Lecute 2 Flashcards
Shedsשק׳גב
recovery is a process, not an event
• Health practitioners and scientists are no more bullet proof than anyone
else to life’s misfortunes – you can be a patient and a professional too.
• Sensitivity to context allows us to examine and reveal our own assumptions
about health behaviour & so become better scientists and health workers
Explaining health, illness and disease via the metaphor of ‘journeys’…
“Illness is the night-side of life, a more onerous
ci6zenship. Everyone who is born holds dual
ci6zenship, in the kingdom of the well and the
kingdom of the sick. Although we prefer to use only
the good passport, sooner or later each of us is
obliged, at least for a spell, to iden6fy ourselves as
ci6zens of that other place.” Sontag (1978:3)
illness Cassell (1976)
illness is what we feel
when we go to visit a doctor and disease is
what we have aTer we have been to the
doctor’s office and we are on our way back
home.
Illness Helman (2007)
illness can be
thought of as a type of misfortune which
brings on a subjec6ve experience of
physical and emo6onal changes which are
generally confirmed by other people
Illness Kleinman (1989)
to become
temporarily demoralised with one’s world
“language of distress” acts as a
bridge
between the subjective experiences of
impaired well being and social
acknowledgment of them.
Hierarchies of resort and health care pluralism - Kleinman
• Kleinman suggests that there are mulPple sources of
experPse/knowledge of health care (health care pluralism)
• Kleinman suggests at least 3 sectors of health care – lay, folk and professional with the professional being the tiny tip of the iceberg and the other 2 sectors below the surface of our atticention most of the time (depending upon who ‘we’ are)
2 Contested Illnesses/Diagnoses
- you think ur sick others dont
- they think ur sick u dont -
Contested illnesses show the
multidirectional directional flow
of interpretive work in ‘doing’
health and illness and it gets
political
Canguilhem (1991) - Defining health in these more poli6cal journeys…
• A definiPon of pilgrimage (Turner, 1969:4):
“the process
of going to a far place to understand a familiar place
becer”
• An example of a contested illness/diagnosis
–medicalized
versions of deafness as deficit and ‘tragic’ thus in need of
fixing vs Deaf as a cultural idenPty with its own
disPncPve language of signing and completely ordinary.
4 Why is distant someDmes beFer?