Doing Harm

Doing Harm


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“Well researched, wonderfully truculent…These new ‘doctor stories’ cut deep, especially in a moment when ‘believe women’ has become a rallying cry.”

New York Times


A Bitch magazine pick of 15 Books Feminists Should Read This Month

A New York Times Pick of Books of the Times: the Crisis in Women's Health

A Library Journal Editor’s Pick of Books for Women's History Month

A New York Times Editor’s Choice

A Library Journal Best Books of the Year selection

In this shocking, hard-hitting exposé in the tradition of Naomi Klein and Barbara Ehrenreich, the editorial director of Feministing.com, reveals how inadequate, inappropriate, and even dangerous treatment threatens women’s lives and well-being.

Editor of the award-winning site Feministing.com, Maya Dusenbery brings together scientific and sociological research, interviews with experts within and outside the medical establishment, and personal stories from women across the country to provide the first comprehensive, accessible look at how sexism in medicine harms women today.

Dusenbery reveals how conditions that disproportionately affect women, such as autoimmune diseases, chronic pain conditions, and Alzheimer’s disease, are neglected and woefully under-researched. “Contested” diseases, such as fibromyalgia and chronic fatigue syndrome, that are 70 to 80 percent female-dominated are so poorly understood that they have not yet been fully accepted as “real” conditions by the whole of the profession. Meanwhile, despite a wealth of evidence showing the impact of biological difference between the sexes in everything from drug responses to symptoms to risk factors for various diseases—even the symptoms of a heart attack—medicine continues to take a one-size-fits-all approach: that of a 155-pound white man.

In addition, women are negatively impacted by the biases and stereotypes that dismiss them as “chronic complainers,” leading to long delays—often years long—to get diagnosed. The consequences are catastrophic. Offering a clear-eyed explanation of the root causes of this insidious and entrenched bias and laying out its effects, Doing Harm will change the way we look at health care for women.

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  1. Ophelia
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    Verified listener

    Journalism, not science.

    I am extremely sympathetic to this book generally (and I say this as someone whose ruptured appendix was dismissed as "menstrual cramps" in parallel with many of the anecdotes contained in the book). But at a certain point, one must bear in mind that journalism is heavily influenced by a need to construct a narrative rather than examine evidence with a critical eye. The many anecdotes do illustrate a pattern of longstanding institutional dismissal, abuse, and mistreatment of women, but the book becomes increasingly weak as it tries to "prove" that, essentially, there's no such thing as a psychosomatic illness, only women unfairly viewed as hysterical. For example, the last section is devoted to Multiple Chemical Sensitivity (MCS), a condition which is not recognized by any reputable medical body. The premise of the whole book, of course, is that lack of recognition by major medical institutions is not proof that a condition does not exist. However, the inverse is also false: just because institutional medicine has failed to recognize legitimate diseases largely due to sexism and misogyny, it does not follow that institutional medicine NOT recognizing a condition is evidence of its legitimacy! Blinded clinical trials have shown that people who claim to have MCS react as strongly to placebos as they do to the claimed chemical triggers; studies found that the strength of reaction corresponded not to the chemical or amount of chemical, but to the perception of the presence of chemicals. In short, there is little evidence that MCS exists except in the psychology of those who fear "chemicals," or rather, inorganic substances which they are convinced are intrinsically harmful merely by virtue of their being synthetic. Dusenbery, who presumably must have come across such studies in the course of her research as they are very easy to find, did not bother mentioning them because they do not support her story.