Ee. Johansson et al., IVE BEEN CRYING MY WAY - QUALITATIVE-ANALYSIS OF A GROUP OF FEMALE-PATIENTS CONSULTATION EXPERIENCES, Family practice, 13(6), 1996, pp. 498-503
Background and objectives. What do women patients, sick-listed for bio
medically undefined musculoskeletal disorders, expect and experience w
hen they consult a doctor? With the purpose to learn more about this,
a qualitative interview study was conducted. Methods. Twenty women par
ticipated. They were patients at an urban health care centre in northe
rn Sweden. Data were gained through repeated, semi-structured intervie
ws, and analysed according to grounded theory. Results. The participan
ts described an atmosphere of distrust in the consultation. They had f
elt ignored, disregarded and rejected by doctors, and had worked out s
trategies to keep up medical attention in their search for a creditabl
e diagnosis. They were somatizing, claiming under cover, and pleading,
to catch the doctor's interest. In addition, they upheld their self-r
espect by mystifying and martyrizing themselves and their symptoms, an
d by condemning physicians as ignorant. Discussion. The patient's cons
ultation experiences are discussed from different aspects; the biomedi
cal framework, the power asymmetry, and the gendered positions of pati
ent and doctor. The findings indicate the importance of making doctors
aware of the context behind frustrations in doctor-patient interactio
n.