Time and chronic illness: a narrative review

Jowsey, Tanisha

doi:10.1007/s11136-015-1169-2

Cited by 31 publications

(36 citation statements)

References 52 publications

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“…A similar pattern is found in the context of ill health. For example, Jowsey's () literature review of time in chronic illness identifies multiple, relational, and embodied temporalities. And as we discuss below, in critical‐theory‐oriented research, there is also a small body of work suggesting that multiple temporalities are evident in people's experiences of health that do not map onto the simple linear temporalities or absences in health promotion outlined above.…”

Section: Time In Health and Lifestyle Researchmentioning

confidence: 99%

“…Events open up rather than close down possibilities, as the virtual is actualised in processes of becoming, producing new virtualities that increase the potential for further, novel actualisations. This novelty “is what time is if anything at all: not simply mechanical repetition, the causal effects of objects on objects, but the indeterminate, the unfolding, the emergence of the new” (Grosz, , p. 230), troubling the certainty of health promotion's linear predictions (Adams et al, ) and accounting for experiences of multiple, embodied temporalities of health (Jowsey, ; Stronge, ).…”

Section: Towards a Critical Theory Of Timementioning

confidence: 99%

“…There is a small but important literature suggesting that time pervades how people make sense of their engagement with healthy lifestyles in ways that produce lived experience of eating and exercise practices as contingent, dynamic, embodied, affective, and temporal (Coleman, 2008(Coleman, , 2010Jowsey, 2016;Warin, Zivkovic, Moore, Ward, & Jones, 2015). But such complexity is absent in the temporal assumptions of the social-cognitive and behavioural models that dominate contemporary health promotion and which largely present lifestyle change as a simple-to-achieve, linear process (Baum & Fisher, 2014).…”

Section: Introductionmentioning

confidence: 99%

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A Deleuzian rethinking of time in healthy lifestyle advice and change

Robson¹,

Riley²

2019

Social & Personality Psych

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Time is a powerful but under‐examined element in healthy lifestyle advice, particularly in the promise of stable states of future health achievable through sustained lifestyle change. But such linear, sequential time frames reinforce notions of rational choice, personal control, and responsibility despite common experiences of diet and exercise regimens as non‐linear, effortful, and difficult to maintain. An over‐simplification of time thus contributes to the logic of blame when people fail to achieve healthy lifestyle goals, producing spoiled health identities and abject bodies as people struggle to sustain what can be unsustainable. Addressing these problems, we argue that Deleuze's philosophy offers tools to develop an alternative approach in health promotion. Deleuze affords a conceptualisation of multidimensional, embodied, and affective temporalities of health, which give rise to plural subjectivities and disrupt linear models of time. This framework affords a recognition of multiple time frames, such as histories and imagined futures that form part of a living present and shape lifestyle behaviours and identities. Deleuzian concepts that tie into his philosophy of time and form his process ontology, including monism and rhizomes, affect, becoming, and assemblages, are discussed in relation to health promotion. The article concludes that Deleuze offers a critical theory of time that enables a mapping of the ways that people embody multiplicity, non‐linearity, and fluidity as they negotiate healthy lifestyle advice. His concepts illuminate ways in which people can be oppressed and limited by discourses of healthy living, but also point to new, more affirmative directions for health promotion and healthy lifestyle advice.

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Section: Time In Health and Lifestyle Researchmentioning

confidence: 99%

Section: Towards a Critical Theory Of Timementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Deleuzian rethinking of time in healthy lifestyle advice and change

Robson¹,

Riley²

2019

Social & Personality Psych

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“…This might mean that illnesses impact on experiences of time in multiple ways. This is an important factor that cannot be advanced in whole in this paper but is attended to elsewhere (see Jowsey ).…”

mentioning

confidence: 90%

Time to manage: patient strategies for coping with an absence of care coordination and continuity

Jowsey

Dennis

Yen

et al. 2016

Sociology Health & Illness

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This paper examines how people with chronic illnesses respond to absences of continuity and coordination of care. Little work has been done on how the ill person might mitigate flaws in a less than optimal system. Our qualitative research, carried out among 91 participants in Australia, reveals that people with chronic illnesses create strategies to facilitate the management of their care. These strategies included efforts to improve communication between themselves and their health care practitioners; keeping personal up-to-date medication lists; and generating their own specific management plans. While we do not submit that it is patients' responsibility to attend to gaps in the health system, our data suggests that chronically ill people can, in and through such strategies, exert a measure of agency over their own care; making it effectively more continuous and coordinated. Participants crafted strategies according to the particular social and bodily rhythms that their ongoing illnesses had lent to their lives. Our analysis advances the view that the ill body itself is capable of enfolding the health system into the rhythms of illness - rather than the ill body always fitting into the overarching structural tempo. This entails an agent-centric view of time in illness experience. A Virtual Abstract of this paper can be found at: https://youtu.be/UwbxlEJOTx8.

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“…The past, present and future of those who were experiencing SCD were therefore defined and redefined as the experience evolved (Brown, 1995 Indeed, the conceptualisation of disruption is strongly reflected in the above data. While an argued value of the concept is in providing the basis for moving from disruption to an interrelated sense of past, present and future (Jowsey, 2016), the challenge of rewriting one's past in order to understand the present and future of SCD was not simply an issue of greater awareness. What the future held for the carer participants may have been pre-ordained by fate but in the unfolding reality became a temporal space of contradiction and uncertainty.…”

Section: )mentioning

confidence: 99%

The Construction of Sickle Cell Disorder in Saudi Arabia: The Invisible Disease

Abunar¹

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Time and chronic illness: a narrative review

Cited by 31 publications

References 52 publications

A Deleuzian rethinking of time in healthy lifestyle advice and change

A Deleuzian rethinking of time in healthy lifestyle advice and change

Time to manage: patient strategies for coping with an absence of care coordination and continuity

The Construction of Sickle Cell Disorder in Saudi Arabia: The Invisible Disease

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