Sunday, November 24, 2019

Why primary care is so damn frustrating?

"We have seen how the doctors’ mindlines are a social construct. But the patient’s
views are of course also a social construct – he or she will have acquired them
through their life experience, their family history, their friends, their reading, their
exposure to media discussions of depression and so on, and these in turn may be
influenced by wider forces such as the views of politicians, psychiatrists, celebrities,
the pharmaceutical industry, self-help and other books, and so forth. He or she has
acquired their view of the disease through what Berger and Luckmann (1966) call
the ‘primary socialization’ of general upbringing and social experience (p. 173).
That construct is derived through its own elaborate web of actors and interactions,
equivalent to that of the Heartshire actor-network example (Box 9.1), and is
shared among their own communities of practice – for example of family, friends
and neighbors who have experienced similar problems."

Practice-based Evidence for Healthcare: Clinical Mindlines

By John Gabbay, Andrée le May

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