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This paper advances a psychosocial hypothesis in understanding relations between recipients, and providers, of health and social care. In doing so, it draws on psychoanalytically informed work which considers the relation between the internal and external worlds and more generally the wider social context. The particular hypothesis in this paper relates to an understanding of an abusive form of relating underpinned by shame and envy. The paper suggests that exposure to these feeling states is more prevalent in a social world marked by increasing inequalities and environmental failures. This argument is underpinned with reference to qualitative and quantitative research, suggesting that antagonistic relationships are increasing and are part of a significant change in the culture. The argument is illustrated by a single detailed description of an initial consultation in an NHS psychotherapy service. An examination of the social context suggests how unhelpful or abusive relations may be manifest between health care providers and recipients, in care organizations and in the wider social world. This aspect of the argument is constructed with reference to relevant organizational and sociological literature. It is suggested that established relations of this type act to limit development, in this case a social development. [ABSTRACT FROM AUTHOR]

The paper suggests that the state is subject to assessment according to principles of social justice because state institutions or practices exercise forms of power over which no particular person has control. This rationale for assessment of social justice equally applies to legally optional or informal social practices. But it does not apply to individual conduct. Indeed, it follows that principles of social justice cannot provide a basis for the assessment and guidance of individual choice. The paper develops this practice-based conception of the subject of justice by rejoining G. A. Cohen's influential critique of Rawls’ focus on the“basic structure” of society. [ABSTRACT FROM AUTHOR]

This paper addresses spatial inequality as an emerging specialty area in sociology. Rural sociologists have long attended to spatial inequalities. The authors tend to view their work as uniquely centered on the rural experience, as opposed to occupying the forefront of spatializing stratification theory and of sociology as a whole. First the development of sociological interest in spatial inequality is discussed, providing an overview of factors that have contributed to a spatial trend in the study of stratification. Then, the implications for rural sociology are discussed, describing how rural sociologists contribute to research on spatial inequality, and distinguishes the approach of rural sociology from those of other subfields and disciplines. Finally, some examples of research in this emerging specialty area are highlighted by drawing from papers included in this issue. The authors call for the development of research based on qualitative approaches to provide deeper insights into the processes linking space with stratification, both from the perspective of people who are disadvantaged and from the standpoint of those who enjoy an advantage because of such a connection. They encourage the development of international and cross-national research on spatial inequality to broaden the understanding of the links between space and inequality.