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Sick role is a term used in medical sociology regarding sickness and the rights and obligations of the affected. [1] It is a concept created by American sociologist Talcott Parsons in 1951. [2] The sick role fell out of favour in the 1990s replaced by social constructist theories. [3]
Parsons was a functionalist sociologist, who argued that being sick means that the sufferer enters a role of 'sanctioned deviance'. This is because, from a functionalist perspective, a sick individual is not a productive member of society. The patterns of sickness are often caused by persistent pain which helps to support their attitude of not wanting to take positive action to get better. [4] [5] Therefore this deviance needs to be policed, which is the role of the medical profession. Generally, Parsons argued that the best way to understand illness sociologically is to view it as a form of deviance which disturbs the social function of the society.
The general idea is that the individual who has fallen ill is not only physically sick, but now adheres to the specifically patterned social role of being sick. ‘Being Sick’ is not simply a ‘state of fact’ or ‘condition’, it contains within itself customary rights and obligations based on the social norms that surround it. The theory outlined three rights of a sick person and two obligations:
There are three versions of sick role:
Critics of Parsons and the functionalist perspective point to different flaws they see with his argument. The model assumes that the individual voluntarily accepts the sick role, and ignores that the individual may not comply with expectations of the sick role, may not give up social obligations, may resist dependency, and may avoid the public sick role, particularly if their illness is stigmatized. The model also blames the sick, where “rights” do not always apply.
The sick role fell out of favour in the 1990s, with alternatives conceptualisations in terms of labeling theory viewing illness as a social construction to label socially deviant as inferior, with the medical system and physicians used as a means of control. Burnham argues that this rejection was combined with an explicit or implicit rejection of the idea unconscious (replaced with cognitive-behavioral theories) together with an explicit or implicit adoption of a Marxist perspective that disease was caused by economic circumstances. [3] : 76
A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical conditions that are associated with specific signs and symptoms. A disease may be caused by external factors such as pathogens or by internal dysfunctions. For example, internal dysfunctions of the immune system can produce a variety of different diseases, including various forms of immunodeficiency, hypersensitivity, allergies, and autoimmune disorders.
Talcott Parsons was an American sociologist of the classical tradition, best known for his social action theory and structural functionalism. Parsons is considered one of the most influential figures in sociology in the 20th century. After earning a PhD in economics, he served on the faculty at Harvard University from 1927 to 1973. In 1930, he was among the first professors in its new sociology department. Later, he was instrumental in the establishment of the Department of Social Relations at Harvard.
A role is a set of connected behaviors, rights, obligations, beliefs, and norms as conceptualized by people in a social situation. It is an expected or free or continuously changing behavior and may have a given individual social status or social position. It is vital to both functionalist and interactionist understandings of society. Social role theory posits the following about social behavior:
Robert King Merton was an American sociologist who is considered a founding father of modern sociology, and a major contributor to the subfield of criminology. He served as the 47th president of the American Sociological Association. He spent most of his career teaching at Columbia University, where he attained the rank of University Professor. In 1994 he was awarded the National Medal of Science for his contributions to the field and for having founded the sociology of science.
Structural functionalism, or simply functionalism, is "a framework for building theory that sees society as a complex system whose parts work together to promote solidarity and stability".
Role theory is a concept in sociology and in social psychology that considers most of everyday activity to be the acting-out of socially defined categories. Each role is a set of rights, duties, expectations, norms, and behaviors that a person has to face and fulfill. The model is based on the observation that people behave in a predictable way, and that an individual's behavior is context specific, based on social position and other factors. Research conducted on role theory mainly centers around the concepts of consensus, role conflict, role taking, and conformity. The theatre is a metaphor often used to describe role theory.
Medicalization is the process by which human conditions and problems come to be defined and treated as medical conditions, and thus become the subject of medical study, diagnosis, prevention, or treatment. Medicalization can be driven by new evidence or hypotheses about conditions; by changing social attitudes or economic considerations; or by the development of new medications or treatments.
Labeling theory posits that self-identity and the behavior of individuals may be determined or influenced by the terms used to describe or classify them. It is associated with the concepts of self-fulfilling prophecy and stereotyping. Labeling theory holds that deviance is not inherent in an act, but instead focuses on the tendency of majorities to negatively label minorities or those seen as deviant from standard cultural norms. The theory was prominent during the 1960s and 1970s, and some modified versions of the theory have developed and are still currently popular. Stigma is defined as a powerfully negative label that changes a person's self-concept and social identity.
Neofunctionalism is the perspective that all integration is the result of past integration. The term may also be used to literally describe a social theory that is "post" traditional structural functionalism. Whereas theorists such as Jeffrey C. Alexander openly appropriated the term, others, such as the post-structuralist philosopher Michel Foucault, have been categorized as contemporary functionalists by their critics.
Verstehen, in the context of German philosophy and social sciences in general, has been used since the late 19th century – in English as in German – with the particular sense of the "interpretive or participatory" examination of social phenomena. The term is closely associated with the work of the German sociologist Max Weber, whose antipositivism established an alternative to prior sociological positivism and economic determinism, rooted in the analysis of social action. In anthropology, Verstehen has come to mean a systematic interpretive process in which an outside observer of a culture attempts to relate to it and understand others.
Social stigma is the disapproval of, or discrimination against, an individual or group based on perceived characteristics that serve to distinguish them from other members of a society. Social stigmas are commonly related to culture, gender, race, socioeconomic class, age, sexual orientation, body image, physical disability, intelligence or lack thereof, and health. Some stigma may be obvious, while others are known as concealable stigmas that must be revealed through disclosure. Stigma can also be against oneself, stemming from negatively viewed personal attributes in a way that can result in a "spoiled identity".
From a sociological perspective, deviance is defined as the violation or drift from the accepted social norms.
A sociological theory is a supposition that intends to consider, analyze, and/or explain objects of social reality from a sociological perspective, drawing connections between individual concepts in order to organize and substantiate sociological knowledge. Hence, such knowledge is composed of complex theoretical frameworks and methodology.
Sociology of terrorism is a field of sociology that seeks to understand terrorism as a social phenomenon. The field defines terrorism, studies why it occurs and evaluates its impacts on society. The sociology of terrorism draws from the fields of political science, history, economics and psychology. The sociology of terrorism differs from critical terrorism studies, emphasizing the social conditions that enable terrorism. It also studies how individuals as well as states respond to such events.
Deviance or the sociology of deviance explores the actions and/or behaviors that violate social norms across formally enacted rules as well as informal violations of social norms. Although deviance may have a negative connotation, the violation of social norms is not always a negative action; positive deviation exists in some situations. Although a norm is violated, a behavior can still be classified as positive or acceptable.
Sociology is a social science that focuses on society, human social behavior, patterns of social relationships, social interaction, and aspects of culture associated with everyday life. In simple words sociology is the scientific study of society. It uses various methods of empirical investigation and critical analysis to develop a body of knowledge about social order and social change. While some sociologists conduct research that may be applied directly to social policy and welfare, others focus primarily on refining the theoretical understanding of social processes and phenomenological method. Subject matter can range from micro-level analyses of society to macro-level analyses.
In sociology, action theory is the theory of social action presented by the American theorist Talcott Parsons.
Medical sociology is the sociological analysis of medical organizations and institutions; the production of knowledge and selection of methods, the actions and interactions of healthcare professionals, and the social or cultural effects of medical practice. The field commonly interacts with the sociology of knowledge, science and technology studies, and social epistemology. Medical sociologists are also interested in the qualitative experiences of patients, often working at the boundaries of public health, social work, demography and gerontology to explore phenomena at the intersection of the social and clinical sciences. Health disparities commonly relate to typical categories such as class and race. Objective sociological research findings quickly become a normative and political issue.
Eliot Freidson was a sociologist and medical sociologist who worked on the theory of professions. Charles Bosk says that Freidson was a founding figure in medical sociology who played a major role in the growth and legitimization of the subject. The American Sociological Society awards the Eliot Freidson Outstanding Publication Award for medical sociology every two years.
Profession of Medicine: A Study of the Sociology of Applied knowledge is a book by medical sociologist Eliot Freidson published in 1970. It received the Sorokin Award from the American Sociological Association for most outstanding contribution to scholarship, and has been translated into four languages.