'Materialities of care' is outlined as a heuristic device for making visible the mundane and often unnoticed aspects of material culture within health and social care contexts, and exploring interrelations between materials and care in practice. Three analytic strands inherent to the concept are delineated: spatialities of care, temporalities of care and practices of care. These interconnecting themes span the articles in this special issue. The articles explore material practice across a range of clinical and non-clinical spaces, including hospitals, hospices, care homes, museums, domestic spaces, and community spaces such as shops and tenement stairwells. The collection addresses fleeting moments of care, as well as choreographed routines that order bodies and materials. Throughout there is a focus on practice, and relations between materials and care as ongoing, emergent and processual. We conclude by reflecting on methodological approaches for examining 'materialities of care', and offer some thoughts as to how this analytic approach might be applied to future research within the sociology of health and illness.
Sociologists of health and illness have tended to overlook health care architecture and buildings. This contrasts with medical geographers who have yielded a body of work on the significance of places and spaces in the experience of health and illness. A review of those sociological studies that have studied the role of the built environment in the performance of medical practice uncovers an important vein of work, worthy of further study. Through the historically situated example of hospital architecture, this article seeks to tease out substantive and methodological issues that can inform a distinctive sociology of health care architecture. Contemporary health care buildings manifest design models developed for hotels, shopping malls and homes. These design features are congruent with neo-liberal forms of subjectivity in which patients are constituted as consumers and responsibilised citizens. We conclude that an adequate sociology of health care architecture necessitates an appreciation of both the construction and experience of buildings, exploring the briefs and plans of their designers, and observing their everyday uses. Combining approaches and methods from the sociology of health and illness and science and technology studies offers potential for a novel research agenda that takes health care buildings as its substantive focus.
The article analyses the role of handbags in the everyday lives of women with dementia. Drawing on findings from an ESRC funded UK study 'Dementia and Dress', it shows how handbags are significant to supporting the identities of women with dementia as 'biographical' and 'memory' objects, both in terms of the bags themselves, and the objects they contain. This is particularly so during the transition to care homes, where previous aspects of identity and social roles may be lost. Handbags are also significant to making personal or private space within care settings. However, dementia can heighten women's ambivalent relationship to their handbags, which can become a source of anxiety as 'lost objects', or may be viewed as problematic or 'unruly'. Handbags may also be adapted or discarded due to changing bodies, life-styles and the progression of dementia.
In recent years there has been a growing interest in person-centred, 'living well' approaches to dementia, often taking the form of important efforts to engage people with dementia in a range of creative, arts-based interventions such as dance, drama, music, art and poetry. Such practices have been advanced as socially inclusive activities that help to affirm personhood and redress the biomedical focus on loss and deficit. However, in emphasizing more traditional forms of creativity associated with the arts, more mundane forms of creativity that emerge in everyday life have been overlooked, specifically with regard to how such creativity is used by people living with dementia and by their carers and family members as a way of negotiating changes in their everyday lives. In this paper, we propose a critical approach to understanding such forms of creativity in this context, comprised of six dimensions: everyday creativity; power relations; ways to operationalise creativity; sensory and affective experience; difference; and reciprocity. We point towards the potential of these dimensions to contribute to a reframing of debates around creativity and dementia.
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