Rejecting, reframing, and reintroducing: trans people's strategic engagement with the medicalisation of gender dysphoria
This article uses ethnographic methods to explore how transgender people engage the medicalisation of transgender experience in a U.S. context under the purview of the American Psychiatric Association. Building on sociological literature related to medicalisation, this paper argues that the lived experience of medicalisation is a non ‐linear, complex process whereby individual engagement with medical authority is both empowering and constraining in the lives of trans people. Inductive qualitative analysis of 158 hours of participant observation and 33 in‐depth interviews with members of a transgender community organis...
Source: Sociology of Health and Illness - November 28, 2018 Category: International Medicine & Public Health Authors: Austin H. Johnson Tags: Original Article Source Type: research

‘No one is as invested in your continued good health as you should be:’ an exploration of the post‐surgical relationships between weight‐loss surgery patients and their home bariatric clinics
This article traces the post ‐surgical relationship between weight‐loss surgery (WLS) patients and their home bariatric clinics. Following surgery, there is substantive drop off in patient attendance at both follow‐up appointments and support groups. While barriers to follow‐up are often discussed with the bariatric lit erature, patients themselves are typically defined as the problem. Based upon a thematic analysis of 217 blog posts and comments in two top patient‐led online forums, I demonstrate that bariatric patients tell a more complex story about their post‐surgical lives. I argue that WLS patients consti...
Source: Sociology of Health and Illness - November 25, 2018 Category: International Medicine & Public Health Authors: Zo ë C. Meleo‐Erwin Tags: Original Article Source Type: research

‘Treat them into the grave’: cancer physicians’ attitudes towards the use of high‐cost cancer medicines at the end of life
AbstractThe prescribing of high ‐cost cancer medicines at the end of life has become a focus of criticism, due primarily to concerns about the safety, efficacy and cost‐effectiveness of these medicines in this clinical context. In response to these concerns, a number of interventions have been proposed – frequently focused o n improving physician–patient communication at the end of life. Underpinning these strategies is the assumption that the prescribing of high‐cost cancer medicines at the end of life is primarily the result of poor communication on the part of cancer physicians. In this paper, we explore the f...
Source: Sociology of Health and Illness - November 20, 2018 Category: International Medicine & Public Health Authors: Miriam Wiersma, Narcyz Ghinea, Ian Kerridge, Wendy Lipworth Tags: Original Article Source Type: research

Habermasian communication pathologies in do ‐not‐resuscitate discussions at the end of life: manipulation as an unintended consequence of an ideology of patient autonomy
AbstractThe focus on patient autonomy in American and increasingly British medicine highlights the importance of choice. However, to truly honour patient autonomy, there must be both understanding and non ‐control. Fifty‐eight semi‐structured in‐depth interviews were conducted with internal medicine physicians at three hospitals in the US and one in the UK. At hospitals where autonomy was prioritised, trainees equated autonomy with giving a menu of choices and felt uncomfortable giving a reco mmendation based on clinical knowledge as they worried that that would infringe upon patient autonomy. Employing Habermas's ...
Source: Sociology of Health and Illness - November 20, 2018 Category: International Medicine & Public Health Authors: Elizabeth Dzeng Tags: Original Article Source Type: research

Household collectives: resituating health promotion and physical activity
We describe the household as a node for practices, gathered by the activities that draw together and align actors in collective practices of everyday life. In the everyday efforts of the households to live up to ideals and balance conflicting practices, healthy living is about more than simple, individual choices about whether to follow health recommendations or not. It is also dependent on pragmatic negotiations, the distribution of roles and tasks and conflicts between ideals and what is feasible in the everyday management and maintaining of the household. We suggest that engaging with these collectives could serve as a ...
Source: Sociology of Health and Illness - November 20, 2018 Category: International Medicine & Public Health Authors: Julie B ønnelycke, Catharina Thiel Sandholdt, Astrid Pernille Jespersen Tags: Original Article Source Type: research

Why do farm accidents persist? Normalising danger on the farm within the farm family
This article argues that farm accidents are a persistent social pattern requiring analysis of how families are socialised to interact with the farming space. Based on qualitative data gathered for a Scottish study, it is argued that within farm families there is a socialisation and normalisation of danger. Accidents are to be expected. Two key arguments are advanced. First, danger is normalised and children are socialised to undertake risky behaviour. Second, it is suggested that when women do take up farming, they consciously undertake dangerous farming activities to prove that they are ‘authentic’ farmers. No previou...
Source: Sociology of Health and Illness - November 18, 2018 Category: International Medicine & Public Health Authors: Sally Shortall, Annie McKee, Lee ‐Ann Sutherland Tags: Original Article Source Type: research

Is HIV prevention creating new biosocialities among gay men? Treatment as prevention and pre ‐exposure prophylaxis in Canada
This article is based on data from the Resonance Project, a Canadian community‐based research project. Twelve focus groups (totalling 86 gay and bisexual men) were held in three Canadian cities (Montreal, Toronto, Vancouver) in 2013–2014. Respondents view UVL and PrEP through the prism of their generational experience of HIV prevention. In this respect, biosocialities highlight an experiential dimension that is tied to the context of the HIV epidemic. The biosocialities of HIV prevention are also built around serological identities. However, our study shows the diversity of these positions. Analysis grounded in biosoci...
Source: Sociology of Health and Illness - November 18, 2018 Category: International Medicine & Public Health Authors: Gabriel Girard, San Patten, Marc ‐André LeBlanc, Barry D. Adam, Edward Jackson Tags: Original Article Source Type: research

“He looks gorgeous” – iuMR images and the transforming of foetal and parental identities
AbstractThe MERIDIAN study examined whether in ‐utero MRI (iuMRI) improves the accuracy of diagnosis of foetal brain abnormalities, when used as an adjunct to ultrasound anomaly scanning. A diagnostic iuMRI differs from routine ultrasound screening because of its infrequent use and scanning procedure. Nested within this trial, this sociologica l study explored the acceptability of iuMRI as a technology and its contribution to parental decision‐making. Our sociological interpretation of the role of iuMR images in prenatal diagnosis draws on narrative interviews with women (and some partners) who underwent MRI imaging at...
Source: Sociology of Health and Illness - November 18, 2018 Category: International Medicine & Public Health Authors: Mabel Lie, Ruth Graham, Stephen C Robson, Paul D Griffiths Tags: Original Article Source Type: research

Valuing height: diagnosis, valuation and the case of idiopathic short stature
AbstractThis paper proposes a ‘valuographic’ approach to diagnosis, exploring how values and valuation practices are implicated in the contested diagnostic category of idiopathic short stature (ISS). ISS describes children who are ‘abnormally’ short but do not have any other detectable pathology. In the USA growth‐prom oting hormone therapy has been approved for ISS children, since 2003. However, no other jurisdiction has approved this treatment and the value of ISS as a diagnostic category remains disputed among healthcare professionals. Drawing on qualitative interviews with paediatric endocrinologists in the U...
Source: Sociology of Health and Illness - November 16, 2018 Category: International Medicine & Public Health Authors: Michael Morrison Tags: Original Article Source Type: research

Issue Information
Sociology of Health&Illness, Volume 40, Issue 8, Page 1275-1276, November 2018. (Source: Sociology of Health and Illness)
Source: Sociology of Health and Illness - November 6, 2018 Category: International Medicine & Public Health Tags: Issue Information Source Type: research

Thanks to Reviewers – October 2017 to September 2018
Sociology of Health&Illness, Volume 40, Issue 8, Page 1438-1440, November 2018. (Source: Sociology of Health and Illness)
Source: Sociology of Health and Illness - November 6, 2018 Category: International Medicine & Public Health Tags: Thanks to Reviewers Source Type: research

Sociology of Health and Illness – Mildred Blaxter New Writer Prize
Sociology of Health&Illness, Volume 40, Issue 8, Page 1436-1437, November 2018. (Source: Sociology of Health and Illness)
Source: Sociology of Health and Illness - November 6, 2018 Category: International Medicine & Public Health Tags: New Writer Prize Source Type: research

The cycle of uncertainty: parents ’ experiences of childhood epilepsy
Sociology of Health&Illness, EarlyView. (Source: Sociology of Health and Illness)
Source: Sociology of Health and Illness - October 24, 2018 Category: International Medicine & Public Health Authors: Michelle Webster Source Type: research

Understanding therapeutic massage as a form of bodywork: knowing and working on the (energy) body
Sociology of Health&Illness, EarlyView. (Source: Sociology of Health and Illness)
Source: Sociology of Health and Illness - October 23, 2018 Category: International Medicine & Public Health Authors: Jennifer Lea Source Type: research

Denny, E. Pain: A Sociological Introduction. Cambridge: Polity Press. 2017. 208pp £15.99 (pbk) ISBN 978‐0‐745‐65555‐0
Sociology of Health&Illness, EarlyView. (Source: Sociology of Health and Illness)
Source: Sociology of Health and Illness - October 13, 2018 Category: International Medicine & Public Health Authors: Anu Vaittinen Source Type: research