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Becoming a Cosmetic Surgery Patient: Learning to Discuss Aesthetic Concerns in a Medical Context
Becoming a Cosmetic Surgery Patient: Learning to Discuss Aesthetic Concerns in a Medical C...
Becoming a Cosmetic Surgery Patient: Learning to Discuss Aesthetic Concerns in a Medical Context

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자료유형  
 학위논문 서양
최종처리일시  
20250211152820
ISBN  
9798384064176
DDC  
301
저자명  
Lamoureaux, Erika.
서명/저자  
Becoming a Cosmetic Surgery Patient: Learning to Discuss Aesthetic Concerns in a Medical Context
발행사항  
[Sl] : University of California, Los Angeles, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
290 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-03, Section: B.
주기사항  
Advisor: Heritage, John.
학위논문주기  
Thesis (Ph.D.)--University of California, Los Angeles, 2024.
초록/해제  
요약Cosmetic surgery can be seen as a quintessential example of medicalization (Conrad, 2007; Dull & West, 1991; Sullivan, 2000), a process in which human conditions that were once merely considered problems with living are treated as medical conditions (Szasz, 2007), from baldness (Conrad, 2007) to the transformation of childbirth (Ehrenreich & English, 1978; Riessman, 1983; Wertz & Wertz, 1977). However, little has been studied on how doctors and patients take lifeworld issues such as cosmetic appearance and transform them into conditions worthy of surgical intervention.With the exception of Julien Mirivel (2002, 2005, 2007, 2008, 2010), there has been little work done using face-to-face, real time interactions between cosmetic surgeons and patients, as opposed to post hoc perceptions (Dull & West, 1991; Davis, 1994, Gimlin, 2007; Brooks, 2004). In doctor-patient interactions, most identity work and presentations of self occur early in the problem-presentations phase when patients disclose their concerns (Heritage & Robinson, 2006).Videos of initial cosmetic consultations between 19 patients and one cosmetic surgeon in a Beverly Hills practice were examined through conversation analysis and ethnomethodological principles. Of particular focus were patients' language practices in performing the role of cosmetic surgery patient. Findings were supported with ethnographic observations.The process of becoming a cosmetic patient, what Harvey Sacks calls "doing being a patient" (1984), is performative and involves an identity that is mutually co-constructed in the course of interaction. Interactional norms of medicine are actively being enacted and expanded to fit the commercial contingencies of cosmetic medicine. In this study, patients received medically relevant responses only when their concerns invited medical evaluation, delineating a clear boundary between patient and consumer. Through interaction with the surgeon, patients legitimized seeking intervention by transforming aesthetic desires into medical concerns. Patients were also socialized into the role of cosmetic surgery patient by acquiring the ability to discuss their appearance in a medically appropriate fashion through interaction with the surgeon. In order to be seen as viable surgical candidates, patients managed tensions between conflicting sets of interactive norms to perform "being a patient" in an environment in which issues of health were virtually absent.
일반주제명  
Sociology
일반주제명  
Surgery
키워드  
Conversation analysis
키워드  
Cosmetic surgery
키워드  
Medical sociology
키워드  
Medical conditions
기타저자  
University of California, Los Angeles Sociology 0867
기본자료저록  
Dissertations Abstracts International. 86-03B.
전자적 위치 및 접속  
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MARC

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■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a301
■1001  ▼aLamoureaux,  Erika.
■24510▼aBecoming  a  Cosmetic  Surgery  Patient:  Learning  to  Discuss  Aesthetic  Concerns  in  a  Medical  Context
■260    ▼a[Sl]▼bUniversity  of  California,  Los  Angeles▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a290  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-03,  Section:  B.
■500    ▼aAdvisor:  Heritage,  John.
■5021  ▼aThesis  (Ph.D.)--University  of  California,  Los  Angeles,  2024.
■520    ▼aCosmetic  surgery  can  be  seen  as  a  quintessential  example  of  medicalization  (Conrad,  2007;  Dull  &  West,  1991;  Sullivan,  2000),  a  process  in  which  human  conditions  that  were  once  merely  considered  problems  with  living  are  treated  as  medical  conditions  (Szasz,  2007),  from  baldness  (Conrad,  2007)  to  the  transformation  of  childbirth  (Ehrenreich  &  English,  1978;  Riessman,  1983;  Wertz  &  Wertz,  1977).  However,  little  has  been  studied  on  how  doctors  and  patients  take  lifeworld  issues  such  as  cosmetic  appearance  and  transform  them  into  conditions  worthy  of  surgical  intervention.With  the  exception  of  Julien  Mirivel  (2002,  2005,  2007,  2008,  2010),  there  has  been  little  work  done  using  face-to-face,  real  time  interactions  between  cosmetic  surgeons  and  patients,  as  opposed  to  post  hoc  perceptions  (Dull  &  West,  1991;  Davis,  1994,  Gimlin,  2007;  Brooks,  2004).  In  doctor-patient  interactions,  most  identity  work  and  presentations  of  self  occur  early  in  the  problem-presentations  phase  when  patients  disclose  their  concerns  (Heritage  &  Robinson,  2006).Videos  of  initial  cosmetic  consultations  between  19  patients  and  one  cosmetic  surgeon  in  a  Beverly  Hills  practice  were  examined  through  conversation  analysis  and  ethnomethodological  principles.  Of  particular  focus  were  patients'  language  practices  in  performing  the  role  of  cosmetic  surgery  patient.  Findings  were  supported  with  ethnographic  observations.The  process  of  becoming  a  cosmetic  patient,  what  Harvey  Sacks  calls  "doing  being  a  patient"  (1984),  is  performative  and  involves  an  identity  that  is  mutually  co-constructed  in  the  course  of  interaction.  Interactional  norms  of  medicine  are  actively  being  enacted  and  expanded  to  fit  the  commercial  contingencies  of  cosmetic  medicine.  In  this  study,  patients  received  medically  relevant  responses  only  when  their  concerns  invited  medical  evaluation,  delineating  a  clear  boundary  between  patient  and  consumer.  Through  interaction  with  the  surgeon,  patients  legitimized  seeking  intervention  by  transforming  aesthetic  desires  into  medical  concerns.  Patients  were  also  socialized  into  the  role  of  cosmetic  surgery  patient  by  acquiring  the  ability  to  discuss  their  appearance  in  a  medically  appropriate  fashion  through  interaction  with  the  surgeon.  In  order  to  be  seen  as  viable  surgical  candidates,  patients  managed  tensions  between  conflicting  sets  of  interactive  norms  to  perform  "being  a  patient"  in  an  environment  in  which  issues  of  health  were  virtually  absent.
■590    ▼aSchool  code:  0031.
■650  4▼aSociology
■650  4▼aSurgery
■653    ▼aConversation  analysis
■653    ▼aCosmetic  surgery
■653    ▼aMedical  sociology
■653    ▼aMedical  conditions
■690    ▼a0626
■690    ▼a0576
■690    ▼a0769
■71020▼aUniversity  of  California,  Los  Angeles▼bSociology  0867.
■7730  ▼tDissertations  Abstracts  International▼g86-03B.
■790    ▼a0031
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17164008▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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