کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
7331697 | 1476027 | 2015 | 8 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Does “difficult patient” status contribute to de facto demedicalization? The case of borderline personality disorder
ترجمه فارسی عنوان
آیا بیمار دشوار است؟ وضعیت به تخریب واقعی دچار می شود؟ مورد اختلال شخصیت مرزی
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کلمات کلیدی
ایالات متحده آمریکا، اختلال شخصیت مرزی، پزشکی بیمار دشوار سلامت روان، دسترسی به مراقبت، ارتباط پزشک / بیمار،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی
A diagnosis of Borderline Personality Disorder (BPD) often signals the quintessential “difficult patient” status to clinicians, with at least one scholar arguing the condition itself was created to name and group difficult patients. While patients who are deemed difficult are often dispreferred for care, does this have an impact on their overall status as medicalized patients who have successfully achieved a sick role? This study relies on (n = 22) in-depth interviews with mental health clinicians in the United States from 2012 to evaluate how they describe patients with BPD, how the diagnosis of BPD affects the treatment clinicians are willing to provide, and the implications for patients. My findings suggest patients with BPD are routinely labeled “difficult,” and subsequently routed out of care through a variety of direct and indirect means. This process creates a functional form of demedicalization where the actual diagnosis of BPD remains de jure medicalized, but the de facto or treatment component of medicalization is harder to secure for patients.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 142, October 2015, Pages 82-89
Journal: Social Science & Medicine - Volume 142, October 2015, Pages 82-89
نویسندگان
Sandra H. Sulzer,