Mette Ryssel Bystrup, A. Hindhede, Hanne Pallesen, L. Aadal, Kristian Larsen
{"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":"Feminism and a vital politics of depression and recovery","authors":"A. Hickey-Moody, Philippa Collin","doi":"10.1080/14461242.2020.1832357","DOIUrl":"https://doi.org/10.1080/14461242.2020.1832357","url":null,"abstract":"Feminism and a Vital Politics of Depression and Recovery is a conceptual and methodological intervention into the discursive construction of gender and illness. The book is much needed, beautifully...","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"31 1","pages":"342 - 344"},"PeriodicalIF":3.6,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2020.1832357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42084418","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":"Complementary and alternative medicine: knowledge production and social transformation","authors":"E. Hansen","doi":"10.1080/14461242.2020.1770619","DOIUrl":"https://doi.org/10.1080/14461242.2020.1770619","url":null,"abstract":"","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"29 1","pages":"226 - 227"},"PeriodicalIF":3.6,"publicationDate":"2020-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2020.1770619","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42010488","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":"‘Mostly accurate with occasional piles of bullshit’: patient ‘boundary-work’ in an online scientific controversy","authors":"Tarryn Phillips","doi":"10.1080/14461242.2019.1658537","DOIUrl":"https://doi.org/10.1080/14461242.2019.1658537","url":null,"abstract":"ABSTRACT People with contested illnesses such as Gulf War Syndrome and multiple chemical sensitivities (MCS) have struggled to have their claims to chemical injury recognised as scientifically valid. Patients have thus built on shared experiences and formed ‘embodied health movements’, to challenge mainstream scientific understandings of toxicity and disease causality. Digital technologies have changed the scale and scope of patient sharing and collaboration, yet little attention has been paid to how patients govern each others’ scientific claims. This paper draws from an online qualitative survey of forum users with self-reported MCS (N = 186) to investigate how patient groups internally debate scientificity – in this case over a controversial new ‘neural retraining’ treatment. Despite their own scientific marginalisation, MCS patients conducted ‘boundary-work’ to demarcate scientifically legitimate claims from ‘pseudo-science’ in their analysis of peer theories, and used scientific criteria as a powerful tool to claim and dispute epistemic authority. Moreover, this inter-patient boundary-work had profound social and therapeutic implications in the movement, particularly with respect to the politics of recognition, community solidarity and peer support.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"261 - 276"},"PeriodicalIF":3.6,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1658537","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45921930","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":"Video-reflexive Ethnography in health research and healthcare improvement: theory and application","authors":"D. Swinglehurst","doi":"10.1080/14461242.2019.1651175","DOIUrl":"https://doi.org/10.1080/14461242.2019.1651175","url":null,"abstract":"Video-Reflexive Ethnography (VRE) is gaining traction internationally within healthcare improvement practice and research. It is a participatory approach that foregrounds the everyday practices of ...","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"339 - 340"},"PeriodicalIF":3.6,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1651175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45157383","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":"Professional identity and epistemic stress: complementary medicine in the academy","authors":"Caragh Brosnan, A. Cribb","doi":"10.1080/14461242.2019.1678397","DOIUrl":"https://doi.org/10.1080/14461242.2019.1678397","url":null,"abstract":"ABSTRACT Complementary and alternative medicine (CAM) degrees in Australian and British universities have come under attack from sceptics who argue that such courses teach only ‘pseudoscience’. Moreover, CAM academics have themselves been publicly labelled ‘quacks’. Comparatively little is known about this group of health professionals who span the two worlds of CAM practice and academia. How do they navigate between these domains, and how are their collective and individual professional identities constructed? Drawing on 47 semi-structured interviews, this paper explores the professional identities of academics working in three university-based CAM disciplines in Australia and the UK: osteopathy, chiropractic and Chinese medicine. By analysing these individuals’ accounts, and building on prior research on health professions in the academy, the paper contributes to understanding how contests about professionalism and professional knowledge take place against the academic-practice divide. By focussing on a domain where knowledge claims are conspicuously contested, it highlights the salience of navigating ‘epistemic stress’ for both group and individual professional identity.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"307 - 322"},"PeriodicalIF":3.6,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1678397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49268074","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}
A. Gilbert, J. Antoniades, Zazie Bowen, Bianca Brijnath
{"title":"Legitimising depression: community perspectives and the help-seeking continuum","authors":"A. Gilbert, J. Antoniades, Zazie Bowen, Bianca Brijnath","doi":"10.1080/14461242.2019.1670090","DOIUrl":"https://doi.org/10.1080/14461242.2019.1670090","url":null,"abstract":"ABSTRACT This article deploys a legitimacy framework to explore how Anglo-Australian and Indian-Australian community members living in Melbourne, Australia, interpret the diagnosis and treatment of depression. Examining community beliefs about depression illuminates the lay-discourses that people living with depression encounter when they disclose their experiences to others. Based on 10 focus groups with 77 community members from Indian-Australian and Anglo-Australian backgrounds, we deploy three frames of legitimacy through which depression is described: biomedical, situational, and moral. Indian-Australian participants were less likely to see depression as a legitimate biomedical condition, describing it primarily in situational terms often connected to migration experiences. Additionally, Indian-Australians often described succumbing to depression as a sign of individual weakness, suggesting that disclosing depression within their community risks loss of moral legitimacy. Anglo-Australians more readily recognised the biomedical legitimacy of depression but offered lay-critiques of medical diagnoses and treatment with antidepressants. In cases of long-term depression, there was a potential loss of moral legitimacy within both communities. The findings illustrate variation in the ways and degrees to which depression and its treatment are socially legitimised across two communities, which manifests in a continuum of diverse approaches to help-seeking.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"291 - 306"},"PeriodicalIF":3.6,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1670090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42688917","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}
L. Jackson, S. Price, Pauline Gardiner Barber, A. Kruisselbrink, M. Leiter, Shiva Nourpanah, I. Bourgeault
{"title":"Healthcare workers ‘on the move’: making visible the employment-related geographic mobility of healthcare workers","authors":"L. Jackson, S. Price, Pauline Gardiner Barber, A. Kruisselbrink, M. Leiter, Shiva Nourpanah, I. Bourgeault","doi":"10.1080/14461242.2019.1659154","DOIUrl":"https://doi.org/10.1080/14461242.2019.1659154","url":null,"abstract":"ABSTRACT Many healthcare workers are ‘on the move’ as part of their employment, travelling often great distances to such places as patients’/clients’ homes and community clinics. Healthcare workers’ experiences of this employment-related geographic mobility have been relatively invisible even though mobility is necessary for home and community care. Interviews with professional (e.g. nurses) and paraprofessional (e.g. personal care assistants) healthcare workers in Nova Scotia (Canada) found that mobility includes safety risks, and health and economic costs, although a few professionals had employment contracts that helped to protect them against such risks and costs. Paraprofessionals appear to be most impacted by the economic costs given their lower incomes. Many healthcare workers also experienced travel positively, as time away from fixed sites, and associated this time with freedom. The risks of mobility were understood by some workers as part of a duty to care, but a few suggested that the health and economic costs are an undue burden, pointing to an opening for challenging these conditions. There is a need for regulations to ensure all healthcare workers are safe as they are mobile to and from fixed sites, and do not have to shoulder the health or economic costs of mobility.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"277 - 290"},"PeriodicalIF":3.6,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1659154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43118733","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}
Renae Fomiatti, J. Latham, S. Fraser, D. Moore, Kate Seear, C. Aitken
{"title":"A ‘messenger of sex’? Making testosterone matter in motivations for anabolic-androgenic steroid injecting","authors":"Renae Fomiatti, J. Latham, S. Fraser, D. Moore, Kate Seear, C. Aitken","doi":"10.1080/14461242.2019.1678398","DOIUrl":"https://doi.org/10.1080/14461242.2019.1678398","url":null,"abstract":"ABSTRACT Anabolic-androgenic steroids are synthetic derivatives of testosterone. They are thought to be the most commonly used performance and image-enhancing drugs (PIEDs) in Australia. However, the motivations for men’s use of steroids and other PIEDs are poorly understood. Established ways of understanding these motivations highlight men’s performance and/or image-related concerns, in the context of contemporary masculinities and gender norms. Researchers have paid little attention to how the social and political features of testosterone shape and transform steroid use. Instead, testosterone tends to be taken for granted as a ‘messenger of sex’ that acts on the body in predictable and routinised ways. This article takes a different approach. Drawing on feminist science studies and interviews conducted for an Australian research project, we investigate how the cultural and symbolic meanings assigned to testosterone shape the ontological politics of men’s steroid consumption. Approaching testosterone as an emergent social and biopolitical gathering rather than as a stable sex hormone allows us to better understand how men’s PIED consumption is mediated, particularly by pervasive ideas about sexual difference and the biology of gender. In concluding, we consider ways of better engaging men who consume steroids in health initiatives, in keeping with their concerns and perspectives.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"323 - 338"},"PeriodicalIF":3.6,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1678398","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45998534","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}