Saltar al contenido principal

ETHNOS_APP

Inicio • Búsqueda • Revistas • Lista 0

Good' patient/'bad' patient

Clinical Learning and the Entrenching of Inequality

Datos Bibliográficos

ID2249189
AutoresEeva Sointu (0000-0001-7495-2096, Department of Sociology Smith College Massachusetts USA, autor de correspondencia)
Año2017
Volumen39
Número1
Páginas63-77
Fecha de publicación2017-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSociology of Health & Illness (JOURNAL)
Identificadores de la revistaISSN: 0141-9889 • E-ISSN: 1467-9566
EditorialWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12487
PMID27577971
OpenAlexW2507728222
IdiomaEN
Citas recibidas39
Referencias citadas46

This article develops sociological understanding of the reproduction of inequality in medicine. The material is drawn from a longitudinal study of student experiences of clinical learning that entailed 72 qualitative in-depth interviews with 27 medical students from five medical schools in the USA. To highlight the subtle, yet powerful, ways in which inequality gets entrenched, this article analyses ideas of the 'good' and the 'bad' patient. Bad patients question not only biomedical knowledge but also medical students' commitment to helping people. Good patients engage with medical students in a manner that upholds biomedical knowledge and enables students to assume the role of the healer and the expert. At the same time, good patients possess cultural skills that align with those of medical practitioners. This alignment is, furthermore, central to definitions of the good patient. Distinctions drawn between good and bad patients thus both embody as well as enforce social inequality. The subtle reproduction of inequality is, however, difficult to discern because judgements about patients entwine with emotion

Inequality · Medical education · Qualitative research · Reproduction · Social inequality · Social reproduction · Social science · Sociology · Diversity and Career in Medicine · Empathy and Medical Education · Innovations in Medical Education · Medicine · Psychology · Social Psychology

  • How Should We Discuss Inequity and Iatrogenic Harm in Academic Health Centers

    Open Access•Zoe Tao, Sara Scarlet•The AMA Journal of Ethic•2022

  • Abandoning questionnaires

    Open Access•A Mann•Nordic Journal of Science and…•2021

  • How Identity Nonrecognition Shapes the Health Experiences of LGBTQ+ People

    Open Access•Andrew Kirks-Cler, Stef M Shuster et al.•Social Psychology Quarterly•2026

  • You don’t like to tell them their job but it’s your foot at the end of the day”

    Open Access•Emily Nicholls, Victoria Robinson et al.•Social Theory & Health•2020

  • Inequity in palliative care

    Open Access•Iben Charlotte Aamann, Betina Dybbroe•Social Theory & Health•2023

  • Knowing everything and yet nothing about her’

    Christopher Kassam, R Duschinsky et al.•Medical Humanities•2020

  • “We've all had patients who've died …”

    Open Access•Sophie Crowe, Ruairi Brugha et al.•Social Science & Medicine•2018

  • Challenging times

    Open Access•Sophie Lewis, Karen Willis et al.•Critical Public Health•2022

  • Good athlete, bad patient? Navigating life with chronic illness in U.S. collegiate sport

    Caitlin Vitosky Clarke, Eva Rubin et al.•Qualitative Research in Sport and…•2025

  • The privilege to heal? Mapping patients’ unequal mobilisation of health capital in a Nordic welfare context

    Open Access•K Larsen, Ina Koch Røpke et al.•Social Science & Medicine•2026

  • Emergency department encounters’ impacts on First Nations members, families and communities

    Open Access•Patrick McLane, Lea Bill et al.•Social Science & Medicine•2026

  • Intraprofessionalism and Peer-to-Peer Learning in American Medical Education

    Open Access•J Knopes, M A Cascio et al.•Qualitative Health Research•2024

  • Chronic pain across clinical settings

    Open Access•Maria Temmes, Elina Helosvuori et al.•BioSocieties•2025

  • I just thought that was the best thing for me to do at this point’

    Open Access•Clay, Carla Treloar et al.•International Journal of Drug…•2023

  • Narratives and gatekeeping

    Open Access•Lars E F Johannessen•Sociology of Health & Illness•2018

  • Equity in the Classroom and the Clinic

    Open Access•Ann Taylor, Caragh Brosnan et al.•Teaching Sociology•2022

  • Are Healthcare Systems Failing Immigrants? Transnational Migration and Social Exclusion in the Workers’ Compensation Process in Québec

    Open Access•Daniel Côté, Bob W White et al.•International Migration Review•2025

  • Medical Skepticism in the Digital Age

    Open Access•Maria Paino, Jennifer L Claggett et al.•Sociological Inquiry•2025

  • Preparing for exclusion

    Open Access•Grace Franklyn, Roi Livne et al.•Social Science & Medicine•2025

  • A bad migrant

    Open Access•Satrio Nindyo Istiko•Health An Interdisciplinary…•2025

  • We're IMGs, and we're often seen as human garbage outside of primary care

    Open Access•Grace Franklyn•Social Science & Medicine•2023

  • Healthcare staff's racialized talk

    Open Access•Sarah Hamed, Hannah Bradby et al.•Social Science & Medicine•2024

  • Problem patients and physicians' failures

    Open Access•Michael J Deml, A Buhl et al.•Social Science & Medicine•2020

  • I Can Understand Where They're Coming From

    Open Access•Alfiya Battalova, Laura Yvonne Bulk et al.•Qualitative Health Research•2020

  • Cultivating the ideal obstetrical patient

    Open Access•Camille Kroll, Julia Murphy et al.•Social Science & Medicine•2022

  • Cultural health capital and patient partner recruitment into healthcare improvement work

    Open Access•Brandon Woolf, Alexandra H Vinson•Social Science & Medicine•2024

  • Working the boundaries of 'whining' - how patients and care professionals make sense of informal complaining practices

    Open Access•Jelmer Brüggemann, Ann-Charlotte Nedlund et al.•Social Science & Medicine•2025

  • Why did this happen to me? Causal attributions of illness and cultural health capital

    Open Access•Andrew S Gallan, Anu Helkkula et al.•Social Science & Medicine•2024

  • There is no standard vulva

    Open Access•Bex Macfife•Social Science & Medicine•2022

  • Between knowing and doing person-centredness

    Open Access•M Franklin, Karen Willis et al.•Health An Interdisciplinary…•2021

  • Hysteresis - or the mismatch of expectations and possibilities among relatives in a transforming health care system

    Helle Roenn-Smidt, Janet K Shim et al.•Health Sociology Review•2020

  • My doctor just called me a good girl and I died a bit inside

    Open Access•Nadia Von Benzon, J Heyworth Dunne et al.•Social Science & Medicine•2024

  • Ascertaining patients' understandings of their condition

    Kelsi Dew, Josh Barton et al.•Health Sociology Review•2019

  • Chronic condition self-management is a social practice

    Open Access•M Franklin, Karen Willis et al.•Journal of Sociology•2023

  • Challenges and a Super Power

    Open Access•Eeva Sointu•Critical Sociology•2020

  • The Resurgence of Medical Education in Sociology

    Open Access•Roi Livne, Kelly Underman et al.•Journal of Health and Social…•2021

  • Need, competence and compliance

    Open Access•Emil Øversveen•Acta Sociologica•2021

  • Stratified users and technologies of empowerment

    Open Access•Emil Øversveen•Sociology of Health & Illness•2020

  • The context of coping

    Open Access•Caroline M Potter, Laura Kelly et al.•Sociology of Health & Illness•2018

  • Emotions and Social Relations

    I Burkitt•Emotions and Social Relations•2014

  • Medicine as Culture

    D Lupton•Medicine as Culture•2012

  • Socio-economic status of the patient and doctor–patient communication

    Open Access•Sonja Willems, Stéphanie De Maesschalck et al.•Patient Education and Counseling•2005

  • Beyond curriculum reform

    Frederic W Hafferty•Academic Medicine•1998

  • The Sick Role and the Role of the Physician Reconsidered

    Talcott Parsons•The Milbank Memorial Fund…•1975

  • Qualitative Inquiry and Research Design

    Open Access•Sarah Lewis•Health Promotion Practice•2015

  • Profession of medicine

    Eliot Freidson•Profession of medicine•1970

  • Salsa Dancing into the Social Sciences

    Kristin Luker•Salsa dancing into the social…•2010

  • Formations of Class and Gender

    Beverley Skeggs, Bev Skeggs et al.•Formations of class and gender•2002

  • Powers of Freedom

    Open Access•Nikolas Rose, Nikolas S Rose•Powers of Freedom•1999

  • The Managed Heart

    Arlie Russell Hochschild•Managed Heart•2003

  • How do You Feel Doctor? An Analysis of Emotional Aspects of Routine Professional Medical Work

    Open Access•Sarah Nettleton, Roger Burrows et al.•Social Theory & Health•2008

  • Hindsight, foresight and insight

    Rachel Thomson, Janet Holland•International Journal of Social…•2003

  • Systemic racism and U.S. health care

    Open Access•Joe R Feagin, Joe Feagin et al.•Social Science & Medicine•2014

  • Affect and Emotion

    Margaret Wetherell•Affect and Emotion•2012

  • Managing Emotions in Medical School

    Allen C Smith, Sherryl Kleinman•Social Psychology Quarterly•1989

  • Struggles for value

    Open Access•Beverley Skeggs, Vik Loveday•British Journal of Sociology•2012

  • Health Disparities in the United States

    Open Access•Susan Sered, Susan Starr Sered•Contemporary Sociology A Journal…•2009

  • Exploring patient involvement in healthcare decision making across different education and functional health literacy groups

    Open Access•Sian K Smith, Ann Dixon et al.•Social Science & Medicine•2009

  • Physicians' communication and perceptions of patients

    Open Access•Richard L Street, H Scott Gordon et al.•Social Science & Medicine•2007

  • Uprooting Class? Culture, World-Making and Reform

    Open Access•Joanna Latimer, Rolland Munro•The Sociological Review•2015

  • Cultural health capital and the interactional dynamics of patient-centered care

    Open Access•Leslie Dubbin, Leslie A Dubbin et al.•Social Science & Medicine•2013

  • The effect of patient race and socio-economic status on physicians' perceptions of patients

    Open Access•Michelle Van Ryn, Jane K Burke-Miller et al.•Social Science & Medicine•2000

  • "I Need Help!" Social Class and Children's Help-Seeking in Elementary School

    Open Access•Jessica Mccrory Calarco, Jessica Calarco•American Sociological Review•2011

  • General Practitioners, 'Trouble' and Types of Patients

    Open Access•Gerry V Stimson•The Sociological Review•1974

  • Profession of Medicine

    Norman K Denzin, Eliot Freidson•Journal of Health and Social…•1971

  • Collective Feelings

    Open Access•Sara Ahmed•Theory Culture & Society•2004

  • Recognition or Redistribution

    Open Access•A Honneth•Theory Culture & Society•2001

  • Introduction

    Open Access•Stephanie Lawler•Sociology•2005

  • Cultural Health Capital

    Open Access•Janet K Shim•Journal of Health and Social…•2010

  • Problems and Prospects in the Study of Physician-Patient Interaction

    J Heritage, D W Maynard•Annual Review of Sociology•2006

  • Normal rubbish

    Open Access•Roger Jeffery, R I Jeffery•Sociology of Health & Illness•1979

  • Categorization in accident departments

    Open Access•Robert Dingwall, Topsy Murray•Sociology of Health & Illness•1983

  • Actors, patients and agency

    Open Access•David Armstrong•Sociology of Health & Illness•2014

  • Communities of clinical practice and normalising technologies of self

    C Jaye, Tony Egan et al.•Anthropology and Medicine•2010

  • Do as I say, not as I do

    C Jaye, Tony Egan et al.•Anthropology and Medicine•2006

  • The 'worthy' patient

    Robin T Higashi, Allison Tillack et al.•Anthropology and Medicine•2013

  • The Impact of Racism on Clinician Cognition, Behavior, and Clinical Decision Making

    Open Access•Michelle Van Ryn, Diana Jill Burge et al.•Du Bois Review Social Science…•2011

Obras citantes distintas39
Citas por año4,88
Intervalo de citas2018 - 2026 (9)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 37
Ethnos_APP • Proyecto Open Source • Licencia MIT • Frontend v2.0.0 • Privacidad y Cookies • Documentación de la API: api.ethnos.app/docs • Código de la API: GitHub • DOI: 10.5281/zenodo.17049435 • Código del Frontend: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae