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This paper reviews the author's experience in becoming a medical sociologist before the field had become formalized. The contributions to medical sociology of sociologist Selden D. Bacon and physician and medical educator William R. Willard are described. The relationship of medical sociology to medical behavioral science, as experienced at the University of Kentucky, is discussed. Finally, the thesis of the author's 1957 paper on the nature and status of medical sociology is re-examined. [ABSTRACT FROM AUTHOR]

Social epidemiology, as defined by the textbook of the same name (Berkman et al., 2014) is "that branch of epidemiology concerned with the way that social structures, institutions, and relationships influence health" (p. 2). As our Special Issue commemorates the 50th anniversary of Social Science & Medicine, it is worth noting that the Social Epidemiology office within the journal has existed only for a fraction of that time (fifteen years). So what has been learned in the fifteen years since the establishment of the new office? In this commentary, we spotlight some of the achievements, substantive topics, and future trends in the research papers that we have featured in our Section of the journal., (Copyright © 2017 Elsevier Ltd. All rights reserved.)

Psychiatric social work began in the early twentieth century as a result of a movement for community care of the mentally ill. Formerly preoccupied with institutional care of the mentally ill, psychiatrists now became interested in the control and prevention of mental illness in the community. This paper reviews the contemporary literature on early psychiatric social work. The paper then discusses the mental hygiene movement and early psychiatric social work practice. It concludes with a consideration of the changes in psychiatric social work which accompanied World War I. [ABSTRACT FROM AUTHOR]

This paper argues that children, as an important social group, repay study in connection with the sociology of health and illness. The paper outlines the neglect of children within medical sociology and goes on to open up a discussion towards a sociology of child health. The paper makes three main points. First, consideration of the case of health and illness helps understanding of children's social positioning as a minority group. Secondly, children present a clear case for considering people as embodied health care actors. Thirdly, taking account of children in the sociology of health requires rethinking the division of labour and inter-generational relationships within it. [ABSTRACT FROM AUTHOR]

Summary The National Health Service Act 1946 transferred responsibility for the non-voluntary hospitals and certain clinical services from the public health departments of counties and county boroughs to new regional hospital boards, thereby substantially reducing the functions of their medical officers of health and creating a separate cadre of doctors concerned with the planning and management of hospital and specialist services. At around the same time there was pressure to develop in each medical school a department of social and preventive medicine with fulltime staff involved in research work. Reviewing the situation 20 years later, the Royal Commission on Medical Education recommended that doctors in public health, medical administration or related teaching and research should form a single professional body concerned with the assessment of specialist training for and standards of practice in 'community medicine'. Immediately after the publication of the Commission's Report in 1968, J. N. Morris invited leaders in the three strands of activities to meet and discuss the proposal. A series of informal meetings led to the setting up, in 1969, of a Working Party (chairman, J. N. Morris) which negotiated with the Royal Colleges of Physicians of Edinburgh, Glasgow and London for them to create a faculty of community medicine. In November 1970 the Colleges set up a Provisional Council (chairman, W. G. Harding), later Board, and the Faculty formally came into existence on 15 March 1972. The key decisions and some of the complications and hitches encountered in achieving this radical outcome are described in this paper. [ABSTRACT FROM PUBLISHER]

This paper offers a review of recent approaches in the 'social constructionism' of medical knowledge. It argues that 'constructionist' propositions offer a bold attempt to resolve some of the problems in earlier formulations of the sociology of medical knowledge, particularly those of Eliot Freidson. However, the paper goes on to argue that social constructionism has failed to tackle the inherent relativism in its stance and that it frequently rests on contradictory intellectual and value premises. The paper concludes that both policy considerations and theoretical consistency require a critical appraisal of social contructionism and its future role in medical sociology. [ABSTRACT FROM AUTHOR]

This paper draws upon sociological theory to demonstrate that the manufacture and deployment of trust is an integral part of the function of complex systems such as health care. The discussion begins by identifying the error within the nursing literature which arises from a rather technical conceptualization of trust. This tends to limit the dimensions to trust which is established, and fails to recognize that trust may be subject to competition and conflict. The paper continues by drawing upon the work of two theorists, Niklas Luhmann and Susan P. Shapiro, to demonstrate how trust functions within systems such as health care and the mechanisms through which it is controlled. The title of this paper, 'Towards a politics of trust', identifies that this is merely the first stage in the analysis. Further stages are necessary which analyse the ways in which power is exercised in the conflict for control within discrete elements of the system. [ABSTRACT FROM AUTHOR]

This paper addresses current contentions that medical sociology is handicapped as both a scholarly and a policy science by its subordinate relationship to the more powerful field of medicine. An analysis of all research articles published in the JOURNAL OF HEALTH AND SOCIAL BEHAVIOR which focus upon patients reveals the following: (1) the presence, in the majority, of implicit and explicit medical value assumptions influencing all stages of the research process, from the definition of problems and variables through the application of findings to health policy; (2) a tendency for cases of "medical bias" to be associated with collaborative research in which the sociologist is wholly or partly dependent upon medical sponsorship and definition of the research situation. Consequences of this situation for the human subjects of research as well as for the field are discussed. A conclusion is that both our subjects' interests and the theoretic and political integrity of the field are best served by maximizing professional autonomy vis-à-vis medicine. A proposal for studying the structure of working arrangements concludes the paper. [ABSTRACT FROM AUTHOR]

In medicine and the social sciences, researchers often measure only a handful of variables simultaneously. The underlying assumption behind this methodology is that combining the results of dozens of smaller studies can, in principle, yield as much information as one large study, in which dozens of variables are measured simultaneously. Mayo-Wilson (Philos Sci 78(5):864–874, 2011, Br J Philos Sci 65(2):213–249, 2013. 10.1093/bjps/axs030) shows that assumption is false when causal theories are inferred from observational data. This paper extends Mayo-Wilson's results to cases in which experimental data is available. I prove several new theorems that show that, as the number of variables under investigation grows, experiments do not improve, in the worst-case, one's ability to identify the true causal model if one can measure only a few variables at a time. However, stronger statistical assumptions (e.g., Gaussianity) significantly aid causal discovery in piecemeal inquiry, even if such assumptions are unhelpful when all variables can be measured simultaneously. [ABSTRACT FROM AUTHOR]

Copyright of Taiwanese Journal of Sociology is the property of Taiwanese Sociological Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: NEETs (young people not in employment, education or training) are at higher risk for poorer mental and physical health. In France, the Missions locales (MLs) are the only social structures dedicated to this population. We sought to determine whether the systematic offer of a social and preventive medicine consultation at a ML might increase NEET participants’ access to training in the 12 months following the intervention. Methods: This intervention research was a parallel randomised controlled interventional study conducted at five MLs in mainland France in 2011–2012. It included 976 NEETs aged 18 to 25 years who attended one of the five MLs. At inclusion, participants were randomly assigned (1:1:1) to three groups: those in the first group were invited to see a social worker (not studied in this paper), those in the second group were invited to see a doctor and a social worker (intervention group), and the third was a control group. The primary outcome was participation in at least one training session during the year following study inclusion. Results: Among the 976 participants, 504 were randomly assigned to the intervention group and 472 to the control group; 704 (72.1%) were included in the analyses. A significantly higher proportion of the participants in the intervention group participated in a training session in the 12 months following the intervention than of those in the control group (63.3% vs 55.6%; p = 0.04). This difference was significantly greater for women, those less than 21 years of age, those unstably housed and those with a lower level of education. Conclusions: Social and preventive medicine consultations that are fully integrated into the social services for NEETs have an impact on their access to training and contribute to changing some of their health-related behaviours. This may improve their access to the labour market. [ABSTRACT FROM AUTHOR]

Background: Growing attention is being paid to the importance of trust, and its corollaries such as mistrust and distrust, in health service and the central place they have in assessments of quality of care. Although initially focussing on doctor-patient relationships, more recent literature has broadened its remit to include trust held in more abstract entities, such as organisations and institutions. There has consequently been growing interest to develop rigorous and universal measures of trust. Methods: Drawing on illustrative ethnographic material from observational research in a UK diabetes clinic, this paper supports an approach that foregrounds social practice and resists conceiving trust as solely a psychological state that can be divorced from its context. Beyond exploring the less-than-conscious nature of trust, the interpretations attend to the extent to which trust practices are distributed across a range of actors. Results: Data from clinical encounters reveal the extent to which matters of trust can emerge from the relationships between people, and sometimes people and things, as a result of a wide range of pragmatic concerns, and hence can usefully be conceived of as an extended property of a situation rather than a person. Trust is rarely explicitly articulated, but remains a subtle feature of experience that is frequently ineffable. Conclusions: A practice approach highlights some of the problems with adopting a general psychological or intellectualist conception of trust. In particular, assuming it is a sufficiently stable internal state that can be stored or measured not only transforms a diffuse and often ephemeral quality into a durable thing, but ultimately presents it as a generic state that has meaning independent of the specific relationships and context that achieve it. Emphasising the context-specific nature of trust practices does not dismiss the potential of matters of trust, when they emerge, to be transposed to other contexts. But it does highlight how, on each occasion, trust as a relational quality is ways 'done' or 'achieved' anew. [ABSTRACT FROM AUTHOR]

In recent years, social network has been given much interest. The explosion of social network activity has lead to generation of massive volumes of user-related data and has given birth to a new area of data analysis. In parallel, the last decade witnessed a fastidious interest in the data mining which efficiently find hidden knowledge that can be extracted from applied information, namely, social data. Among the most used data mining techniques, we particularly focus on cyclic constraint-based association rules. In this paper, we aim to derive significant cyclic constraint-based association rules from social data. Thus, we introduce a new approach EMC2 for social mining through constraint-based cyclic association rules extraction. The encouraging experimental results carried out prove the usefulness of our approach. [ABSTRACT FROM AUTHOR]

Sociologists in general, and medical sociologists in particular, are committed to the pro position that the stratification system within an organization is a consequential feature affecting task performance. Studies which actually demonstrate such consequences, however, are rare. This is the first c/two papers which demonstrate that differentially stratified hospital units vary in their performance of medical tasks. The two papers involve the measurement of performance from three standard perspectives: the objective (based on medical records); the reputational (based on superiors' ratings of the interne); and the subjective (reports by internes on their own behavior). The present paper deals with the latter two kinds of evidence. The data indicate that, from the standpoint of both the interne's report and the ratings assigned to him by his medical superiors, stratification is related to medical performance. [ABSTRACT FROM AUTHOR]

Previous research has documented the influence of overwork and inflexible hours on work-life conflict for working professionals. In this paper, we build on this literature and explore the novel theoretical concept of work-work conflict, a form of inter-role conflict analogous to work-life conflict. Drawing on 48 in-depth interviews with 42 physicians and survey data of 60 faculty at a prominent west-coast academic medical center, we find that work-work conflict is fueled by institutional structural characteristics. Institutional incentives, the extent of recognition for various work activities, and financial rewards are misaligned, causing physicians to experience competing demands across multiple organizational missions (research, teaching, clinical care, and administration/service). Other industries may face similar conditions leading to work-work conflict. We conclude that work-life interventions are necessary but not sufficient to increase employee satisfaction, and that mechanisms to alleviate work-work conflict must be incorporated in practical solutions to address burnout. [ABSTRACT FROM AUTHOR]

Vienna University professor J.P. Frank and Berlin University professor Ch.W. Hufeland were pioneers of medical prophylaxis in Europe. Concepts created by them were based on the same ideological grounds (populationism, cameralism) and were in the mainstream of European clinical medicine modernization process. Both authors used the same pathology concept (humoral pathology) explaining diseases origination and their course in organisms. Most of their recommendations in line with prophylaxis were similar. However, there were also differences. J.P. Frank created his public medicine model of prophylaxis as an important factor in Austria where most of its citizens were illiterate at the end of 18th century. He focused on state activities to ensure the efficiency and he recommended police surveillance over it. Ch.W. Hufeland created his prophylaxis concept for the Prussian state where the illiterates were in the minority. He could realistically consider implementation of lifestyle rationalization and personal self-control compliant to clinical medicine in the whole population, not only among the elites. The purpose of the paper is to show the basis of both prophylaxis programmes and context of their creation. [ABSTRACT FROM AUTHOR]

Objective The objective of this works is to report the results of a systematic review to evaluate the role of attachment in adjustment to cancer for patients and those close to them. Methods A systematic search of electronic databases was undertaken, identifying literature published up to June 2013. PsychINFO, Medline and the Cumulative Index to Nursing & Allied Health Literature were searched using search strings related to cancer, relationships, attachment and commonly assessed self-report psychosocial outcome measures. Extracted papers were assessed for their relevance. Key data were extracted to spreadsheets, and two raters coded the quality of the research. Results Following inclusion assessment, data were extracted from 15 quantitative studies. Scores from patients or caregivers on attachment questionnaires did not differ greatly from normative data. A more insecure attachment style has poorer outcomes for patients in terms of their psychological adjustment to cancer and their ability to perceive and access social support. A secure attachment style is associated with positive growth and better well-being. A more insecure attachment style in caregivers was associated with depression, higher caregiving stress, less autonomous motivations for caregiving and difficulties with caregiving. Conclusions An awareness of attachment theory and the ways in which different forms of insecure attachment impact on patients and caregivers and their well-being may substantially improve the ability of those working with cancer patients and their families to better understand and provide for their support needs. The development and evaluation of support interventions tailored to different attachment styles remains a longer-term goal. Copyright © 2014 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

The collection of Vladimir Ćepulić's photographs named The Housing Misery in Zagreb, with wagon apartments as one of its main themes, documents the perception of tuberculosis, particularly its epidemiological aspect, between the two world wars. The representation of tuberculosis as a threat is realized in these photographs through the demonstration of dire housing conditions in which parts of Zagreb's poverty-stricken population resided. Ćepulić's photographs are discussed in this paper in relation to the history of public health research and its implications for social work. By publishing and exhibiting these photographs, Ćepulić insisted on raising the public consciousness about potential focal points of tuberculosis and its means of spreading. His ultimate goal was to improve the housing conditions, develop the city infrastructure and curb poverty. The new concept of protecting the health through prevention and broader societal changes is underscored in photography as the ever more popular method used in public health campaigns. The preserved collection of photographs is a unique document of this phase of Zagreb's history and a pioneering effort in social photography. [ABSTRACT FROM AUTHOR]

The so-called social determination is a key concept for Latin American Social Medicine (LASM). LASM criticizes epidemiology frequently, mainly because of its reductionist vision and its distance from social reality. This paper makes an opposite analysis, in other words, 21st century epidemiology criticizes LASM, using the disciplinary development in Colombia as an example. The history of Colombian epidemiology is reviewed, noting that it has not had sufficient development and that LASM tends to reject quantitative methods based on the epidemiological practices used four decades ago. Additionally, some developments of the quantitative methods used in epidemiology are reviewed, explaining that many of the limitations indicated by LASM have been overcome. In conclusion, LASM uses social determination as part of its leftist political platform; however, current quantitative methods and the 21st century theoretical developments in epidemiology show a pragmatic superiority, useful for solving current public health issues.

Background: As global health interest has risen, so too has the relevance of education on the social determinants of health and health equity. Social medicine offers a particularly salient framework for educating on the social determinants of health, health disparities, and health equity. SocMed and EqualHealth, 2 unique but related organizations, offer annual global health courses in Uganda, Haiti, and the United States, which train students to understand and respond to the social determinants of health through praxis, self-reflection and self-awareness, and building collaborative partnerships across difference., Objectives: The aim of this paper is to describe an innovative pedagogical approach to teaching social medicine and global health. We draw on the notion of praxis, which illuminates the value of iterative reflection and action, to critically examine our points of weakness as educators in order to derive lessons with broad applicability for those engaged in global health work., Methods: The data for this paper were collected through an autoethnography of teaching 10 global health social medicine courses in Uganda and Haiti since 2010. It draws on revealing descriptions from participant observation, student feedback collected in anonymous course evaluations, and ongoing relationships with alumni., Findings: Critical analysis reveals 3 significant and complicated tensions raised by our courses. The first point of weakness pertains to issues of course ownership by North American outsiders. The second tension emerges from explicit acknowledgment of social and economic inequities among our students and faculty. Finally, there are ongoing challenges of sustaining positive momentum toward social change after transformative course experiences., Conclusions: Although successful in generating transformative learning experiences, these courses expose significant fracture points worth interrogating as educators, activists, and global health practitioners. Ultimately, we have identified a need for building equitable partnerships and intentional community, embracing discomfort, and moving beyond reflection to praxis in global health education., (Copyright © 2017 Icahn School of Medicine at Mount Sinai. Published by Elsevier Inc. All rights reserved.)

Social medicine is recognized as one of medical specialties in many countries. However, social medicine has never been formally introduced to Korea, presumably because the term and its principles were not accepted for some years in the past in American medicine, which has strongly influenced Korean medicine. This paper describes the origins and evolution of social medicine and briefly discusses contemporary social medicine in Korea. Social medicine was initiated in France and Germany in 1848. Since then, it has expanded globally and developed in diverse ways. Included in core principles of social medicine is that social and economic conditions have important effects on health and disease, and that these relationships must be subjected to scientific investigation. The term 'social medicine' is rarely used in Korea, but many of its subject matters are incorporated into preventive medicine which, besides prevention, deals with population health that is inescapably social. However, the Korean preventive medicine directs little attention to the basic concepts and principles of social medicine, upon which systematic development of social medicine can be based. Thus, it is necessary to supplement the social medicine contents of preventive medicine through formalizing the linkages between the two fields. One way of doing so would be to change the title of 'preventive medicine' course in medical colleges to 'preventive and social medicine,' as in many other countries, and to adjust the course contents accordingly.

Introduces five papers concerned with the role of social psychiatry in bringing about real change. Discussion of creating and maintaining a therapeutic milieu; Studies of the Sanctuary Model used for dealing with traumatized children; Use of the Sanctuary model in a domestic violence shelter; Difficulty of dealing with trauma survivors; Achievement of safety for the patients.

Introduces the on-line International Journal of Integrated Care (IJIC) to the subscribers of the "Journal of Integrated Care." History and focus of IJIC; Definition of integrated care; Categories of the journal's manuscripts.

Type 2 diabetes affects racial/ethnic minorities at an alarming rate in the US and in many countries around the world. The quality of health care provided to these groups is often suboptimal, resulting in worse patient-related outcomes when compared to those in mainstream populations. Understanding the complex biological elements that influence the development and course of the disease in high-risk populations is extremely important but often insufficient to implement effective prevention and treatment plans. Multiple factors must be addressed in routine diabetes clinical care. This paper discusses various key factors, organized in alphabetical order. These are acculturation, biology, clinician's cultural awareness, depression and diabetes-specific emotional distress, educational level, fears, group integration, health literacy, intimacy and sexual dysfunction, judging, knowledge of the disease, language, medication adherence, nutritional preferences, other forms of medicine (alternative), perception of body image, quality of life, religion and faith, socio-economic status, technology, unconscious bias, vulnerable groups, asking why?, exercise, “you are in charge” and zip it! Considering these factors in the development of type 2 diabetes prevention and treatment programs will help improve diabetes-related outcomes in culturally diverse populations and reduce health care disparities. [ABSTRACT FROM AUTHOR]

The term patient noncompliance emerged in the 1970s as a tool for analyzing why people do not follow medical directives. Despite its early popularity, the term has languished in sociology while flourishing in biomedical arenas. It seems flaccid in a contemporary healthcare context as it overestimates physician authority and is tone-deaf to biomedicalization. I draw from sociological and anthropological traditions, as well as qualitative interviews with terminally ill patients ( N = 26) and their caregivers ( N = 16), to consider facets of a biomedicalized health experience and implications for an updated vision of compliance. First, pathways to care have proliferated under biomedicalization. With increased pathways comes increased need for understanding how treatment plans are socially constituted and assessed. Finally, increased complexity demands a more diverse vocabulary for understanding health related decisions. This paper is a call to sociologists to take the lead in transforming and updating this consequential concept. [ABSTRACT FROM AUTHOR]

This article is an attempt to reconstruct the views of the creator of the Polish and co-creator of the Western sociology of medicine - Magdalena Sokołowska. The content of these contemplations applies to the social role of the physician. This paper describes the evolution of her ideas, which were inspired by classical Western literature (such as Robert Merton, Howard Becker, Anselm Strauss) and the results of the 1962's contest for the best industrial physician diary, as well as the opinion polls of that time (CBOS - Centre for Public Opinion Research, 1972) that described the views of Poles on both the professional and moral duties of physicians. Magdalena Sokolowska's views and opinions were also modified and shaped by her coworkers and mentors: Jan Szczepański, Adam Podgórecki and Adam Sarapata. The creator of the Polish sociology of medicine had also a vision for the prospective research on the physician profession that involved, inter alia, the necessity for increasing behavioral competences, complementing medical knowledge with elements of prevention and health promotion, as well as the need for integrating humanities with biomedicine. [ABSTRACT FROM AUTHOR]

A growing body of research, largely from the global North, and particularly from North America, highlights the increasing psychiatrisation, medicalisation and psychologisation of children and childhood, and suggests that schools and educators play a key role in these processes. This increasing diffusion of psy-expertise within educational spaces signifies a cultural shift that has profound effects on teacher and student subjectivity, and on institutional and professional practices. Educators in many countries are said to be on the ‘front-line’ in identifying mental health issues, recommending treatment pathways, and sometimes helping to administer psychopharmaceuticals. The alacrity with which educators engage in these practices varies internationally, with reported occurrence being much higher in the United States and Canada, compared to the United Kingdom, where there is a lack of research. Drawing upon a case study in a UK primary school, this paper makes an original and timely contribution to research into UK teacher’s perceptions of inclusion in relation to social, emotional and behavioural difficulties and, in particular, attention-deficit hyperactivity disorder, as they navigate the interface of psychology and education. Contrary to some previous research, the educators in this study viewed the distribution of psychopharmaceuticals negatively, and showed a preference for psychotherapeutic approaches to inclusion. This research provides much needed empirical findings to a growing but largely theoretically informed body of research exploring whether, and if so then how, educators are implicated in the mobilisation of psy-expertise within children’s lives. [ABSTRACT FROM AUTHOR]

The current molecular model of Alzheimer’s disease has a number of inadequacies and has so far provided little improvement to quality of life. The entanglement model of Alzheimer’s disease offers an alternative. It conceptualizes Alzheimer’s disease within a complex range of considerations and advocates public health measures in response. This paper seeks to incorporate a social model within entanglement. To address entanglement’s lack of social considerations, a sociological account of dementia more broadly is proposed. A theoretical account is offered through re-examining influential psychosocial work on dementia, within a symbolic interactionist framework. Dementia is illustrated as a process of excess disability, from the discovery of stigma during diagnosis through to the moral career of cognitive decline. As cures are not forthcoming and dementia is currently addressed socially through care, the pursuit of social solutions is an evident, necessary and achievable goal. This can be realized through education, within a broader public health approach. [ABSTRACT FROM AUTHOR]

The Right to Health, Citizenship and the Moral Economy of Social Medicine in Rio de Janeiro's Favelas: In the course of the 2000s, primary healthcare-based family clinics were established throughout Rio de Janeiro's favelas in order to guarantee the Brazilian Constitutional Right to Health, especially for vulnerable populations. The underlying Family and Community Health Program aimed to not only incorporate these populations into public health care but also to transform their conceptions, practices and values regarding health and illness accordant to the Brazilian social medicine approach. But as in other resource poor settings of primary health care, this transformative process was faced with dissatisfaction on the local ground, by the patients as well as by the medical staff. The paper takes a closer look at this scenario of transfiguration by reflecting on the role of differentiated citizenship and vulnerable subjectivities of the favela population within the underlying moral economies of social medicine. Therefore, the paper traces back the historical overlapping of urban social inequality, the Brazilian Right to Health approach and local forms of citizenship claims of the urban marginalized population. The concept of transfiguration will offer an analytic lens to understand this process of transformation in its inconstancy, encompassing the people involved and their subjectivities, their practices of subjectivation but also resistance and agency, their normative expectations and lived experiences. [ABSTRACT FROM AUTHOR]

Although medicine and politics are distinct subjects and among the oldest professions, there have been calls for medical doctors to get involved in active politics. Thus this study sought to identify and describe the relationship between medicine and politics by doing conceptual analysis of themes that are common to both disciplines. It was found that the relationship between medicine and politics has not been properly examined, especially from the Nigerian perspective. But the two professions are found to be related in the field of Social Sciences in the areas of their practitioners' calling and levels of their operation. The paper however argued that when medical practitioners abandon their duty of care to patients and seek to acquiesce to politics it is because there is a sense of loss of the leadership influence among them in the body politics of society. It concludes by suggesting that the loss can best be retrieved from the health discipline of public health, which is the point of convergence of both professions. [ABSTRACT FROM AUTHOR]

Copyright of Studia Historiae Scientiarum is the property of Jagiellonian University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista CES Salud Pública is the property of Universidad CES and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Notwithstanding the current declarations by spokesmen for and proponents of global health, there remain "outlier" countries: countries unwilling to accede to monitoring or surveillance (e.g. China and avian flu; China and SARS); countries lacking the infrastructural and professional capacity to join cooperative global programs to fight epidemics; countries/regions that have populations with divergent approaches to health goals and practices. What, if any, are the historical precedents of the idea of "outliers"? The paper will argue that in the three decades between 1920 and 1950, internationally- minded statesmen, working in philanthropies with transnational "reach" or in international health agencies, operated with two additional categories of outliers. First, countries with political systems judged "inimical" to democracy (e.g. Soviet Russia, post-war Germany). International public health statesmen often engaged such countries by hiving off (at least notionally) the political system from public health. What was the cost to the understanding of public health of the hiving off of the political? At other times, international health spokesmen explicitly linked transnational cooperation/assistance they offered to a program of democratization. To what extent was that linkage accepted by leading health voices in the target countries? Second, there were countries whose health "civilizations" had not yet progressed fully beyond nineteenth century public hygiene. Including these countries in international health programs involved nothing less than pushing out the frontiers of civilization. In dealing with these countries, health statesmen operated with the initial assumption that capacity and orientation to social medicine could be shaped from the outside. Extended experience on the ground (site visits, field work, cooperative programs) convinced those statesmen of the value of local (and regional) approaches and of the possibility of combining those approaches with international ways of conceptualizing public health. What factors shaped the inclusion/exclusion of countries from the category of "civilized" nations? [ABSTRACT FROM AUTHOR]

Copyright of Culture, Health & Sexuality is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Supervised injectable opioid treatment (SIOT) is a promising alternative for people living with opioid use disorder (OUD) who have not sufficiently benefitted from oral opioid substitution treatment. Yet, SIOT utilization remains limited in Germany. We propose that this is due to beliefs, or schemas, on SIOT among people living with OUD. Drawing from medical sociology and social psychology, this study explores the emergence and evolution of such schemas on SIOT. Methods: We conducted semi-structured interviews with 34 individuals currently in or eligible for SIOT in two German outpatient treatment facilities and paralleled an inductive qualitative content analysis with the exploration of individual cases. Results: The analysis revealed that peer-to-peer interaction and individuals' practical experiences in therapy are crucial in constructing and changing idiosyncratic and shared schemas of SIOT. When facing ambiguous information, cognitive strategies like subtyping served to mitigate uncertainty. Conclusion: This research has important practical implications for integrating experiential knowledge into clinical care and improve information sharing among people living with OUD. A nuanced understanding of the complex network of informal advice-seeking and -giving among people living with OUD is indispensable to adequately expand treatment modalities of proven effectiveness. [ABSTRACT FROM AUTHOR]