New Books In Medicine

As physicians, we cannot image or measure it, we can only try to locate within the lives and (sometimes) bodies of our patients. In All in Your Head: Making Sense of Pediatric Pain (University of California Press, 2015), an ethnography of a pediatric pain clinic, anthropologist Mara Buchbinder shows how continuing to treat pain as individual and isolated would not only be a mistake, it would miss how pain is actually experienced, treated and even generated. While the chronic pain of patients is hard to pin down, locate, diagnose and treat, it is most definitely not all in ones head, it is multifaceted and socially distributed. In many ways, the elusiveness of chronic pain syndromes makes it even more slippery, more likely to exceed the boundaries of private experience. To start, Buchbinder shows us how pain practitioners use metaphors to create a common language and experience of pain. Images of computer wiring and “sticky brains” are not just fanciful flourishes to engage the children with pain;