Doctor Distrust: Pragmatism, Intersectionality, and the Confluence of Expertise and Interests
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
The idea that only experts can be privy to knowledge about the world has been strongly contested throughout recent history. Using interviews with 39 British seniors tasked to discuss the role of doctors in matters of life and death, I argue that distrust for expert knowledge stems largely from the belief that knowledge is deeply shaped by personal experience. However, such distrust is not absolute as respondents still hold some faith in medical expertise due to their own perceived lack of medical knowledge and experiences with the medical field. As such, I assert that respondents demonstrate ambivalence towards medical expertise due to the confluence of expertise and interests that they find in the role that doctors play in assisting individuals with their health. I connect my findings to the theoretical traditions of American pragmatism and intersectionality to demonstrate how the ambivalence demonstrated by respondents signals their tacit use of a combination of these theories or what I term pragmatic intersectionality.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.002 | 0.018 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 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 it