Health Sociology Review最新文献

{"title":"Unequal neurorehabilitation trajectories – a longitudinal case study combining field structures with social Class–Based Capital Conversion","authors":"Mette Ryssel Bystrup, A. Hindhede, Hanne Pallesen, L. Aadal, Kristian Larsen","doi":"10.1080/14461242.2021.2007161","DOIUrl":"https://doi.org/10.1080/14461242.2021.2007161","url":null,"abstract":"ABSTRACT Inequalities in illness, service provision, and outcomes are well documented in the Nordic universal welfare state. The ways in which inequalities are produced during illness recovery trajectories remain largely unknown. Long-term brain injury rehabilitation in this context provides a window into veiled aspects of inequality and the underlying mechanisms. We examine inequality empirically by combing framing field structures with the classed abilities of families to mobilise capital after a severe acquired brain injury (severe ABI). Using a Bourdieuan theoretical framework, informed by the concepts of field, doxa, cultural health capital (CHC), and rehabilitation capital (RC), we designed a longitudinal case study encompassing professional records, observations, and interviews that tracked and analysed subjects' trajectories. We found that families’ consistent accumulation and conversion of capital was crucial after a severe ABI because of the multifaceted rehabilitation process involving many different field specific agendas and doxas. This study supplements previous concepts (CHC and RC) developed in a health care context by including other rehabilitation contexts. These disparities in forms of capital amongst social classes result in winners and losers and were reflected in the rehabilitation trajectories of the young adults, characterised by continuity on one extreme and broken trajectories on the other.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"31 1","pages":"293 - 308"},"PeriodicalIF":3.6,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46773155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Afflexivity in post-qualitative inquiry: prioritising affect and reflexivity in the evaluation of a health information website.","authors":"Jenny Setchell,&nbsp;Rebecca Olson,&nbsp;Merrill Turpin,&nbsp;Nathalia Costa,&nbsp;Tim Barlott,&nbsp;Kate O'Halloran,&nbsp;Britta Wigginton,&nbsp;Paul Hodges","doi":"10.1080/14461242.2021.1976068","DOIUrl":"https://doi.org/10.1080/14461242.2021.1976068","url":null,"abstract":"<p><p>Increasingly, people turn to online sources for health information, creating human-non-human relationalities. Health websites are considered accessible in scope and convenience but can have limited capacity to accommodate complexities. There are concerns about who gets to 'assemble' with these resources, and who is excluded. Guided by Ahmed's socio-political theories of emotions, we questioned our feelings as we intra-acted with a consumer information website about back pain (MyBackPain). This encouraged us to approach resource evaluation in a way that alters conventional rational/cognitive judgement processes. Our inquiry was 'supra-disciplinary' involving public health, sociology, allied health and consumer collaborators. Specifically, we considered <i>relationality</i> - the feelings circulating between bodies/objects and implicated in MyBackPain's affective practices; <i>impressions</i> - the marks, images or beliefs MyBackPain makes on bodies/objects; and <i>directionality</i> - how these intra-actions pushed in some directions and away from others. Although Ahmed would likely not consider herself 'post-humanist', we argue that her socio-political theories of how objects and emotions entangle are of great interest to furthering critical post-human understandings of health. Rather than threatening decision-making, we suggest that feelings (and their affects) are central to it. The article demonstrates the productive potential of critical post-human inquiry in identifying/countering 'othering' possibilities, and catalysing a 'nomadic shift' towards new human-non-human formations.</p>","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"30 3","pages":"323-338"},"PeriodicalIF":3.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39416120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lost in translation? Beyond sex as a biological variable in animal research.","authors":"Madeleine Pape","doi":"10.1080/14461242.2021.1969981","DOIUrl":"10.1080/14461242.2021.1969981","url":null,"abstract":"<p><p>In this article, I develop a feminist posthumanist account of biomedical policymaking as a material-discursive intervention that shapes the emergence of phenomena in the scientific laboratory. The setting is United States (U.S.) biomedicine, where a recent policy of the National Institutes of Health has mandated the consideration of sex in basic and preclinical research. Called Sex as a Biological Variable (SABV), the mandate configures cell lines and animal models as the next frontier in the project of advancing gender equity in biomedical research. Given sex and gender are increasingly recognised as having complex, entangled, and dynamic effects on human health and illness, how do laboratory animals respond to their attempted enrolment in this regulatory intervention? Through a qualitative analysis of this policy domain, I show how laboratory animals reveal the context-specific character of sex, its multiplicity and elusiveness as a so-called biological variable, and the considerable work needed to shore up human ideologies of sex as a pervasive cross-species form of binary difference. I suggest that while regulatory interventions constrain patterns of mattering, they also serve as agential openings in which laboratory animals can 'kick back' and reconfigure the pursuit of knowledge, particularly as it relates to difference and health.</p>","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"30 3","pages":"275-291"},"PeriodicalIF":3.1,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39359478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Materialities of care for older people: caring together/apart in the political economy of caring apparatus.","authors":"Michela Cozza,&nbsp;Silvia Bruzzone,&nbsp;Lucia Crevani","doi":"10.1080/14461242.2021.1976067","DOIUrl":"https://doi.org/10.1080/14461242.2021.1976067","url":null,"abstract":"<p><p>By applying a posthuman perspective to the analysis of care for older people (COP), we analyse the agential cuts (together/apart) enacted by humans (mainly caregivers and older people) and more-than-humans (a camera intra-acting with other objects) whose agential entanglement configures and reconfigures the political economy of the caring apparatus. Our study identifies 'targeting', 'monitoring', and 'aligning' as interrelated caring practices, thus contributing to advance a posthuman understanding of welfare technology, and advancing a critical use of the possibilities enacted by technologies.</p>","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"30 3","pages":"308-322"},"PeriodicalIF":3.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39483364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A posthuman decentring of person-centred care.","authors":"Barbara E Gibson,&nbsp;Joanna K Fadyl,&nbsp;Gareth Terry,&nbsp;Kate Waterworth,&nbsp;Donya Mosleh,&nbsp;Nicola M Kayes","doi":"10.1080/14461242.2021.1975555","DOIUrl":"https://doi.org/10.1080/14461242.2021.1975555","url":null,"abstract":"<p><p>In this paper, we examine person-centred care through a Deleuzian posthuman lens with the aim of exploring what becomes possible when the concepts of both person and care are <i>de-centred</i>. We do so through a consideration of the sets of relations that produce 'the client' in health care contexts. Our analysis maps particular entangled material-semiotic forces producing 'M/michael', a young man with a diagnosis of Duchenne muscular dystrophy, within a rehabilitation clinic. Drawing on Deleuzian notions of <i>assemblage</i>, <i>affect</i>, and <i>becoming</i> we explore 'person-care' as an active production that dynamically enacts persons-as-clients through clinical arrangements. Persons are thus reconceptualised in terms of locally produced subject positions and their care relations, rather than pre-existing beings who can be 'centred' within health services. Paradoxically, by de-centring persons and care, we work to conjure ways to strengthen the aspirations of person centredness to humanise health practices. In doing so, we consider different possibilities for re-imagining clinical work and contribute to debates regarding how healthcare conceptualises and addresses disability, health, and wellbeing. We suggest that such posthuman analyses can open up new ways of understanding and re/forming healthcare.</p>","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"30 3","pages":"292-307"},"PeriodicalIF":3.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39403809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Making publics in a pandemic: Posthuman relationalities, 'viral' intimacies and COVID-19.","authors":"Kiran Pienaar,&nbsp;Jacinthe Flore,&nbsp;Jennifer Power,&nbsp;Dean Murphy","doi":"10.1080/14461242.2021.1961600","DOIUrl":"https://doi.org/10.1080/14461242.2021.1961600","url":null,"abstract":"<p><p>The COVID-19 pandemic has placed sexual relationships into sharp focus as strict containment measures, including physical distancing and 'stay at home' restrictions, were initiated to control the spread of the virus. Governments in some jurisdictions prevented contact between non-cohabiting sexual partners (except for couples in pre-existing relationships), while community organisations recommended people avoid casual sexual encounters. This article analyses Australian media articles, commentary and public health messages published during March to October 2020 to explore the normative assumptions underpinning these measures. Applying posthumanist perspectives and Warner's (2002) conceptualisation of 'publics', we consider how COVID-19 public health advice enacts the (human) subject of public health as monogamous, coupled, and living with their partner or nuclear family. Those in non-normative relationships and households are not only excluded from this narrow enactment of the 'ideal' public health subject, but are rendered potentially risky disease vectors by virtue of their alternative kinship arrangements. We explore the implications of these findings for the more-than-human relationalities that shape health inequalities and processes of marginalisation during public health crises, and we offer suggestions for public health measures that address the needs of diverse 'publics'.</p>","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"30 3","pages":"244-259"},"PeriodicalIF":3.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2021.1961600","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39267474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Domestic violence, coercive control and mental health in a pandemic: disenthralling the ecology of the domestic.","authors":"Toni McCallum,&nbsp;Judy Rose","doi":"10.1080/14461242.2021.1987954","DOIUrl":"https://doi.org/10.1080/14461242.2021.1987954","url":null,"abstract":"<p><p><b>ABSTRACT</b>Domestic and family violence is a social and public health issue typically positioned in policy frameworks as a consequence of gendered social and economic structures. In this paper, we deploy an approach that draws on Hörl's neo-ecological thinking to propose that the home, as a site of domestic violence, can be usefully framed as an ecology of the domestic, a posthumanist hybrid matrix of bodies, spaces and objects in which various practices enact the smooth running of the domestic together with practices of domestic and family violence, including coercive control. Our interest is in coercive control and in the impact that the COVID-19 pandemic had on practices which enact this aspect of domestic violence. Our exploration of the practices that enact coercive control draws on the work of Law and others. We examine how practices, which are not compatible, or that do not cohere, are able to coexist in a domestic ecology and what occurs when there is a disruption as occurred with the pandemic.</p>","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"30 3","pages":"260-274"},"PeriodicalIF":3.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39534533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Becoming posthuman: hepatitis C, the race to elimination and the politics of remaking the subject.","authors":"Kate Seear,&nbsp;Emily Lenton","doi":"10.1080/14461242.2021.1971102","DOIUrl":"https://doi.org/10.1080/14461242.2021.1971102","url":null,"abstract":"<p><p>Hepatitis C has long been a public health problem in Australia. 'Revolutionary' new drugs with the potential to cure hepatitis C have now emerged. The Australian government has invested heavily in them, and has an ambitious goal to eliminate hepatitis C by 2030. Numerous shifts in policy and practice are required if the elimination agenda is to be realised. This paper explores the significance of these shifts. We ask: what is the race to elimination <i>doing with the subject</i>? We argue that the race to elimination can be understood, simultaneously, as a <i>product</i> of posthuman forces, capable of being analysed using the theoretical tools made available via the posthuman turn; producing an <i>intervention</i> in what it means to be human; and generating a <i>dilemma</i> for people who use (or used) drugs, people with hepatitis C, and posthuman scholarship. In drawing out these issues, we aim to: trace the significant developments underway in hepatitis C medicine and raise awareness of them; encourage reflection on the consequences of these developments; and invite reflections on what might be lost when the human is remade by hepatitis C medicine.</p>","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"30 3","pages":"229-243"},"PeriodicalIF":3.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39357064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remaking the post 'human': a productive problem for health sociology.","authors":"Kim McLeod,&nbsp;Simone Fullagar","doi":"10.1080/14461242.2021.1990710","DOIUrl":"https://doi.org/10.1080/14461242.2021.1990710","url":null,"abstract":"We start by acknowledging we are writing on the unceded lands of the palawa and pakana peoples of lutrawita (Tasmania), and the Yugambeh and Kombumerri peoples. This is important because contemporary sociological paradigms such as posthumanism, the subject of this editorial, sometimes overlook how the politics of colonisation continues to shape academic knowledge production (which this editorial goes on to discuss). The figure of the post ‘human’ is entangled in a set of dilemmas that are useful for informing sociological ways of thinking through health matters in more than human worlds. The complexities of living in a COVID society (Lupton & Willis, 2021; Matthewman & Huppatz, 2020), the challenges of climate change and persistent inequalities all emphasise the need to better understand the material and discursive forces shaping the conditions of health for people who exist in a dynamic relation with the planet. Posthuman approaches are generative here, making visible the more than human forces and power relations that constitute subjectivity and health practices (Fox & Alldred, 2016; Pyyhtinen, 2016; Willcox, Hickey-Moody, & Harris, 2021). Moving beyond the sociological parameters of social structure and human agency, posthumanism challenges us to engage more deeply with the ontoethical-epistemological assumptions that inform all research approaches (Barad, 2007). Troubling long-held humanist assumptions about health, illness and wellbeing also calls for sociologists to attune – theoretically and methodologically to the entangled relations or ecologies that instantiate realities. The articles in this special issue explore a range of posthuman dilemmas across diverse health issues as they grapple with the ethical, ontological and epistemological relations of knowing and doing health. In this editorial, we discuss how the papers in this special issue harness posthuman approaches to further a range of productive lines of enquiry and knowledge-making for health sociology. Using posthuman perspectives enables the authors to generate health sociology knowledge beyond humanist assumptions, ideals and logics and rethink health care, experiences, subjects and interventions. We go on to argue that although posthumanism enables health sociologists to progress particular agendas, it is important to further problematise the posthuman decentring of the human by bringing sustained attention to bear on the ethical and political implications of this approach to knowledge-making in health. In the latter half of this editorial, we explore three strategies for responding to the limitations, gaps and silences in posthuman thinking about health that have been inspired by Indigenous, decolonial and feminist scholars with respect to unlearning Western privilege (traditions, logics and notions of selfhood, etc). The strategies include orientating to posthuman thinking as a provincial (Meghji, 2021; Mignolo & Walsh, 2018), pluriversal (Blaser & de la Cadena, 2018; Migno","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"30 3","pages":"219-228"},"PeriodicalIF":3.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39666560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring pathways into and out of amphetamine type stimulant use at critical turning points: a qualitative interview study.","authors":"Michelle Addison, Eileen Kaner, Liam Spencer, William McGovern, Ruth McGovern, Eilish Gilvarry, Amy O'Donnell","doi":"10.1080/14461242.2020.1811747","DOIUrl":"10.1080/14461242.2020.1811747","url":null,"abstract":"<p><p>Amphetamine Type Stimulants (ATS) are increasingly used drugs globally. There is limited evidence about what shapes ATS use at critical turning points located within drug using pathways. Using turning point theory, as part of a life course approach, the ATTUNE study aimed to understand which social, economic and individual factors shape pathways into and out of ATS use. Qualitative, semi-structured interviews (<i>n</i> = 70) were undertaken with individuals who had used ATS, or had been exposed to them at least once. Our findings show that turning points for initiation were linked to pleasure, curiosity, boredom and declining mental health; increased use was linked to positive effects experienced at initiation and multiple life-stressors, leading to more intense use. Decreased use was prompted by pivotal events and sustained through continued wellbeing, day-to-day structure, and non-using social networks. We argue that the heterogeneity of these individuals challenges stereotypes of stimulant use allied to nightclubs and 'hedonism'. Further, at critical turning points for recovery, the use of services for problematic ATS consumption was low because users prioritised their alcohol or opioid use when seeking help. There is a need to develop service provision, training, and better outreach to individuals who need support at critical turning points.</p>","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"30 2","pages":"111-126"},"PeriodicalIF":2.5,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39003660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}