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'Feeling low': The emergence of a concept of low blood pressure and the representation of an embodied identity
Gillian Hatt
School of Social and Cultural Studies, Edith Cowan University, Perth WA
Abstract
In this paper I address the relationship between the body and the construction of medical knowledge.
By reference to a series of participant-observation studies and interviews with clinicians, I identify how knowledge is acquired through bodily experience, and, how bodies are themselves categorised through their relationship to knowledge.
The question which I address is: How do medical practitioners 'make sense' of formalised clinical knowledge and relate it to their own embodied experience of patients who often defy 'standardised categorisation'?
References
Barrett-Connor E and P LA (1994) Low blood pressure and depression in older men. A population based study. British Medical Journal 208: 446-449.
Beard G (1881) American Nervousness: It's causes and consequences. Reprint Edn. New York: Arno Press, 1972.
Bengtsson Cea (1987) Prevalence of subjectively experienced symptoms in a population sample of women with special reference to women with arterial hypotension, Scandinavian Journal of Primary Health Care, pp.155-162.
Blois M (1986) Diagnosis versus Diagnostic Programs. Medinfo 86: 225-227. North Holland: Elsevier Science Publishers.
Brain W (1947) Diseases of the Nervous System. London: Oxford Medical Publishing Company.
Canguilhem G (1960) Le Normal et La Pathologique. Paris: Alcan.
Collins HM (1996) A review of Hubert Dreyfus' What computers still can't do, Artificial Intelligence 80: 99-117.
Cowing W (1912) Blood Pressure Technique Simplified. Rochester NY: Taylor Instrument Companies.
Craig M (1900) On Blood Pressure in the Insane, British Medical Journal 2: 824-826.
Curt B (1994) Textuality and Tectonics: Troubling Social and Psychological Science. Milton Keynes: Open University Press.
de Chadarevian S (1993) Graphical Methods and Discipline: Self-recording instruments in nineteenth-century physiology. Studies in History and Philosophy of Science (June issue).
Diprose R (1994) The Bodies of Women: Ethics, Embodiment and Sexual Difference. New York: Routledge.
Diprose R and Ferrel R (eds) (1991) Cartographies. Post-structuralism and the Mapping of Bodies and Space. Sydney: Allen & Unwin.
Dreyfus HL (1996) Response to my critics. Artificial Intelligence 80: 171-191.
Fogel B (1980) Reply to Blois: Clinical Judgement and Computers, New England Journal of Medicine 303(22): 1307.
Foucault M (1962) Mental Illness and Psychology. Berkeley: University of California Press.
Foucault M (1977) Discipline and Punish. London: Allen Lane.
Frank A (1990) Bringing bodies back in: A decade review, Theory, Culture and Society 15: 131-162.
Game A (1991) Undoing the Social. Towards a Deconstructive Sociology. Milton Keynes: Open University Press.
Gilman S (1976) The Face of Madness: Hugh Diamond and the Origin of Psychiatric Photography. Secaurus NJ: The Citadel Press.
Gilman S (1988) Disease and Representation. Ithaca: Cornell University Press.
Gooding D (1990) Experiment and the Making of Meaning. Dordrecht: Kluwer.
Goodwin B (1994) How the Leopard Changed its Spots. London: Weinfeld & Nicholson.
Harre R (1991) Physical Being. A Theory for a Corporeal Psychology. Oxford: Blackwell.
Haste H (1993) The Sexual Metaphor. Hertfordshire: Harvester Wheatsheaf.
Hatt G (1992) What is Low Blood Pressure? The Lancet 339(2): 1049.
Hirschauer S (1993) The Manufacture of Bodies in Surgery, Social Studies of Science 21: 279-319.
Hunter K (1991) Doctors Stories: The Narrative Structure of Medical Knowledge. Princeton NJ: Princeton University Press.
Jardine N (1992) The Laboratory Revolution in Medicine as Rhetorical and Aesthetic Accomplishment, in Cunningham A and Williams P, The Laboratory Revolution in Medicine. Cambridge: Cambridge University Press.
Johnson M (1987) The Body in the Mind: The Bodily Basis of Meaning, Imagination and Reason. Chicago: Chicago University Press.
Lakoff G and Johnson M (1980) Metaphors We Live By. Chicago: Chicago University Press.
Laqueur T (1990) Making Sex: Body and Gender from the Greeks to Freud. Cambridge MA: Harvard University Press.
Logan RL and Scott PL (1996) Uncertainty in clinical practice: implications for quality and costs of health care, The Lancet 347: 595-598.
McKee M and Clarke A (1995) Guidelines, enthusiasms, uncertainty, and the limits to purchasing, British Medical Journal 310: 101-104.
Mann A (1992) Psychiatric Symptoms and Low Blood Pressure, British Medical Journal 34(1).
Marey E (1868) Du movement dans les fonctions de la vie. Paris: Balliere.
Pemberton J (1989) Does constitutional hypotension exist? British Medical Journal 298: 660-662.
Pilgrim J et al (1992) Low blood pressure, low mood? British Medical Journal 304: 75-78.
Robbins J et al (1982) Treatment for a Non-disease. The case of Low Blood Pressure, Social Science and Medicine 16: 27-33.
Robinson SC (1940) Hypotension: The ideal normal blood pressure, New England Journal of Medicine 223(11): 407-416.
Schneck D (1986) The Texture of Embodiment: Foundation for Medical Ethics, Human Studie, 16: 387-420.
Shapiro M (1982) Low blood pressure - an extinct diagnosis, Canadian Medical Association Journal 126: 997-998.
Shilling C (1993) The Body and Social Theory. London: Sage Publications.
Shorter J (1993) Cultural Politics of Everyday Life. Social Constructionism, Rhetoric and Knowing of the Third Kind. Milton Keynes: Open University Press.
Showalter E (1988) The Female Malady: Women, Madness and English Culture. London: Virago.
Turner B (1984) The Body and Society. London: Basil Blackwell.
Turner B (1992) Regulating Bodies: Essays in Medical Sociology. New York: Routledge & Kegan Paul.
Varela J et al (1991) The Embodied Mind. Cambridge MA: MIT Press.
Wessely S (1990) Symptoms of low blood pressure. A population study, British Medical Journal 301: 362-365.
Young K (1989) Disembodiment. The Phenomenology of the Body in Medical Examinations, Semiotica 73(1/2): 43-66.
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