Rehabilitation capital: a new form of capital to understand rehabilitation in a Nordic welfare state

Guldager, Rikke; Poulsen, Ingrid; Egerod, Ingrid; Mathiesen, Lone Lundbak; Larsen, Kristian

doi:10.1080/14461242.2018.1434808

Cited by 9 publications

(6 citation statements)

References 17 publications

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“…How is the direct body-to-body interaction articulated in a field that promotes objective knowledge, evidence, standards, and biomedical thinking? Unfortunately, we expect that similarities in habitus constitute better treatment, as in the case of rehabilitation (Guldager et al 2018).…”

Section: Discussionmentioning

confidence: 99%

Bodies need yoga? No plastic surgery! Naturalistic versus instrumental bodies among professions in the Danish healthcare field

et al. 2020

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What characterises the similarities and differences in body investments among professions in the Danish healthcare field? This can be important when healthcare professionals relate to each other and to bodies of patients regarding differences in class, gender, age, and disease group. The study takes inspiration from Bourdieu’s sociology and the concept of health capital. We ask whether health capital can explain distinctions in the empirical data? We used the explorative–descriptive method multicorrespondence analysis (MCA) on data from 440 respondents gathered through an online survey. The respondents range from chief physicians to healthcare students. MCA makes it possible to condense frequency statistics and examine patterns of body investments through an examination of variables such as food intake, exercise, and medicine use that are then further related to supplementary variables such as social class and age. The analysis supports the concept of health capital and shows that some groups in the Danish healthcare field have a more instrumental body perception, such as the young age group (e.g. open to surgery, consume medicine, high exercise), while the upper-middle-class and older respondents have a more naturalistic perception of the body (e.g. read often, eat vegetables, practice yoga).

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Section: Discussionmentioning

confidence: 99%

Bodies need yoga? No plastic surgery! Naturalistic versus instrumental bodies among professions in the Danish healthcare field

et al. 2020

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“…These changes can produce inequality in healthcare. The focus on individual responsibility may seem liberating for relatives (and patients) who have the habitus and the capital to play this new game, while relatives who have not yet built sufficient schemata to act appropriately become 'difficult' relatives who do not succeed in collaborating with the healthcare professionals (Guldager, 2018(Guldager, , 2019. This seems to correlate with low social and economic capital, but inequality might also be produced in rehabilitation when relatives are not able to adjust to the mismatch between their expectations and the altered possibilities of the transformed healthcare field.…”

Section: Discussionmentioning

confidence: 99%

“…However, it does add further nuance to a situation in which some relatives' expectations and their trust in the healthcare field may have been appropriate only a few years ago, Furthermore, the concept of hysteresis highlights how this mismatch in expectations occurs among relatives who only a few years ago saw themselves as having a favoured position in the welfare system because they had the right amount and components of capital according to the welfare state's rules and values. Now, however, their habitus does not provide the ability to recognise and adjust to the changed game (Bourdieu, Chamboredon, & Passeron, 1991), and a new hierarchy of resources which can be converted into capital in the rehabilitation field is emerging (Guldager et al, 2018). In this paper, we outline a theory concerning transformations that have taken place in the Danish welfare state which have meant that some relatives of patients in a stroke rehabilitation process sense that their dispositions are ill-adjusted to the objective opportunities.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies argue for the increasing involvement of relatives (e.g. Guldager et al, 2018), suggesting new strategies for collaboration. However, these processes of change, involving new norms for the roles A c c e p t e d a u t h o r m a n u s c r i p t of patients, relatives and healthcare professionals, may be considered a challenge for some relatives, particularly for those who may not have the competences needed to fulfil their new role.…”

Section: Introductionmentioning

confidence: 99%

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Hysteresis – or the mismatch of expectations and possibilities among relatives in a transforming health care system.

Roenn-Smidt

Shim

Larsen

et al. 2019

Health Sociology Review

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When a person experiences a severe stroke, their relatives must assume the role of partners in the rehabilitation process. Drawing on Bourdieu's field theory, this study investigates the potential gap between the subjective expectations of relatives in terms of the assistance and care they can offer patients with severe brain injuries and the objective constraints of a healthcare field. Using data from observations, as well as interviews with relatives and official documents, this study shows how some relatives, reliant on their habitus, bring to their collaboration with healthcare professionals an expectation that the healthcare field will be able to take care of their multiple individual needs. However, due to hysteresis -a gap between their dispositions and the objective possibilities of the transformed healthcare field -these relatives are not equipped to recognise, grasp and occupy their new field position. We conclude that Bourdieu's theoretical concept of hysteresis may help us understand how changes in the healthcare field may lead to a mismatch between the field and the habitus manifested in interactions between patients, relatives and healthcare professionals, so that the ill-adjusted habitus of relatives leads to missed chances in relation to the opportunities objectively offered by the field.

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“…to perceive need for care, particularly in case of common mental disorders which often lack a clear physical basis, and to cope with them by seeking healthcare or employing alternative strategies "not in the sense of a conscious plan, but as general styles and habits of action" (Shim, 2010, p. 3). Cultural health resources as the field-specific capital are semi-autonomous (although not entirely independent) from other capitals due to an ability to accumulate it through past experiences of health practices in the field (Guldager et al, 2018;Shim, 2010). Social capital, being linked to "membership in a group" (Bourdieu, 1997, p.51), also appears an effective resource encouraging (or impeding) help-seeking practices.…”

Section: On Capitalsmentioning

confidence: 99%

Bourdieu’s theory of fields: towards understanding help-seeking practices in mental distress

Doblytė

2019

Soc Theory Health

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Employing Pierre Bourdieu's sociology and his conceptual triad of field, habitus and capital, this article outlines a theoretical approach to empirically analyse helpseeking practices in mental distress. The framework helps to examine why the treatment gap in common mental disorders is wider in one setting than another and why some agents access healthcare more easily than others within the same setting, that may even drive to both overand under-treatment resulting in inequities of access and poor use of resources. In order to understand help-seeking behaviour that varies across settings, time and conditions, it is suggested to relationally analyse how the field of mental healthcare as a structure of positions impacts access to healthcare; how mental structures that mirror cultural context and social conditions where they were acquired influence perceptions of access and, therefore, strategies of help seeking; and what historical genesis of both mental and objectified structures is.

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Rehabilitation capital: a new form of capital to understand rehabilitation in a Nordic welfare state

Cited by 9 publications

References 17 publications

Bodies need yoga? No plastic surgery! Naturalistic versus instrumental bodies among professions in the Danish healthcare field

Bodies need yoga? No plastic surgery! Naturalistic versus instrumental bodies among professions in the Danish healthcare field

Hysteresis – or the mismatch of expectations and possibilities among relatives in a transforming health care system.

Bourdieu’s theory of fields: towards understanding help-seeking practices in mental distress

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