Knowledge,boundaries, and bodies: Social construction between medical sociology and science and technology studies

Medical sociology and science and technology studies (STS) emerged from different positions, but often closely related concerns, within the broad discipline of sociology. Their interface and areas of overlap have mostly been shaped by theoretical positions broadly considered “social constructionist.” Taken together, these perspectives provide empirical and theoretical tools to analyze important questions about how social inequalities, forms of scientific knowledge, and patterns of human health come to be produced and feedback into one another. Examining their intersection enables sociological questions such as: How is medical and public health scientific knowledge produced, stabilized, and taken as fact? How are scientific facts about health and illness used, experienced, and challenged? What is the relationship between health inequalities and public health or medical knowledge? This article seeks to briefly trace the important contributions that social constructionist research has made at the interstices of medical sociology and STS, further clarifying the history, points of intersection, and areas of diversion between them. The current COVID-19 pandemic has unveiled the political struggles that constitute public health scientific knowledge and circulation. The interface between STS and medical sociology can help us to make sense of the interrelationships between politics, power inequalities, and public health scientific knowledge.     

Negation,Refusal and Co‐Optation: The Frankfurt School and Social Movement Theory

This article outlines how the critical theory of the Frankfurt School has influenced some key debates within social movement studies. The impact of Jürgen Habermas's sociology is widely acknowledged, especially with regards to our understanding of ‘new social movements’. There have however also been several lesser‐known attempts to bring the concerns of Theodor W. Adorno's negative dialectics and Herbert Marcuse's critique of one‐dimensional society to bear onto social movement research. For this reason it makes sense to outline the relevance of the ‘first generation’ members of the Frankfurt School – something that is often missing from the most authoritative overviews and textbooks on social movement theory. Presenting a body of literature that often appears as fragmented or only on the periphery of social movement theory in this way reveals a number of common themes, such as negation, refusal and co‐optation. To this end, the article provides a comprehensive theoretical overview of the multiple ways of how critical theory has made sense of social movements and argues that its concerns can be brought into a rewarding dialogue with contemporary social movement studies.     

The Role of Work on Family Relationships

Abstract

Work and family are two major institutions in society. Family has been considered as an important socializing agent for an individual's growth and development, while work provides the individual opportunities to develop a sense of identity and a self-image. For people with mental illness, work has been recognized as an important tool for facilitating psychiatric rehabilitation. In fact, the work experiences of those with mental illness have an effect on their family relationships, which may in turn affect their mental health. Using an intensive interview method, this article shows that work experiences from sheltered workshops have a significant impact on the family relationships of workers in Hong Kong.     

Health Social Movements in the United States: An Overview

This article reviews the literature on health social movements (HSMs) and provides an overview of their main conceptual, theoretical and empirical underpinnings. Health social movements is not a single paradigm but spans several decades’ worth of theoretical and research activity in the areas of social movements, medical sociology and social studies in science. Case studies of HSMs have been accumulating for years, and several new collections of papers attempt to systematize the various strands of health social movements research to answer questions about their origins, different strategic and political approaches to social change, their trajectories and consequences. We provide a selective overview of the literature on health social movements that explore these questions, while distinguishing between health social movements seeking greater access to healthcare, those focusing on health disparities and inequality, and those challenging the underlying science of health and healthcare. We conclude with some suggestions for the direction of future studies.     

Environmental stressors: the mental health impacts of living near industrial activity

A growing literature examines whether the poor, the working class, and people of color are disproportionately likely to live in environmentally hazardous neighborhoods. This literature assumes that environmental characteristics such as industrial pollution and hazardous waste are detrimental to human health, an assumption that has not been well tested. Drawing upon the sociology of mental health and environmental inequality studies, we ask whether industrial activity has an impact on psychological well-being. We link individual-level survey data with data from the US. Census and the Toxic Release Inventory and find that residential proximity to industrial activity has a negative impact on mental health. This impact is both direct and mediated by individuals' perceptions of neighborhood disorder and personal powerlessness, and the impact is greater for minorities and the poor than it is for whites and wealthier individuals. These results suggest that public health officials need to take seriously the mental health impacts of living near industrial facilities.     

Missing Teeth: Reviewing the Sociology of Oral Health and Healthcare

Both the US Surgeon General and the World Health Organization have called for further social scientific research on the social determinants of oral health. Oral disease can have detrimental effects on quality of life, having been linked with physical, mental, and social impairments. This article reviews the recent literature pertaining to the sociology of oral health and healthcare. The purpose of this review is to summarize and revive a necessary field. In order to maintain a focus on the United States and expand into other social science disciplines, relevant anthropological works were also included. The review discusses five key areas in both the sociology and anthropology of oral health. Of the 25 included articles, research maintained a focus on the dental profession, the construction of oral health, the mouth and the social self, social factors in dental care, and cultural assumptions of oral health. While the reviewed studies have aided in closing the gap, much of the research has been conducted outside of the United States, has used oral health as a case study for larger arguments, and has not considered the role of social inequality. Future research is necessary to more fully frame oral health and healthcare in society.     

On the Existential Aspects of Desistance from Crime

This article seeks to introduce several core insights of existential thought and existential sociology to study why people desist from crime (stop offending). By investigating the internal processes associated with desistance, existential sociology can contribute to our theoretical understanding of this phenomenon. The article demonstrates the usefulness of this approach by presenting a case study of one ex‐offender who has successfully desisted. The study demonstrates that gaining employment and rebuilding familial relationships were important factors in the process of creating a new sense of self. In addition, successful desistance entails developing a sense of what the future may hold for the individual and a sense of how this future can be realized. The implications of these findings for both theory and practice are discussed.     

EMOTIONAL FEEDBACK AND AMPLIFICATION IN SOCIAL INTERACTION

This article develops an interactive, theoretical model of emotional feedback and amplification. Whereas the sociology of emotions typically examines how affect arises, this article focuses on the aftermath of an evoked emotion as it evolves in ongoing interaction. I argue that interactions serve as a stimulus to evoke emotional responses, but as interactions continue, these interactions provide an additional stimulus that feeds back into the initial emotion, amplifying it. I articulate two modes of emotional feedback and amplification: spontaneous and managed. Spontaneous amplification is a by-product of unplanned but continuous interactions. In contrast, managed amplification results from purposeful interactions and can be initiated through either surface acting or deep acting. The process of feedback and amplification is more likely under structural and cultural conditions that facilitate ongoing interactions. An empirical elaboration of the model is drawn from an ethnographic study of "TD's Restaurant." Examining how feedback and amplification occur in different settings is an ongoing task for sociologists interested in emotions, work and occupations, mental health, and social movements.     

The Social Structuring of Mental Health over the Adult Life Course: Advancing Theory in the Sociology of Aging

The sociology of aging draws on a broad array of theoretical perspectives from several disciplines, but rarely has it developed its own. We build on past work to advance and empirically test a model of mental health framed in terms of structural theorizing and situated within the life course perspective. Whereas most prior research has been based on cross-sectional data, we utilize four waves of data from a nationally representative sample of American adults (Americans' Changing Lives Study) collected prospectively over a 15-year period and find that education, employment and marital status, as well as their consequences for income and health, effectively explain the increase in depressive symptoms after age 65. We also found significant cohort differences in age trajectories of mental health that were partly explained by historical increases in education. We demonstrate that a purely structural theory can take us far in explaining later life mental health.     

Better Futures: A validated model for increasing postsecondary preparation and participation of youth in foster care with mental health challenges

Higher education participation rates of young people in foster care are dramatically lower than their level of postsecondary education aspiration. Increasing attention to this disparity has stimulated policy and practice enhancements, however rigorously validated models for promoting postsecondary preparation and participation have not existed for young people in foster care, including those with mental health conditions. This article describes Better Futures, which is the first such model to be experimentally validated as effective for increasing the higher education participation and other related outcomes of young people in foster care with mental health challenges. Better Futures features a four day on-campus Summer Institute, coaching provided to youth by older peers who are in college and have shared experiences around foster care and/or mental health, and workshops that bring together youth, coaches and guest speakers for information sharing and mutual support. This article includes the theoretical and component features of the Better Futures model, findings related to intervention fidelity, participants' evaluation of the program, and discussion of implications for future model refinement and research.     

Charting Trends in Rural Sociology: 1986–1995

Abstract Christenson and Garkovich (1985) reported on trends in the first 50 years of Rural Sociology; this note employs a similar analytic framework for the 292 articles and research commentaries published from 1986 to 1995. While particular topics ebb and flow in terms of their importance, there continues to be a consistent focus on the substantive issues of traditional concern. Predictions in 1985 as to what the next retrospective would show proved to be fairly accurate. Applied empirical and quantitative studies continue to dominate the pages of the journal, but other types (e.g., qualitative and historical studies) now appear with greater frequency. The theoretical foundation of rural sociology has been enriched with conceptual frameworks from general sociology and other social sciences. New twists on the traditional concerns of agricultural constituencies and rural community leaders have broadened the range of topics addressed, reflecting the major social structures, processes, and issues currently affecting rural peoples and communities. The article concludes with an interpretation of recent trends and speculations on future directions.     

A Systematic View on the Use of History for Current Debates in Sociology,and on the Potential and Problems of a Historical Epistemology of Sociology

For various reasons, among them changes in the global higher education regime and competitive knowledge claims from other disciplines, the field of the history of sociology (HoS) has experienced an increased pressure to justify its own existence during the last decade. Positing that the best approach to justify the existence of a thing is to show its usefulness, the article discusses four types of claims to usefulness made by historians of sociology. The history of sociology can be said to be relevant in (I) shaping and maintaining the discipline’s identity; (II) in providing a rich fund of teaching future sociologists; (III) in informing current research and theorizing; and (IV) in reflecting more broadly on the cultural status of sociology in modern societies. The article then assesses the potential and problems of aspiring a historical epistemology of sociology, a proposal made recently especially in German and Anglophone contexts to link the history of science with its philosophy in the sense described as type III. It concludes that selected principles or ideas of historical epistemology can be very fruitfully applied in HoS. However, the project of transferring the whole program of historical epistemology into HoS is bound to fail. Nonetheless, there is plenty of reason to continue conceiving of HoS as an integral part of sociology.     

Women Vietnam veterans. A comparison of studies

There is strong evidence that many women exposed to war stress have suffered mental health problems related to their experience, and a substantial number continue to have serious emotional, psychosocial, and other readjustment problems that affect their current level of functioning and life satisfaction. The consistent exposure to severe combat casualties, death and dying, workload extremes, personal deprivation, loss, and danger all take a significant emotional toll. These studies underscore the need for affected women to explore their war experiences and associated feelings with mental health professionals, as well as the need for those professionals to develop an awareness and understanding of the impact of specific war-related stress on women.     

Measurement for a human science

This paper argues a number of points about measurement in the sociology of mental health: (1) measurement is critical, (2) measures should represent and assess elements of human experience, taking measure of life as people feel it, sense it, and understand it, and (3) social scientists should create a human science, producing information for the people it studies so that they can better understand and control their own lives. We argue that a human science is best achieved with the use of indexes, not diagnoses, to measure mental health. We present a brief history of diagnostic instruments and detail how a diagnosis is made. We show how use of diagnoses to measure mental health discounts much human suffering. They dichotomize the true range of feelings and emotions into crude either/or distinctions that do not reflect the reality of people's lives, and they often exclude suffering such as that due to loss or illness that does not meet medical model preconceptions about mental disorder. Using diagnoses to measure mental health presents a reified image of hidden disease knowable and manageable only by trained professionals--beyond the capacity of the suffering individuals to understand and control.     

On Accepting Relationships between People with Mental Retardation and Non-disabled People: Towards an Understanding of Acceptance

This article outlines the “sociology of acceptance” as a theoretical framework for understanding relationships between people with mental retardation and typical people. As a point of departure, the authors review sociocultural perspectives on deviance and explore their contribution to the study of mental retardation. Based on qualitative research on community programs for people with severe disabilities, the authors next examine the nature of accepting relationships and describe four sentiments expressed by typical people who form relationships with people with mental retardation: family; religious commitment; humanitarian sentiments; and feelings of friendship. The article concludes with a brief discussion of the implications of a sociology of acceptance for the field of mental retardation.     

The Role of Religion and Stress in Sexual Identity and Mental Health Among Lesbian,Gay, and Bisexual Youth

This study investigated religious stress, gay‐related stress, sexual identity, and mental health outcomes in lesbian, gay, and bisexual (LGB) adolescents and emerging adults. The model examined negative LGB identity as a mediator of the relationships between (1) religious stress and mental health, and (2) gay‐related stress and mental health. The data indicated that negative LGB identity fully accounted for both relationships. Findings suggest that a negative sense of sexual identity for LGB youth helps explain the links between religious and gay‐related stressors and mental health. As LGB youth may have limited control over these stressors, the importance of helping LGB youth maintain a positive LGB identity, despite homonegative messages from others, is discussed.     

Mental health in young Australians: a longitudinal study

This article discusses patterns in mental health of young Australians from age 19 through 25 and explores changes in mental health over these years. Data are derived from five waves of the Australian Life Patterns longitudinal study. The outcome variable in focus was self-reported mental health. Analyses were conducted in two steps using linear mixed models with both fixed and random effects. The analysis shows a negative linear trend in mental health status. The mental health of women was worse than that of men though a negative trend was found in both men and women. Though high socio-economic status (SES) individuals reported best mental health compared to their mid and low-SES peers, a negative trend was identified for them as well as for mid-SES participants. There is weak support for a negative trend among those of low-SES backgrounds. The study adds to evidence that there is a negative trend in mental health in young Australians but that this trend is not uniform across all young people. In light of this we argue the need for further research that analyses patterns of poor mental health in relation to social systems and institutions.     

Sexual Debut and Mental Health Among South Korean Adolescents

Numerous studies have demonstrated the negative influence of sexual debut during adolescence on mental health outcomes. This article contributes to this literature by investigating whether sexual debut has negative effects on mental health among South Korean adolescents and whether the timing of adolescent sexual debut matters. Drawing on longitudinal data from a nationally representative survey, we first predicted mental health outcomes at one year after high school graduation using first sexual intercourse that had occurred before the outcomes were measured. In a second statistical model, adolescent sexual debut was defined as first coitus that had occurred before high school graduation. Sexual debut was associated with an increase in problematic aggressive behaviors for both genders. In contrast, only girls experienced a rise in depressive symptoms after becoming sexually active. For girls, having sex before high school graduation was correlated with worse mental health outcomes to the extent that sexual debut even enhanced the risk of suicidal ideation. We concluded that the negative effects of sexual activity among South Korean adolescents are attributable mainly to the sexually conservative atmosphere and gendered sexuality in that country.     

Class,culture and politics: on the relevance of a Bourdieusian concept of class in political sociology

Even though contemporary discussions of class have moved forward towards recognizing a multidimensional concept of class, empirical analyses tend to focus on cultural practices in a rather narrow sense, that is, as practices of cultural consumption or practices of education. As a result, discussions within political sociology have not yet utilized the merits of a multidimensional conception of class. In light of this, the article suggests a comprehensive Bourdieusian framework for class analysis, integrating culture as both a structural phenomenon co‐constitutive of class and as symbolic practice. Further, the article explores this theoretical framework in a multiple correspondence analysis of a Danish survey, demonstrating how class and political practices are indeed homologous. However, the analysis also points at several elements of field autonomy, and the concluding discussion therefore suggests the need for further studies.     

Black women’s mental health matters: Theoretical perspectives and future directions

Despite recent sociological research exploring how stratification systems impinge on the health of socially disadvantaged populations, Black women’s mental health is rarely a topic of investigation among scholars of medical sociology, sociology of race and racism, or sociology of gender. In this review, we incorporate perspectives from sociology, social psychiatry, psychology, and social work to develop a transdisciplinary intersectional model of Black women’s mental health. We also present critical interventions in the extant literature. First, though stress exposure is generally associated with poor mental health, more research is necessary to ascertain the gendered-racialized stressors to which Black women are exposed, owing to their racial and gender oppression. Second, we admonish mental health scholars to incorporate other status dimensions (e.g., nativity, sexual orientation, age) to provide a more nuanced depiction of Black women’s psychological health. Third, the unique and enduring relationship between the U.S. punishment system and the mental health of Black women should be further explicated in future research. Last, we envision a body of work on Black women’s mental health that captures the ways in which they cope with societal level marginalization, as these forms of resilience and resistance may be mental health protective.