| Handbook of the Sociologyof Health, Illness, and Healing | 3 |
---|
| Contents | 5 |
| Contributors | 9 |
| Part I: Rethinking Connecting Sociology’s Role in Health, Illness, | 9 |
| 13 | 9 |
---|
| Chapter 1: Taking “The Promise” Seriously: Medical Sociology’s Role in Health, Illness, and Healing in a Time of Social Change | 14 |
| Introduction: Taking Stock of the Intellectual and Societal Landscape of Medical Sociology | 14 |
| The Task Ahead: Mapping the Landscape of Health, Illness, and Healing for the Next Decades | 16 |
| The Metaphor of Cartography | 17 |
| Contextualizing and Researching Health, Medicine, Health Care, and the Biomedical Sciences: Time of Change from the Outside | 17 |
| Human Genome Project and the Larger Push for Understanding Context | 18 |
| The Mess that Is “Translational Science” and the Need for Sociological Clarity | 18 |
| The “Hundred Year’s War” of American Medicine and Mechanic’s Continued Call for Sociological Understandings | 19 |
| Putting Our Own House in Order: Time of Change from the Inside | 21 |
| Decoding the Discipline and the Subfield: The Three Medical Sociologies | 21 |
| The Boundary Divisions that Matter: The Three Medical Sociologies | 22 |
| Our House and Corner of the Map: Medical Sociology by and for Medical Sociology | 22 |
| Our Country: Mainstream Sociology with a Focus on Health, Illness, or Healing | 23 |
| Abandoning Home and Country for Richer, More Powerful Neighborhoods: Medical Sociologists Packed and Gone to Medicine, Public Health, and Policy | 24 |
| Triangulating the Community Map to Develop a Blueprint for the Next Decade of Research | 24 |
| Rethinking Communities and Landscapes | 24 |
| Organizing by Elevation | 25 |
| Connecting Communities | 26 |
| Connecting to Medicine: The Profession and Its Organizations | 27 |
| Connecting to the People: The Public as Patient and Powerful Force | 27 |
| Connecting Personal and Cultural Systems | 28 |
| Connecting to Dynamics: The Health and Illness Career | 28 |
| Connecting the Individual and the Body | 29 |
| Wrapping Up | 29 |
| References | 29 |
| Chapter 2: Medical Sociology and Its Relationship to Other Disciplines: The Case of Mental Health and the Ambivalent RelationshipBetween Sociology and Psychiatry | 32 |
| Introduction | 32 |
| Sociology and Mental Disorder | 32 |
| Case Study One: Social Psychiatry | 34 |
| The Heyday of Collaboration | 34 |
| Theoretical Shifts in Sociology and Psychiatry | 35 |
| Case Study Two: The Medicalisation of Stigma | 40 |
| The Challenge of the Concept of Stigma for the Psychiatric Profession | 42 |
| Case Study Three: Psychoanalysis | 43 |
| Conclusion: Between Medical and Sociological Imperialism | 44 |
| References | 46 |
| Chapter 3: Organizing the Sociological Landscape for the Next Decades of Health and Health Care Research: The Network Episode Model III-R as Cartographic Subfield Guide | 49 |
| Introduction | 49 |
| Why Networks? | 51 |
| Do We Really Need More Theories, Frameworks, and Models? | 53 |
| Fleshing Out the NEM | 54 |
| The Origins and Base of the NEM in Brief | 54 |
| Embracing Complexity Without Losing Utility: The NEM III-R | 56 |
| Defining Dynamics in the Health and Illness Career: The Core Target of the NEM III-R | 58 |
| Defining the Core Factors that Shape Illness/Disease and Treatment Pathways | 62 |
| The NEM III-R Core Subsystem: The Community | 64 |
| The Core Subsystem of the NEM III-R: Institutional Systems | 66 |
| The Core Subsystem of the NEM III-R: The Support System: Personal Networks | 67 |
| The Core Subsystem of the NEM III-R: The Individual: Self and Body | 68 |
| The Core Subsystem of the NEM III-R: The Molecular System: Genes and Proteins | 69 |
| Conceptualizing Cross-level Influences: Thinking in Fractal Terms | 69 |
| Summary: Looking Forward | 72 |
| References | 72 |
| Chapter 4: Fundamental Causality: Challenges of an Animating Concept for Medical Sociology | 77 |
| Fundamental Causality as a Concept | 78 |
| Fundamental Causality as a Theory | 80 |
| Differences in Means | 80 |
| The Ambiguity of “Resources” | 81 |
| Complements to Means | 82 |
| Fundamental Causality and Inquiry | 85 |
| Fundamental Causality and Policy | 86 |
| Conclusion | 89 |
| References | 89 |
| Part II:Connecting Communities | 92 |
| Chapter 5: Learning from Other Countries: Comparing Experiences and Drawing Lessons for the United States | 93 |
| Themes in Health Policy Research | 94 |
| Is Cost Control Best Achieved by the State or the Market? | 94 |
| Is There a Trade-Off Between Efficiency and Equality? | 94 |
| Is Health Care a Right or a Responsibility? | 95 |
| Lessons on Social Values and Ideologies | 96 |
| Public and Private Funding and Control | 96 |
| Regulating the Market | 98 |
| Lessons on Authority and Power in Decision Making | 99 |
| Rewarding and Guiding Providers | 99 |
| Rationing | 102 |
| Primary Care | 103 |
| Conclusion | 104 |
| Convincing the Dubious and Shaping Policy | 105 |