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Disruptive illness contexts and liminality in the accounts of young people with type 1 diabetes

Bibliographic Data

ID2249558
AuthorsTom Sanders (0000-0002-9163-2964, Health and Life Sciences Northumbria University Newcastle Upon Tyne UK, corresponding author), Jackie Elliott (Academic Unit of Diabetes, Endocrinology and Metabolism Department of Oncology & Metabolism School of Medicine and Biomedical Sciences University of Sheffield Sheffield UK), Daisy Elliott (0000-0001-8143-9549, University of Sheffield), Paul Norman (0000-0002-6211-1625, Department of Psychology University of Sheffield Sheffield UK), Barbara Johnson (0000-0002-7480-9633, Department of Psychology University of Sheffield Sheffield UK), Simon Heller (0000-0002-2425-9565, Academic Unit of Diabetes, Endocrinology and Metabolism Department of Oncology & Metabolism School of Medicine and Biomedical Sciences University of Sheffield Sheffield UK)
Year2019
Volume41
Issue7
Pages1289-1304
Publication date2019-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSociology of Health & Illness (JOURNAL)
Journal identifiersISSN: 0141-9889 • E-ISSN: 1467-9566
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12906
PMID30968432
OpenAlexW2939753996
LanguageEN
Citations received8
References cited30

We utilise Bury's (1982) biographical disruption to examine young people's experiences of type 1 diabetes. Our findings show that young adults adopted various 'subject positions' across different illness contexts. The subject positions deployed are intended to produce a particular kind of normal embodied identity unaffected by diabetes. First, participants concealed their illness in public spaces and challenged cultural stereotypes of diabetes to maintain a normal illness biography. Disruption was ever present and required careful negotiation to avoid exposure of illness in public. Young adults upheld a 'normal public presentation'. Second, they resisted the medical system's pressure to adhere to glucose targets asserting and maintaining a subject position of 'independent and autonomous young adults'. Here, disruption was transient and temporary, present in the clinic but not always beyond. It remained in the background for much of the time until it was reinforced by parents or at meal times. Third, young adults acquired a 'pragmatic subject position' with diabetes viewed as complex but manageable, no longer a target for resistance. Frank's (1995) 'narrative restitution' is adopted to describe the transition to life with 'normal' illness. We argue that illness experience was 'liminal' and reflected the subject positions adopted by young adults

Aesthetics · Compliance (psychology) · Developmental psychology · Diabetes mellitus · Embodied cognition · Identity (music) · Liminality · Narrative · Negotiation · Sociology · Subject (documents) · Type 2 diabetes · Young adult · Empathy and Medical Education · Family Support in Illness · Medicine · Obesity and Health Practices · Psychology · Social Psychology

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Unique citing works8
Citations per year1,6
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 8

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