Unmet medical care needs in persons with multiple chemical sensitivity: A grounded theory of contested illness
Bibliographic record
Abstract
We interviewed nineteen persons with self-reported multiple chemical sensitivities in order to explore medical care access and use for this population with a “contested” illness. Interviews were analyzed using grounded theory in the tradition of Glaser, via incident, focused, and theoretical coding. We named the core category health quest (resisting annihilation) and construed four categories that embody the essence of this quest: illness as omnipotent, bidding for access, standard protocols irrelevant, and transcending hegemony. The categories suggest that mainstream medicine is unprepared to care for this population, that standard interventions are ineffective but used regardless, and that persons feel that they must survive on their own outside of the structured medical care system. In fact, most informants avoided medical care unless faced with an emergency. Results are discussed in terms of the need to recognize and understand this health problem.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.008 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.003 | 0.001 |
| Science and technology studies | 0.007 | 0.014 |
| Scholarly communication | 0.005 | 0.006 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".