{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T20:12:27Z","timestamp":1788811947335,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["anthrosource.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Med Anthropol Q"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Pain always begs a response, yet biomedical providers everywhere struggle with how to know and respond to pain. Based on collaborative ethnographic work in a Tanzanian hospital, we explore healthcare workers\u2019 sociocultural perceptions of pain and pain care practices to show how pain is recognized and distinguished in the busy clinical setting. Influenced by the socially productive nature and potential of fakes, we present the category of\n                    <jats:italic>feki<\/jats:italic>\n                    pain as a way healthcare workers negotiated care within a context of biomedical scarcity and sociocultural values that make it difficult to express and recognize pain of all kinds. The category of\n                    <jats:italic>feki<\/jats:italic>\n                    pain highlights both the difficulty that pain presents to low\u2010resource healthcare systems and the possibility to recognize and respond to the structural nature of women's pain.\n                  <\/jats:p>","DOI":"10.1111\/maq.70095","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T19:44:40Z","timestamp":1788810280000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cThe pain is not real, it's feki\u201d: Recognizing pain, gender, and structural inequalities in a Tanzanian hospital"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7022-303X","authenticated-orcid":false,"given":"Megan D.","family":"Cogburn","sequence":"first","affiliation":[{"name":"Department of Sociology and Criminology &amp; Law University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Hanley","sequence":"additional","affiliation":[{"name":"University of Florida Gainesville  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Roman","sequence":"additional","affiliation":[{"name":"University of Florida Gainesville  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6005-2572","authenticated-orcid":false,"given":"Adrienne E.","family":"Strong","sequence":"additional","affiliation":[{"name":"Department of Anthropology and Center for African Studies University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.17157\/mat.10.3.7277","article-title":"Fake\u2010Talk, Side Effects and the Trouble With Hormonal Contraceptives Among Women in Dar es Salaam","volume":"10","author":"Bandora R.","year":"2023","journal-title":"Medicine Anthropology Theory"},{"key":"e_1_2_12_3_1","volume-title":"Enduring Cancer: Life, Death, and Diagnosis in Delhi","author":"Banerjee D.","year":"2020"},{"issue":"3","key":"e_1_2_12_4_1","first-page":"477","article-title":"\u2018Fake Gays\u2019 in Queer Africa: NGOs, Metrics, and Modes of (Queer) Theory","volume":"26","author":"Biruk C. (C.)","year":"2020","journal-title":"GLQ: A Journal of Lesbian and Gay Studies"},{"key":"e_1_2_12_5_1","volume-title":"The Story of Pain: From Prayer to Painkillers","author":"Bourke J.","year":"2014"},{"key":"e_1_2_12_6_1","doi-asserted-by":"crossref","DOI":"10.4135\/9781036232078.n9","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun V.","year":"2021"},{"issue":"3","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1111\/j.1548-1360.2009.01040.x","article-title":"From the Enemy's Point of View: Violence, Empathy, and the Ethnography of Fakes","volume":"24","author":"Bubandt N.","year":"2009","journal-title":"Cultural Anthropology"},{"issue":"4","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1111\/j.1548-1387.2011.01180.x","article-title":"Personhood Diagnostics: Personal Attributes and Clinical Explanations of Pain","volume":"25","author":"Buchbinder M.","year":"2011","journal-title":"Medical Anthropology Quarterly"},{"key":"e_1_2_12_9_1","doi-asserted-by":"crossref","DOI":"10.1093\/med\/9780199674282.001.0001","volume-title":"To Comfort Always: A History of Palliative Medicine Since the Nineteeth Century","author":"Clark D.","year":"2016"},{"key":"e_1_2_12_10_1","first-page":"63","volume-title":"Fake: Anthropological Keywords","author":"Copeman J.","year":"2018"},{"issue":"1","key":"e_1_2_12_11_1","first-page":"67","article-title":"Language and Body: Transactions in the Construction of Pain","volume":"125","author":"Das V.","year":"1996","journal-title":"Daedalus"},{"key":"e_1_2_12_12_1","volume-title":"Pain as Human Experience: An Anthropological Perspective","author":"DelVecchio Good M.","year":"1992"},{"key":"e_1_2_12_13_1","doi-asserted-by":"crossref","DOI":"10.5771\/9780739140581","volume-title":"Tanzanian Women in Their Own Words: Stories and Disability and Illness","author":"Feinstein S.","year":"2009"},{"key":"e_1_2_12_14_1","doi-asserted-by":"crossref","DOI":"10.9783\/9780812200430","volume-title":"Women in Pain: Gender and Morbidity in Mexico","author":"Finkler K.","year":"1994"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/jme.2022.91"},{"key":"e_1_2_12_16_1","volume-title":"The Pain Gap: How Sexism and Racism in Healthcare Kill Women","author":"Hossain A.","year":"2021"},{"key":"e_1_2_12_17_1","unstructured":"Idris I.2018.Mapping women's economic exclusion in Tanzania. 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