2005/2/16 (W), Week 3, Class 5
Byron Good, “How Medicine Constructs its Objects” in
Medicine, Rationality, and
Experience: An anthropological perspective
, pp 65-87
American Medicine: The Question for Competence
, Ch 6, “Narrative
Strategies in Presentation and Performance” and Ch 7, “The Social Production of
Physician Competence”, pp 125-167
Reflection Paper topic #1. Easy two pages. Look at handout. No more than 2 and a
quarter pages. Be concise. Follow social science references, etc. No late papers, or it will
Start with Mary-Jo DelVecchio Good.
Background: PhD Middle Eastern Studies, Harvard University. Prof of Social Medicine,
Harvard Medical School (HMS). Mary-Jo DelVecchio Good, Professor of Social
Medicine, Department of Social Medicine, Harvard Medical School, received her Ph.D.
in Sociology and Middle Eastern Studies from Harvard in 1977. Her current research
interests include cultural and comparative studies of biomedicine, bioethics, and
biotechnology; globalization of medical knowledge and markets; and gender, health
policy and international health.
1990 New Pathway at HMS – initially questionable results. Question: where
depends on the impressions of others?
Maybe or maybe not unique to
medicine. In academia for example, it’s about what we produce, how well we get along
with the people in our department.
Team time. Doctors interacting with each other.
Perfect medical student (MS) – cheerful and does anything for the residents. MS
experience can be generalized. What do they care about? Students learned how to
ask the right questions and more importantly learned how to give the right
How doctor-patient relationships progress over time. (We don’t cover
malpractice in this course).
Do doctors have a
vested interest in what they disclose
to patients? (We’ll see this
in the disclosure section.) Yes, we’ll see this in malpractice issues. Hard to get a
straight answer (for example, Prof James’s grandma’s wishy-washy diagnosis and
House (TV show) example – HepC or Lupus; using the patient to test a
medication to determine the disease and use lies.
© 2005 MIT OCW