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The classification and nomenclature of ‘medically unexplained symptoms’: Conflict, performativity and critique

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  • Greco, Monica
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    Abstract

    Persistent medically unexplained symptoms (MUS) – including the many syndromes that fall under this umbrella – involve a discrepancy between professional knowledge and lay experience and are often associated with latent or explicit dynamics of conflict. Although this conflictual dimension has been amply documented, little critical attention has been paid to how nomenclature and classification feed into the conflictual dynamic and are informed by it in turn. In this paper I engage with this question from a social-theoretical perspective informed by the concept of performativity. The paper offers a critical review of debates around the medical terminology in use, and a discussion of the alternative terminology developed by social scientists. Based on these, I argue that medical and social scientific discourse unwittingly collude in a disavowal of the psychological dimension of ‘MUS’. I then discuss the paradoxical character of this disavowal and suggest that it tends to perpetuate polemical modes of engagement around ‘MUS’. I conclude with suggestions on how further research might counteract this tendency.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612006739
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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 75 (2012)
    Issue (Month): 12 ()
    Pages: 2362-2369

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    Handle: RePEc:eee:socmed:v:75:y:2012:i:12:p:2362-2369

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    Keywords: Medically unexplained symptoms; Somatisation; Nomenclature; Classification; Uncertain illness; Psychologisation; Performativity; Social science;

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    1. Banks, Jonathan & Prior, Lindsay, 2001. "Doing things with illness. The micro politics of the CFS clinic," Social Science & Medicine, Elsevier, vol. 52(1), pages 11-23, January.
    2. Dumit, Joseph, 2006. "Illnesses you have to fight to get: Facts as forces in uncertain, emergent illnesses," Social Science & Medicine, Elsevier, vol. 62(3), pages 577-590, February.
    3. Rhodes, Lorna A. & McPhillips-Tangum, Carol A. & Markham, Christine & Klenk, Rebecca, 1999. "The power of the visible: the meaning of diagnostic tests in chronic back pain," Social Science & Medicine, Elsevier, vol. 48(9), pages 1189-1203, May.
    4. Madden, Sue & Sim, Julius, 2006. "Creating meaning in fibromyalgia syndrome," Social Science & Medicine, Elsevier, vol. 63(11), pages 2962-2973, December.
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