Awareness Contexts and the Construction of Dying in the Cancer Treatment Setting: ‘Micro’ and ‘Macro’ Levels in Narrative Analysis

Schou, Kirsten Costain

doi:10.1111/j.1467-954x.1992.tb03395.x

Cited by 10 publications

(6 citation statements)

References 12 publications

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“…Intractable illnesses about which medicine can do little by way of alleviation have also been prominent in medical sociology. In this latter respect terminal illness (Field 1989, Hockey 1990) and espedally cancer (Glaser and Strauss 1965, Mclntosh 1977, Schou 1993, rheumatoid arthritis (Locker 1983, Wiener 1975, Williams 1984, multiple sclerosis (Robinson, 1988), and Parkinson's disease (Pinder, 1990) spring to mind. Conversely, common illnesses which in terms of incidence, prevalence and caseload are those which preoccupy most general medical practitioners are less well represented in the sociological cannon.…”

Section: Introductionmentioning

confidence: 99%

Medical sociology, chronic illness and the body

Kelly

Field

1996

Sociology Health & Illness

276

157

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The sociological conceptualisation of chronic illness requires a sociology which indicates the physicality of the body theoretically. The aim of this paper is to demonstrate how the body might be integrated into sociological accounts ofthe experience of chronic illness in a way that acknowledges biological and social facts. Central to our argument is the connection between bodily aspects of self and identity. Self and identity are core aspects of everyday experience and of the everyday experience of illness. With the onset of illness bodily functioning alters and self-conceptions and identity may also change. The body, which in many social situations is a taken for granted aspect of the person, ceases to be taken for granted once it malfunctions. The bodily basis of chronic illness has to be attended to because it limits or interferes with other physical and social activities. The connection between biological and social facts is explored using the concepts of self and identity.

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Section: Introductionmentioning

confidence: 99%

Medical sociology, chronic illness and the body

Kelly

Field

1996

Sociology Health & Illness

276

157

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“…In municipalities with few occurrences of home deaths, it was more often a 'non-topic'. Schou (25) criticizes the biomedical prognostic uncertainty.…”

Section: Discussionmentioning

confidence: 99%

Cancer Patients who Prefer to Die at Home

Sørbye

1999

Scandinavian Caring Sciences

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This article presents a descriptive study based on quantitative and qualitative methods. We wished to determine factors that promote or restrict home deaths. The Norwegian Central Bureau of Statistics released non-identifiable data for the time period 1990-1994 for all municipalities in Norway. Relevant health and social data from the Norwegian Social Science Data Service for the 24 municipalities, which had more than 20% or less than 10% of the cancer patients dying in their own homes, were analysed. Key persons in the home care teams were interviewed. There were few occurrences of home deaths in municipalities with a local hospital, good capacity in nursing homes or a larger percentage of one-person households. Indicators for several occurrences of home deaths were openness, good co-operation with physicians, and a stable, flexible staff. In addition, the patient had to have a strong desire to die at home. Finally, the employees had to be professionally confident and willing to go beyond the prescribed shift hours.

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“…Survival work refers to the cognitive and behavioral tasks involved with choosing to seek further treatment to improve and / or cure one’s disease, versus letting the disease take its natural course (Stetz, 1993). Death work consists of the tasks involved with preparing for one’s death practically, emotionally, socially and spiritually (Schou, 1992). Unfortunately, most P1T participants died during or shortly after trial conclusion; adult P1T participants engaged in significant survival work and therefore lost opportunities to complete death work (Campbell & Whyte, 1999; Cox, 2002; Stetz, 1993).…”

Section: Findings From the Adult Literaturementioning

confidence: 99%