Health Sociology Review最新文献_第5页

Complementary and alternative medicine: knowledge production and social transformation 互补与替代医学：知识生产与社会转型

IF 3.6 2区医学

Health Sociology Review Pub Date : 2020-05-03 DOI: 10.1080/14461242.2020.1770619

E. Hansen

引用次数: 0

Data selves 数据的自我

IF 3.6 2区医学

Health Sociology Review Pub Date : 2020-01-02 DOI: 10.1080/14461242.2020.1718299

A. Pavlidis

引用次数: 10

‘Mostly accurate with occasional piles of bullshit’: patient ‘boundary-work’ in an online scientific controversy “基本准确，偶尔会有一堆废话”:网络科学争议中耐心的“边界工作”

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-09-02 DOI: 10.1080/14461242.2019.1658537

Tarryn Phillips

{"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}

引用次数: 3

Video-reflexive Ethnography in health research and healthcare improvement: theory and application 视频反身民族志在健康研究和医疗保健改进中的理论与应用

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-09-02 DOI: 10.1080/14461242.2019.1651175

D. Swinglehurst

引用次数: 30

Professional identity and epistemic stress: complementary medicine in the academy 职业认同与认知压力:学院补充医学

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-09-02 DOI: 10.1080/14461242.2019.1678397

Caragh Brosnan, A. Cribb

{"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}

引用次数: 6

Legitimising depression: community perspectives and the help-seeking continuum 使抑郁症合法化:社区观点和寻求帮助的连续体

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-09-02 DOI: 10.1080/14461242.2019.1670090

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}

引用次数: 0

Healthcare workers ‘on the move’: making visible the employment-related geographic mobility of healthcare workers 卫生保健工作者“流动”:使卫生保健工作者与就业有关的地理流动可见

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-09-02 DOI: 10.1080/14461242.2019.1659154

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}

引用次数: 2

A ‘messenger of sex’? Making testosterone matter in motivations for anabolic-androgenic steroid injecting “性信使”?使睾酮成为注射合成代谢雄激素类固醇的动机

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-09-02 DOI: 10.1080/14461242.2019.1678398

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}

引用次数: 6

Ascertaining patients’ understandings of their condition: a conversation analysis of contradictory norms in cancer specialist consultations 确定患者对其病情的理解:癌症专科会诊中矛盾规范的对话分析

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-07-29 DOI: 10.1080/14461242.2019.1633945

K. Dew, J. Barton, J. Stairmand, D. Sarfati, L. Signal

{"title":"Ascertaining patients’ understandings of their condition: a conversation analysis of contradictory norms in cancer specialist consultations","authors":"K. Dew, J. Barton, J. Stairmand, D. Sarfati, L. Signal","doi":"10.1080/14461242.2019.1633945","DOIUrl":"https://doi.org/10.1080/14461242.2019.1633945","url":null,"abstract":"ABSTRACT Patient-centred care requires patients to be active participants in decision-making in consultations. Decision-making participation requires patients to understand their condition and to be able to convey their health literacy to medical specialists they encounter. Based on conversation analysis of 18 audio-recorded consultations between cancer patients and a range of cancer care specialists, this article analyses the ways cancer specialists attempt to ascertain their patient’s understanding of their disease. Cancer specialists routinely enquire about their patient’s understanding. In doing so, they phrase enquiries in different ways, resulting in different patient responses. How questions are phrased can require patients to deal with contradictory norms in the consultation, such as the patient being competent but not assuming medical expertise, and potentially hinder patient participation. Alternatively, questions can allow patients to draw on their own experience and so facilitate greater patient involvement. Questions aimed directly at the patient’s medical understanding result in minimal or negative responses. In contrast, questions directed at what the patient has been told or has experienced, elicit longer and more in-depth responses from the patient. This analysis illuminates the co-construction of cancer specialist consultations and suggests simple ways in which patient involvement in the consultation can be facilitated.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"229 - 244"},"PeriodicalIF":3.6,"publicationDate":"2019-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1633945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43484747","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}

引用次数: 2

Beyond stress and coping: the relevance of critical theoretical perspectives to conceptualising racial discrimination in health research 超越压力和应对：批判性理论视角与健康研究中种族歧视概念化的相关性

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-07-23 DOI: 10.1080/14461242.2019.1642124

C. Varcoe, A. Browne, Amélie Blanchet Garneau

{"title":"Beyond stress and coping: the relevance of critical theoretical perspectives to conceptualising racial discrimination in health research","authors":"C. Varcoe, A. Browne, Amélie Blanchet Garneau","doi":"10.1080/14461242.2019.1642124","DOIUrl":"https://doi.org/10.1080/14461242.2019.1642124","url":null,"abstract":"ABSTRACT Racial discrimination is primarily conceptualised and dealt with at the individual level in health research and practice. Most conceptualisations, and the measures which follow, are grounded in stress-coping theories thus reinforcing individual level understandings. This draws attention away from how structures and systems reproduce racial discrimination, and further supports the very racial categorisations upon which racism depends. The purpose of this paper is to discuss the relevance of critical theoretical perspectives in conceptualising racial discrimination and how it is taken-up and measured in health research. Drawing on Indigenous, Black and material feminist, intersectional, critical race, postcolonial and political economy perspectives, we propose that racial discrimination can most usefully be understood as a relational socio-historical concept. Racial discrimination understood at the systemic level in research and measurement will support more effective policies and practices to mitigate intersecting forms of discrimination in healthcare. Critical theoretical approaches to studying racial discrimination in health research could inform future analyses needed to address and limit the harms perpetuated through individual and structural forms of discrimination.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"245 - 260"},"PeriodicalIF":3.6,"publicationDate":"2019-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1642124","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49558444","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}

引用次数: 11