All in Your Head: Making Sense of Pediatric Pain - download pdf or read online

By Mara Buchbinder

Even though soreness is a common human adventure, many view the discomfort of others as deepest, immune to language, and, hence, basically unknowable. And, but, regardless of the most obvious limits to comprehending another’s inner nation, language is all that we have got to translate discomfort from the solitary and unknowable to a phenomenon richly defined in literature, drugs, and lifestyle. with out denying the non-public dimensions of soreness, All on your Head deals a wholly clean viewpoint that considers how ache might be configured, controlled, defined, or even skilled in deeply relational ways.

Drawing on ethnographic fieldwork in a pediatric ache health center in California, Mara Buchbinder explores how clinicians, adolescent sufferers, and their households make experience of difficult signs and paintings to relieve ache. via cautious recognition to the language of pain—including narratives, conversations, versions, and metaphors—and unique research of ways younger ache victims make that means via interactions with others, her publication finds that although inner most soreness might be, making feel of it truly is profoundly social.

NOTE: the writer doesn't hypocritically tackle the problem of male neonatal circumcision, perhaps simply because she is Jewish?

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S. 81 Pain medicine has also left its imprint on American society more broadly. 83 Such effects highlight the ways in which pain far outstrips facile distinctions between public and private. As we will see, pain reverberates through households and communities in ways that belie its frequent characterization as solitary and private. Situating Pediatric Pain In the United States, pediatric pain medicine is located in the realm of tertiary care, medical services performed by physicians with specialized training.

64 Other terms, such as intractable, convey that pain has not responded to standard treatment. These terms all point, in various ways, to the failures of biomedicine: failures to explain adequately why pain has occurred and to respond adequately to its presence. Certainty is the second dimension of biomedical explanation identified previously. While uncertainty is endemic across medical settings, the uncertainty inherent in pain explanations is of a very particular sort. Whereas much medical uncertainty crystallizes around epistemological questions—for example, how physicians can know what will prove the best course of treatment—pain clinicians must grapple with ontological uncertainty: that is, uncertainty about whether a person is truly in pain and the nature of pain itself.

In one notable case, Kaiser Permanente, an HMO insurance company,90 approved eight sessions with Charlotte LeFevre because there were no pediatric pain clinicians in its network. However, this approval was only granted following the persistent advocacy of the patient’s mother over a twomonth period and a thick stack of paperwork completed by Nina and Charlotte. Cases like this proved the exception rather than the rule. The clinicians worked to find creative solutions for families in need, lowering fees, tapping into free resources such as school counselors and university research studies that might offer short-term psychotherapeutic services free of charge, and, when necessary, privileging physical therapy and acupuncture, which held some hope of insurance reimbursement, over other therapeutic modalities.

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All in Your Head: Making Sense of Pediatric Pain by Mara Buchbinder


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