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Constructing Realities
- 2. The Problem of Reality
- 3. The Problem of Reality • Reality is dependent on social reasoning and social practices
- 4. The Problem of Reality • Reality is dependent on social reasoning and social practices • Medical knowledge sets out to create diseases by constructing classification criteria which are socially derived
- 5. The Problem of Reality • Reality is dependent on social reasoning and social practices • Medical knowledge sets out to create diseases by constructing classification criteria which are socially derived • Medical theorising reflects social theorising
- 6. The Problem of Reality • Reality is dependent on social reasoning and social practices • Medical knowledge sets out to create diseases by constructing classification criteria which are socially derived • Medical theorising reflects social theorising • Perceptions of the body and disease change over time
- 9. Medicalisation • Medicine has increasingly deposed competing knowledge bases
- 10. Medicalisation • Medicine has increasingly deposed competing knowledge bases • Sex
- 11. Medicalisation • Medicine has increasingly deposed competing knowledge bases • Sex • Interpersonal relationships
- 12. Medicalisation • Medicine has increasingly deposed competing knowledge bases • Sex • Interpersonal relationships • Childbirth
- 13. Hierarchy of Scientific Research
- 14. Hierarchy of Scientific Research Case Study
- 15. Hierarchy of Scientific Research Cohort Study Case Study
- 16. Hierarchy of Scientific Research Randomised Control Study Cohort Study Case Study
- 17. Hierarchy of Scientific Research Reliability Randomised Control Study Cohort Study Case Study
- 18. Hierarchy of Scientific Research Reliability Randomised Control Study Cohort Study Case Study Authenticity
- 20. What is observed Thomas Kuhn: Paradigms
- 21. What is observed Questions to be asked Thomas Kuhn: Paradigms
- 22. What is observed Questions to be asked Structure of Inquiry Thomas Kuhn: Paradigms
- 23. What is observed Questions to be asked Structure of Inquiry Form of Interpretation Thomas Kuhn: Paradigms
- 24. Science Measureable What is observed Questions to be asked Observable Structure of Inquiry Controllable Form of Interpretation Testable Thomas Kuhn: Paradigms
- 25. Science Measureable What is observed Questions to be asked Observable Structure of Inquiry Controllable Form of Interpretation Testable Thomas Kuhn: Paradigms
- 26. Science Measureable What is observed Questions to be asked Felt Observable Structure of Inquiry Controllable Form of Interpretation Testable Thomas Kuhn: Paradigms
- 27. Science Measureable What is observed Questions to be asked Felt Observable Structure of Inquiry Controllable Form of Interpretation Testable Thought Thomas Kuhn: Paradigms
- 28. Science Measureable What is observed Questions to be asked Felt Observable Implied Structure of Inquiry Controllable Form of Interpretation Testable Thought Thomas Kuhn: Paradigms
- 29. Constructed Science Measureable What is observed Questions to be asked Felt Observable Implied Structure of Inquiry Controllable Form of Interpretation Testable Thought Thomas Kuhn: Paradigms
- 30. Medical Evidence: Paradigm Shift
- 31. Medical Evidence: Paradigm Shift
- 32. Medical Evidence: Paradigm Shift Pathophysiology
- 33. Medical Evidence: Paradigm Shift Medical training + common sense evaluation Pathophysiology
- 34. Medical Evidence: Paradigm Shift Medical training + common sense evaluation Pathophysiology Clinical experience
- 35. Medical Evidence: Paradigm Shift Individual expertise Medical training + common sense evaluation Pathophysiology Clinical experience
- 36. Medical Evidence: Paradigm Shift Individual expertise Rules of evidence Medical training + Pathophysiology necessary common sense evaluation but not sufficient Pathophysiology Reproducible Clinical experience Systematic
- 37. Medical Knowledge and Social Relations
- 38. Medical Knowledge and Social Relations • Disease categories may reinforce social relations
- 39. Medical Knowledge and Social Relations • Disease categories may reinforce social relations • Anorexia Nervosa and sexual development
- 40. Medical Knowledge and Social Relations • Disease categories may reinforce social relations • Anorexia Nervosa and sexual development • Attention Deficit Disorder
- 41. Counting the Dead “We are still unable to count the dead in the vast majority of the world’s poorest countries” (Evans and Stansfield 2003) Less than 10 Sub Saharan African Countries can produce ‘useable mortality data’ (Evans and Stansfield 2003) 9