Variability in Value of Health in Social Fields: Challenges and Incentives for Self-Care Practices
Research Article
Acknowledgments
The paper presents the results of the project group “Oncology and deficits of agency: practices of autonomous self-care among Russians during the crisis of biomedicine” within the support of Faculty of Social Sciences at HSE University (2020-2021). The work on the paper was carried out within the framework of the Project “Formal and informal sources for economic power in the contemporary Russian economy” at Laboratory for Studies in Economic Sociology with the support of Center of Fundamental Studies, HSE University (2021).
How to Cite
Berdysheva E.S., Belyavskiy B.A. Variability in Value of Health in Social Fields: Challenges and Incentives for Self-Care Practices. Interaction. Interview. Interpretation. 2021. Vol. 13. No. 1. P. 9-39. DOI: https://doi.org/10.19181/inter.2021.13.1.1 (in Russ.).
Abstract
Strong motivation to selfcare is assumed by design of contemporary healthcare policy. However, both western and Russian studies show motivational deficit and inattention to prevention care among population. Actual paper examines the problem of motivation as a relational choice. Opposing to the view on motivation as a part of individual will, we consider motivation as a choice between competing requirements to selfcare among multiple social fields. We collected 27 in-depth interviews with Russians from large cities and analyzed them in abductive logic. In the analysis we focused on health practices performed in the fields of family and career. The results demonstrate that individuals succeed in selfcare when the care of health appears essential for execution of important social roles.
Keywords:
agency, Bourdieu, valuation studies, healthcare policies, life satisfaction
References
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Radaev V. (2020) Millenialy: Kak menyaetsya rossijskoe obshchestvo [Millennials: How the Russian Society Changes]. 2nd ed. Moscow: Izd. dom VShE. 224 p. (In Russ.) DOI: https://doi.org/10.17323/978-5-7598-2160-1
Renedo A., Miles S., Marston C. (2020) Transitions to Adulthood: Self‐Governance and Disciplining in the Making of Patient Citizens. Sociology of Health & Illness. Vol. 42. No. 3. P. 481–495. DOI: https://doi.org/10.1111/1467-9566.13019
Savage M. et al. (2013) A New Model of Social Class? Findings from the BBC’s Great British Class Survey Experiment. Sociology. Vol. 47. No. 2. P. 219–250. DOI: https://doi.org/10.1177/0038038513481128
Savelyeva Zh.V. (2013) Komu prinadlezhit zdorov'e? Sociologicheskie diskussii i massmedijnye interpretacii [Who Owns the Health? Sociological Discussions and Media Interpretations]. Zhurnal sociologii i social'noj antropologii [The Journal of Sociology and Social Anthropology]. Vol. 26. No. 2. P. 131–141. (In Russ.)
Shaw Hughner R., Schultz Kleine S. (2008) Variations in Lay Health Theories: Implications for Consumer Health Care Decision Making. Qualitative Health Research. Vol. 18. No. 12. P. 1687–1703. DOI: https://doi.org/10.1177/1049732308327354
Strauss A. (2010) Qualitative Analysis for Social Scientists. Cambridge: Cambridge University Press. 319 p. DOI: https://doi.org/10.1017/CBO9780511557842
Suvorova O.V., Rozmainsky I.V. (2019) Disbelief in the Future and Negative Investment in Health Capital in Russia in the Mid-2010s: Survey Research. Terra Economicus. Vol. 17. No. 1. P. 41–63.
Swedberg R. (2012) Theorizing in Sociology and Social Science: Turning to the Context of Discovery. Theory and Society. Vol. 41. № 1. P. 1–40. DOI: https://doi.org/10.1007/s11186-011-9161-5
Swedberg R. (2014) The Art of Social Theory. Princeton: Princeton University Press. 288 p. DOI: https://doi.org/10.1515/9781400850358
Tavory I., Timmermans S. (2014) Abductive Analysis. Chicago: University of Chicago Press. 176 p. DOI: https://doi.org/10.7208/chicago/9780226180458.001.0001
Veenstra G. (2007) Social Space, Social Class and Bourdieu: Health Inequalities in British Columbia, Canada. Health & Place. Vol. 13. No. 1. P. 14–31. DOI: https://doi.org/10.1016/j.healthplace.2005.09.011
Veenstra G., Burnett P.J. (2014) A Relational Approach to Health Practices: Towards Transcending the Agency-Structure Divide. Sociology of Health & Illness. Vol. 36. No. 2. P. 187–198. DOI: https://doi.org/10.1111/1467-9566.12105
Zhou A. (2016) The Uncertainty of Treatment: Women’s Use of HIV Treatment as Prevention in Malawi. Social Science & Medicine. No. 158. P. 52–60. DOI: https://doi.org/10.1016/j.socscimed.2016.04.013
Zhuravlyova I.V. (2006) Otnoshenie k zdorov'yu individa i obshchestva [Attitude to the health of the individual and society]. Moscow: Nauka. 238 p. (In Russ.)
Ziguras C. (2004) Self-Care. Embodiment, Personal Autonomy and the Shaping of Health Consciousness. London: Routledge. 212 p. DOI: https://doi.org/10.4324/9780203633977
Aspers P. (2018) Forms of Uncertainty Reduction: Decision, Valuation, and Contest. Theory and Society. Vol. 47. No. 2. P. 133–149. DOI: https://doi.org/10.1007/s11186-018-9311-0
Beckert J. (2020) Markets from Meaning: Quality Uncertainty and the Intersubjective Construction of Value. Cambridge Journal of Economics. Vol. 44. No. 2. P. 285–301. DOI: https://doi.org/10.1093/cje/bez035
Bønnelycke J., Sandholdt C.T., Jespersen A.P. (2019) Household Collectives: Resituating Health Promotion and Physical Activity. Sociology of Health & Illness. Vol. 41. No. 3. P. 533–548. DOI: https://doi.org/10.1111/1467-9566.12832
Bourdieu P. (1993) Rynok simvolicheskoj produkcii [Symbolic products market]. Voprosy sociologii [Questions of sociology]. Vol. 11. No. 2. P. 84–100. (In Russ.)
Bourdieu P. (2001) Prakticheskij smysl [The Logic of Practice] / Transl., ed. by N.A. Shmatko. SPb.: Aletejya. 562 p. (In Russ.)
Bourdieu P. (2005) Razlichenie: social'naya kritika suzhdeniya [Distinction: A Social Critique of the Judgement of Taste]. Ekonomicheskaya sociologiya [Journal of Economic Sociology]. Vol. 6. No. 3. P. 25–48. (In Russ.) DOI: https://doi.org/10.17323/1726-3247-2005-3-25-48
Bourdieu P., Wacquant L. (1992) An Invitation to Reflexive Sociology. Chicago: University of Chicago Press. 384 p.
Burnett P.J., Veenstra G. (2017) Margins of Freedom: A Field‐Theoretic Approach to Class‐Based Health Dispositions and Practices. Sociology of Health & Illness. Vol. 39. No. 7. P. 1050–1067. DOI: https://doi.org/10.1111/1467-9566.12544
Caiata-Zufferey M. (2015) Genetically At-Risk Status and Individual Agency. A Qualitative Study on Asymptomatic Women Living with Genetic Risk of Breast/Ovarian Cancer. Social Science & Medicine. No. 132. P. 141–148. DOI: https://doi.org/10.1016/j.socscimed.2015.03.037
Callon M., Muniesa F. (2005) Peripheral Vision: Economic Markets as Calculative Collective Devices. Organization Studies. Vol. 26. No. 8. P. 1229–1250. DOI: https://doi.org/10.1177/0170840605056393
Cassirer E. (1953) Substance and Function / Transl. by W.C. Swabey, M.C. Swabey. New York: Dover. 465 p.
Cockerham W.C. (2005) Health Lifestyle Theory and the Convergence of Agency and Structure. Journal of Health and Social Behavior. Vol. 46. No. 1. P. 51–67. DOI: https://doi.org/10.1177/002214650504600105
Cockerham W.C. (2007) Social Causes of Health and Disease. Cambridge: Polity Press. 232 p.
Doane R. (2009) Bourdieu, Cultural Intermediaries and Good Housekeeping's George Marek. Journal of Consumer Culture. Vol. 9. No. 2. P. 155–186. DOI: https://doi.org/10.1177/1469540509104373
Doblytė S. (2019) Bourdieu’s Theory of Fields: Towards Understanding Help-Seeking Practices in Mental Distress. Social Theory & Health. Vol. 17. No. 3. P. 273–290. DOI: https://doi.org/10.1057/s41285-019-00105-0
Duveen G., Lloyd B. (2013) The Significance of Social Identities // Duveen В.G., Moscovici S., Jovchelovitch S., Wagoner B. (eds.) Development as a Social Process: Contributions of Gerard Duveen. Oxon: Routledge. P. 156–172. DOI: https://doi.org/10.4324/9780203387979
Fraser N. (2016) Contradictions of Capital and Care. New Left Review. Vol. 100. No. 19. P. 99–117.
Karavay A. (2016) Otnoshenie rossijskih rabochih k svoim resursam: finansam, zdorov'yu i svobodnomu vremeni [The Attitude of Russian Workers to Managing their Resources: Finances, Health and Spare Time]. Zhurnal issledovanij social'noj politiki [The Journal of Social Policy Studies]. Vol. 14. No. 2. P. 229–244. (In Russ.)
Maller C.J. (2015) Understanding Health through Social Practices: Performance and Materiality in Everyday Life. Sociology of Health & Illness. Vol. 37. No. 1. P. 52–66. DOI: https://doi.org/10.1111/1467-9566.12178
Mayes C. (2014) Governing through Choice: Food Labels and the Confluence of Food Industry and Public Health Discourse to Create “Healthy Consumers”. Social Theory & Health. Vol. 12. No. 4. P. 376–395. DOI: https://doi.org/10.1057/sth.2014.12
Mohr J.W. (2013) Bourdieu’s Relational Method in Theory and in Practice: From Fields and Capitals to Networks and Institutions (and Back Again) // Depelteau В.F., Powell C. (eds.) Applying Relational Sociology. Relations, Networks, and Society. New York: Palgrave Macmillan. P. 101–136. DOI: https://doi.org/10.1057/9781137407009_5
Peirce Ch.S. (2001) Principy filosofii [Principles of Philosophy]. SPb.: Sankt-Peterburgskoe filosofskoe obshchestvo. 224 p. (In Russ.)
Radaev V. (2020) Millenialy: Kak menyaetsya rossijskoe obshchestvo [Millennials: How the Russian Society Changes]. 2nd ed. Moscow: Izd. dom VShE. 224 p. (In Russ.) DOI: https://doi.org/10.17323/978-5-7598-2160-1
Renedo A., Miles S., Marston C. (2020) Transitions to Adulthood: Self‐Governance and Disciplining in the Making of Patient Citizens. Sociology of Health & Illness. Vol. 42. No. 3. P. 481–495. DOI: https://doi.org/10.1111/1467-9566.13019
Savage M. et al. (2013) A New Model of Social Class? Findings from the BBC’s Great British Class Survey Experiment. Sociology. Vol. 47. No. 2. P. 219–250. DOI: https://doi.org/10.1177/0038038513481128
Savelyeva Zh.V. (2013) Komu prinadlezhit zdorov'e? Sociologicheskie diskussii i massmedijnye interpretacii [Who Owns the Health? Sociological Discussions and Media Interpretations]. Zhurnal sociologii i social'noj antropologii [The Journal of Sociology and Social Anthropology]. Vol. 26. No. 2. P. 131–141. (In Russ.)
Shaw Hughner R., Schultz Kleine S. (2008) Variations in Lay Health Theories: Implications for Consumer Health Care Decision Making. Qualitative Health Research. Vol. 18. No. 12. P. 1687–1703. DOI: https://doi.org/10.1177/1049732308327354
Strauss A. (2010) Qualitative Analysis for Social Scientists. Cambridge: Cambridge University Press. 319 p. DOI: https://doi.org/10.1017/CBO9780511557842
Suvorova O.V., Rozmainsky I.V. (2019) Disbelief in the Future and Negative Investment in Health Capital in Russia in the Mid-2010s: Survey Research. Terra Economicus. Vol. 17. No. 1. P. 41–63.
Swedberg R. (2012) Theorizing in Sociology and Social Science: Turning to the Context of Discovery. Theory and Society. Vol. 41. № 1. P. 1–40. DOI: https://doi.org/10.1007/s11186-011-9161-5
Swedberg R. (2014) The Art of Social Theory. Princeton: Princeton University Press. 288 p. DOI: https://doi.org/10.1515/9781400850358
Tavory I., Timmermans S. (2014) Abductive Analysis. Chicago: University of Chicago Press. 176 p. DOI: https://doi.org/10.7208/chicago/9780226180458.001.0001
Veenstra G. (2007) Social Space, Social Class and Bourdieu: Health Inequalities in British Columbia, Canada. Health & Place. Vol. 13. No. 1. P. 14–31. DOI: https://doi.org/10.1016/j.healthplace.2005.09.011
Veenstra G., Burnett P.J. (2014) A Relational Approach to Health Practices: Towards Transcending the Agency-Structure Divide. Sociology of Health & Illness. Vol. 36. No. 2. P. 187–198. DOI: https://doi.org/10.1111/1467-9566.12105
Zhou A. (2016) The Uncertainty of Treatment: Women’s Use of HIV Treatment as Prevention in Malawi. Social Science & Medicine. No. 158. P. 52–60. DOI: https://doi.org/10.1016/j.socscimed.2016.04.013
Zhuravlyova I.V. (2006) Otnoshenie k zdorov'yu individa i obshchestva [Attitude to the health of the individual and society]. Moscow: Nauka. 238 p. (In Russ.)
Ziguras C. (2004) Self-Care. Embodiment, Personal Autonomy and the Shaping of Health Consciousness. London: Routledge. 212 p. DOI: https://doi.org/10.4324/9780203633977
Article
Received: 25.12.2020
Accepted: 29.03.2021
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APA
Berdysheva, E. S., & Belyavskiy, B. A. (2021). Variability in Value of Health in Social Fields: Challenges and Incentives for Self-Care Practices. Interaction. Interview. Interpretation, 13(1), 9-39. https://doi.org/10.19181/inter.2021.13.1.1
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Field work research
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