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Soc 781: Sociology of Health and IllnessClassroom: HHB 456Monday, 1-3:30pmInstructor: Mieke Beth ThomeerOffice Hours: Monday 10am-12pm or by appointmentOffice Location: HHB 460PE-mail: mthomeer@uab.edu Class Website: CanvasOverviewThis course will engage with theories, research methods, and empirical examples in the sociological study of health and illness. In this seminar, we will draw on an interdisciplinary literature—focusing primarily on sociology but also discussing public health, medicine, and other fields-- and use a range of theoretical traditions to consider how health and illness are understood. For example, how is illness subjectively understood? How do experiences of health and illness differ by race, class, gender, and sexuality, and what are the implications of these differences? How is the body shaped by health and illness? How do we best study health and illness? Logistics1) This is a seminar course. Attendance is mandatory. Students are expected to show up to every class having read all required material. The quality of our discussions depends on your full participation. 2) Each student will be expected to write a 1-2 page memo (single-spaced) responding to each week’s readings. These comments will be submitted before class to Canvas by 1 pm on Monday. You can choose to skip writing memos for two classes. These memos can be informal but they should help you focus your ideas in a way that can contribute to our conversation. You have flexibility with what you include in the memos. Each memo should include discussion of the book or at least three readings and can include (a) a critique of the readings and how these critiques could be addressed, discussing both strengths and weaknesses of the readings; (b) a synthetic analysis of some dimension of the course readings that you found compelling and warrants further discussion, including how the readings inform your own research or how they inform the field of medical sociology; or (c) how main ideas from the readings interact with and inform each other or past readings. Your memos should give me an idea of what the readings made you think about and how this relates to the larger field of medical sociology. These memos should also be helpful in crafting your final project. In addition to the memo, you should submit two to three well-crafted questions for the class to consider as a group. Questions may target what you consider the key issues/problems raised by the author(s) in question, a shortcoming in the argument/evidence, a puzzling claim, broader implications, exciting/provocative comparisons, and so forth. You can bring in ideas from earlier classes and readings, as well as from other classes and readings. These questions need to be submitted on the Discussion Board on Canvas the evening before class each week (by 5 pm on Sunday). The class leaders will consult this to construct their questions. 3) Each student will be responsible for helping me lead two class discussions. Sign-up sheets will be passed around during the first week of class, and one student will sign up for each week. As leader, your job is to introduce the material, including its strengths and weaknesses (many of the same topics you could also discuss in your memo), and to come up with a few substantive questions in the form of a 2-3 page handout (to be electronically distributed to the rest of the group by 12:50 pm on the day of class). You should pool some of these questions from those submitted by other students as well as come up with your own. Questions should cover each of the readings.4) The final assignment for this course will be a 10-15 page paper (double-spaced) on a topic related to this course. The paper can be a critical discussion of a substantive issue related to the sociology of health and illness, or you may choose to write a research proposal, drawing on theoretical perspectives and existing empirical work to identify an interesting empirical question within medical sociology. Ideally you should choose a topic that relates to your own research that you could build on and use in the future. You will meet with me in March to discuss final topic, and submit a 3-5 page proposal of your final paper in March after we meet (by March 23 at midnight). We will discuss proposed projects in class on March 23rd, and final approval for topics will be given by March 30. Students will present their research in progress in class on April 20th. You will submit your powerpoint for this presentation online before class. These presentations are both an opportunity to share your work with the class and to receive feedback on your project before finalizing your paper. The final paper is due on April 29th by midnight. PrintingAccording to department policy, you should not print your readings on the office printer.?You are free to bring a tablet or laptop to class, or print the readings at home or at another printing station on campus.? GradingClass Participation: 20%Memos and Questions:20%Leading Class:20%Proposal:10%Final Presentation:10%Final Paper:20%Grading Policy:Final grades will be based upon a standard grading scale: A = 90-100B = 80-89C = 70-79D = 60-69F = 59 and belowBooksKempner, Joanna. 2014. Not Tonight: Migraine and the Politics of Gender and Health. The University of Chicago Press. , Gayle. 2010. Pink Ribbon Blues: How Breast Cancer Culture Undermines Women’s Health. Oxford University Press. , Trevor. 2017. Punishing Disease: HIV and the Criminalization of Sickness. University of California Press. , Janet K. 2014. Heart-sick: The Politics of Risk, Inequality, and Heart Disease. NYU Press. HYPERLINK "" other readings available on Canvas.ScheduleWeek 1, Introduction: Overview of the course (January 13)What is health? What is illness? How do different disciplines approach these topics?Timmermans, S., & S. Haas. 2008. Towards a sociology of disease. Sociology of Health & Illness, 30(5), 659-676.Conrad, P., & Barker, K. K. (2010). The social construction of illness: Key insights and policy implications. Journal of Health and Social Behavior, 51(1_suppl), S67-S79.Week 2, Medicalization and Illness (January 27)Conrad, P. (2005). The shifting engines of medicalization. Journal of Health and Social Behavior, 46(1), 3-14.Clarke, A. E., Shim, J. K., Mamo, L., Fosket, J. R., & Fishman, J. R. (2003). Biomedicalization: Technoscientific transformations of health, illness, and US biomedicine. American Sociological Review, 68, 161-194.Barker, K. (2002). Self-help literature and the making of an illness identity: The case of fibromyalgia syndrome (FMS). Social Problems, 49(3), 279-300.Conrad, P., & Bergey, M. R. (2014). The impending globalization of ADHD: Notes on the expansion and growth of a medicalized disorder. Social Science & Medicine, 122, 31-43.Kitanaka, J. (2008). Diagnosing suicides of resolve: Psychiatric practice in contemporary Japan. Culture, Medicine, and Psychiatry, 32(2), 152-176.Week 3, Diagnosis (February 3) Brown, P. (1995). Naming and framing: The social construction of diagnosis and illness. Journal of Health and Social Behavior, 34-52.Jutel, A. (2009). Sociology of diagnosis: A preliminary review. Sociology of Health & Illness, 31(2), 278-299.Ebeling, M. (2011). ‘Get with the Program!’: Pharmaceutical marketing, symptom checklists and self-diagnosis. Social Science & Medicine, 73(6), 825-832.Copelton, D. A., & Valle, G. (2009). “You don't need a prescription to go gluten-free”: The scientific self-diagnosis of celiac disease.?Social Science & Medicine,?69(4), 623-631.Moore, L. R. (2014). “But we're not hypochondriacs”: The changing shape of gluten-free dieting and the contested illness experience. Social Science & Medicine, 105, 76-83.Gillespie, C. (2015). The risk experience: the social effects of health screening and the emergence of a proto‐illness. Sociology of Health & Illness, 37(7), 973-987.Week 4, Treatment and Management (February 10)Williams, S. J., Martin, P., & Gabe, J. (2011). The pharmaceuticalisation of society? A framework for analysis. Sociology of Health & Illness, 33(5), 710-725.Spencer, K. L. (2018). Transforming patient compliance research in an era of biomedicalization. Journal of Health and Social Behavior, 59(2), 170-184.Kreiner, M. J., & Hunt, L. M. (2014). The pursuit of preventive care for chronic illness: turning healthy people into chronic patients. Sociology of Health & Illness, 36(6), 870-884.Reczek, C., Gebhardt-Kram, L., Kissling, A., & Umberson, D. (2018). Healthcare work in marriage: How gay, lesbian, and heterosexual spouses encourage and coerce medical care.?Journal of health and social behavior,?59(4), 554-568.Halpin, M. (2016). The DSM and professional practice: research, clinical, and institutional perspectives.?Journal of health and social behavior,?57(2), 153-167.Week 5, Illness Culture (February 17)Sulik, G. A. (2010). Pink ribbon blues: How breast cancer culture undermines women's health. Oxford University Press.Week 6, The Sick Role and Patient Experiences (February 24)Rier, D. A. (2010). The patient’s experience of illness. Handbook of Medical Sociology, 163-178.Parsons, T. (1975). The sick role and the role of the physician reconsidered. The Milbank Memorial Fund Quarterly. Health and Society, 257-278.Burnham, J. C. (2012). The death of the sick role. Social History of Medicine, 25(4), 761-776.Perry, B. L. (2011). The labeling paradox: Stigma, the sick role, and social networks in mental illness. Journal of health and social behavior, 52(4), 460-477.Bury, M. (1982). Chronic illness as biographical disruption. Sociology of Health & Illness, 4(2), 167-182.Horwitz, A. V. (2011). Creating an age of depression: The social construction and consequences of the major depression diagnosis. Society and Mental Health, 1(1), 41-54.Week 7, Criminalization of Illness (March 2)Hoppe, T. (2017). Punishing disease: HIV and the criminalization of sickness. Univ of California Press.Week 8, The Unequal Social Distribution of Illness and Illness Experiences, Part 1 (March 9)Brown, P., Mayer, B., Zavestoski, S., Luebke, T., Mandelbaum, J., & McCormick, S. (2003). The health politics of asthma: Environmental justice and collective illness experience in the United States. Social Science & Medicine, 57(3), 453-464.Brown, P., Zavestoski, S., McCormick, S., Mayer, B., Morello‐Frosch, R., & Gasior Altman, R. (2004). Embodied health movements: New approaches to social movements in health. Sociology of Health & Illness, 26(1), 50-80.Gengler, A. M. (2014). “I want you to save my kid!” Illness management strategies, access, and inequality at an elite university research hospital. Journal of Health and Social Behavior, 55(3), 342-359.Phelan, J. C., & Link, B. G. (2005). Controlling disease and creating disparities: A fundamental cause perspective. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 60(Special_Issue_2), S27-S33.Chang, V. W., & Lauderdale, D. S. (2009). Fundamental cause theory, technological innovation, and health disparities: The case of cholesterol in the era of statins. Journal of Health and Social Behavior, 50(3), 245-260.Week 9, The Unequal Social Distribution of Illness and Treatment, Part 2 (March 23)Discuss Proposed Paper Topics in Class, Proposal due by midnight on CanvasShim, J. K. (2014). Heart-sick: The politics of risk, inequality, and heart disease. NYU Press.Week 10, Gender, Sex, and Illness, Part 1 (March 30)Kempner, J. (2014). Not tonight: Migraine and the politics of gender and health. University of Chicago Press.Week 11, Gender, Sex, and Illness, Part 2 (April 6)Clarke, L. H., & Bennett, E. (2013). ‘You learn to live with all the things that are wrong with you’: gender and the experience of multiple chronic conditions in later life.?Ageing & Society,?33(2), 342-360.Chapple, A., & Ziebland, S. (2002). Prostate cancer: embodied experience and perceptions of masculinity. Sociology of Health & Illness, 24(6), 820-841.Pudrovska, T. (2010). Why is cancer more depressing for men than women among older white adults?.?Social Forces,?89(2), 535-558.Welch, L. C., Lutfey, K. E., Gerstenberger, E., & Grace, M. (2012). Gendered uncertainty and variation in physicians’ decisions for coronary heart disease: The double-edged sword of “atypical symptoms”.?Journal of health and social behavior,?53(3), 313-328.Pryma, J. (2017). “Even my sister says I'm acting like a crazy to get a check”: Race, gender, and moral boundary-work in women's claims of disabling chronic pain. Social Science & Medicine, 181, 66-73.Kempner, J. (2017). Invisible people with invisible pain: A commentary on “Even my sister says I'm acting like a crazy to get a check”: Race, gender, and moral boundary-work in women's claims of disabling chronic pain. Social Science & Medicine, 189, 152-154.Pryma, J. (2017). Pain, citizenship, and invisibility: A response to Joanna Kempner. Social Science & Medicine, 189, 155.Week 12, Race/Ethnicity and Illness (April 13)Chae, D. H., Nuru-Jeter, A. M., Lincoln, K. D., & Francis, D. D. (2011). Conceptualizing racial disparities in health: Advancement of a socio-psychobiological approach. Du Bois Review: Social Science Research on Race, 8(1), 63-77.Fullwiley, D. (2007). The molecularization of race: Institutionalizing human difference in pharmacogenetics practice. Science as Culture, 16(1), 1-30.Moseby, K. M. (2017). Two regimes of HIV/AIDS: The MMWR and the socio‐political construction of HIV/AIDS as a ‘black disease’. Sociology of Health & Illness, 39(7), 1068-1082.Chattoo, S. (2018). Inherited blood disorders, genetic risk and global public health: Framing ‘birth defects’ as preventable in India. Anthropology & Medicine, 25(1), 30-49.Stepanikova, I. (2012). Racial-ethnic biases, time pressure, and medical decisions. Journal of Health and Social Behavior, 53(3), 329-343.Week 13, Discuss Final Projects (April 20)April 29th- Final paper due by midnight ................
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