March 1982
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76 Reads
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1,291 Citations
The British Journal of Sociology
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March 1982
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76 Reads
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1,291 Citations
The British Journal of Sociology
November 1981
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22 Reads
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93 Citations
Contemporary Sociology A Journal of Reviews
May 1981
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99 Reads
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95 Citations
Social Science & Medicine Part A Medical Sociology
The dominance of the medical model and the categories that derive from it have inhibited the development of more independently sociological perspectives on illness. Using the case of epilepsy, this paper compares the standard medical typology of characteristic seizure patterns (grand mal, petit mal, psychomotor, etc.) to a sociological typology that emerges from our depth interviews with 80 people who have epilepsy. Our preliminary analysis yields a typology of characteristic ways of dealing with epilepsy based on how the condition is experienced by those who have it. Grounded types of adaptation are presented in terms of “adjusted” (including “pragmatic”, “secret” and “quasi-liberated”) and “unadjusted” (including “debilitated”) reactions. Comparison allows us to examine toward what ends typologies are constructed and highlights the different insights of medical and sociological perspectives on epilepsy. A sociological typology constructed independent of and complementary to the medical one illuminates the social experience of illness in a new way.
October 1980
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98 Reads
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216 Citations
Social Problems
In this paper we extend and modity the metaphor of being in or out of the closet to analyze how people manage information to control the stigma potential of epilepsy. Based on 80 depth interviews, our analysis offers an “insider's” perception of stigma. We demonstrate how concealment strategies can be learned from coaches, that strategies for concealment vary, and that rather than simply indicating a situation one is in or out of, the closet of epilepsy has a revolving door. We also find, paradoxically, that both “instrumental telling” and concealing can be means to the same ends. We conclude by discussing how being in the closet with illness doubly isolates individuals from one another.
February 1980
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220 Reads
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128 Citations
Social Science & Medicine Medical Psychology and Medical Sociology
Abstract-In a recent issue of this journal, P. M. Strong presented a critique of the thesis of medical imperialism. We find his conceptualization of medical “imperialism” problematic and his view of medicalization unnecessarily narrow. Medicalization occurs not only on the level of doctor-patient interactions, but on conceptual and institutional levels as well. Strong's critique is marred by an irrelevant and unconvincing argument positing a thesis of sociological imperialism. While we concur with some of Strong's points, we challenge others in an attempt to clarify some of the misunderstood aspects of the medicalization thesis.
... A growing body of research suggests that transgender individuals may exhibit higher rates of neurodivergence than the general population [47]. This intersection is not coincidental but reflects shared experiences of medicalization and pathologization that have historically marginalized these groups [18]. Because these identities often intersect, biases that affect either group can compound. ...
March 1982
The British Journal of Sociology
... "Deviant behaviors" were among the first problems to become medicalized. With their seminal contribution, "From Badness to Sickness," Conrad and Schneider (1992) revealed that many phenomena that were once treated by religion or the justice system are now understood to be medical problems. This transfer of the social control of deviance to the field of medicine has accompanied the modernization of societies. ...
November 1981
Contemporary Sociology A Journal of Reviews
... There are various theories regarding the dimensions of stigma, one being Goffman's argument that individuals who possess undesirable or discrediting attributes are stigmatized by society, resulting in decreased social status [11]. Others have proposed that whether individuals view themselves as stigmatized depends on whether they see themselves that way [12]. Physical disability can elicit labeling, stereotyping, and discrimination from society, while intrapersonal responses to stigma can lead to psychological stress, mood disturbance, fear, limitations in participation, and increased disability [13]. ...
October 1980
Social Problems
... Epilepsy was once the poster child of medical sociology. In the 1980s, it was the focus of seminal theoretical publications on stigma (Scambler, 1989), and sociological versus biomedical models of illness (Schneider & Conrad, 1981). Epilepsy-related research has continued to the present day (Shostak & Fox, 2012;Walker et al., 2014;Webster, 2019;Weckesser et al., 2017), but the field has yet to embrace an important development in contemporary epilepsy care -the use of technology to monitor and manage the condition. ...
May 1981
Social Science & Medicine Part A Medical Sociology
... To be medicalised, a problem or behaviour must be "defined in medical terms, described using medical language, understood to the adoption of a medical framework, or treated with a medical intervention" (Conrad, 1992, p. 211). Conrad and Schneider proposed three levels of medicalisation which have retained their relevance; the conceptual, institutional, and doctor-patient level (Conrad & Schneider, 1980). The conceptualisation of social problems as medical problems begins with the ways in which people are identified and talked about as having deviant/abnormal characteristics and behaviours, allowing them entry into a system of medical governance voluntarily or via compulsory detention (i.e., institutional). ...
February 1980
Social Science & Medicine Medical Psychology and Medical Sociology