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Cited by 107Patient-Provider Communication in HealthcarePsychosomatic Disorders and Their TreatmentsMedicine, History, and Philosophy

The DOI matches its Crossref record; 97 of the 97 references it cites were found in a registry or an index.

“It’s All in Your Head”: A Meta-Synthesis of Qualitative Research About Disenfranchising Talk Experienced by Female Patients with Chronic Overlapping Pain Conditions

Hintz, Elizabeth A.·2023·Health Communication
DOI 10.1080/10410236.2022.2081046
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Abstract

Interactions between female patients with chronic pain and their medical providers in which providers question or contest the "realness" or nature of their illness experience (e.g. "It's all in your head") have been reported extensively in the extant qualitative literature, particularly for poorly understood ("contested") chronic pain syndromes. Many terms have been offered to describe this talk (e.g. invalidating, dismissive), resulting in conceptual fragmentation and isolated silos of research which together report about one communicative phenomenon. To rectify this fragmentation, the present study offers a meta-synthesis which explores, analyzes, and integrates the findings of 82 qualitative interview studies representing the patient-provider communication experiences of 2,434 female patients living with one or more of 10 chronic overlapping pain conditions (COPCs). COPCs are costly, gendered, and poorly understood. From the meta-synthesis, three key concepts are identified: (1) Functions of disenfranchising talk: Discrediting, silencing, and stereotyping; (2) Effects of disenfranchising talk: Harmed agency, credibility; access to care, support, and resources; and perception of patient-provider relationship; and (3) Responses to disenfranchising talk: Submission, critique, and resistance. Findings confirm the centrality of gender in the experience of disenfranchising talk, underscore the need to adopt an intersectional approach to the study of this talk along additional axes of race and class, and offer heuristic value toward conceptually unifying research about female COPC patients' experiences of disenfranchising talk from providers.

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Research works printed but not linked: 10

  1. *Ashe S., 2017, Health Psychology Open, 4, 1
  2. *Denny E., 2007, BMJ Sexual & Reproductive Health, 33, 189
  3. Hintz, E. A. (2021). Explicating the process of communicative disenfranchisement for women with chronic overlapping pain conditions (COPCs) [Doctoral dissertation]. University of South Florida.
  4. Liu K., 2016, Pharmacy Practice (Granada), 14, 1
  5. Metts S., 1996, Communication and disenfranchisement: Social health issues and implications, 347
  6. Pieretti S., 2016, Annali Dell’Istituto Superiore Di Sanita, 52, 184
  7. *Pryma J., 2017, Social Science & Medicine, 181, 66
  8. Ray E. B., 1996, Communication and disenfranchisement: Social health issues and implications
  9. *Sadownik L., 2012, British Columbia Medical Journal, 54, 22
  10. *Taylor A., 2016, Global Qualitative Nursing Research, 3, 1

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Metadata

Authors
Hintz, E. A.
Affiliations
University of Connecticut (US)
Corresponding author
Hintz, Elizabeth A.
ORCID
Hintz, Elizabeth A.
Venue
Health Communication
Publisher
Informa UK Limited
Published
2022-06-12
Volume
38
Issue
11
Pages
2501-2515
ISSN
  • 1041-0236 (ISSN-L)
  • 1532-7027
DOI
10.1080/10410236.2022.2081046
OpenAlex
W4282590574
Cited by
106
References
97
Citations by year
2026: 36 · 2025: 30 · 2024: 22 · 2023: 15 · 2022: 3
FWCI
20.09
Type
journal article
Language
en
Open access
closed
Locations
  • Health Communication (publishedVersion)
  • PubMed (publishedVersion)
Funders
associated
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Arts and Humanities › History and Philosophy of Science › Medicine, History, and Philosophy
Keywords
chronic overlapping pain conditions, female patients, patient-provider communication, gender, silencing, stereotyping, patient agency, health care access, patient-provider relationship, intersectionality, race and class
MeSH terms
Chronic Disease, Communication, Female, Humans, Professional-Patient Relations, Qualitative Research, Chronic Pain

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