Intersectional Approaches in Health‐Risk Research: A Critical Review

The overall aim of this article is to explore how the intersectional approach is used in health‐risk research. The concept has been recognized in health‐risk research since the early 2000s, but not as much as in the broader field of health‐inequality studies. However, in the past 5 years, Social Science and Medicine has published a series of review articles that argue for the necessity of bringing intersectional perspectives to the field of health‐risk studies more generally and quantitative health‐risk research in particular. Asking what it means for health‐risk researchers to practise intersectionality shows the implications of translating a theoretical approach across fields and disciplines. When applying intersectional theory in relation to health‐risks, the theoretical conceptualization of health and risk are often very limited and treated as fixed categories – something that becomes problematic when taken within an intersectional framework. This does not mean that this work is unimportant, but rather that the link between theoretically driven intersectionality and empirical‐focused health research is weak. In order to overcome the dividing lines of health‐risk research and intersectionality, we argue for a new approach that echoes the ‘doing gender’ of gender studies: doing risk.     

Being alone or becoming lonely? The complexity of portraying ‘unaccompanied children’ as being alone in Sweden

Research has largely focused on ‘unaccompanied minors’ as a vulnerable group at risk of developing psychological problems that affect their health. Separation from primary caregivers is considered one of the foremost reasons for these young people’s proposed loneliness. Thus, the official and ascribed identity is that they are lonely and that loneliness is their major problem. But research has seldom given the young people themselves an opportunity to express their views in an attempt to trace the often situational, dynamic and complex nature of social and emotional life. The present article analyses how ‘unaccompanied minors’ talk about everyday life and themes related to loneliness. The authors followed 23 ‘unaccompanied minors’ during a period of a year through ethnographic observations and qualitative interviews. Results: Loneliness may occur when these young people experience lack of control in managing life and when they feel no one grieves for them; loneliness may be dealt with by creating new social contacts and friends; loneliness may be reinforced or reduced in encounters with representatives from ‘the system’; the young people may experience frustration about being repeatedly labeled ‘unaccompanied’ and they may create a resistance to and critical reflexivity towards this labeling.     

Problems of the Healthy Lifestyle Discourse

Strategies for the prevention of disease and the promotion of health have a long history of individual-level interventions with the promotion of ‘healthy lifestyles’ being the primary target. The focus at an individual level devoid of social context has provoked a sociological critique of the prevailing healthy lifestyle discourse. This critique emphasises the social causes of health-related attitudes and behaviours in society, and the ideology of individual responsibility and ‘victim blaming’ that an individualist approach entails. At the same time, the prevailing notion of ‘health’ has been scrutinised within the framework of health promotion stressing a definition emphasising well-being and quality of life. This ‘positive’ definition of health broadens the possible reach of ‘healthy lifestyles’. Theoretical models emphasising structural aspects of the lifestyle construct have been produced. In this article, it is argued that while these models are based on the work of Bourdieu and his concept of habitus, they nevertheless overlook the importance of power and symbolic dominance in relation to the construction of ‘healthy’ and the understanding of lifestyles.     

Which is the ‘self’ in ‘self‐interest’?

This article contends that homogenisation of the term ‘self‐interest’– in sociological and economic discourse – has resulted in many misconceptions about what particular doctrines of ‘self‐interest’ were instituted to achieve at certain historical periods and in specific cultural milieux. At its worst, the article argues, this has led to a misunderstanding of the import of particular doctrines of self interest,which are read in terms of general tradition – such as that which views self‐interested conduct as a natural faculty – rather than in terms of the context specific aims of those advocating them. The article attempts to show how, historically, there have been quite significant changes in the characterisation of the ‘self’ deemed to be ‘self‐interested’. In particular, it focuses on the ‘self’ of certain early modern conceptions of self interest, and suggests this creation is best viewed not as a subjectivity transcendentally presupposed by experience, but as one historically cultivated to counter the exigencies of particular circumstances – the disaster of perpetual ‘warre’ in 17th century Europe – and to meet the purposes of a certain way of life – existence in the civitas.     

Are all communities communities in the mind?

Studies of community undertaken over a period of some forty‐five years by the author and his colleagues are re‐considered to show how the significance of ‘communities‐in‐the‐mind’ has been inadequately appreciated. The distinction made by Clifford Geertz between ‘experience‐near’ and ‘experience‐distant’ is used to sharpen up certain assumptions and approaches of community sociologists, including Frankenberg. Some possible explanations for the decline in the perceived importance of comminity studies from the late 1960s are discussed in the context of the growing centrality of social class in sociological analysis in the 1970s and 1980s. Reference is made to recent research on personal communities by Liz Spencer and the author to illustrate how an ellision between ‘experience‐near’ and ‘experience‐distant’ approaches may be achieved. It is concluded that the imputed community‐on‐the‐ground, often based on materialistic assumptions, should not be conceptually privileged over the real community‐in‐the‐mind.     

Research,policy and funding – academic treadmills and the squeeze on intellectual spaces1

In recent years, there has been a great deal of collective rumination about social scientists' role in society. In the post‐1997 UK context, public policy commitments to ‘evidence‐based policy’ and ‘knowledge transfer’ have further stimulated such reflections. More recently, Michael Burawoy's 2004 address to the American Sociological Association, which called for greater engagement with ‘public sociology’ has reverberated throughout the discipline, motivating a series of debates about the purpose of sociological research. To date, most such contributions have been based on personal experience and anecdotal evidence. In contrast, this paper responds directly to Burawoy's suggestion that we should ‘apply sociology to ourselves,’ in order that we ‘become more conscious of the global forces’ driving our research ( Burawoy 2005 : 285). Drawing on an empirical research project designed to explore of the relationship between health inequalities research and policy in Scotland and England, in the period from 1997 until 2007, this paper discusses data from interviews with academic researchers. The findings suggest that the growing pressure to produce ‘policy relevant’ research is diminishing the capacity of academia to provide a space in which innovative and transformative ideas can be developed, and is instead promoting the construction of institutionalized and vehicular (chameleon‐like) ideas. Such a claim supports Edward Said's (1994 ) insistence that creative, intellectual spaces within the social sciences are increasingly being squeezed. More specifically, the paper argues we ought to pay far greater attention to how the process of seeking research funding shapes academic research and mediates the interplay between research and policy.     

A state of limbo: the politics of waiting in neo‐liberal Latvia

This article presents an ethnographic study of politics of waiting in a post‐Soviet context. While activation has been explored in sociological and anthropological literature as a neo‐liberal governmental technology and its application in post‐socialist context has also been compellingly documented, waiting as a political artefact has only recently been receiving increased scholarly attention. Drawing on ethnographic fieldwork at a state‐run unemployment office in Riga, this article shows how, alongside activation, state welfare policies also produce passivity and waiting. Engaging with the small but developing field of sociological literature on the politics of waiting, I argue that, rather than interpreting it as a clash between ‘neo‐liberal’ and ‘Soviet’ regimes, we should understand the double‐move of activation and imposition of waiting as a key mechanism of neo‐liberal biopolitics. This article thus extends the existing theorizations of the temporal politics of neo‐liberalism.     

Evidence‐Based Medicine or Cookbook Medicine? Addressing Concerns over the Standardization of Care

Evidence‐based medicine (EBM), which advocates clinical decisions are based on evidence from medical research, has become an important ideal pursued in contemporary medicine. EBM relies on two key principles: the evidence hierarchy and clinical practice guidelines. Both principles have been fiercely criticized, and critics often invoke the term ‘Cookbook medicine’ to stress the dangers and limitations of EBM. This article reviews diverse critical literature on EBM by drawing on the newly proposed subfield of “Sociology of Standards.” It reframes the manifold critiques on EBM as concerns over the harm that standardization can bring about and demonstrates how empirical sociological studies have contributed to a better understanding of EBM's justificatory basis and regulatory impact. First, it discusses the ‘politics of Evidence’ inherent in EBM's epistemological basis, secondly, explores the actual ‘evidence‐base’ of its tools in practice, and third, addresses sociological debates on EBM's regulatory impact. In the concluding section, I argue that a ‘Sociology of Standards’ opens up new research avenues by allowing scholars to challenge – or at least empirically investigate – a host of dichotomies. By doing so, the role of the patient in EBM can be reframed to allow for more productive empirical investigations.     

‘A frog in a well’: the exclusion of disabled people from work in Cambodia

Based on ethnographic research conducted in north‐west Cambodia in 2000–2001, this paper examines why disabled people experience systematic marginalisation in the labour market. Although there are no official data on the relationship between disability and employment status in Cambodia, this research suggests that disabled people are more likely than their able‐bodied counterparts to be unemployed, in low status occupations, earn less or be out of the labour market altogether. Consequently, disabled people are more likely to live in poverty, experience social isolation and poor mental health. I argue that disabled people’s social status effectively shapes their work patterns through (mis)conceptions that associate ‘disability’ with ‘inability’ to work and to be employable. This paper illustrates how geographical processes fix disabled people in their socio‐spatial place, which together with ideological and structural inequalities distinguish and entrench their poverty from that of other social groups.     

Discourses of Work–Life Balance: Negotiating ‘Genderblind’ Terms in Organizations

This article examines current debates about gender equality, work‐life balance and flexible working. We contrast policymakers’ and organizational discourses of flexible working and work–life balance with managers’ and employees’ talk about these issues within their organizations. We show how, despite the increasingly gender‐neutral language of the official discourses, in the data studied participants consistently reformulate the debates around gendered explanations and assumptions. For example, a ‘generic female parent’ is constructed in relation to work–life balance and flexible working yet participants routinely maintain that gender makes no difference within their organization. We consider the effects of these accounts; specifically the effect on those who take up flexible working, and the perceived backlash against policies viewed as favouring women or parents. We argue that the location of work–life balance and flexibility debates within a gender‐neutral context can in practice result in maintaining or encouraging gendered practices within organizations. Implications of this for organizations, for policymakers and for feminist researchers are discussed.     

The ambivalences of Angel's 'arrangement': a psychosocial lens on the contemporary condition of personal life

The aim of this article is to explore the potential of a psychoanalytically informed psychosocial approach to extend understandings of the contemporary condition of personal life. It argues for the theorization of the intertwining of the social and the psychic, in order to take seriously the realm of the intra‐psychic and the dynamic unconscious, without engaging in either psychological or sociological reductionism. The article offers a detailed case study of an interview with one individual (‘Angel’), highlighting three themes in his narrative which resonate with wider findings about changing patterns of intimacy and sociability: the experience of relationship break‐up and psychological distress, the centrality of friendship, and de‐centring and re‐imagining the sexual relationship. Particular attention is paid to the story Angel tells of his unconventional partnership, and to the analysis of his self‐presentation, in the light of the thematic analysis. The psychosocial approach attends both to sociological themes and unconscious psychodynamics, and presents an analysis of the particular character of the disappointments, loss, psychic conflicts and ambivalences which are part of the experience of contemporary personal life. The paper concludes with some critical reflections on conducting psychoanalytic psychosocial readings of interview data.     

Notes towards a ‘social aesthetic’: Guest editors' introduction to the special section

There is an emerging ‘aesthetic turn’ within sociology which currently lacks clear focus. This paper reviews the different issues feeding into this interest and contributes to its development. Previous renderings of this relationship have set the aesthetic up against sociology, as an emphasis which ‘troubles’ conventional understandings of sociality and offers no ready way of reconciling the aesthetic with the social. Reflecting on the contributions of recent social theorists, from figures including Bourdieu, Born, Rancière, Deleuze, and Martin, we argue instead for the value of a social aesthetic which critiques instrumentalist and reductive understandings of the social itself. In explicating what form this might take, the latter parts of the paper take issue with classical modernist conceptions of the aesthetic which continue to dominate popular and sociological understandings of the aesthetic, and uses the motif of ‘walking’ to show how the aesthetic can be rendered in terms of ‘the mundane search’ and how this search spans everyday experience and cultural re‐production. We offer a provisional definition of social aesthetics as the embedded and embodied process of meaning making which, by acknowledging the physical/corporeal boundaries and qualities of the inhabited world, also allows imagination to travel across other spaces and times. It is hoped that this approach can be a useful platform for further inquiry.     

Social acceleration and the network effect: a defence of social ‘science fiction’ and network determinism

This essay is a response to Judy Wajcman's essay ‘Life in the fast lane? Towards a sociology of technology and time’ (2008: 59–77). In that article Wajcman argued that recent developments in the sociology of temporal change had been marked by a tendency in social theory towards a form of ‘science fiction’– a sociological theorizing, she maintains, that bears no real relation to actual, empirically provable developments in the field and should therefore be viewed as not contributing to ‘a richer analysis of the relationship between technology and time’ (2008: 61). This reply argues that as Wajcman suggests in her essay, there is indeed an ‘urgent need for increased dialogue to connect social theory with detailed empirical studies’ (2008: 59) but that the most fruitful way to proceed would not be through a constraining of ‘science fiction’ social theorizing but, rather, through its expansion – and more, that ‘science fiction’ should take the lead in the process. This essay suggests that the connection between social theory and empirical studies would be strengthened by a wider understanding of the function of knowledge and research in the context of what is termed ‘true originality’ and ‘routine originality’. The former is the domain of social theory and the latter resides within traditional sociological disciplines. It is argued that both need each other to advance our understanding of society, especially in the context of the fast‐changing processes of technological development. The example of ‘technological determinism’ is discussed as illustrative of how ‘routine originality’ can harden into dogma without the application of ‘true originality’ to continually question (sometimes through ideas that may appear to border on ‘science fiction’) comfortable assumptions that may have become ‘routine’ and shorn of their initial ‘originality’.     

Sources,Characteristics and Effects of Mass Media Communication on Science: A Review of the Literature,Current Trends and Areas for Future Research

A significant amount of science coverage can be found nowadays in the mass media and is the main source of information about science for many. Accordingly, the relation between science and the media has been intensively analyzed within the social scientific community. It is difficult to keep track of this research, however, as a flurry of studies has been published on the issue. This article provides such an overview. First, it lays out the main theoretical models of science communication, that is, the ‘public understanding of science’ and the ‘mediatization’ model. Second, it describes existing empirical research. In this section, it demonstrates how science’s agenda‐building has improved, how science journalists working routines are described, how different scientific disciplines are presented in the mass media and what effects these media representations (might) have on the audience. Third, the article points out future fields of research.     

Risking safety and rights: online sex work,crimes and ‘blended safety repertoires’

It has been well established that those working in the sex industry are at various risks of violence and crime depending on where they sell sex and the environments in which they work. What sociological research has failed to address is how crime and safety have been affected by the dynamic changing nature of sex work given the dominance of the internet and digital technologies, including the development of new markets such as webcamming. This paper reports the most comprehensive findings on the internet‐based sex market in the UK demonstrating types of crimes experienced by internet‐based sex workers and the strategies of risk management that sex workers adopt, building on our article in the British Journal of Sociology in 2007. We present the concept of ‘blended safety repertoires’ to explain how sex workers, particularly independent escorts, are using a range of traditional techniques alongside digitally enabled strategies to keep themselves safe. We contribute a deeper understanding of why sex workers who work indoors rarely report crimes to the police, reflecting the dilemmas experienced. Our findings highlight how legal and policy changes which seek to ban online adult services advertising and sex work related content within online spaces would have direct impact on the safety strategies online sex workers employ and would further undermine their safety. These findings occur in a context where aspects of sex work are quasi‐criminalized through the brothel keeping legislation. We conclude that the legal and policy failure to recognize sex work as a form of employment, contributes to the stigmatization of sex work and prevents individuals working together. Current UK policy disallows a framework for employment laws and health and safety standards to regulate sex work, leaving sex workers in the shadow economy, their safety at risk in a quasi‐legal system. In light of the strong evidence that the internet makes sex work safer, we argue that decriminalisation as a rights based model of regulation is most appropriate.     

They are all ‘doing gender’ but are they are all passing? A case study of the appropriation of a sociological concept1

The concept of ‘doing gender’ was placed on the sociological agenda by West and Zimmerman . In their seminal paper published in 1987, they provided a systematic theory of gender as a routine and ongoing process and outlined a distinctly ethnomethodological approach to investigating how gender is enacted, understood and rendered accountable. West and Zimmerman's notion of ‘doing gender’ has subsequently become a central concept in many fields of sociological research, however, upon closer examination although many authors claim to be using the concept – in effect to be doing‘doing gender’– the concept's intellectual roots in ethnomethodology are not always recognised or reflected: in short not all are passing. The purpose of our study is to explore the career trajectory of this concept and to systematically assess the manner in which ‘doing’ has been employed. From a review of 226 journal articles, books, dissertations and association papers, we provide an overview of the uses of this construct and examine the ways in which ‘doing gender’ has been assimilated into current theoretical and methodological practice.     

Observing the Rites of Autonomy,Distancing the Prospects for ‘The Spiritual’

We are acculturated to believe each healthy person is a firmly bordered republic, a kind of self‐sufficient island. With its associated values entitlement and self‐determination, this assumption has become an internalised schema within which individuals — and many therapists — evaluate personal competence and adjustment. Whilst acknowledging that an expectation of autonomy might encourage ambition and empowerment, the injunction ‘be autonomous’ may also bring with it a number of unintended consequences. These include the promotion of experiences of isolation and incompleteness, experiences that many find uncomfortable and which may come to be associated with an emerging desire for what might be called ‘the spiritual’. A question then arises: might an expectation of personal autonomy on the one hand prompt a yearning for spiritual experience yet, on the other, diminish the prospects of such an experience by marginalising the possibilities of personal and interpersonal connectedness? After developing this argument, I offer preliminary ideas to assist practitioners to envisage how the ‘secularly spiritual’ might be imagined and invoked within everyday therapeutic practice.     

Making space for ‘the social’: connecting sociology and professional practices in urban lighting design

Lighting is increasingly recognized as a significant social intervention by both lighting professionals and academic social scientists. However, what counts as ‘the social’ is diverse and contested, with consequences for what kind of ‘social’ is performed or invented. Based on a long‐term research programme, we argue that collaboration between sociologists and lighting professionals requires negotiating discourses and practices of ‘the social’. This paper explores the quality and kinds of spaces made for ‘the social’ in professional practices and academic collaborations, focusing on two case studies of urban lighting that demonstrate how the space of ‘the social’ is constrained and impoverished by an institutionalized division between technical and aesthetic lighting. We consider the potential role of sociologists in making more productive spaces for ‘the social’ in urban design, as part of the central sociological task of ‘inventing the social’ (Marres, Guggenheim and Wilkie 2018) in the process of studying it.     

Stancetaking and the joint construction of zine producer identities in a research interview

This article examines the construction of zine producer identities (self and other) during a research interview. Zines are self‐published texts that circulate in mainly underground communities. In this study, I draw on dialogic understandings of the notion of ‘stance’ to show how a zine producer accomplishes a situated identity performance in the interview that also functions as an interdiscursive move in a larger conversation about the role Do‐It‐Yourself (DIY) ethics should play in zine communities. Specifically, I show how this speaker displays stances in relation to recognizable social types within zine communities but also the canonical stances associated with these social types. I unpack the features that work in support of this stancetaking, including discourse markers, constructed dialogue, referring terms, and prosodic cues. The analysis also foregrounds how the interviewer's turns contributed to these emergent stance displays, which furthers our understanding of the dynamic social context of the research interview.     

Media, ‘Fat Panic’ and Public Pedagogy: Mapping Contested Terrain

Discourses regarding a ‘global obesity crisis’ and alternative frames (e.g. weight‐inclusive approaches to health) have proliferated through various media of communication. These media range from traditional print and visual formats (e.g. newspapers and television shows) to digital media (e.g. Twitter, Facebook, YouTube), which enable different publics to produce, and not just consume, text, images and other data relating to the body. Reflecting a sociological understanding of educational practices as extending beyond formal schooling, mediated obesity discourse and counter‐movements have also been conceptualised as public pedagogies, which instruct people how to relate to their own and other's bodies, health and subjectivities. This article examines what is critically known about various media at a time when governments and agencies are reinvigorating the global war on obesity, with populations being ‘advised’ to become and remain conscientious weight watchers. In conclusion, the article underscores the salience of social studies of the media when seeking to rethink obesity, incorporating critical reference to moral panic theory and the need to better understand what media can ‘do’ as enactments of public pedagogy.