Feminism and the sociology of gender, health and illness

This editorial considers how the study of gender and health has played out in the pages of the Sociology of Health and Illness over the past quarter century, paying particular attention to how a theory of gender has informed empirical work and the relevance of gender studies for the feminist challenge to sexism and the patriarchal order. Work in this journal on gender and health has considered the invisibility of women, grappled with the conflation of sex and gender and interrogated polarised binary thinking, attempting to use sociological approaches to the body and novel post-structural metaphors to analyse both gendered roles and their relationship with gendered bodies and states of health and illness

Narratives in health and social care: truths in context; truths in contest?

This paper offers a brief consideration of how narrative, in the form of people’s own stories, potentially figures in health and social care provision as part of the impulse towards patient-centred care. The rise of the epistemological legitimacy of patients’ stories is sketched here. The paper draws upon relevant literature and original writing to consider the ways in which stories can mislead as well as illuminate the process of making individual treatment care plans

Ethnicity and health: key themes in a developing field

Ethnicity is a social division that is increasingly difficult to ignore. Ethnicity has to be considered alongside other social divisions including socioeconomic status which is crucial to explaining minority disadvantages in health. Identity is a key dimension of ethnicity, which encompasses self-ascribed and externally-imposed elements. The stigma associated with particular conditions, combined with the effects of racism and economic marginalization, can be central to some minority groups' ability to discuss disease and seek treatment. In a world where human rights are taken seriously, minority ethnic groups' presence in research has to become a routine consideration, rather than an optional extra. In research, as in service provision, planning for linguistic and cultural diversity represents additional work and will require extra resources

Locating ethnicity and health: exploring concepts and contexts

With the rapid development of ethnicity and health as a field of sociological research, this paper seeks to re-evaluate the development of ideas around ethnicity, 'race' and culture and consider how they have been applied to the question of health. Ethnicity as a social characteristic is contingent on the situation in which it is manifest. The process of marking 'other' ethnic groups includes stereotyping and racialisation, a process through which 'racial' or ethnic differences predominate to the exclusion of a consideration of social, economic and power relations. In the British context, the history of empire and medicine's justification of racist treatment of enslaved and colonised people, is relevant to understanding how ethnic and cultural differences have come to be essentialised and pathologised. Immigration to Britain only became a mass phenomenon after World War II, with settlement patterns following employment opportunities and kinship alliances. The state has a longstanding history of 'managing' diversity, sometimes essentialising differences between groups, at other times tackling disadvantage and discrimination experiences through policy action. Sociologists of health were slow to study ethnicity, with initial research coming from tropical disease specialists. The tendency of medicine to pathologise minority cultures is explored through case studies of the approach to rickets and the assessment of health risks associated with consanguineous marriage. Anti-racist approaches have encouraged the consideration of discrimination against and socioeconomic position of minorities. The field has developed with work on nomenclature and the operationalisation of ethnic identity, necessary to study health inequalities between ethnic groups and paying due heed to the contribution of socioeconomic position and racism to group experiences. Research into chronic conditions with complex analysis of a number of distinct contributory variables has been published of late. However, the excessive focus on South Asians and the record of measuring, analysing, but not necessarily tackling health disadvantage, are problems that remain to be addressed

Watch out for the Aunties! Young British Asians' accounts of identity and substance use

This paper considers how young people able to trace their origins from Pakistan or India (henceforth 'Asians'), discuss their use of, or abstention from, alcohol and tobacco in terms of religious and cultural tradition. The role of religion, ethnicity, gender and generation in the uptake or avoidance of alcohol and tobacco was explored in 19 qualitative group and individual interviews with 47 Asians aged 16–26 years and analysed in terms of pioneering and conservative forms of tradition. Religious proscriptions on alcohol and tobacco were reported to be formally gender blind, but concerns about reputation and future marriage chances, sanctioned by gossip, meant that women's behaviour was consistently more constrained than men's. Muslims' abstinence from alcohol was tightly linked with an Islamic identity in that drinking jeopardised one's claim to being a Muslim, whereas cigarette smoking was tolerated among young men. Sikhs' and Hindus' avoidance of tobacco was strongly sanctioned, but smoking did not strongly jeopardise a religious identity. Sikh men's abstention indicated manly strength central to a devout identity. Some experimentation was possible out of view of the older generation, especially the aunties, but the risk of gossip damaging young women's reputations was keenly felt. While damage to women's reputations was hard to undo, men's reputations tarnished by substance use, could be compensated for by their parents' honourable status. Discussion of tradition as innovation was rare and met with resistance. Tradition was largely experienced as a constraint to be circumvented

Race, ethnicity and health: The costs and benefits of conceptualising racism and ethnicity

http://dx.doi.org/10.1016/j.socscimed.2012.03.00

Cultural strategies of young women of South Asian origin in Glasgow, with special reference to health

Patterns of food use and of social support and alliance are significant for the constitution of boundaries between religious and ethnic groups and the status hierarchies within them. Food and social support are also significant for health. In the case of British Asian communities, control of food intake has been identified as the key to overcoming their current epidemic of heart disease. Level of stress and social support have also been thought important for understanding levels of psychological distress among British Asians. The present study focuses on young British Asian women with ancestry in the Indian subcontinent, their patterns of food use and social support and how their choice of cultural strategies affects the likelihood of change to these patterns. The rationale for concentrating upon young women is twofold. First, middle aged women appear to suffer from a number of health disadvantages, including aspects of coronary risk and psychological distress. By focusing on a younger generation of women, factors involved in the biographical development of these problems might be ascertainable. Second, in terms of the sociology of ethnic boundaries, young women are in a pivotal position with regard of the continuation of the culture, occupying a role as daughters of migrants on the one hand, and as the first generation of British role models for British Asian children on the other. Comparison with the majority ethnic group is treated as a question about how respondents view with similarities and differences between themselves and the general population. The study addresses a range of research questions from health-related issues at one extreme to issues about the social construction of ethnic groups at the other. The first group of questions concerns the role that health plays in food choice: how health is conceptualised, how far folk ideas (possibly) deriving from biomedical, Unani and Ayurvedic conceptualisations are integrated with one another, and in what social contexts health concerns are overridden by the symbolism of ethnic identity

Dramatic Text in the Recent French Theater: A Hybrid Form?

In the course of the past twenty years, radical new developments have changed the nature of text used in avant-garde French performances. Dissatisfied with the take-over by powerful directors, who claim the right of authorship over their own productions, writers for the stage have altered the nature of their creative work. Instead of writing plays, which directors can then come and interpret in their own way, many of the most innovative, who are often themselves actors or directors, claim to produce only "textual material." This "material" typically discards the traditional framework of narrative, character, site, instead mobilizing the voices and movements of actors, and the spaces in which they develop, in a way that recalls abstract art or certain schools of poetry claiming in­spiration from Rimbaud and the Symbolist movement of a hundred years ago. Their works range from pure monologue to assemblages of many voices in chorus, often impersonal voices that cannot be attached to a particular speaker. In this way they hark back to the distant origins or drama in choral recitation, while at the same time developing an aus­tere new form of writing that has been described as postdramatic

Identification of nanoindentation-induced phase changes in silicon by in situ electrical characterization

In situ electrical measurements during nanoindentation of Czochralski grown p-type crystalline silicon (100) have been performed using a conducting diamond Berkovich indenter tip. Through-tip current monitoring with a sensitivity of ∼10pA and extraction of current-voltage curves at various points on the complete load-unload cycle have been used to track the phase transformations of silicon during the loading and unloading cycle. Postindent current-voltage curves prove to be extremely sensitive to phase changes during indentation, as well as to the final phase composition within the indented volume. For example, differences in the final structure are detected by current-voltage measurements even in an unloading regime in which only amorphous silicon is expected to form. The electrical measurements are interpreted with the aid of previously reported transmission electron microscopy and Raman microspectroscopy measurements.This work was funded by the Australian Research Council and WRiota Pty Ltd