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Healthy Skepticism Library item: 5378

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Shilling C.
Culture, the 'sick role' and the consumption of health.
Br J Sociol 2002 Dec 01; 53:(4):621-38
http://journalsonline.tandf.co.uk/(20tfmkfypf4rf2vfye5dnqr2)/app/home/contribution.asp?referrer=parent&backto=issue,7,11;journal,5,20;linkingpublicationresults,1:103801,1


Abstract:

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.

Keywords:
Attitude to Health/ethnology* Culture* Great Britain Health Promotion Humans Patient Education Professional-Patient Relations Self Efficacy Sick Role* Social Perception Social Values* Sociology, Medical

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909