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Sick-Role Legitimization

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Abstract

The purpose of this chapter is to consider in detail the issue of sick-role legitimization. There are three major sections to the chapter. The first provides a brief review of the sick role in light of American values and social structure, including a description of the traditional Parsonian scheme and the changes in it that have been necessitated by modifications in the health care delivery system. This section also considers the emergence of sick-role legitimization as a crucial contemporary issue in health behavior, focusing on its use as a coping response, as an avoidance mechanism, and as a justification for failure. The second section focuses on the prevalence of sick-role legitimization, including the taking of sick leave, and the receipt of medications and other visible badges of courage. In the final section we consider the major implications of sick-role legitimization: the increasing demand for it in the face of the coming physician surplus, and its effect on the stability of structural role interdependencies in highly differentiated societies.

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References

  • American Hospital Association. (1986). Hospital statistics (1985 ed.). Chicago: American Hospital Association.

    Google Scholar 

  • Anderson, O. W. (1985). Health services in the United States: A growth industry since 1875. Ann Arbor: Health Administration Press.

    Google Scholar 

  • Blau, P. M., & Duncan, O. D. (1967). The American occupational structure. Chicago: University of Chicago Press.

    Google Scholar 

  • Coe, R. M., Wolinsky, F. D., Miller, D. K., & Prendergast, J. M. (1984). Complementary and compensatory functions in social network relationships among the elderly. The Gerontologist, 24, 396–400.

    Article  PubMed  CAS  Google Scholar 

  • Cole, S., & Lejeune, R. (1972). Illness and the legitimation of failure. American Sociological Review, 37, 347–356.

    Article  PubMed  CAS  Google Scholar 

  • Conrad, P. (1975). The discovery of hyperkinesis: Notes on the medicalization of deviant behavior. Social Problems, 23, 12–21.

    Article  PubMed  Google Scholar 

  • Conrad, P., & Scheider, J. W. (1980). Deviance and medicalization. St. Louis: Mosby.

    Google Scholar 

  • Department of Health, Education, and Welfare. (1975). Current estimates from the Health Interview Survey, United States, 1973 (DHEW Publication No. 75-1522). Washington, DC:6U.S. Government Printing Office.

    Google Scholar 

  • Department of Health and Human Services. (1982). Patients’ reasons for visiting physicians: National Ambulatory Medical Care Survey, United States, 1977–1978 (DHHS Publication No. 82-1717). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Department of Health and Human Services. (1983). Patterns of ambulatory care in general and family practice: The National Ambulatory Medical Care Survey, United States, January 1980–December 1981 (DHHS Publication No. 83-1734). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Department of Health and Human Services. (1986a). Current estimates from the National Health Interview Survey, United States, 1983 (DHHS Publication No. 86-1582). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Department of Health and Human Services. (1986b). Use of antimicrobial drugs in office-based practice, United States, 1980–81 (DHHS Publication No. 86-1746). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Department of Health and Human Services. (1987). Health, United States, 1986 (DHHS Publication No. 87-1232). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Durkheim, E. (1897; translated 1951). Suicide: A study in sociology. New York: Free Press.

    Google Scholar 

  • Durkheim, E. (1903; translated 1961). Moral education: A study in the theory and application of the sociology of education. New York: Free Press.

    Google Scholar 

  • Fox, R. C. (1979). Essays in medical sociology. New York: Wiley.

    Google Scholar 

  • Fox, R. C. (1985). Reflections and opportunities in the sociology of medicine. Journal of Health and Social Behavior, 26, 6–14.

    Article  PubMed  CAS  Google Scholar 

  • Freidson, E. (1970). The profession of medicine: A study in the sociology of applied knowledge. New York: Harper & Row.

    Google Scholar 

  • Graduate Medical Education National Advisory Committee. (1981). Summary report of the Graduate Medical Education National Advisory Committee (DHHS Publication No. 81-651). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Haug, M., & Lavin, B. (1981). Practitioner or patient: Who’s in charge? Journal of Health and Social Behavior, 22, 219–229.

    Article  Google Scholar 

  • Haug, M., & Lavin, B. (1983). Consumerism in medicine: Challenging physician authority. Beverly Hills: Sage.

    Google Scholar 

  • Hayes-Bautista, D. (1976a). Termination of the patient-practitioner relationship: Divorce, patient style. Journal of Health and Social Behavior, 17, 12–22.

    Article  PubMed  CAS  Google Scholar 

  • Hayes-Bautista, D. (1976b). Modifying the treatment: Patient compliance, patient control, and medical care. Social Science and Medicine, 10, 233–238.

    Article  PubMed  CAS  Google Scholar 

  • Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11, 213–218.

    Article  PubMed  CAS  Google Scholar 

  • Honig-Parnass, T. (1982). The effects of latent social needs on physician utilization by immigrants: A replication study. Social Science and Medicine, 16, 505–514.

    Article  PubMed  CAS  Google Scholar 

  • Illich, I. (1976). Medical nemesis. New York: Pantheon.

    Google Scholar 

  • Levine, S., & Kozloff, M. (1978). The sick role: Assessment and overview. Annual Review of Sociology, 4, 317–343.

    Article  Google Scholar 

  • Light, D. (1986). Organizational consequences of a physician surplus: An overview. Paper presented at the annual meeting of the American Sociological Association.

    Google Scholar 

  • McKinlay, J. (1975). Who is really ignorant: Patient or practitioner? Journal of Health and Social Behavior, 16, 136–145.

    Article  Google Scholar 

  • McKinlay, J. (1986). Proletarianization and the social transformation of doctoring. Paper presented at the annual meeting of the American Sociological Association.

    Google Scholar 

  • Mechanic, D. (1978). Medical sociology: A comprehensive text (2nd ed.). New York: Free Press.

    Google Scholar 

  • Mechanic, D. (1979). Development of psychological distress among young adults. Archives of General Psychiatry, 36, 1233–1239.

    Article  PubMed  CAS  Google Scholar 

  • Mechanic, D. (1980). The experience and reporting of common physical complaints. Journal of Health and Social Behavior, 21, 146–155.

    Article  PubMed  CAS  Google Scholar 

  • Mechanic, D. (1983). The experience and expression of distress: The study of illness behavior and medical utilization. In D. Mechanic (Ed.), Handbook of health, health care, and the health professions. New York: Free Press.

    Google Scholar 

  • Merton, R. K. (1957). Social theory and social structure. New York: Free Press.

    Google Scholar 

  • Myers, G. (1985). Aging and world-wide population change. In R. Binstock & E. Shanas (Eds.), Handbook of aging and the social sciences (2nd ed.). Princeton, NJ: Van Nostrand-Reinhold.

    Google Scholar 

  • Parsons, T. (1951). The social system. New York: Free Press.

    Google Scholar 

  • Parsons, T. (1958). Definitions of health and illness in light of American values and social structure. In E. G. Jaco (Ed.), Patients, physicians, and illness. New York: Free Press.

    Google Scholar 

  • Parsons, T. (1975). The sick role and the role of the physician reconsidered. Milbank Memorial Fund Quarterly, 53, 257–278.

    Article  CAS  Google Scholar 

  • Parsons, T., & Fox, R. C. (1952). Illness, therapy, and the modern urban American family. Journal of Social Issues, 8, 31–44.

    Article  Google Scholar 

  • Rice, D. P., & Feldman, J. (1983). Living longer in the United States: Changes and health needs of the elderly. Milbank Memorial Fund Quarterly, 61, 362–396.

    Article  CAS  Google Scholar 

  • Shuval, J. T. (1970). The social functions of medical practice. San Francisco: Jossey-Bass.

    Google Scholar 

  • Starr, P. (1982). The social transformation of American medicine: The rise of a sovereign profession and the making of a vast industry. New York: Basic Books.

    Google Scholar 

  • Suchman, E. (1965a). Social patterns of illness and medical care. Journal of Health and Human Behavior, 6, 2–16.

    Article  PubMed  CAS  Google Scholar 

  • Suchman, E. (1965b). Stages of illness and medical care. Journal of Health and Human Behavior, 6, 114–128.

    Article  PubMed  CAS  Google Scholar 

  • Tessler, R., & Mechanic, D. (1978). Psychological distress and perceived health status. Journal of Health and Social Behavior, 19, 254–262.

    Article  PubMed  CAS  Google Scholar 

  • Tessler, R., Mechanic, D., & Dimond, M. (1976). The effect of psychological distress on physician utilization: A prospective study. Journal of Health and Social Behavior, 17, 353–364.

    Article  PubMed  CAS  Google Scholar 

  • Wan, T. T. H. (1985). Gerontological health and role loss in the later years. Lexington: Lexington Books.

    Google Scholar 

  • West, C. (1984). Routine complications: Troubles with talk between doctors and patients. Bloomington: Indiana University Press.

    Google Scholar 

  • Wolinsky, F. D. (1988). The sociology of health: Principles, practitioners, and issues (2nd ed.). Belmont: Wadsworth.

    Google Scholar 

  • Wolinsky, F. D., & Wolinsky, S. R. (1981). Expecting sick-role legitimation and getting it. Journal of Health and Social Behavior, 23, 229–242.

    Article  Google Scholar 

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© 1988 Springer Science+Business Media New York

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Wolinsky, F.D. (1988). Sick-Role Legitimization. In: Gochman, D.S. (eds) Health Behavior. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0833-9_10

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  • DOI: https://doi.org/10.1007/978-1-4899-0833-9_10

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0835-3

  • Online ISBN: 978-1-4899-0833-9

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