García-Rodríguez Mª Isabel, Biedma-Velázquez Lourdes, Serrano-Del-Rosal Rafael
Institute for Advanced Social Studies, Spanish National Research Council (IESA-CSIC), 14004 Córdoba, Spain.
Healthcare (Basel). 2023 May 6;11(9):1339. doi: 10.3390/healthcare11091339.
Pain is a subjective experience that is mediated by the social structure and by the contextual aspects of people in pain. From the point of view of those affected, a sociological analysis has been carried out of why society doubts pain and the impact that the lack of credibility has on people in pain. Qualitative methodology is used. In total, 19 semi-structured interviews have been conducted with men and women in pain. Research has shown that pain produces discredit in all dimensions of individual's social life, from the most intimate to that related to healthcare and production. The lack of credibility takes the form of epistemic injustice, being a reaction produced from the social structure to avoid the impacts that pain could produce on the social system. Epistemic injustice affects anyone in pain, but the form it takes will be related to sufferer's circumstances. Studying this topic is important because it shows the rigidity of expert systems to deal with some old and new situations related to pain. It also shows the frequent lack of fit between the systems and the sufferers. Finally, the article shows that to deal unfairly with the testimony of people in pain has negative consequences on the treatment of pain. A better understanding of these issues could improve the sufferers' living conditions.
疼痛是一种主观体验，它由社会结构以及疼痛者所处的情境因素所介导。从受影响者的角度出发，已对社会为何怀疑疼痛以及缺乏可信度对疼痛者的影响进行了社会学分析。采用的是定性研究方法。总共对19名疼痛的男性和女性进行了半结构化访谈。研究表明，疼痛在个体社会生活的各个维度都会导致信誉受损，从最私密的维度到与医疗保健和生产相关的维度皆是如此。缺乏可信度表现为认知不公正，这是社会结构产生的一种反应，旨在避免疼痛可能对社会系统造成的影响。认知不公正会影响任何疼痛者，但其表现形式将与患者的具体情况相关。研究这一主题很重要，因为它揭示了专家系统在处理一些与疼痛相关的新老情况时的僵化之处。它还表明了这些系统与患者之间常常存在的不匹配。最后，文章指出，不公平地对待疼痛者的证词会对疼痛治疗产生负面影响。更好地理解这些问题有助于改善患者的生活状况。
