Abstract
The first decade of the twenty-first century is indeed a critical moment to reflect on the past and potential new avenues of inquiry focussed on chronic conditions. The recent re-shaping of policy and service delivery regarding chronic conditions across Western democracies provides both an old and new set of salient issues for sociologists to consider. Policy changes have occurred largely in response to demographic changes and concerns regarding the current and future burden of ageing, chronic disease and disability. The perceived economic implications of this “burden of chronic disease” has prompted the development and implementation of state-sponsored interventions to enhance self-care across international settings.
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Notes
- 1.
Physical impairment is obviously important in this respect, reflecting concerns with embodiment that have been picked up more fully in subsequent work.
- 2.
The presence or absence of successful change as a result of the CDSMP is thought to be the result of the increased capacity of the individual following exposure to skills such as problem-solving, decision-making, resource utilisation, action planning, and partnership with health care providers.
- 3.
The latter is evident in theories of ‘planned action’ (popular in health prevention but increasingly so in chronic illness) that are normative in assumptions about the desirability of changing one behaviour for another (e.g., smoking for non-smoking). Additionally, while such assumptions maybe appropriate regarding behaviour such as smoking, arguably this is less applicable to chronic illness given the variety of strategies drawn upon in coping or adjusting to illness.
- 4.
Bordieu used the concept of habitus to represent structured sets of values and ways of thinking as well as cultural symbols that distinguish social position, preserving and reproducing inequalities via differential accumulation of social capital between groups. His ideas about social capital were greatly influenced by Marxism, but he developed ideas about habitus to serve as a theoretical bridge between subjective agency and objective position and distinguished between cultural and material capital. This placed him at the ‘crossroads of two central highways’ in sociological thought, integrating structuralist perspectives of inequality with constructivist perspectives of agency (Field 2003).
- 5.
Field draws attention to the limitations of Bordieu’s work in failing to acknowledge that social capital can be detrimental and that less privileged individuals and groups might also find benefit from socialties.
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Sanders, C., Rogers, A. (2011). Bodies in Context: Potential Avenues of Inquiry for the Sociology of Chronic Illness and Disability Within a New Policy Era. In: Pescosolido, B., Martin, J., McLeod, J., Rogers, A. (eds) Handbook of the Sociology of Health, Illness, and Healing. Handbooks of Sociology and Social Research. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7261-3_25
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