Hysteresis - or the mismatch of expectations and possibilities among relatives in a transforming health care system.

TitleHysteresis - or the mismatch of expectations and possibilities among relatives in a transforming health care system.
Publication TypeJournal Article
Year of Publication2020
AuthorsRoenn-Smidt, H, Shim, JK, Larsen, K, Hindhede, AL
JournalHealth Sociol Rev
Volume29
Issue1
Pagination31-44
Date Published2020 Mar
ISSN1446-1242
KeywordsAged, Attitude of Health Personnel, Delivery of Health Care, Denmark, Family, Female, Humans, Male, Middle Aged, Motivation, Professional-Family Relations, Stroke Rehabilitation
Abstract

When a person experiences a severe stroke, their relatives must assume the role of partners in the rehabilitation process. Drawing on Bourdieu's field theory, we investigated the potential gap between the subjective expectations of relatives in terms of the assistance and care they can offer patients with severe brain injuries and the objective constraints of a healthcare field. Using data from observations, as well as interviews with relatives and official documents, our study shows how some relatives, reliant on their habitus, bring to their collaboration with healthcare professionals an expectation that the healthcare field will be able to take care of their multiple individual needs. However, due to hysteresis - a gap between their dispositions and the objective possibilities of the transformed healthcare field - these relatives are not equipped to recognise, grasp and occupy their new field position. We conclude that Bourdieu's theoretical concept of hysteresis may help to understand how changes in the healthcare field may lead to a mismatch between the field and the habitus manifested in interactions between patients, relatives and healthcare professionals, so that the ill-adjusted habitus of relatives leads to missed chances in relation to the opportunities objectively offered by the field.

DOI10.1080/14461242.2019.1704425
Alternate JournalHealth Sociol Rev
PubMed ID33411658