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https://www.readbyqxmd.com/read/29233019/-the-expertness-of-his-healer-diagnosis-disclosure-and-the-power-of-a-profession
#1
Annemarie Jutel
Diagnosis is one of medicine's most important tools. It structures the relationship between patient and diagnostician, organises illness and provides access to resources. In this article, I reveal how the manner in which a serious diagnosis is revealed creates a kind of 'epistemic posture' reinforcing the power of medical knowledge, and contributing to medical authority. To achieve this, I explore historical material written by and for doctors about the disclosure of difficult diagnoses. Using historical data for sociological purposes follows Zerubavel, who asserts that phenomena should be studied across eras, media and cultures...
December 1, 2017: Health (London)
https://www.readbyqxmd.com/read/29188726/smoking-to-fit-a-stigmatised-identity-a-qualitative-study-of-marginalised-young-people-in-australia
#2
Marita Hefler, Stacy M Carter
In countries with comprehensive tobacco control, smoking is increasingly denormalised, with smokers subject to social stigmatisation. Qualitative research and commentary about denormalisation and stigma has largely focused on the impact on current or former smokers. Little attention has been given to the interaction between existing stigma among socially marginalised and disadvantaged young people and its role in smoking uptake, maintenance and resistance to quitting, or remaining a non-smoker. This article draws on a qualitative (grounded theory) study of young people aged 16-25 years who attended social services for at-risk youth in an inner city area in Australia, to explore the intersection between stigmatised identity and smoking in a context of increasing smoking denormalisation...
November 1, 2017: Health (London)
https://www.readbyqxmd.com/read/29168390/the-adaptation-of-everyday-practices-in-the-adoption-of-chronic-illness
#3
Kadi Lubi
This article uses social practice theory to examine the role of information-seeking in the maintenance of existing lifestyle and illness-related adjustments in the context of chronic illnesses. The research findings are derived from a thematic analysis of 16 semi-structured in-depth interviews with Estonian Parkinson's disease patients. The coding scheme bases on the four practice elements outlined by Schatzki (practical understandings, rules, teleological structures and general understandings) and other categories related to chronic illness self-management skills, bodily movements, daily routines and information-seeking practices...
November 1, 2017: Health (London)
https://www.readbyqxmd.com/read/29160105/identity-work-and-illness-careers-of-patients-with-medically-unexplained-symptoms
#4
Camilla Blach Rossen, Niels Buus, Elsebeth Stenager, Egon Stenager
This article reports a case study of the illness career and identity work of patients who have had medically unexplained symptoms for many years with a particular emphasis on their interactions with a specialized and standardized health care system. Patients with medically unexplained symptoms often experience being met with mistrust and feel their identity threatened as a consequence of being illegitimately ill. There is a strong tendency in health care towards assessment thorough standardized so-called assessment packages...
November 1, 2017: Health (London)
https://www.readbyqxmd.com/read/29090636/-there-s-no-pill-to-help-you-deal-with-the-guilt-and-shame-contemporary-experiences-of-hiv-in-the-united-kingdom
#5
Liz Walker
The experience of living with HIV, in the global north, has changed significantly over the past 20 years. This is largely the result of effective biomedical methods of treatment and prevention. HIV is now widely considered to be a long-term condition like many others - it has been argued that HIV has been 'normalised'. Drawing on online qualitative survey data, with respondents aged 18-35 years, diagnosed with HIV in the past 5 years, this research explores contemporary subjective experiences of being diagnosed, and living, with HIV in the United Kingdom...
October 1, 2017: Health (London)
https://www.readbyqxmd.com/read/29090635/depression-at-work-authenticity-in-question-experiencing-concealing-and-revealing
#6
Damien Ridge, Alex Broom, Renata Kokanović, Sue Ziebland, Nicholas Hill
Australia and the United Kingdom have introduced policies to protect employees who experience mental illness, including depression. However, a better understanding of the experiential issues workers face (e.g. sense of moral failure) is needed for the provision of appropriate and beneficial support. We analysed 73 interviews from the United Kingdom and Australia where narratives of depression and work intersected. Participants encountered difficulties in being (and performing as if) 'authentic' at work, with depression contributing to confusions about the self...
October 1, 2017: Health (London)
https://www.readbyqxmd.com/read/29090634/provisionally-pregnant-uncertainty-and-interpretive-work-in-accounts-of-home-pregnancy-testing
#7
Emily Ross
Upon their availability for purchase in the 1970s, home pregnancy testing devices were hailed as a 'revolution' for women's reproductive rights. Some authors, however, have described these technologies as further enabling the medicalisation of pregnancy and as contributing to the devaluing of women's embodied knowledge. The home pregnancy test is one of many technological devices encountered by women experiencing pregnancy in the United Kingdom today. Existing literature has described how engagement with medical technologies during pregnancy might address uncertainties experienced at this time, providing women with reassurance and alleviating anxieties...
October 1, 2017: Health (London)
https://www.readbyqxmd.com/read/29090633/visibility-resilience-vulnerability-in-young-migrants
#8
Hannah Bradby, Kristin Liabo, Anne Ingold, Helen Roberts
Young unaccompanied asylum seekers have been portrayed as vulnerable, resilient or both. Those granted residency in Europe are offered support by health and social care systems, but once they leave the care system to make independent lives, what part can these services play? Our review of research with migrants who have been in care in Sweden and the United Kingdom found evidence of unmet need, but little research describing their own views of services. The limited published evidence, supplemented by interviews with care leavers in a UK inner city, suggests that in defining health needs, young people emphasise housing, education, employment and friendship over clinical or preventative services...
October 1, 2017: Health (London)
https://www.readbyqxmd.com/read/29090632/-normal-and-failing-mothers-women-s-constructions-of-maternal-subjectivity-while-living-with-multiple-sclerosis
#9
Chloe Parton, Terri Katz, Jane M Ussher
Multiple sclerosis causes physical and cognitive impairment that can impact women's experiences of motherhood. This study examined how women construct their maternal subjectivities, or sense of self as a mother, drawing on a framework of biographical disruption. A total of 20 mothers with a multiple sclerosis diagnosis took part in semi-structured interviews. Transcripts were analysed using thematic decomposition to identify subject positions that women adopted in relation to cultural discourses of gender, motherhood and illness...
October 1, 2017: Health (London)
https://www.readbyqxmd.com/read/27457688/vulnerable-children-stigmatised-smokers-the-social-construction-of-target-audiences-in-media-debates-on-policies-regulating-smoking-in-vehicles
#10
Josh Bain, Heide Weishaar, Sean Semple, Sheila Duffy, Shona Hilton
Following restrictions on smoking in vehicles carrying children in several countries, legislation to safeguard minors from second-hand smoke exposure in vehicles is under-consideration or has been implemented across the United Kingdom. This article presents the first investigation into social constructions of children, smokers and smoking parents in newsprint media and coverage of debates about protecting children from exposure to second-hand smoke in vehicles. Using Scotland as an example, articles on children's exposure to second-hand smoke published between 1 January 2004 and 16 February 2014 in three Scottish newspapers were identified using Nexis UK...
November 2017: Health (London)
https://www.readbyqxmd.com/read/27207941/obesity-frames-and-counter-frames-in-british-and-german-online-newspapers
#11
Dimitrinka Atanasova, Nelya Koteyko
By featuring news articles highlighting certain aspects of obesity and backgrounding others, the media can frame these aspects as especially applicable to how obesity should be understood and addressed. Despite the highest rates in Europe, news reports from Britain and Germany have come under little scholarly scrutiny. In this article, we explore frames and their frequency of use in British and German online newspapers. Our findings reveal a dominant cross-national framing of obesity in terms of 'self-control', which places a more pronounced emphasis on individual responsibility than demonstrated by earlier studies and may contribute to a culture of weight bias and stigma...
November 2017: Health (London)
https://www.readbyqxmd.com/read/26979983/-things-i-did-not-know-retrospectives-on-a-canadian-rural-male-youth-suicide-using-an-instrumental-photovoice-case-study
#12
Genevieve M Creighton, John L Oliffe, Maria Lohan, John S Ogrodniczuk, Emma Palm
In Canada, it is young, rural-based men who are at the greatest risk of suicide. While there is no consensus on the reasons for this, evidence points to contextual social factors including isolation, lack of confidential services, and pressure to uphold restrictive norms of rural masculinity. In this article, we share findings drawn from an instrumental photovoice case study to distil factors contributing to the suicide of a young, Canadian, rural-based man. Integrating photovoice methods and in-depth qualitative, we conducted interviews with seven family members and close friends of the deceased...
November 2017: Health (London)
https://www.readbyqxmd.com/read/26865213/science-and-scepticism-drug-information-young-men-and-counterpublic-health
#13
Adrian Farrugia, Suzanne Fraser
It is perhaps no surprise that young people can be sceptical of the drug-related information they receive in school-based health education, health promotion and the media. Significant societal anxiety surrounds young people's drug consumption, so it is tempting to approach this scepticism as a problem to be solved. In this article, we look closely at a group of young Australian men (n = 25), all of whom hold deeply sceptical views about the drug information they received in schools, social marketing campaigns and public speech generally...
November 2017: Health (London)
https://www.readbyqxmd.com/read/26851265/struggling-to-care-a-discursive-material-analysis-of-negotiating-agency-among-hiv-positive-msm
#14
Nico A Canoy, Mira Alexis P Ofreneo
A discursive-materialist framework of agency asserts the mutual constitution of agency within cultural discursive, economic, and embodied material structures. Understanding how HIV-positive men who have sex with men in the Philippines negotiate agency vis-a-vis wider social structures, we utilized Foucault's care of the self to locate agency in relationships with the self, others, and the broader world. Using data from narratives of 20 Filipino HIV-positive men who have sex with men, we analyzed the negotiation of agency as HIV-positive as embedded in the unique discursive terrain of Roman Catholicism and the economic materiality of a developing country...
November 2017: Health (London)
https://www.readbyqxmd.com/read/28805150/diffracting-addicting-binaries-an-analysis-of-personal-accounts-of-alcohol-and-other-drug-addiction
#15
Kiran Pienaar, David Moore, Suzanne Fraser, Renata Kokanovic, Carla Treloar, Ella Dilkes-Frayne
Associated with social and individual harm, loss of control and destructive behaviour, addiction is widely considered to be a major social problem. Most models of addiction, including the influential disease model, rely on the volition/compulsion binary, conceptualising addiction as a disorder of compulsion. In order to interrogate this prevailing view, this article draws on qualitative data from interviews with people who describe themselves as having an alcohol or other drug 'addiction', 'dependence' or 'habit'...
September 2017: Health (London)
https://www.readbyqxmd.com/read/28805149/contestation-instrumental-resistance-and-strategic-conformation-within-the-diagnostic-process-of-gender-dysphoria-in-portugal
#16
Ana Patrícia Hilário
This article aims to provide insights into the ways in which trans people (i.e. those whose gender identity or expression do not align with their assigned sex at birth) in Portugal make sense of the diagnosis of gender dysphoria. Drawing upon in-depth interviews with 10 trans men and 9 trans women carried out by the TRANSRIGHTS team, we identified three major themes: (a) contestation of gender dysphoria as a (mental) illness, (b) instrumental resistance to complete demedicalisation of gender dysphoria and (c) strategic conformation to gender essentialism within the diagnostic process of gender dysphoria...
September 2017: Health (London)
https://www.readbyqxmd.com/read/28830300/-it-s-sometimes-hard-to-tell-what-patients-are-playing-at-how-healthcare-professionals-make-sense-of-why-patients-and-families-complain-about-care
#17
Mary Adams, Jill Maben, Glenn Robert
This article draws from sociological and socio-legal studies of dispute between patients and doctors to examine how healthcare professionals made sense of patients' complaints about healthcare. We analyse 41 discursive interviews with professional healthcare staff working in eight different English National Health Service settings to explore how they made sense of events of complaint and of patients' (including families') motives for complaining. We find that for our interviewees, events of patients' complaining about care were perceived as a breach in fundamental relationships involving patients' trust or patients' recognition of their work efforts...
August 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28803501/men-s-weight-loss-stories-how-personal-confession-responsibility-and-transformation-work-as-social-control
#18
Danielle Couch, Gil-Soo Han, Priscilla Robinson, Paul Komesaroff
Obesity is considered a public health concern. In Australia, there are a greater number of overweight or obese men compared with women. The media is an important source of information about body weight and weight management. We undertook a qualitative study to analyse men's weight loss stories in a popular men's magazine. Between January 2009 and December 2012, we collected 47 men's weight loss stories from the Australian edition of Men's Health magazine. We undertook thematic analysis to examine the stories...
August 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28795600/the-weight-of-the-matter-a-new-material-feminist-account-of-thin-and-fat-oppressions
#19
Moss Edward Norman, Fiona J Moola
Critical feminist approaches to eating disorders and "obesity" have recently come under criticism for relying too heavily on textual- and image-based analyses of health, identity and body weight, shape, and size. In this article, we examine qualitative interviews with self-identified anorexic and "obese" women using a new material feminist lens-particularly the work of Karen Barad-to see what this perspective contributes to conceptualizations of weight-based oppressions. In addition to outlining how the material world actively participates in ongoing processes of oppression, we also highlight how the body presses back, offering up potentially less oppressive processes of materialization...
August 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28795597/in-one-s-own-time-contesting-the-temporality-and-linearity-of-bereavement
#20
Katherine Kenny, Alex Broom, Emma Kirby, Damien Ridge
This article explores the experience and meaning of time from the perspective of caregivers who have recently been bereaved following the death of a family member. The study is situated within the broader cultural tendency to understand bereavement within the logic of stages, including the perception of bereavement as a somewhat predictable and certainly time-delimited ascent from a nadir in death to a 'new normal' once loss is accepted. Drawing on qualitative data from interviews with 15 bereaved family caregivers we challenge bereavement as a linear, temporally bound process, examining the multiple ways bereavement is experienced and how it variously resists ideas about the timeliness, desirability and even possibility of 'recovery'...
August 1, 2017: Health (London)
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