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Space in its place: Developing the link in medical geography

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  • Kearns, Robin A.
  • Joseph, Alun E.

Abstract

This paper argues that a re-examination of the interrelationship between constructs of place and space is crucial to geography's involvement in the broader endeavour of health research. Place has re-emerged as nexus of ascribed meaning within contemporary social theory. Places, however, are related in space, by distance or proximity. The distinction needs to be made between this orthodox (geometric) view of space and two types of social space: the (experienced) space described by humanist geographers; and the more recent (socio-spatial) conceptualization which is both experienced and (re)produced by societal structures and advocated by social theorists in geography. We argue that advancing a recursive understanding of space and place is an appropriate direction in medical geography. This direction will include both an understanding of the ways in which space shapes the character of places and how the particularities of places resist or set in motion (orthodox) spatial processes. Illustrations are drawn from studies of mental illness and mental health care and primary health care in a remote area of New Zealand.

Suggested Citation

  • Kearns, Robin A. & Joseph, Alun E., 1993. "Space in its place: Developing the link in medical geography," Social Science & Medicine, Elsevier, vol. 37(6), pages 711-717, September.
    • Handle: RePEc:eee:socmed:v:37:y:1993:i:6:p:711-717
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    Cited by:

    1. Völker, Sebastian & Kistemann, Thomas, 2013. "“I'm always entirely happy when I'm here!” Urban blue enhancing human health and well-being in Cologne and Düsseldorf, Germany," Social Science & Medicine, Elsevier, vol. 78(C), pages 113-124.
    2. Neuwelt, Pat M. & Kearns, Robin A. & Browne, Annette J., 2015. "The place of receptionists in access to primary care: Challenges in the space between community and consultation," Social Science & Medicine, Elsevier, vol. 133(C), pages 287-295.
    3. Yeboah, Ian E.A., 2007. "HIV/AIDS and the construction of Sub-Saharan Africa: Heuristic lessons from the social sciences for policy," Social Science & Medicine, Elsevier, vol. 64(5), pages 1128-1150, March.
    4. Cooper, Hannah & Moore, Lisa & Gruskin, Sofia & Krieger, Nancy, 2005. "The impact of a police drug crackdown on drug injectors' ability to practice harm reduction: A qualitative study," Social Science & Medicine, Elsevier, vol. 61(3), pages 673-684, August.
    5. Rainham, Daniel & McDowell, Ian & Krewski, Daniel & Sawada, Mike, 2010. "Conceptualizing the healthscape: Contributions of time geography, location technologies and spatial ecology to place and health research," Social Science & Medicine, Elsevier, vol. 70(5), pages 668-676, March.
    6. Liberati, Elisa Giulia & Gorli, Mara & Moja, Lorenzo & Galuppo, Laura & Ripamonti, Silvio & Scaratti, Giuseppe, 2015. "Exploring the practice of patient centered care: The role of ethnography and reflexivity," Social Science & Medicine, Elsevier, vol. 133(C), pages 45-52.
    7. Cummins, Steven & Curtis, Sarah & Diez-Roux, Ana V. & Macintyre, Sally, 2007. "Understanding and representing 'place' in health research: A relational approach," Social Science & Medicine, Elsevier, vol. 65(9), pages 1825-1838, November.
    8. Smith-Morris, Carolyn, 2017. "Epidemiological placism in public health emergencies: Ebola in two Dallas neighborhoods," Social Science & Medicine, Elsevier, vol. 179(C), pages 106-114.
    9. Andrews, Gavin J. & Chen, Sandra & Myers, Samantha, 2014. "The ‘taking place’ of health and wellbeing: Towards non-representational theory," Social Science & Medicine, Elsevier, vol. 108(C), pages 210-222.
    10. Jones, Lorelei & Exworthy, Mark, 2015. "Framing in policy processes: A case study from hospital planning in the National Health Service in England," Social Science & Medicine, Elsevier, vol. 124(C), pages 196-204.
    11. Völker, Sebastian & Kistemann, Thomas, 2013. "Reprint of: “I'm always entirely happy when I'm here!” Urban blue enhancing human health and well-being in Cologne and Düsseldorf, Germany," Social Science & Medicine, Elsevier, vol. 91(C), pages 141-152.
    12. Paradis, Catherine, 2011. "Parenthood, drinking locations and heavy drinking," Social Science & Medicine, Elsevier, vol. 72(8), pages 1258-1265, April.
    13. Elliott, Susan J., 2018. "50 years of medical health geography(ies) of health and wellbeing," Social Science & Medicine, Elsevier, vol. 196(C), pages 206-208.
    14. Low, Chien Tat & Lai, Poh Chin & Li, Han Dong & Ho, Wai Kit & Wong, Paulina & Chen, Si & Wong, Wing Cheung, 2016. "Neighbourhood effects on body constitution–A case study of Hong Kong," Social Science & Medicine, Elsevier, vol. 158(C), pages 61-74.

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