RT Journal Article
SR Electronic
T1 Adaptive frameworks of chronic pain: daily remakings of pain and care at a Somali refugee women’s health centre
JF Medical Humanities
JO J Med Humanit
FD BMJ Publishing Group Ltd and Institute of Medical Ethics
SP 96
OP 105
DO 10.1136/medhum-2017-011418
VO 44
IS 2
A1 Kari Campeau
YR 2018
UL http://mh.bmj.com/content/44/2/96.abstract
AB Pain is an intensely subjective experience and one that is difficult for healthcare professionals to treat. Chronic pain, often diffuse, cyclical and involving many systems of the body, is often not well treated in a medical system that relies on discrete symptoms, identifiable causes, external pathogens and physician specialisation. Pain has its own problems specific to Somali diaspora populations, where chronic pain is prevalent but often undertreated, and where Somali patients face barriers of access to medicine. This study, conducted in partnership with a Somali women’s health centre, seeks to understand Somali women’s use of informal and formal networks of healthcare. Drawing from qualitative interviews with Somali, refugee women, this article identifies four emerging frameworks through which participants experience chronic pain: (1) pain as a symptom of exile; (2) pain and the strength to bear pain as issues of faith; (3) medicine as powerful, curative and fluid; (4) medical discrimination and exclusion.