Beyond Individualised Approaches to Diabetes Type 2

Explanations for type 2 diabetes are broadened beyond the individual body and ‘bad lifestyles’ to include major institutions, the social and material contexts of food and eating, and employment. Precarious employment, a social determinant of health, encourages changes to food practices, lowers working conditions, worsens health, can bring poverty and increases shift work, a causal risk factor for diabetes. Scientists have played a part in revolutionising foods and technologies which minimise labour and movement. There are excess additives in processed food. Genetic explanations for the higher rates of diabetes in First Nations peoples give way to social explanations: colonial history, British/Euro‐American cuisine, food insecurity, trauma and social conditions resulting in chronic stress. Self‐management education takes a ‘nutritionist’ approach towards food and eating and tends to minimise the social context and skills of those with the condition particularly women workers in poorer social groups who have higher rates of diabetes (T2DM).     

The good, the bad and the delicious: the role of confectionery in British society

Food, contemporarily, has a high political and public profile in British society particularly in relation to health and health education. In this paper I explore why, despite the advice of the body technocrats, confectionery continues to occupy a prominent and pre-eminent place in the British diet. I suggest that the particular place which confectionery occupies in the system of food classification is between ‘rear’ and ‘junk’ food, and, as a ‘liminal’ foodstuff, confectionery has the symbolic power both to mediate social relationships and to confer particular sets of social meanings. These meanings are resonant of the wider moral space within which attitudes towards food in Britain are conceptually located. By exploring the ‘mythology’ of confectionery some explanation may be found as to why the much publicised warnings and advice of health educationalists and nutritionists go unheeded.     

The framing of social class distinctions through family food and eating practices

Drawing on two qualitative studies which looked at diet, weight and health from a social class perspective, we use Bourdieu's theory of habitus to help explain the different food and eating practices undertaken by families with young teenagers. Whilst the families displayed considerable reflexivity when making decisions about what to eat on a daily basis, the analysis highlighted that everyday behaviours are still bounded by distinctions of taste, according to social position. The paper includes an examination of the relationships between different forms of capital and whether form or functionality is prioritised within families. We show the importance of temporal frameworks when interpreting classed food and eating practices.     

The Making and Breaking of Food Preservation Practices in a Rural Albertan Community

Amid growing concerns over nutrition, food safety, and the relationship between health and environment, anxiety about the general deskilling around food‐related activities has garnered significant public interest and academic inquiry. Mainstream agriculture commodity and retail food chains are failing to meet the concerns citizens are expressing about their food. This has contributed to a relearning of skills of procuring, preparing, and preserving food. This qualitative study looks at the practice of home preserving in a rural Albertan community through a social practice theory framework. I test two premises set out by Shove, Pantzar and Watson (2012): First, social practices consist of three elements (materials, competencies, and meanings) that are integrated when practices are enacted; second, that practices emerge, persist, and disappear as links among these defining elements are made and broken. I demonstrate how the integration of the elements enabled canning as a practice to flourish during a certain period. I then explore how the disintegration of the elements contributed to the decline of the same practice in later years. By examining the connections and breakages in the links between materials, meanings, and competencies, I illustrate the essentiality of integration of elements in order for practices to exist.     

The Changing Practices and Meanings of Grandparenthood. Reflections on the Demographical Trends and Changing Representations of Ageing

Deep demographical shifts in western societies are significantly influencing the patterns of family life including the various forms of solidarity between generations. At the same time, we are facing significant changes in the social representation of ageing, which also influence the ways in which the roles of seniors in society are perceived and how the meaning of old age is constructed. The paper highlights the significance of these changes for the possible (re)definition of grandparenthood. It discusses the ways in which these demographical changes, the current heterogeneity of family life, and changing representations of ageing can affect the practices and meanings of grandparenthood. Simultaneously, it points out the need to analyse grandparenthood as a role which is strongly gendered.     

Recovery From Mental Health Problems: Scratching The Surface Without Ethnography

This article examines a central plank of mental health policy (‘recovery’) in societies which have attempted to reverse the long-term warehousing of those with a diagnosis of mental disorder (de-institutionalisation). The emergence of the concept is traced in relation to the shift from an institutional to a more dispersed and community-based form of service organisation. Different usages of the term ‘recovery’, each with distinct implications for practice are considered on the part of three main interest groups (traditional bio-medical psychiatrists; social psychiatrists emphasising social skills training; and dissenting service users). These different usages suggest that ‘recovery’ is a polyvalent concept that creates an uneasy consensus point to define the management philosophies of local services enacting mental health policy. Also mental health work is about more than the group of patients mainly considered in relation to recovery (those with ‘severe and enduring mental health problems’). Practice-near research strategies are now required to investigate the varied practical scenarios these contradictions generate and ethnographic research is therefore indicated. Without multiple ethnographies, we will be left with competing rhetoric about recovery and its meaning or meanings may be rendered worthless.     

Albinism,spiritual and cultural practices,and implications for health,healthcare, and human rights: a scoping review

Persons with albinism – a disability found worldwide – are particularly at risk for human rights violations in Africa. The purpose of this scoping review was to establish the current state of knowledge on albinism, spiritual and cultural practices, and implications for health and health services. Electronic searches of nine databases were conducted. After screening, 40 articles were reviewed. Four themes emerged: health implications of albinism; health-related cultural and spiritual meanings attached to albinism; health-related experiences of persons with albinism; and human rights and albinism. The findings reveal that African ontologies, including witchcraft beliefs and practices, are implicated by their construction of the person with albinism as an ontologically different entity, although few studies explicated this relationship. How broader social structures influence persons with albinism disproportionately, resulting in health and social inequities, is another under-researched area. This scoping review lays the groundwork for intersectoral, interdisciplinary research.     

Mobilizing Memory: Bolivia's Enduring Social Movements

In Bolivia, the most indigenous of South American countries, powerful social movements have drawn on collective memory to build effective coalitions across significant differences in ethnic identity and awareness, class consciousness, generations and regions. We contend that this deployment of memory to strengthen protest identities is reinforced by pervasive indigenous cultural practices. Deeply rooted in oral storytelling, perceptions of time, place and a reverence for ancestors, collective memories help bring the past into the present, and create responsibilities to those who came before. The result is a mutually constituting relationship between memory and activism, where an instrumental construction of collective memories serves to provide shared meanings to divergent movements. We suggest that scholars of social movements could deepen their analysis by interrogating rather than normalizing the cultural backdrops that movements operate within.     

The Different Meanings of Food in Chinese Patients Suffering from Anorexia Nervosa

Abstract

The metaphoric meanings of food have cast new lights on Social Work intervention with Chinese patients suffering from anorexia nervosa (AN) and their families. Hitherto, there is inadequate documentation on the different meanings of food in families with a daughter suffering from AN in a Chinese context. To fill this knowledge gap, this article reports the 3-year clinical observations of a sample of 34 adolescents and young women suffering from AN, as well as their families under family treatment. These observations show that food can be conceptualized in the following ways: (1) eating as an expression of filial piety; (2) food preparation as part of the woman's nurturing role; (3) self-starvation as refusal to grow up; (4) self-starvation as struggle for autonomy; (5) assignment of food as part of the family hierarchy; and (6) assignment of food as part of parental control. Its implications for clinical social work practice and the roles of social workers in helping are discussed.     

Life-Spheres,Networks, and Sustained Participation in Social Movements: A Phenomenological Approach to Political Commitment

This article proposes an account of individual participation in social movements that combines structural and cultural factors. It aims to explain why certain activists continue to be involved in social movements while others withdraw. When activists remain embedded in social networks relevant for the protest issues and, above all, when they keep a symbolic linkage between their activism and their personal life-spheres, sustained participation is likely to occur. When these two factors become progressively separated from each other and the process of self-interaction by activists loses its strength, disengagement can be expected. The argument is illustrated with life-history interviews of activists who have kept their strong commitment to a major organization of the Swiss solidarity movement, and others that, in contrast, have abandoned their involvement. The findings support the argument that the interplay of the structural positions of actors and the symbolic meanings of mobilization has a strong impact on commitment to social movements and hence on sustained participation or disengagement. In particular, the interviews show the importance of a sense of coherence and of a holistic view of one's personal life for keeping commitment over time. This calls for a view of individual participation in social movements that draws from social phenomenology and symbolic interactionism in order to shed light on the symbolic (subjective) dimensions of participation, yet without neglecting the crucial role played by structural (objective) factors.     

Everyday politics,social practices and movement networks: daily life in Barcelona's social centres

The relations between everyday life and political participation are of interest for much contemporary social science. Yet studies of social movement protest still pay disproportionate attention to moments of mobilization, and to movements with clear organizational boundaries, tactics and goals. Exceptions have explored collective identity, ‘free spaces’ and prefigurative politics, but such processes are framed as important only in accounting for movements in abeyance, or in explaining movement persistence. This article focuses on the social practices taking place in and around social movement spaces, showing that political meanings, knowledge and alternative forms of social organization are continually being developed and cultivated. Social centres in Barcelona, Spain, autonomous political spaces hosting cultural and educational events, protest campaigns and alternative living arrangements, are used as empirical case studies. Daily practices of food provisioning, distributing space and dividing labour are politicized and politicizing as they unfold and develop over time and through diverse networks around social centres. Following Melucci, such latent processes set the conditions for social movements and mobilization to occur. However, they not only underpin mobilization, but are themselves politically expressive and prefigurative, with multiple layers of latency and visibility identifiable in performances of practices. The variety of political forms – adversarial, expressive, theoretical, and routinized everyday practices, allow diverse identities, materialities and meanings to overlap in movement spaces, and help explain networks of mutual support between loosely knit networks of activists and non‐activists. An approach which focuses on practices and networks rather than mobilization and collective actors, it is argued, helps show how everyday life and political protest are mutually constitutive.     

Power play: the use of space to control and signify power in the workplace

ABSTRACT

The findings of this article emerge from an eight-month study examining career identity practices amongst a select group of fitness professionals in the U.K. We examine how the inter-relationship between physical and social space can denote how power is acquired, displayed, and used by individuals interacting in a shared space. The findings show that power is signified through spatial practices as individuals negotiate through triadic space, creating an identity of space and place for both trainer and client that identifies power, and signifies who has power. Fitness professionals with high levels of symbolic power are able to subvert organizational spatial norms to better serve themselves and their clients, while those with lower levels of symbolic power are forced to, or choose to, negotiate or abdicate space to others. These findings are relevant to a wide range of occupations where self-employment and contract workers interact in shared space.     

The changing practice of eating: evidence from UK time diaries, 1975 and 2000

This paper examines some central themes about change in consumption behaviour through an empirical investigation of the practice of eating. It analyses patterns of food consumption in the UK using time diary data from 1975 and 2000. The practice of eating is decomposed into four component activities which are used to explore systematically the inter-relationships between social processes - such as commodification and temporal fragmentation - and ways of providing and consuming food. It charts the expansion of eating out, the degree to which it substitutes for other eating activities, and the implications of its development for social relations and the temporal organization of daily life. Analysis reveals that food consumption continues to be differentiated along established lines of social division, although the content of those divisions has changed and varies across components of the practice. Increasing commodification of the food chain is documented, but without appearing to have a corrosive impact on household organization or social relationships. While tendencies indicative of temporal fragmentation are revealed, counter-tendencies exist which suggest that the practice of eating is resilient to many forms of external pressure. Finally, the application of a practice-based analytical approach permits critical evaluation of theories of social transformation.     

Civicness and Civility: Their Meanings for Social Services

Civicness and civility are discussed as intertwined notions. To the degree they flourish, societies can be seen as civil societies. Providing some reflection on them may make a difference to the usual civil society and third sector debates. These concepts are not based on or confined to a specific sector like the third sector; basically all social sectors can contribute to and be marked by them, depending on their constellations and interplay. Therefore, a mediating public sphere and democratic governance have a key role to play. However, beyond an overlapping consensus, civicness and civility can mean different things and the dominant meanings change over time. This is discussed with respect to changing discourses on welfare as they have crystallized in the field of social services. Despite the contested meanings of civility and civicness shown here, introducing these points of reference could help to enrich concerns with the quality and overall designs of personal services in a civil society.     

The sexual division of dieting: women's voices

This article reports the findings of focus group research on Australian women who have engaged in dieting practices to lose weight. There have been few qualitative sociological studies on dieting, despite it being a common practice among western women. From the empirical data in this study three distinct themes emerged: women participate in the perpetuation and reinforcement of the thin ideal; women clearly trade-off health in the pursuit of dieting to lose weight; and the dominant discourse of the thin ideal is not only mediated in various ways, but is also contested by a reverse discourse of size acceptance. A sociology of food and the body enables the discourses in the area of dieting women to be deconstructed, offering an insight into the gendered context of food, which has implications for the sociology of health and illness.     

What’s India’s Beef with Meat? Hindu Orthopraxis and Food Transition in India Since the 1980s

Does development affect food practices? The nutrition transition model correlates positively meat consumption levels with gross domestic product per capita, except in India. In this article, I analyze food diets in this country since the 1980s by mapping out households’ practices in animal product consumption depending on their social positions. Applying multiple factor analysis on the Consumer Expenditures data of the National Sample Survey Office, I produce a relational model of food diet segmentation to overcome the dead ends of the nutrition transition model. Two structural dimensions are highlighted. The first one differentiates beef and nonbeef meat diets and relates to the symbolic capital of caste and religion. The second one opposes diets including animal products and without, depending on the amount of economic capital. The concept of temporal homology is introduced to show that the social structure remains stable over time. This denotes the importance of sociocultural norms in food practices rather than their weakening due to “modernization” and shows how these norms are key to understand food transitions beyond linear expectations drawn from economic development.     

Social capital and subjective well-being trends: Comparing 11 western European countries

Discovering whether social capital endowments in modern societies have been subjected or not to a process of gradual erosion is one of the most debated topics in recent economic literature. This new stream of research has been inaugurated by Putnam’s pioneering studies about social capital trends in the United States. Recently, a considerable work by Stevenson and Wolfers (2008) put a new emphasis on this topic contending Easterlin’s assessment. Present work is aimed at analyzing the relationship between changes in social capital and subjective well-being in western Europe considering 11 different countries. In particular, I would like to answer questions such as: (1) is social capital in western Europe declining? Is such erosion a general trend of modern societies or is it a characteristic feature of only some of them? (2) social capital trend can help to explain subjective well-being trend? In so doing, my research considers four different set of proxies of social capital controlling for time and socio-demographic aspects in eleven different western European countries using World Values Survey (WVS) data between 1980 and 2000. My results are encouraging, showing evidence of a probable relationship between social capital and happiness. Furthermore, my results show that during last 20 years western European citizens have persistently lost confidence in the judicial system, in the church, in armed forces and the police. Finally, considering single countries, we discover that United Kingdom is the only country, among the investigated ones, with a negative pattern for social capital: the majority of the proxies of social capital in UK declined over the considered period.     

Humanism, Patronage and the Question of Women's Artistic Genius in the Italian Renaissance

Abstract Women have generally been excluded from the ranks of artistic genius in western art. Several authors have pointed to the structural constraints that have prevented women from breaching the ranks of the Great. (Greer 1979; Sutherland Harris and Nochlin 1976; Broude and Garrard 1982; Peterson and Wilson 1976; Fine 1978; Nochlin 1973). To structural constraints, must be added the development, use and elaboration of the concept of genius itself as an important impediment for women. The initial formulation of the concept of artistic genius in fifteenth century Italy provided the foundation for the subsequent gendered conception of artistic genius. An investigation of the humanists' development of the concept, and its use by the new men of power in fifteenth century Italy, provides an example of the manner in which the symbolic creation of everyday life was appropriated by a particular social strata in response to, and in the refinement of, changed power relations among men, that resulted in adverse consequences for women.
The focus of this study is two-fold; first an examination of the development of the concept of artistic genius as an important part of the symbolic legitimation of the power and status of a distinct social group. Secondly, an examination of the manner in which the formulation of the concept provided the basic framework for the later gendered approach to the practice and evaluation of art in western societies.     

Unveiling the mantra. The salience of network-based community belonging in understanding the structural and agentic conditions of the migration-development nexus

There is more and more evidence that migration and development cannot be considered as two dimensions, whose nexus emerges naturally as a mantra with reciprocal advantages both in developing and in developed countries. This article investigates the theoretical framework of a migration-development nexus as a double time-dependent process of social change, at the same time embedded both in the long durée of the reproduction/innovation of social practices and in the short durée of an agent's personal reflectivity. I argue that the wide scenario of this interplay is the place for the cultural, symbolic, and moral dimensions of a migrant's membership of a network-based community, which acts as a cultural compass in determining migrants' attitudes towards the development of their home country. Strong community membership can be associated with real engagement in the development issues of members left behind (as part of the collective self), only if we assume that membership and belonging are not necessarily shaped by kinship or ethnic considerations, but vary according to the structural features of migrants' social networks – for example the way in which migrants define networks as their own communities, the results of past community memories, and how they imagine their future community on the basis of current experience and perception. The paper discusses these issues in the light of the structure-agent debate in social sciences and migration studies.     

The social capital and mental health of long-term social assistance recipients in Norway

Previous findings have generally demonstrated the positive mental health benefits of social capital. However, the mental health benefits of social capital for social assistance recipients have not been fully demonstrated. This study analyses the mental health benefits of individual-level bonding and individual-level bridging social capital for 551 Norwegian longer-term social assistance recipients. The findings demonstrate that bonding social capital, i.e. contacts with friends and access to social resources, are positively associated with mental health. Of the variables in the study that relate to bridging social capital, social trust and trust towards the social worker particularly show significant associations for mental health. Consequently, it is important that the mental health benefits of various forms of bonding and bridging social capital are acknowledged within social work practices and that social work practitioners actively aim to increase social trust in longer-term social assistance recipients.