Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Qualitative Health Research
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (3)
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Shaw, I.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Shaw, I.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Doctors, "Dirty Work" Patients, and "Revolving Doors"

Ian Shaw

Centre for Research in Medical Sociology and Health Policy, University of Nottingham, United Kingdom.

Using information from research into the phenomenon of "revolving-door" psychiatric patients, the author explores general practitioners’ perceptions of difficult patients and the consequences for patient management. He first considers the concept of "good and bad" as a possible subtype of dirty work. He then presents the evidence of medical irritation with patients from interview data and explores the rationalizations for the way in which patients are subsequently managed. In line with previous studies, the author argues that the construction of patients as difficult and the subsequent dynamics of exclusion lie in the breakdown of the "normal" doctor-patient relationship coupled with the doctor’s need to get on with the day’s workload. Moral judgments formed a part of the exclusion process.

Key Words: general practice • dirty work • exclusion • mental illness • cognitive mapping

Qualitative Health Research, Vol. 14, No. 8, 1032-1045 (2004)
DOI: 10.1177/1049732304265928
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Qual Health ResHome page
J. Hadfield, D. Brown, L. Pembroke, and M. Hayward
Analysis of Accident and Emergency Doctors' Responses to Treating People Who Self-Harm
Qual Health Res, June 1, 2009; 19(6): 755 - 765.
[Abstract] [PDF]

Home page
 Qual Health ResHome page
V. Leppanen
Coping With Troublesome Clients in Home Care
Qual Health Res, September 1, 2008; 18(9): 1195 - 1205.
[Abstract] [PDF]

Home page
 Human RelationsHome page
P. Dick
Dirty work designations: How police officers account for their use of coercive force
Human Relations, November 1, 2005; 58(11): 1363 - 1390.
[Abstract] [PDF]