Such post World War II breakthroughs as the development of antibiotics and Jonas Salk's heralded polio vaccine provided credibility for modern medicine and increased public confidence. It was believed that cures were available for most ills and, if not, their discovery was just around the corner. In only a matter of time human disease would be completely eradicated through scientific research and expert medical care.1
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