This paper analyses how the biomedical uncertainty of breast cancer contributes to the development of a new type of illness identity that is grounded in biomedical knowledge, advanced technology, and biomedical health and risk surveillance. The technoscientific identity (TSI) develops through the application of sciences and technologies to one's sense of self. Analysing narrative data from 60 in-depth interviews with women diagnosed with breast cancer, this research demonstrates how women diagnosed with breast cancer develop and maintain TSIs through four processes: (1) immersion in professional biomedical knowledge, (2) locating themselves within a technoscientific framework, (3) receiving support for the emerging TSI from the medical system and support networks, and (4) eventually prioritising their biomedical classifications over their suffering. Developing a TSI enables people to make sense of biomedical information, make decisions, and manage medical processes and relationships in the face of biomedical and personal uncertainty even as it extends the reach of technoscience and biomedicalisation.
Biomedicine situates the definitions, practices, and controls of the medical system within the field of technoscience, which relies on new knowledge, high technology, and biomedical health and risk surveillance. Since the middle of the 20th century technoscientific efforts to understand human phenomena at the microbiological level have secured the place of the biomedical model of disease and the technology used to understand and manage human bodies, selves, and socialities. Specifically, high technology has provoked a paradigm shift from controlling disease and finding cures (medicalization) to transforming bodies and managing risk through technoscientific means (biomedicalization). Though there has been a major shift in the role of the medical consumer since the 1970s and a general recognition of patients’ rights to meaningful information about their health and illness conditions, biomedicine holds significant authority over peoples’ lives to the degree that biomedicalization now involves the production of individual and collective identities that are constructed through technoscientific means. The technoscientific identity has even become a type of illness identity that involves applying biomedical information and characteristics to a person’s sense of self in the face of illness.
Gendered definitions of care influence breast cancer survivors' coping strategies, sense of entitlement to care, and ultimately their capacity to receive care. Using qualitative data from 60 intensive interviews, this study examines how gendered definitions of care influence women's experiences as care-receivers. Findings indicate that negotiating gender boundaries to care for the self is both empowering and stigmatizing. Women with breast cancer are required to break gender norms that stress compliance, nurturing, and putting the needs of others first to prioritize their own needs for care. Concurrently, they take on additional nurturing roles to provide support to other women with breast cancer, relinquishing to some degree the individualistic approach to life they found necessary to cope with their illness in the first place.
This study analyzes the content and discursive strategies within 39 introductory-level sociology course syllabi published in TRAILS, the Teaching Resources and Innovations Library of the American Sociological Association, from two different time periods (2004 and 2010) to explore the syllabus as a tool for socialization. We find that syllabi, commended for their attention to pedagogical practice, do more than communicate course objectives and the means for achieving them. Syllabi (re)socialize students for success in the college setting by establishing student-teacher roles and norms and setting the tone for classroom interactions. The integration of sociological concepts and perspectives into syllabi also immerses students into the discipline and practice of sociology.
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