whole_HansenEmilyChristine2001.pdf (16.8 MB)
Medical understandings of lifestyle : an interpretive study of 'lifestyle' as a medical explanatory framework
thesisposted on 2023-05-27, 00:16 authored by Hansen, EC
This thesis provides an overview of lifestyle as a medical explanatory concept, explicating contemporary medical understandings of lifestyle and situating these within a wider social and historical framework. It argues that ideas about lifestyle have a long history in medical thought but that what is meant by lifestyle and how this is seen as relating states of sickness and health has shifted according to audience and time period. This thesis also addresses the sociological critique of a lifestyle approach to health and disease. It argues that this critique has focused on medical understandings of lifestyle only as an epidemiological and public health concept. This has resulted in a neglect of wider medical understandings and the constructions of individual doctors. This lacunae in sociological knowledge is addressed through empirical investigation of wider medical understandings of lifestyle within the framework of an interpretive qualitative study of medical texts, in-depth interviews with doctors from a variety of different medical specialities, observation of doctor/patient consultations and participant observation during medical consultations. The results of this analysis demonstrate that while the sociological critique of a lifestyle approach to health, and disease does reflect many features of the wider medical understandings of lifestyle found in this project, that there is no single unified medical conception of lifestyle. Instead lifestyle is a shifting medical concept that is interpreted and applied differently between different medical fields, and between different medical doctors. Furthermore, as an explanatory concept, lifestyle has several features which make it an unusual and extremely useful medical concept. These features include flexibility, the ability to explain health and not just disease, the capacity to utilise lay understandings and offering the capacity for the self management of risk.
Rights statementCopyright 2001 the Author - The University is continuing to endeavour to trace the copyright owner(s) and in the meantime this item has been reproduced here in good faith. We would be pleased to hear from the copyright owner(s). Thesis (Ph.D.)--University of Tasmania, 2001. Includes bibliographical references