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Multidisciplinary Approach to Obesity Management: A Case Report

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On Medical Domination.

Raphaël Perrin^1,2

¹Université Paris 1 Panthéon Sorbonne, Paris, France.

The British Journal of Sociology

|October 27, 2025

Summary

This summary is machine-generated.

This study introduces medical domination, explaining how power structures in healthcare limit patient access and quality of care. It reveals how medical interactions perpetuate social inequalities beyond the clinic.

Keywords:

abortion care healthcare inequalities intersectionality medical domination medical socialisation medical violence sociology of health

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Area of Science:

Political Sociology
Medical Sociology
Social Theory

Background:

Healthcare systems face increasing emphasis on patient autonomy.
Existing frameworks do not fully explain persistent disparities in healthcare access and quality.
Intersectional perspectives are crucial for understanding complex social dynamics in health.

Purpose of the Study:

To propose and define the concept of medical domination.
To analyze how institutionalized power practices influence healthcare access, using abortion services as a case study.
To explain how medical interactions reproduce social hierarchies.

Main Methods:

Multi-sited ethnographic study of abortion services in France.
Integration of political sociology, Bourdieu's theory of domination, and intersectional perspectives.
Analysis of legitimised and institutionalised power practices in healthcare settings.

Main Results:

Identified specific power practices that shape access to care, challenging the notion of patient autonomy.
Demonstrated how medical interactions extend beyond clinical settings to reproduce social hierarchies.
Highlighted the structural foundations and socialization processes of medical power.

Conclusions:

Medical domination is a key concept for understanding healthcare disparities.
Healthcare access and quality are significantly influenced by power dynamics and social hierarchies.
Further research in political sociology of health can illuminate professional authority and patient submission dynamics.