Skip to main content Accessibility help
×
Hostname: page-component-7479d7b7d-m9pkr Total loading time: 0 Render date: 2024-07-12T02:19:44.191Z Has data issue: false hasContentIssue false

5 - The body, illness experience, and the lifeworld: a phenomenological account of chronic pain

Published online by Cambridge University Press:  05 June 2012

Byron J. Good
Affiliation:
Harvard University, Massachusetts
Get access

Summary

In his book Objective Knowledge, Karl Popper (1972: 106) outlines a “three world” theory, which serves as the basis for his epistemological arguments:

we may distinguish the following three worlds or universes: first the world of physical objects or physical states; secondly, the world of states of consciousness, or mental states, or perhaps behavioral dispositions to act; and thirdly, the world of objective contents of thought, especially of scientific and poetic thoughts and of works of art.

What I have described as biomedicine's “folk epistemology” is consistent with such an ordering of reality. Disease is located in the body as a physical object or physiological state, and whatever the subjective state of individual minds of physicians and patients, medical knowledge consists of an objective representation of the diseased body. I have argued for an anthropological alternative to such an analysis of medical knowledge, based on a critical examination of how medical practices and ontologies shape the objects of medical attention. However, the difficulties with the objectivist account are more immediately evident when we look closely at illness and its experience. For the person who is sick, as for the clinician, the disease is experienced as present in the body. But for the sufferer, the body is not simply a physical object or physiological state but an essential part of the self. The body is subject, the very grounds of subjectivity or experience in the world, and the body as “physical object” cannot be neatly distinguished from “states of consciousness.”

Type
Chapter
Information
Medicine, Rationality and Experience
An Anthropological Perspective
, pp. 116 - 134
Publisher: Cambridge University Press
Print publication year: 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×