Theorising rehabilitation: Actors and parameters shaping normality, liminality and depersonalisation in a UK hospital.

amputee and neurological services depersonalisation inpatient rehabilitation liminality normality

Journal

Sociology of health & illness
ISSN: 1467-9566
Titre abrégé: Sociol Health Illn
Pays: England
ID NLM: 8205036

Informations de publication

Date de publication:
03 2021
Historique:
revised: 14 01 2021
received: 23 07 2020
accepted: 20 01 2021
pubmed: 27 4 2021
medline: 27 10 2021
entrez: 26 4 2021
Statut: ppublish

Résumé

Sociological concern for rehabilitation remains limited. This paper aims to contribute to rehabilitation theory. It examines two units of a specialist rehabilitation hospital in the UK (amputee and neurological services) by focusing on the key actors involved - families, patients, staff - and the parameters shaping their relationships. The findings extend previous theoretical understandings of rehabilitation in three themes: normality, liminality and depersonalisation. We argue, first: normality is constantly negotiated amongst the different actors. This complicates existing works' critique of rehabilitation as reproducing the ideology of normality. Second, discourses produced during acute care shape the inpatient rehabilitation experience. This calls attention to the pre-rehabilitation phase and complicates existing works' emphasis on the transition from inpatient stay to the time of discharge. Finally, inpatient rehabilitation is notable in rendering the adverse effects of depersonalisation apparent. It combines the bureaucracy of a regular hospital ward, with institutionalising aspects of long-term care. These findings have a potential to enhance practice as well as knowledge. We call for a deeper sociological attention, combining theory-building with empirical data for a better understanding of inpatient rehabilitation.

Identifiants

pubmed: 33899271
doi: 10.1111/1467-9566.13252
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

713-731

Informations de copyright

© 2021 Foundation for Sociology of Health & Illness.

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Auteurs

Dikmen Bezmez (D)

Department of Sociology, Koç University, Istanbul, Turkey.

Tom Shakespeare (T)

Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.

Kate Lee (K)

Norfolk Community Health & Care NHS Trust, London, UK.

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