[The medical perspective towards chronic pain: biomedical model and clinical practice].

Abstract:

:This study aimed to shed light on the meanings ascribed to chronic pain in medical discourse and clinical practice in two Pain Clinics located in University hospitals in Salvador (Bahia) and São Paulo, Brazil. An ethnographic approach used participant observation and semi-structuralized interviews with attending and managing physicians. Data analysis drew on the clinical models developed by Byron Good and the medical rationalities project formulated by Madel Luz. The meanings emerging from the study were the recognition of chronic pain by biomedicine as a disease rather than a symptom, its invisibility to physicians, and its non-communicability and inevitability. The informants suggested the need for valorization of the human encounter in the clinic, exercise of understanding as opposed to suspicion, and negotiation of sustainable therapeutic projects.

journal_name

Cad Saude Publica

authors

Lima MA,Trad LA

doi

10.1590/s0102-311x2007001100015

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

2672-80

issue

11

eissn

0102-311X

issn

1678-4464

pii

S0102-311X2007001100015

journal_volume

23

pub_type

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