IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v347y2024ics0277953624002181.html
   My bibliography  Save this article

Stigma power in practice: Exploring the contribution of Bourdieu's theory to stigma, discrimination and health research

Author

Listed:
  • Guise, Andy

Abstract

Stigma and discrimination are increasingly understood as shaping health, and in turn conceptualised as social processes shaped by power and structural inequities. A challenge to analysis and implementing interventions is developing theory that can integrate analysis of structure, agency and power. One theoretical framework already promoted by prominent scholars as supporting this need is Bourdieu's social practice theory. This paper explores the application to date of Bourdieu's theory on stigma, discrimination and health. The paper describes how existing health literature has used concepts of symbolic violence, fields, capitals and habitus to develop insight into stigma power. The discussion explores how this theoretical framework is though underutilised and there has been little consideration of new programmatic approaches based on this theory. Directions for future research include the need for integrated approaches to analysis, especially using habitus to explore stigma power, and addressing processes of change. Directions for conceptualising interventions address how a mismatch of field and habitus could foster change and then the role for prophets in fostering symbolic revolutions. All these potential directions must in turn be integrated within the vast scholarship on stigma. In conclusion, further application and development of Bourdieu's social practice theory could help address the theoretical challenges facing the field of stigma, discrimination and health research.

Suggested Citation

  • Guise, Andy, 2024. "Stigma power in practice: Exploring the contribution of Bourdieu's theory to stigma, discrimination and health research," Social Science & Medicine, Elsevier, vol. 347(C).
  • Handle: RePEc:eee:socmed:v:347:y:2024:i:c:s0277953624002181
    DOI: 10.1016/j.socscimed.2024.116774
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953624002181
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2024.116774?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.
    2. Yang, Lawrence Hsin & Kleinman, Arthur, 2008. "'Face' and the embodiment of stigma in China: The cases of schizophrenia and AIDS," Social Science & Medicine, Elsevier, vol. 67(3), pages 398-408, August.
    3. Scheim, Ayden I. & Bauer, Greta R., 2019. "The Intersectional Discrimination Index: Development and validation of measures of self-reported enacted and anticipated discrimination for intercategorical analysis," Social Science & Medicine, Elsevier, vol. 226(C), pages 225-235.
    4. Parker, Richard & Aggleton, Peter, 2003. "HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action," Social Science & Medicine, Elsevier, vol. 57(1), pages 13-24, July.
    5. Clair, Matthew & Daniel, Caitlin & Lamont, Michèle, 2016. "Destigmatization and health: Cultural constructions and the long-term reduction of stigma," Social Science & Medicine, Elsevier, vol. 165(C), pages 223-232.
    6. Hanna Baumann & Haim Yacobi, 2022. "Introduction: Infrastructural stigma and urban vulnerability," Urban Studies, Urban Studies Journal Limited, vol. 59(3), pages 475-489, February.
    7. Ryan, Martha S. & Nambiar, Devaki & Ferguson, Laura, 2019. "Sex work-related stigma: Experiential, symbolic and structural forms in the health systems of Delhi, India," Social Science & Medicine, Elsevier, vol. 228(C), pages 85-92.
    8. Jones, C.P., 2000. "Levels of racism: A theoretic framework and a gardener's tale," American Journal of Public Health, American Public Health Association, vol. 90(8), pages 1212-1215.
    9. Damon, Will & Callon, Cody & Wiebe, Lee & Small, Will & Kerr, Thomas & McNeil, Ryan, 2017. "Community-based participatory research in a heavily researched inner city neighbourhood: Perspectives of people who use drugs on their experiences as peer researchers," Social Science & Medicine, Elsevier, vol. 176(C), pages 85-92.
    10. Cook, Jonathan E. & Purdie-Vaughns, Valerie & Meyer, Ilan H. & Busch, Justin T.A., 2014. "Intervening within and across levels: A multilevel approach to stigma and public health," Social Science & Medicine, Elsevier, vol. 103(C), pages 101-109.
    11. Winskell, Kate & Sabben, Gaëlle, 2016. "Sexual stigma and symbolic violence experienced, enacted, and counteracted in young Africans’ writing about same-sex attraction," Social Science & Medicine, Elsevier, vol. 161(C), pages 143-150.
    12. Guell, Cornelia & Ogilvie, David & Green, Judith, 2023. "Changing mobility practices. Can meta-ethnography inform transferable and policy-relevant theory?," Social Science & Medicine, Elsevier, vol. 337(C).
    13. Bonnington, Oliver & Rose, Diana, 2014. "Exploring stigmatisation among people diagnosed with either bipolar disorder or borderline personality disorder: A critical realist analysis," Social Science & Medicine, Elsevier, vol. 123(C), pages 7-17.
    14. Hansen, Helena & Bourgois, Philippe & Drucker, Ernest, 2014. "Pathologizing poverty: New forms of diagnosis, disability, and structural stigma under welfare reform," Social Science & Medicine, Elsevier, vol. 103(C), pages 76-83.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Timmermans, Stefan & Tietbohl, Caroline, 2018. "Fifty years of sociological leadership at Social Science and Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 209-215.
    2. Mayank Aggarwal & Anindya S. Chakrabarti & Chirantan Chatterjee, 2023. "Movies, stigma and choice: Evidence from the pharmaceutical industry," Health Economics, John Wiley & Sons, Ltd., vol. 32(5), pages 1019-1039, May.
    3. Harvey, Tyler D. & Keene, Danya E. & Pachankis, John E., 2021. "Minority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration," Social Science & Medicine, Elsevier, vol. 272(C).
    4. Shih, P. & Worth, H. & Travaglia, J. & Kelly-Hanku, A., 2017. "Pastoral power in HIV prevention: Converging rationalities of care in Christian and medical practices in Papua New Guinea," Social Science & Medicine, Elsevier, vol. 193(C), pages 51-58.
    5. Yang, Lawrence H. & Chen, Fang-pei & Sia, Kathleen Janel & Lam, Jonathan & Lam, Katherine & Ngo, Hong & Lee, Sing & Kleinman, Arthur & Good, Byron, 2014. "“What matters most:” A cultural mechanism moderating structural vulnerability and moral experience of mental illness stigma," Social Science & Medicine, Elsevier, vol. 103(C), pages 84-93.
    6. Lauri Andress & Matthew P Purtill, 2020. "Shifting the gaze of the physician from the body to the body in a place: A qualitative analysis of a community-based photovoice approach to teaching place-health concepts to medical students," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-15, February.
    7. Gaddis, S. Michael & Ramirez, Daniel & Hernandez, Erik L., 2018. "Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses," Social Science & Medicine, Elsevier, vol. 197(C), pages 183-191.
    8. Rao, Deepa & Angell, Beth & Lam, Chow & Corrigan, Patrick, 2008. "Stigma in the workplace: Employer attitudes about people with HIV in Beijing, Hong Kong, and Chicago," Social Science & Medicine, Elsevier, vol. 67(10), pages 1541-1549, November.
    9. Clair, Matthew & Daniel, Caitlin & Lamont, Michèle, 2016. "Destigmatization and health: Cultural constructions and the long-term reduction of stigma," Social Science & Medicine, Elsevier, vol. 165(C), pages 223-232.
    10. Kerrison, Erin M., 2018. "Exploring how prison-based drug rehabilitation programming shapes racial disparities in substance use disorder recovery," Social Science & Medicine, Elsevier, vol. 199(C), pages 140-147.
    11. Whittle, Henry J. & Palar, Kartika & Seligman, Hilary K. & Napoles, Tessa & Frongillo, Edward A. & Weiser, Sheri D., 2016. "How food insecurity contributes to poor HIV health outcomes: Qualitative evidence from the San Francisco Bay Area," Social Science & Medicine, Elsevier, vol. 170(C), pages 228-236.
    12. Flick, Sabine, 2019. "The biographical gaze: Psychotherapeutic practice in psychosomatic hospitals in Germany," Social Science & Medicine, Elsevier, vol. 230(C), pages 83-90.
    13. Hughes, Amanda M. & McArthur, Daniel, 2023. "Weight stigma, welfare stigma, and political values: Evidence from a representative British survey," Social Science & Medicine, Elsevier, vol. 334(C).
    14. Metzl, Jonathan M. & Petty, JuLeigh & Olowojoba, Oluwatunmise V., 2018. "Using a structural competency framework to teach structural racism in pre-health education," Social Science & Medicine, Elsevier, vol. 199(C), pages 189-201.
    15. Mazanderani, Fadhila & Paparini, Sara, 2015. "The stories we tell: Qualitative research interviews, talking technologies and the ‘normalisation’ of life with HIV," Social Science & Medicine, Elsevier, vol. 131(C), pages 66-73.
    16. Chen Zhang & Xiaoming Li & Yu Liu & Shan Qiao & Liying Zhang & Yuejiao Zhou & Zhenzhu Tang & Zhiyong Shen & Yi Chen, 2016. "Stigma against People Living with HIV/AIDS in China: Does the Route of Infection Matter?," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-15, March.
    17. Irizar, Patricia & Kapadia, Dharmi & Amele, Sarah & Bécares, Laia & Divall, Pip & Katikireddi, Srinivasa Vittal & Kibuchi, Eliud & Kneale, Dylan & McCabe, Ronan & Nazroo, James & Nellums, Laura B. & T, 2023. "Pathways to ethnic inequalities in COVID-19 health outcomes in the United Kingdom: A systematic map," Social Science & Medicine, Elsevier, vol. 329(C).
    18. Rathert, Cheryl & Mittler, Jessica N. & Vogus, Timothy J. & Lee, Yuna S.H., 2023. "Better outcomes through patient – Provider therapeutic connections? An exploratory study of proposed mediating variables," Social Science & Medicine, Elsevier, vol. 338(C).
    19. Winskell, Kate & Sabben, Gaëlle, 2016. "Sexual stigma and symbolic violence experienced, enacted, and counteracted in young Africans’ writing about same-sex attraction," Social Science & Medicine, Elsevier, vol. 161(C), pages 143-150.
    20. Stephanie Pratt & Kyla Hagan-Haynes, 2023. "Applying a Health Equity Lens to Work-Related Motor Vehicle Safety in the United States," IJERPH, MDPI, vol. 20(20), pages 1-23, October.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:347:y:2024:i:c:s0277953624002181. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.