Stefan Timmermans’s research while affiliated with University of California, Los Angeles and other places

What is this page?


This page lists works of an author who doesn't have a ResearchGate profile or hasn't added the works to their profile yet. It is automatically generated from public (personal) data to further our legitimate goal of comprehensive and accurate scientific recordkeeping. If you are this author and want this page removed, please let us know.

Publications (137)


Psychiatric Gaslighting: The Surveillance of Mental Illness during Pregnancy
  • Article

January 2025

·

15 Reads

Social Problems

Charlotte Abel

·

Stefan Timmermans

Women living with mental health symptoms face the dilemma of continuing psychotropic medication when pregnant or breastfeeding. Based on two years of observations in a mental health clinic focusing on reproductive health, we examine how patients living with mental health conditions exert reproductive agency during meetings with psychiatrists; how these clinicians respond to this engagement; and the consequences of this advocacy for medical decision-making. We find that psychiatrists psychologize patient advocacy by interpreting it as a manifestation of untreated mental pathology. This psychologization moves beyond imposing a professional vision on the interaction and beyond a paternalistic communication style to psychiatric gaslighting: patient engagement is invalidated and subverted under psychiatric professional vision to double-down on psychotropic medication. Psychiatric gaslighting is a sociological and institutional phenomenon; operating through cultural scripts about how both gender and mental illness shape credibility, incentive structures in medical practice, lingering epistemic problems in psychiatry, and psychiatry’s struggle for professional legitimacy. Within an unequal power relationship between health professionals aiming to safeguard their authority and a stigmatized population, patients are disempowered by psychiatric concepts that link mental health to good mothering. We conclude that the biomedical management of vulnerable populations serves professional interests.




2020: One city, seven people, and the year everything changed. By Eric Klinenberg, New York: Knopf. 2024. pp. 464. $32 (Hard cover). ISBN: 9780593319482
  • Article
  • Publisher preview available

June 2024

·

4 Reads

View access options


Patients in pain: How treatment plan formulations shape patient response

February 2024

·

27 Reads

Communication & Medicine

Communication research on medical interaction has made inroads into how patients shape treatment outcomes as well as how physician presentation of treatment can shape patient acceptance or resistance. Pain is the number one reason patients visit primary care physicians. The overprescription of opioids for chronic pain remains a major public health problem in the US and constitutes a risk factor for opioid addiction. In this study, we investigated how primary care physicians communicate recommendations for alternatives to opioid treatments for patients with self-reported moderate to serious chronic musculoskeletal pain and examined the relationship between communication strategies and patient resistance to non-opioid treatment recommendations. We relied on a convenience sample of 35 video recorded visits in which musculo-skeletal pain was reported as moderate to severe (or over 5 on the pain scale). Using a combined approach of abductive analysis, conversation analysis and descriptive statistics, we show that physicians are less likely to face patient resistance when they frame their non-opioid pain treatment recommendation as novel and present the treatment as concrete and tailored to the patient’s problem.





Genomic uncertainty and genetic counsellors' professional authority

November 2022

·

34 Reads

·

7 Citations

Sociology of Health & Illness

Genomic tests regularly produce Variants of Uncertain Significance (VUS), mutations of which currently little is known but may turn out to be disease‐causing. The communication of such variants in the United States is typically delegated to genetic counsellors. Based on in‐depth interviews, we examined this communication as an indicator of the genetic counsellor’s professional status: did they take a subordinate position by reporting out the results as provided by laboratories or did they assert professional authority by interpreting and possibly reducing the uncertainty of VUS results? We found that genetic counsellors put their professional spin on VUS results and they prepared patients for the full range of possible interpretations by normalising the existence of VUS results; intervened in the ecology of testing laboratories to stack the deck in favour of the expected results; and conducted their own research to reclassify a VUS. They marshalled organisational, technical, scientific and communication expertise to ease the sting of uncertainty but were ultimately limited by their role in the counselling encounter rather than in the basic research or laboratory community. We concluded that genetic counsellors use uncertainty to assert professional authority that interpreted genetic test results in light of the patient’s symptoms and risk profile and uncertainty tolerance.


Citations (71)


... Others have pointed to the discretion that doctors exercise in generating and interpreting diagnostic knowledge (Armstrong and Hilton, 2014;Kaufman et al., 2024). For example, analysing the use of genetic tests in cardiology, Kaufman et al. (2024) showed that respective test results may create epistemic disruptions when reconciled with patients' symptoms and medical histories. ...

Reference:

Caring around and through medical tests in primary care: On the role of care in the diagnostic process
High Risk, Mixed Reward: Making Genetic Test Results Actionable in Cardiology
  • Citing Article
  • June 2024

Social Science & Medicine

... It does not. What is required is nothing short of social autopsy (Klinenberg, 1999;Timmermans and Prickett, 2021); what can deaths which are both quantitatively routine and qualitatively fraught reveal about the way that society has lived and functioned? Through the social post-mortems presented here we find sickness and maladies of the most endemic kind. ...

The Social Autopsy
  • Citing Article
  • August 2021

Sociological Methods & Research

... Here, problem formulation entails an explanation of why the currently (unfavorable) state of the world has occurred, which in turn enables imaginative efforts at solving it (Baer, Dirks, & Nickerson, 2013Bhardwaj, Mahoney & Nickerson, 2023. Framing entrepreneurial strategy formation as a problem-solving process emphasizes the importance of context for originating strategies through imagination, giving rise to abductive reasoning (Sergeeva et al., 2021), and further opens up to ideas from design sciences (Dimov, 2021;Rindova & Martins, 2021, 2022, semiotics (e.g., Tavory & Timmermans, 2022), or artificial selection (Levinthal, 2017(Levinthal, , 2022. This perspective, in sum, raises interesting questions about the prerequisites and the type of reasoning that entrepreneurs rely on to derive plausible and warranted assertions, and how they decide to forge ahead (Dewey, 1938;Foss & Klein, 2012). ...

7. Problem-Solving in Action: a Peirceian account
  • Citing Chapter
  • December 2022

... Even the much-discussed challenge of uncertainty continues to be newly actualized. Expansion of genetic testing generates new scope for results where significance is uncertain (Burke et al., 2022), and as knowledge advances, previously collected genetic data may offer new or different information with potential implications for patients whose results have effectively changed (Clift et al., 2020;Kaufman et al., 2023;Singer et al., 2019;Walsh et al., 2024). This is no less a concern in genetic counseling. ...

Genomic uncertainty and genetic counsellors' professional authority
  • Citing Article
  • November 2022

Sociology of Health & Illness

... This means that individuals at risk for later-or adult-onset ASMD may be diagnosed shortly after birth [48]. The onset of signs or symptoms for the late-onset subtypes is variable, and the initiation of treatment depends on the occurrence of the first signs and symptoms [1], so there is a risk of needless anxiety and unnecessary medical intervention and stigmatization in patients who may remain asymptomatic until adulthood [49]. • Neurologic form: The severe, rapidly progressive neurodegenerative manifestations typical of ASMD type A are not amenable to current therapies, which are unable to cross the blood-brain barrier, so treatment for ASMD type A is limited to supportive therapy [29,48]. ...

Saving Babies?: The Consequences of Newborn Genetic Screening
  • Citing Book
  • January 2012

... For example, of the three sources of standards for organising the operation of universities namely; academic oligarchy, state and market, the main source in Tanzania is the state. Therefore, in this study, the definition of standards borrows the definition provided by [23] as the state initiated bureaucratic, administrative guidelines carrying the legal and regulatory power for the aim of constructing individual and collective parameters that should be complied with during the establishment and governance of among other things, the teaching and learning milieus across universities. In the context of Tanzania, the link between the universities standards and the operating milieus in universities can be explained by the Universities Act No. 7 of 2005 and the Tanzania Commission for Universities (TCU) as follows. ...

Who Counts as Family? How Standards Stratify Lives
  • Citing Article
  • April 2022

American Sociological Review

... The "return of results", whether incidental findings or general analyses, may also play a role in people's willingness (or not) to share their data and samples. However, the social and personal implications of genomic analyses, human biomonitoring results, and incidental findings are broad and often not anticipated by cohortees [46,50]. (3) Future studies should also address those who declined to participate and focus on a better understanding of unwillingness and, ultimately, meaning of non-participation as those might differ from the meaning of and motivation for participation. ...

Challenges for precision public health communication in the era of genomic medicine

Genetics in medicine: official journal of the American College of Medical Genetics

Aviad Raz

·

Stefan Timmermans

·

·

[...]

·

... 10,11 Sometimes, doctors feel uncomfortable advising patients regarding VUS, and patients report a range of reactions, ranging from rapid leave to long-term anxiety. [12][13][14] Therefore, it is important to minimize the recurrence of VUS. The most important strategies to decrease the reporting rate of VUS is to do the best to improve the variant assessment by manual adjustment, and to reevaluate any VUS over time and, possibly, reclassify them based on new data provided by the scientific and medical community, as recommended by the ACMG for 15 years. ...

Cancer patients’ understandings of genetic variants of uncertain significance in clinical care

Journal of Community Genetics

... We then organized team meetings to clarify and test the adequacy of this coding. Although this framework predetermined our codes, this was counterweighted in the second step of analysis, in which a more "abductive" research approach (Tavory & Timmermans, 2014) was used. In abductive research, a pragmatic back-and-forth between theory and empirical data deliberately focuses on both categories predetermined by theory and themes that emerge from the data (in our case, the themes of uncertainty or of financial worldview). ...

Data Analysis in Qualitative Research: Theorizing with Abductive Analysis
  • Citing Book
  • January 2022

... This finding aligns with a U.S. study showing that church doctrine can marginalize grieving women, such as by refusing baptism requests, exacerbating their trauma and sorrow (Cacciatore, 2010). The similarity of the finding might be due to restricting individuals from expressing their grief due to religious and cultural norms that discourage the outward display of sorrows and become an obstacle for coping following a fetal loss (Timmermans, 2022). ...

“If no one grieves, no one will remember”: Cultural palimpsests and the creation of social ties through rituals