Culture,the 'sick role' and the consumption of health

This paper revisits Parsons's conception of the 'sick role' and examines the relevance of his writings on the cultural understanding of sickness to the consumption of health in the contemporary era. In terms of current developments, I focus on the development of pro-active approaches towards the healthy body, and the growth of 'information rich' consumers of health care. These have become prominent themes in sociology, and while Parsons's writings are usually viewed as anachronistic I argue they remain highly pertinent to understanding the emergence of informed, body conscious lay people. If Parsons's analysis of health is more relevant to current circumstances than many critics assume, however, it is not unproblematic. The residual categories associated with the sick role obscure the continued utility of his work on the general cultural values informing health care. It is Parsons's analysis of these values, I suggest, that needs rescuing from restricted understandings of the sick role and highlighting as an important resource for contemporary theorists.     

Drinking Game Participation Among Undergraduate Students Attending National Alcohol Screening Day

Abstract

Objectives, Participants, Methods: Drinking game participation has increased in popularity among college students and is associated with increased alcohol consumption and alcohol-related problems. The current study investigated drinking game participation among 133 undergraduates attending National Alcohol Screening Day (NASD) in April of 2007. Results: A large percentage of the sample reported lifetime (77%) and recent (52%) drinking game participation. Males were more likely to report recent participation and reported higher levels of consumption while playing drinking games. Drinking game participants were more likely to experience a range of alcohol-related problems, and the relationship between drinking game participation and alcohol-related problems was mediated by weekly alcohol consumption. Conclusions: These results suggest that drinking game participation is a risk factor for elevated levels of alcohol consumption and alcohol-related problems. Programs should be developed to educate students about the risks of drinking game participation, and prevention programs like NASD should address drinking games.     

Counter-geographies: The campaign against rationalisation of agricultural research stations in New South Wales, Australia

This paper discusses an example of community action mounted in a rural region of New South Wales, Australia, in response to proposals by the State Government to rationalise agricultural research stations operated by the Department of Primary Industries. Informed by a Foucaultian understanding of power and the concept of governmentality, neoliberalism is theorised as being the broad governmental context in which rationalisation proposals were put forward. Recent literature drawing on this theoretical perspective has emphasised that neoliberalism is enacted through a relationship of power, and is not monolithic or inevitable. Neoliberalism is always negotiated by those seeking to govern and those who are the object of such governmental actions. This paper analyses how plans to rationalise publicly funded agricultural research stations were opposed by those seeking to keep research facilities open in the case study area. The paper discusses the methods and scope of community action and, drawing on interviews, identifies a series of discourses articulated by campaigners. Non-local actors were depicted as uncaring and insensitive. In contrast, campaigners discussed the emergence of a ‘city-country divide’ in domestic politics; the need for specialist agricultural knowledge given the region's unique geographical location; and local impacts of an economic, social and emotional nature. Central were discourses of maintaining community, tradition, and continuity in unique local places defined by their climate, biophysical environment and economy. These were ‘counter-geographies’ that sought (successfully, it would transpire) to disrupt the state's imagined geography of a homogenous and flexible administrative space in which research services could be relocated wherever most efficient. Important too were embodied resistances to the way rural industries and people were subjected. Campaigners refused to accept preferred codes of neoliberal behaviour (particularly mobility and rationality) and instead demanded respect for their careers, families and communities. Important considerations are suggested for further research on impacts and negotiations of neoliberalism. This study particularly highlights the successes—as well as contradictions and limitations—of arguments that construct rural places as socialised, unique and unfairly treated (by governments), in opposition to metropolitan dominance and ‘placeless’ neoliberalism.     

Seeing the woods — statistics for the very young

If you go down to the woods today … you're sure of a big statistical experience. You might run into Chris Du Feu giving 9-year-olds their first lesson in statistics. Tasks for the teacher? One, clear nettles; two, make sure that leaves will stay firmly stuck in place on the bar-chart…     

Telling a Good Story: Using Narratives in Vocational Rehabilitation With Veterans

Because of the high chronicity of work-related problems in a Veterans Administration Medical Center population, many of the traditional methods of career assessment, counseling, and placement have proven ineffectual. In this article the authors detail the development of an intervention based on narrative or storytelling principles. They describe efforts to introduce this model to patients as well as to relate patients' stories to vocational outcomes. The usefulness of stories as an organizing principle for counselors and clients is discussed, and suggestions are offered for further uses of storytelling interventions.     

The fourth age and the concept of a ‘social imaginary’: A theoretical excursus

This paper explores the idea of the ‘fourth age’ as a form of social imaginary. During the latter half of the twentieth century and beyond, the cultural framing of old age and its modern institutionalisation within society began to lose some of its former chronological coherence. The ‘pre-modern’ distinction made between the status of ‘the elder’ and the state of ‘senility’ has re-emerged in the ‘late modern’ distinction between the ‘third’ and the ‘fourth’ age. The centuries-old distaste for and fear of old age as ‘senility’ has been compounded by the growing medicalization of later life, the emergence and expansion of competing narratives associated with the third age, and the progressive ‘densification’ of the disabilities within the older institutionalised population. The result can be seen as the emergence of a ‘late modern’ social imaginary deemed as the fourth age. This paper outlines the theoretical evolution of the concept of a social imaginary and demonstrates its relevance to aging studies and its applicability to the fourth age.     

Do self‐assessment and self‐directed support undermine traditional social work with disabled people?

In recent years, self‐assessment and self‐directed support have become mainstream options within disability services. The Disabled People’s Movement has advocated the need for such change for a long time but this has been persistently resisted by many social workers. In this article, it will be argued that both self‐assessment and self‐directed support undermine traditional social work and that social workers need to begin to work alongside disabled people, rather than ‘for’ disabled people, in order to achieve substantial system change.