Abstract
Identifying suitable candidates for DBS is a major challenge. For the PMDS clinical team this requires differentiating dystonia from other manifestations of neurological pathology. This chapter illustrates that to do this, the team relies on the body work of physiotherapists, specifically communicative body work and sensorial reflexivity. Such work requires the careful construction of an ensemble involving bodies, objects, and texts, and it is an important part of the innovation process. This chapter argues that the embodied knowledge of the clinician, in which a particular perspectival orientation to the world has been sedimented, is an important element of the PMDS proto-platform and platforms more generally. Such embodied knowledge contributes to the enactment of a broad clinical gaze.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Bibliography
Brown, P. R., A. Alaszewski, T. Swift, and A. Nordin. 2011. “Actions Speak Louder than Words: The Embodiment of Trust by Healthcare Professionals in Gynae-Oncology.” Sociol Health Illn 33(2): 280–295. doi: 10.1111/j.1467-9566.2010.01284.x.
Burke, D., J. D. Gillies, and J. W. Lance. 1970. “The Quadriceps Stretch Reflex in Human Spasticity.” J Neurol Neurosurg Psychiatry 33(2): 216–223.
Crossley, Nick. 2001. “The Phenomenological Habitus and Its Construction.” Theory and Society 30(1): 81–120.
Gardner, John, and Clare Williams. 2015. “Corporal Diagnostic Work and Diagnostic Spaces: Clinicians’ Use of Space and Bodies During Diagnosis.” Sociology of Health & Illness 37(5): 765–781. doi: 10.1111/1467-9566.12233.
Gieryn, Thomas F. 2002. “What Buildings Do.” Theory and Society 31(1): 35–74.
Goodwin, D. 2010. “Sensing the Way: Embodied Dimension of Diagnostic Work.” In Ethnographies of Diagnostic Work: Dimensions of Transformative Practice, edited by M. Buscher, D. Goodwin, and J. Mesman, 73–94. Basingstoke: Palgrave MacMillan.
Gordon, L. M., J. L. Keller, E. E. Stashinko, A. H. Hoon, and A. J. Bastian. 2006. “Can Spasticity and Dystonia be Independently Measured in Cerebral Palsy?” Pediatr Neurol 35(6): 375–381. doi: 10.1016/j.pediatrneurol.2006.06.015.
Guggenheim, Michael. 2012. “Laboratizing and De-Laboratizing the World: Changing Sociological Concepts for Places of Knowledge Production.” History of the Human Sciences 25(1): 99–118. doi: 10.1177/0952695111422978.
Harris, Anna. 2011. “In a Moment of Mismatch: Overseas Doctors’ Adjustments in new Hospital Environments.” Sociology of Health & Illness 33(2): 308–320. doi: 10.1111/j.1467-9566.2010.01307.x.
Heath, C. 1986. Body Movement and Speech in Medical Interaction. Cambridge MA: Cambridge University Press.
Heath, Christian. 2002. “Demonstrative Suffering: The Gestural (Re)embodiment of Symptoms.” Journal of Communication 52(3): 597–616. doi: 10.1111/j.1460-2466.2002.tb02564.x.
Henke, C., and Thomas F. Gieryn. 2008. “Sites of Scientific Practice: The Enduring Importance of Place.” In The Handbook of Science and Technology Studies, edited by E. Hackett, O. Amsterdamska, M. Lynch, and Wajcman, 353–376. Cambridge MA: MIT Press.
Keating, P., and A. Cambrosio. 2003. Biomedical Platforms: Realigning the Normal and the Pathological in Late-Twentieth-Century Medicine. Cambridge MA: MIT Press.
Latour, Bruno. 2004. “How to Talk About the Body? the Normative Dimension of Science Studies.” Body & Society 10(2-3): 205–229. doi: 10.1177/1357034x04042943.
Lebiedowska, M. K., D. Gaebler-Spira, R. S. Burns, and J. R. Fisk. 2004. “Biomechanic Characteristics of Patients with Spastic and Dystonic Hypertonia in Cerebral Palsy.” Arch Phys Med Rehabil 85(6): 875–880.
Maseide, P. 2011. “Body Work in Respiratory Physiological Examinations.” Sociol Health Illn 33(2): 296–307. doi: 10.1111/j.1467-9566.2010.01292.x.
Mol, A. 2002. The Body Multiple: Ontology in Medical Practice. Durham NJ: Duke University Press.
Moreira, Tiago. 2004. “Coordination and Embodiment in the Operating Room.” Body & Society 10(1): 109–129. doi: 10.1177/1357034x04042169.
Moreira, Tiago. 2006. “Heterogeneity and Coordination of Blood Pressure in Neurosurgery.” Social Studies of Science 36(1): 69–97. doi: 10.1177/0306312705053051.
Prentice, Rachel. 2007. “Drilling Surgeons: The Social Lessons of Embodied Surgical Learning.” Science, Technology & Human Values 32(5): 534–553. doi: 10.1177/0895904805303201.
Reeves, A., and R. Swenson. 2008. Disorders of the Nervous System. Hanover NH: Dartmouth Medical School.
Russell, D. J., P. L. Rosenbaum, D. T. Cadman, C. Gowland, S. Hardy, and S. Jarvis. 1989. “The Gross Motor Function Measure: A Means to Evaluate the Effects of Physical Therapy.” Dev Med Child Neurol 31(3): 341–352.
Ryder, D. 2011. “Subjective Examination.” In Neuromuscularskeletal Examination and Assessment: A Handbook for Therapists, edited by N Petty. London: Churchill Livingstone Elsevier.
Schubert, Cornelius. 2011. “Making Sure. A Comparative Micro-Analysis of Diagnostic Instruments in Medical Practice.” Social Science & Medicine 73(6): 851–857. doi: http://dx.doi.org/10.1016/j.socscimed.2011.05.032.
Tieman, B. L., R. J. Palisano, and A. C. Sutlive. 2005. “Assessment of Motor Development and Function in Preschool Children.” Ment Retard Dev Disabil Res Rev 11(3): 189–196. doi: 10.1002/mrdd.20074.
Zemel, Alan, and Timothy Koschmann. 2014. “‘Put Your Fingers Right in Here’: Learnability and Instructed Experience.” Discourse Studies 16(2): 163–183. doi: 10.1177/1461445613515359.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2017 The Author(s)
About this chapter
Cite this chapter
Gardner, J. (2017). Body Work and Space. In: Rethinking the Clinical Gaze. Health, Technology and Society. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-53270-7_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-53270-7_5
Published:
Publisher Name: Palgrave Macmillan, Cham
Print ISBN: 978-3-319-53269-1
Online ISBN: 978-3-319-53270-7
eBook Packages: Social SciencesSocial Sciences (R0)