{"title":"On Medical Domination","authors":"Raphaël Perrin","doi":"10.1111/1468-4446.70057","DOIUrl":null,"url":null,"abstract":"<p>In this article, I propose and define the concept of medical domination by combining insights from political sociology, Bourdieu's theory of domination, and intersectional perspectives. Drawing on a multi-sited ethnographic study of abortion services in France, I analyse how a set of legitimised and institutionalised power practices shape access to care despite growing emphasis on patient autonomy. This conceptualisation helps explain disparities in healthcare access and quality, showing how medical interactions reproduce social hierarchies beyond the clinical setting. The paper contributes to political sociology of health by examining both structural foundations of medical power and the socialisation processes through which professionals learn to exercise authority and patients learn to submit to it.</p>","PeriodicalId":51368,"journal":{"name":"British Journal of Sociology","volume":"77 2","pages":"189-200"},"PeriodicalIF":2.6000,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12950202/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Sociology","FirstCategoryId":"90","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1468-4446.70057","RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/27 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"SOCIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
In this article, I propose and define the concept of medical domination by combining insights from political sociology, Bourdieu's theory of domination, and intersectional perspectives. Drawing on a multi-sited ethnographic study of abortion services in France, I analyse how a set of legitimised and institutionalised power practices shape access to care despite growing emphasis on patient autonomy. This conceptualisation helps explain disparities in healthcare access and quality, showing how medical interactions reproduce social hierarchies beyond the clinical setting. The paper contributes to political sociology of health by examining both structural foundations of medical power and the socialisation processes through which professionals learn to exercise authority and patients learn to submit to it.
期刊介绍：
British Journal of Sociology is published on behalf of the London School of Economics and Political Science (LSE) is unique in the United Kingdom in its concentration on teaching and research across the full range of the social, political and economic sciences. Founded in 1895 by Beatrice and Sidney Webb, the LSE is one of the largest colleges within the University of London and has an outstanding reputation for academic excellence nationally and internationally. Mission Statement: • To be a leading sociology journal in terms of academic substance, scholarly reputation , with relevance to and impact on the social and democratic questions of our times • To publish papers demonstrating the highest standards of scholarship in sociology from authors worldwide; • To carry papers from across the full range of sociological research and knowledge • To lead debate on key methodological and theoretical questions and controversies in contemporary sociology, for example through the annual lecture special issue • To highlight new areas of sociological research, new developments in sociological theory, and new methodological innovations, for example through timely special sections and special issues • To react quickly to major publishing and/or world events by producing special issues and/or sections • To publish the best work from scholars in new and emerging regions where sociology is developing • To encourage new and aspiring sociologists to submit papers to the journal, and to spotlight their work through the early career prize • To engage with the sociological community – academics as well as students – in the UK and abroad, through social media, and a journal blog.
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