Higuita-Gutiérrez Luis Felipe, Estrada-Mesa Diego Alejandro, Salas-Zapata Walter Alfredo, Cardona-Arias Jaiberth Antonio
Facultad de Medicina, Universidad Cooperativa de Colombia, Medellín 050016, Colombia.
School of Microbiology, Universidad de Antioquia, Medellín 050016, Colombia.
Behav Sci (Basel). 2023 Oct 23;13(10):866. doi: 10.3390/bs13100866.
To understand the influence of positive thinking ideology on cancer representations among physicians in the city of Medellín.
This qualitative study was conducted on the basis of the theoretical and methodological elements of Corbin and Strauss's grounded theory. Fourteen physicians were included and selected according to the criteria of maximum variation for education, years of study, and personal and family history of cancer. The information was collected through semi-structured interviews and analyzed with open, axial, and selective coding.
the ideology of positive thinking has managed to permeate the medical discourse and the representations that they form about the etiology and treatment of cancer. Physicians place the mind, emotions, attitude, and positive thinking as determinants of the origin of the disease and the response to therapy. To argue this link, they use two strategies: (i) a sophisticated and specialized discourse that involves relationships among thoughts, genetics, the neurological, immune and endocrine system and (ii) a mystical and less rational discourse that emphasizes the omnipotence of the mind and thoughts. In no case was the idea of positive thinking rejected or in disagreement with this style of thinking expressed.
The fact of linking the disease with mental factors refers to the mind-body dualism and generates a responsibility of the patients on the etiology and therapeutics of the disease, as well as an erasure of the social and political determinants of cancer. The technical discourse and the symbolic capital of physicians offer scientific legitimacy to these ideas and can become performative for patients.
为了解积极思维意识形态对麦德林市医生对癌症认知的影响。
本定性研究基于科尔宾和施特劳斯扎根理论的理论和方法要素开展。根据教育程度、学习年限以及癌症个人和家族史的最大差异标准，纳入并选取了14名医生。通过半结构化访谈收集信息，并采用开放式、轴心式和选择性编码进行分析。
积极思维意识形态已成功渗透到医学话语以及他们对癌症病因和治疗形成的认知中。医生将心理、情绪、态度和积极思维视为疾病起源和治疗反应的决定因素。为论证这种联系，他们使用两种策略：（i）一种复杂且专业的话语，涉及思想、遗传学、神经、免疫和内分泌系统之间的关系；（ii）一种神秘且不太理性的话语，强调心理和思想的全能性。在任何情况下，积极思维的观念都未被拒绝，也没有人表达对此种思维方式的不同意见。
将疾病与心理因素联系起来的事实涉及身心二元论，并使患者对疾病的病因和治疗负有责任，同时消除了癌症的社会和政治决定因素。医生的专业话语和象征性资本为这些观念提供了科学合法性，并且可能对患者产生实际影响。
