Endurance and contest: women's narratives of endometriosis

Markovic M, Milica Markovic, Milica Marković, Lenore Manderson, Narelle Warren
Health (London, England : 1997) · 2008 · vol. 12(3) , pp. 349–367 · doi:10.1177/1363459308090053 · PMID:18579632 · W2138467456
Qualitative OA: closed CC0 ⤵ 58 in-corpus citations
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This study analyzed illness narratives of Australian women with endometriosis, revealing how socio-demographic factors and norms shape their experiences of pain normalization and biomedical or patient-centered treatment approaches.

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Abstract

Endometriosis is an often painful medical condition in which, in response to hormones associated with the menstrual cycle, the uterine lining grows in the peritoneum and other organs, bleeding into the surrounding organs and tissues. Diagnosis is not always straightforward, and women and health professionals alike may have difficulties recognizing period pain as a sign of anomaly, considering it instead as an inevitable part of menstruation. This article describes the illness narratives of Australian women with endometriosis, drawing on data collected during a study conducted in Victoria in 2004-5. Thirty women (aged 20-78 years) from various socio-demographic backgrounds participated in in-depth interviews. We explore the influence of socio-demographic background and social and family norms on women's illness narratives of endurance and contest. Narratives of endurance are characterized by the normalization of period pain by young women, their families and health professionals, and, with diagnosis, long-term exposure to biomedical treatments. In contrast, narratives of contest are dominated by how women's subjective experience is challenged by doctors, their requirements for a patient-centered approach, and their desire to have access to complementary treatments.

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Condition tags

dysmenorrheaendometriosis

MeSH descriptors

Dysmenorrhea Endometriosis Pain Physician-Patient Relations Physician-Patient Relations Adult Adult Aged Aged Diagnostic Errors Diagnostic Errors Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (46)

Cited by (50)

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