The context of empowerment and self-care within the field of diabetes

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25 Citations (Scopus)

Abstract

There is a growing emphasis within the diabetes literature on the importance of empowerment as a way of encouraging people to take control of and responsibility for the successful management of their disease. Patients are actively encouraged to become active participants in their care, and there is an expectation that health-care professionals will facilitate this process. This article uses Bourdieu’s concept of field, as a bounded social space in which actors conduct their lives day-to-day, to explore the context within which issues of empowerment are addressed and negotiated. The practice of empowerment within the biologically defined and biomedically ‘policed’ field of diabetes is explored using empirical data from a study of diabetes health-care professionals’ understanding and practices around empowerment. It is concluded that rather than promoting active self-management and empowerment, the nature of the field of diabetes, and in particular its privileging of the biomedical, can mitigate against people with diabetes negotiating the field effectively and taking control of the disease and its management.
Original languageEnglish
Pages (from-to)545-560
Number of pages16
JournalHealth: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine
Volume18
Issue number6
Early online date1 Apr 2014
DOIs
Publication statusPublished - Nov 2014

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