Diagnosis as a social and political practice

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Date
2025-07-16
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Publisher
Massey University
Rights
(c) 2025 The Author/s
CC BY-NC 4.0
Abstract
In this chapter, we examine diagnosis not just as a process of labelling diseases, but as a practice that establishes a shared understanding of what constitutes sickness—an understanding shaped by values, norms, and biology, and imbued with significant social consequences (Jutel, 2024). We begin by asking, “What is diagnosis?”—exploring how naming and framing create diagnostic systems that often struggle with ambiguity. Next, we examine diagnosis as a social tool. In medical interactions, healthcare providers wield the “power to name,” raising questions: Who benefits from specific diagnoses? What role do they play in maintaining the status quo and, hence, social inequity? We also consider diagnosis in the context of medicalisation, whereby everyday experiences are reframed as medical issues through diagnostic classifications. We discuss the benefits, such as validation and care, and drawbacks, including stigma and oversimplification, associated with this practice.
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Keywords
diagnosis, health psychology, power, medicalisation, contested illness, medically unexplained illness, illness
Citation
Morison T. (2025). Diagnosis as a social and political practice. Sarah R. Critical Health Psychology: Foundations, Approaches and Applications. Massey University.