How to Categorise Disease? Endometriosis, Inflammation, and ‘Self Out of Place’

Endometriosis is a condition where tissue similar to the uterine lining develops outside the uterus; it ‘bleeds’ during periods, forms lesions, and causes chronic pain. Despite affecting around 10% of menstruating people, its aetiology is poorly understood, and diagnostics and treatments are highly...

Full description

Bibliographic Details
Main Author: Andrea Lilly Ford
Format: Article
Language:English
Published: University of Edinburgh Library 2024-03-01
Series:Medicine Anthropology Theory
Subjects:
Online Access:http://www.medanthrotheory.org/article/view/7390
_version_ 1797255706977501184
author Andrea Lilly Ford
author_facet Andrea Lilly Ford
author_sort Andrea Lilly Ford
collection DOAJ
description Endometriosis is a condition where tissue similar to the uterine lining develops outside the uterus; it ‘bleeds’ during periods, forms lesions, and causes chronic pain. Despite affecting around 10% of menstruating people, its aetiology is poorly understood, and diagnostics and treatments are highly inadequate. Current efforts to reconceptualise the disease generally centre around inflammation. In this Field Note I describe my fieldwork during the pandemic, which was largely based on in-depth interviews with patients and clinicians in and around Edinburgh, Scotland. This research interrogates the socio-cultural context in which endometriosis is changing from a ‘gynaecological disorder’ to a ‘systemic disorder’ implicating the endocrine system (a ‘hormonally driven condition’), the neural system (‘neuropathic pain’) and/or the immune system (an ‘inflammatory condition’). It explores how the lived experience of endometriosis challenges ingrained ways of thinking about the body and bodily ‘systems,’ which are reflected in the design of healthcare systems. Considering endometriosis alongside changing conceptions of immune response invites thinking beyond self-versus-non-self (as in older concepts of immunity), and self-attacking-self (as in auto-immune conditions), to something like ‘self-out-of-place,’ simultaneously calling into question the suitability of our social and material relations.
first_indexed 2024-04-24T22:10:07Z
format Article
id doaj.art-2de3bb9100a0478d8d00311064d93828
institution Directory Open Access Journal
issn 2405-691X
language English
last_indexed 2024-04-24T22:10:07Z
publishDate 2024-03-01
publisher University of Edinburgh Library
record_format Article
series Medicine Anthropology Theory
spelling doaj.art-2de3bb9100a0478d8d00311064d938282024-03-20T10:01:35ZengUniversity of Edinburgh LibraryMedicine Anthropology Theory2405-691X2024-03-0111111210.17157/mat.11.1.73907390How to Categorise Disease? Endometriosis, Inflammation, and ‘Self Out of Place’Andrea Lilly Ford0University of ChicagoEndometriosis is a condition where tissue similar to the uterine lining develops outside the uterus; it ‘bleeds’ during periods, forms lesions, and causes chronic pain. Despite affecting around 10% of menstruating people, its aetiology is poorly understood, and diagnostics and treatments are highly inadequate. Current efforts to reconceptualise the disease generally centre around inflammation. In this Field Note I describe my fieldwork during the pandemic, which was largely based on in-depth interviews with patients and clinicians in and around Edinburgh, Scotland. This research interrogates the socio-cultural context in which endometriosis is changing from a ‘gynaecological disorder’ to a ‘systemic disorder’ implicating the endocrine system (a ‘hormonally driven condition’), the neural system (‘neuropathic pain’) and/or the immune system (an ‘inflammatory condition’). It explores how the lived experience of endometriosis challenges ingrained ways of thinking about the body and bodily ‘systems,’ which are reflected in the design of healthcare systems. Considering endometriosis alongside changing conceptions of immune response invites thinking beyond self-versus-non-self (as in older concepts of immunity), and self-attacking-self (as in auto-immune conditions), to something like ‘self-out-of-place,’ simultaneously calling into question the suitability of our social and material relations.http://www.medanthrotheory.org/article/view/7390endometriosiscategorisationenvironment-disease connectionsgendered diseasechronic disease
spellingShingle Andrea Lilly Ford
How to Categorise Disease? Endometriosis, Inflammation, and ‘Self Out of Place’
Medicine Anthropology Theory
endometriosis
categorisation
environment-disease connections
gendered disease
chronic disease
title How to Categorise Disease? Endometriosis, Inflammation, and ‘Self Out of Place’
title_full How to Categorise Disease? Endometriosis, Inflammation, and ‘Self Out of Place’
title_fullStr How to Categorise Disease? Endometriosis, Inflammation, and ‘Self Out of Place’
title_full_unstemmed How to Categorise Disease? Endometriosis, Inflammation, and ‘Self Out of Place’
title_short How to Categorise Disease? Endometriosis, Inflammation, and ‘Self Out of Place’
title_sort how to categorise disease endometriosis inflammation and self out of place
topic endometriosis
categorisation
environment-disease connections
gendered disease
chronic disease
url http://www.medanthrotheory.org/article/view/7390
work_keys_str_mv AT andrealillyford howtocategorisediseaseendometriosisinflammationandselfoutofplace