Cover Image

Larger ImageView Larger


All in Your Head

Making Sense of Pediatric Pain

Mara Buchbinder (Author)


ePUB Format
ISBN: 9780520960763
Other Formats Available:

Please note: UC Press e-books must be purchased separately from our print books, and require the use of Adobe Digital Editions. If you do not already have Adobe Digital Editions installed on your computer, please download and install the software. To complete your e-book order, please click on the e-book checkout button. A charge will appear on your credit card from Ingram Digital Group.

Although pain is a universal human experience, many view the pain of others as private, resistant to language, and, therefore, essentially unknowable. And, yet, despite the obvious limits to comprehending another’s internal state, language is all that we have to translate pain from the solitary and unknowable to a phenomenon richly described in literature, medicine, and everyday life. Without denying the private dimensions of pain, All in Your Head offers an entirely fresh perspective that considers how pain may be configured, managed, explained, and even experienced in deeply relational ways.

Drawing on ethnographic fieldwork in a pediatric pain clinic in California, Mara Buchbinder explores how clinicians, adolescent patients, and their families make sense of puzzling symptoms and work to alleviate pain. Through careful attention to the language of pain—including narratives, conversations, models, and metaphors—and detailed analysis of how young pain sufferers make meaning through interactions with others, her book reveals that however private pain may be, making sense of it is profoundly social.
List of Acronyms and Initialisms
Transcription Conventions

1. The Bottom of the Funnel
2. The Smart Clinic
3. Sticky Brains
4. Treating the Family
5. Locating Pain in Societal Stress

Mara Buchbinder is Assistant Professor of Social Medicine and Adjunct Assistant Professor of Anthropology at UNC–Chapel Hill. She is coauthor of Saving Babies? The Consequences of Newborn Genetic Screening.
"Buchbinder’s ethnography not only contributes substantially to our understanding of the social uses of explanations, it also exposes how the cultural meaning of these explanations depends on the language that is used and the social and cultural context in which it is delivered."—Somatosphere
All in Your Head deconstructs a pediatric pain clinic through impressive analyses of the clinical language, explanation, and rhetoric used to help adolescent patients get better. Buchbinder tellingly shows how social meanings and social life intersect in creating therapeutic approaches to pain that make it endurable as a clinical reality for patients, families, and clinicians. A serious and useful contribution to medical anthropology, to the field of chronic pain, and to a meaning-centered approach to the art of living.”–Arthur Kleinman, MD, author of The Illness Narratives: Suffering, Healing, and the Human Condition

"Welcome to West Clinic, the subject of Mara Buchbinder's astute study of pediatric/adolescent pain. She perceptively shows how the interpretive work of clinicians, families, and youthful patients themselves far exceeds the medical scaffolding to which all cling. Buchbinder writes that 'pain is polyvalent,' revealing how this rich mystery refuses resolution at the heart of modern biomedicine.”—Rayna Rapp, author of Testing Women, Testing the Fetus

“This book will be illuminating not only for social scientists and health practitioners but also for all who wish to think more deeply about the central role of language in illness experience and healing. Through rich case studies, Buchbinder artfully traces how models and metaphors drawn from neurobiology, psychodynamics, and social-stress theory help clinicians and patients make sense of suffering, pointing the way toward therapeutic change."— Laurence J. Kirmayer, MD, Professor and Director, Division of Social and Transcultural Psychiatry, McGill University

Join UC Press

Members receive 20-40% discounts on book purchases. Find out more