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Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/26790

Title: Chronic obstructive pulmonary disease (COPD), illness narratives and Elias's sociology of knowledge
Authors: Malcolm, Dominic
Orme, Mark W.
Morgan, Mike
Sherar, Lauren B.
Keywords: UK
Illness narratives
COPD
Elias
Emotions
Bio-psycho-social approach
Issue Date: 2018
Publisher: © Elsevier
Citation: MALCOLM, D. ...et al., 2018. Chronic obstructive pulmonary disease (COPD), illness narratives and Elias's sociology of knowledge. Social Science & Medicine, 192, pp. 58-65.
Abstract: This paper draws on Elias’s sociology of knowledge to provide a critical assessment of illness narratives. Focusing on a cohort of chronic obstructive pulmonary disease (COPD) patients (n=26), the paper employs a comparative analysis of mixed method data derived from qualitative interviews, quantitative questionnaires, and physiological and accelerometer testing. The article firstly compares four narratives conveyed in interviews with the broader paradigmatic approach to illness narratives and existing COPD-specific studies. It then explores the relationship between these ‘stories’ and COPD patients’ biographical contingencies (e.g. age, wealth, context of diagnosis) and embodied condition (e.g. co-morbidities, lung function), demonstrating how illness narratives are shaped by both broader social structural factors and embodied experience. Invoking Elias we further find that different narrative subthemes are varyingly affected by patients’ emotional engagement and ontological security and thus that people are differently enabled or constrained to present illness narratives that are consistent with their broader social and physical condition. Consequently, while narratives, social structure and embodied experience are interdependent, our reading of ‘truth’ must be sensitive to the social positioning of the ‘teller’ and the specific content being relayed. The paper therefore presents a more systematic, comparative, bio-psycho-social analysis than has hitherto been produced.
Description: This paper is in closed access until 18th Sept. 2018.
Version: Accepted for publication
DOI: 10.1016/j.socscimed.2017.09.022
URI: https://dspace.lboro.ac.uk/2134/26790
Publisher Link: https://doi.org/10.1016/j.socscimed.2017.09.022
ISSN: 0277-9536
Appears in Collections:Closed Access (Sport, Exercise and Health Sciences)

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