Sociological Approaches to LTCs Flashcards
What are long-term conditions?
An illness that can be controlled but not cured, where the manifestation varies greatly day to day.
What are “illness narratives”?
The story-telling and accounting practices that occur in the face of illness.
What is “stigma”?
A negatively defined condition, attribute, trait or behaviour conferring deviant status.
What is the difference between discreditable and discredited stigma?
Discreditable stigma is where the illness is not seen but may cause issues if found out, eg HIV.
Discredited stigma has a physically visible characteristic or well known stigma which sets them apart, eg. Physical disability.
What is the difference between felt and enacted stigma?
Enacted is a real experience of prejudice/discrimination/disadvantage.
Felt stigma is a fear of enacted stigma, which also encompasses a feeling of shame.
What is meant by the “work” of long term conditions?
Illness work (symptom management, treatment)
Everyday life work (managing daily living)
Emotional work (managing one’s own emotions and those of others)
Biographical and narrative work (reconstruction of self)
Identity work (work to maintain an acceptable identity)
Outline the potential impacts of stigma in a clinical setting
Diagnosis = symptoms missed due to attributes linked to illness
Disclosure = pt reluctant to disclose symptoms to avoid stigma, or feeling like a burden
HCP = perceive issues beyone their expertise, capacity/time
