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Cult Med Psychiatry. 2021 Sep 26; doi: 10.1007/s11013-021-09736-3. Epub 2021 Sep 26.

Cultivating Doctors' Gut Feeling: Experience, Temporality and Politics of Gut Feelings in Family Medicine.

Culture, medicine and psychiatry

Benedikte Møller Kristensen, Rikke Sand Andersen, Brian David Nicholson, Sue Ziebland, Claire Friedemann Smith

Affiliations

  1. Region Zealand, Primary Health Care, Alléen 15, 4180, Sorø, Denmark.
  2. Department of Public Health, Research Unit for General Practice, Aarhus University, Bartholins allé 2, 8000, Århus, Denmark.
  3. Department of Public Health, Research Unit for General Practice, University of Copenhagen, Øster Farimagsgade 5, 1353, Copenhagen, Denmark.
  4. Department of Public Health, Research Unit for General Practice, Southern University, JB. Winsløws vej 9B, 5000, Odense S, Denmark. [email protected].
  5. Department of Anthropology, Aarhus University, Moesgaard Alle 15, 8270, Højbjerg, Denmark. [email protected].
  6. Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, UK.

PMID: 34564779 DOI: 10.1007/s11013-021-09736-3

Abstract

For the past decade, within family medicine there has been a focus on cultivating doctors gut feelings as 'a way of knowing' in cancer diagnostics. In this paper, building on interviews with family doctors in Oxford shire, UK we explore the embodied and temporal dimensions of clinical reasoning and how the cultivation of doctors' gut feelings is related to hierarchies of medical knowledge, professional training, and doctors' fears of litigation. Also, we suggest that the introduction of gut feeling in clinical practice is an attempt to develop a theory of clinical reasoning that fits the biopolitics of our contemporary. The turn towards predictive medicine and the values introduced by accelerated diagnostic regimes, we conclude, introduce a need for situated and embodied modes of reading bodies. We contribute theoretically by framing our analysis within a sensorial anthropology approach.

© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords: Clinical reasoning; Gut feeling; Place; Politics; Temporality

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