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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'?


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References

Barrett-Connor, E. &. 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
Edition. New York: Arno Press. 1972.

Bengtsson, C. e. a. (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, 155-162.

Blois, M. (1986). 'Diagnosis versus Diagnostic Programs'. In Medinfo 86 (pp. 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, H.M. (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.
London & New York: Routledge.

Diprose, R. &. Ferrel, R. (Eds). (1991). Cartographies. Post-structuralism and the
Mapping of Bodies and Space. Sydney: Allen & Unwin.

Dreyfus, H.L. (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, N.J: 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. &. 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. &. 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, Mass: Harvard University Press.

Logan, R.L. & Scott, P.L. (1996). 'Uncertainty in clinical practice: implications for
quality and costs of health care' The Lancet 347: 595-98

McKee, M. & Clarke, A. (1995). 'Guidelines, enthusiasms, uncertainty, and the limits to
purchasing' British Medical Journal 310: 101-4.

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, S.C. (1940). 'Hypotension: The ideal normal blood pressure' New England
Journal of Medicine 223 (11) 407-16

Schneck, D. (1986). 'The Texture of Embodiment: Foundation for Medical Ethics'.
Human Studies, 16, 387-420.

Shapiro, M. (1982). 'Low blood pressure - an extinct diagnosis' Canadian Medical
Association Journal. 126: 997-88

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. London & New
York: Routledge & Kegan Paul.

Varela, J. et al. (1991). The Embodied Mind. Cambridge, Mass: 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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