Kronik Hastalıkların Deneyim Sürecini Anlama Çabasına Yönelik Teorik Bir Açıklama: Biyografik Bozulma
Theoretical Explanation Aimed at Understanding the Experience Process of Chronic Diseases: Biographical Disruption
Abstract
This study focuses on the concept of biographical disruption (BB) in the sociological dimension of chronic diseases. This concept, which has found its place in the sociology of health, will first be discussed in detail in terms of Bury’s 1982 article “Chronic illness as biographical disruption”. In this context, the shortcomings of the medicalization thesis, Talcott Parsons’ “Patient Role” and “interactionism theory” will be expressed. From a scientometric point of view, the most co-cited articles that have contributed to the intellectual structure of IC and the different conceptual frameworks that have extended the theory will also be discussed. Recently, a number of biographical theories that have both inspired the theory and highlighted its shortcomings will be mentioned. After the findings section, it will be explained which chronic diseases have been studied so far. Finally, a future research agenda on BB will be set. The study aims to provide a comprehensive framework for the BB theory as one of the theoretical explanations for the illness experience in chronic diseases.
Özet
Bu çalışma, kronik hastalıkların sosyolojik boyutunda yer alan biyografik bozulma (BB) kavramını merkeze almaktadır. Sağlık sosyolojisinde kendine yer bulan bu kavram, öncelikle Bury’nin 1982’deki “Chronic illness as biographical disruption” adlı makalesi açısından detaylı bir şekilde ele alınacaktır. Bu kapsamda, medikalizasyon tezi, Talcott Parsons’ın “Hasta Rolü” ve “etkileşimcilik teorisinin” eksiklikleri dile getirilecektir. Bilimetrik açıdan BB’nin entelektüel yapısına katkıda bulunan en ortak atıf makaleleri ve teoriyi genişleten farklı kavramsal çerçeveler de tartışmaya açılacaktır. Son dönemde teoriden hem esinlenen hem de eksikliğini ön plana çıkartan çok sayıda biyografik teoriden bahsedilecektir. Bulgular kısmından sonra hangi kronik hastalıkların şu ana kadar incelendiği izah edilecektir. Son olarak, BB ile ilgili gelecek araştırma ajandası belirlenecektir. Çalışma, kronik hastalıklarda hastalık deneyimine yönelik teorik açıklamalardan biri olan BB teorisi için kapsamlı bir çerçeve sunmayı amaçlamaktadır.
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