Sensory work of diagnosis

A crisis of legitimacy

Research output: Contribution to journalArticle

7 Citations (Scopus)
3 Downloads (Pure)

Abstract

Sensory judgments have always been a part of medical practice, as sensory studies scholars have emphasized. However, in current regulatory, management and technological contexts, there is a push toward rational decision-making procedures and test-based evidence over clinical diagnosis. Sociological scholarship highlights that in focusing on explicit medical knowledge and disembodied data we take for granted aspects of healthcare work, including the ways in which health and illness is sensed. Research in sociologies of diagnosis and social studies of science and technology has captured that while the senses continue to play a role in medical work, the status and practice of this sensory work is not straightforward as evidenced by dual use of the senses and tests and the delegation of sensory work. Based on semi-structured interviews with expert doctors in diverse specialties, this article examines the sensory work of medical decision-making, with attention to its legitimacy. It examines applications of the senses from auscultation to ongoing sensing of patients’ bodies unmediated and via technological outputs. While critical to clinical judgments, there is discomfort with this sensory work in light of medico-legal pressures. I argue that the sensory work of diagnosis is vital, to the extent that gaps in sensory information imply gaps in understanding.
Original languageEnglish
Pages (from-to)158-176
Number of pages19
JournalThe Senses and Society
Volume11
Issue number2
DOIs
Publication statusPublished - 2016

Fingerprint

legitimacy
Decision making
Health
decision making
social studies
medical practice
illness
expert
interview
science
health
management
evidence

Cite this

@article{b9aee4e9e7374931a633257817646820,
title = "Sensory work of diagnosis: A crisis of legitimacy",
abstract = "Sensory judgments have always been a part of medical practice, as sensory studies scholars have emphasized. However, in current regulatory, management and technological contexts, there is a push toward rational decision-making procedures and test-based evidence over clinical diagnosis. Sociological scholarship highlights that in focusing on explicit medical knowledge and disembodied data we take for granted aspects of healthcare work, including the ways in which health and illness is sensed. Research in sociologies of diagnosis and social studies of science and technology has captured that while the senses continue to play a role in medical work, the status and practice of this sensory work is not straightforward as evidenced by dual use of the senses and tests and the delegation of sensory work. Based on semi-structured interviews with expert doctors in diverse specialties, this article examines the sensory work of medical decision-making, with attention to its legitimacy. It examines applications of the senses from auscultation to ongoing sensing of patients’ bodies unmediated and via technological outputs. While critical to clinical judgments, there is discomfort with this sensory work in light of medico-legal pressures. I argue that the sensory work of diagnosis is vital, to the extent that gaps in sensory information imply gaps in understanding.",
keywords = "Decision-making, Diagnosis, Expertise, Sensory work, Sociology of the senses, Telemedicine",
author = "Sarah MASLEN",
year = "2016",
doi = "10.1080/17458927.2016.1190065",
language = "English",
volume = "11",
pages = "158--176",
journal = "Senses and Society",
issn = "1745-8927",
publisher = "Taylor and Francis Ltd.",
number = "2",

}

Sensory work of diagnosis : A crisis of legitimacy. / MASLEN, Sarah.

In: The Senses and Society, Vol. 11, No. 2, 2016, p. 158-176.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Sensory work of diagnosis

T2 - A crisis of legitimacy

AU - MASLEN, Sarah

PY - 2016

Y1 - 2016

N2 - Sensory judgments have always been a part of medical practice, as sensory studies scholars have emphasized. However, in current regulatory, management and technological contexts, there is a push toward rational decision-making procedures and test-based evidence over clinical diagnosis. Sociological scholarship highlights that in focusing on explicit medical knowledge and disembodied data we take for granted aspects of healthcare work, including the ways in which health and illness is sensed. Research in sociologies of diagnosis and social studies of science and technology has captured that while the senses continue to play a role in medical work, the status and practice of this sensory work is not straightforward as evidenced by dual use of the senses and tests and the delegation of sensory work. Based on semi-structured interviews with expert doctors in diverse specialties, this article examines the sensory work of medical decision-making, with attention to its legitimacy. It examines applications of the senses from auscultation to ongoing sensing of patients’ bodies unmediated and via technological outputs. While critical to clinical judgments, there is discomfort with this sensory work in light of medico-legal pressures. I argue that the sensory work of diagnosis is vital, to the extent that gaps in sensory information imply gaps in understanding.

AB - Sensory judgments have always been a part of medical practice, as sensory studies scholars have emphasized. However, in current regulatory, management and technological contexts, there is a push toward rational decision-making procedures and test-based evidence over clinical diagnosis. Sociological scholarship highlights that in focusing on explicit medical knowledge and disembodied data we take for granted aspects of healthcare work, including the ways in which health and illness is sensed. Research in sociologies of diagnosis and social studies of science and technology has captured that while the senses continue to play a role in medical work, the status and practice of this sensory work is not straightforward as evidenced by dual use of the senses and tests and the delegation of sensory work. Based on semi-structured interviews with expert doctors in diverse specialties, this article examines the sensory work of medical decision-making, with attention to its legitimacy. It examines applications of the senses from auscultation to ongoing sensing of patients’ bodies unmediated and via technological outputs. While critical to clinical judgments, there is discomfort with this sensory work in light of medico-legal pressures. I argue that the sensory work of diagnosis is vital, to the extent that gaps in sensory information imply gaps in understanding.

KW - Decision-making

KW - Diagnosis

KW - Expertise

KW - Sensory work

KW - Sociology of the senses

KW - Telemedicine

UR - http://www.scopus.com/inward/record.url?scp=84978768097&partnerID=8YFLogxK

UR - http://www.mendeley.com/research/sensory-work-diagnosis-crisis-legitimacy

U2 - 10.1080/17458927.2016.1190065

DO - 10.1080/17458927.2016.1190065

M3 - Article

VL - 11

SP - 158

EP - 176

JO - Senses and Society

JF - Senses and Society

SN - 1745-8927

IS - 2

ER -