Thompson, L, Ford, HL, Stroud, A et al. (1 more author) (2019) Managing the (In)visibility of Chronic Illness at Work: Dialogism, Parody, and Reported Speech. Qualitative Health Research, 29 (8). pp. 1213-1226. ISSN 1049-7323
Abstract
Interactionally, the workplace may be dilemmatic for a person with “invisible” chronic illness. Risks of stigmatization exist if they disclose their condition to colleagues. Meanwhile, not disclosing threatens well-being and entitlements. Using Bakhtin’s dialogism as a theoretical framework, we explored these social aspects of illness: inductively analyzing narratives from 20 participants with multiple sclerosis (MS). Capitalizing on concepts from dialogical and conversation analysis, links between (in)visibility, knowledge, and belief were examined with respect to symptoms and co-worker judgment. Perceived medical legitimacy creates a core social dilemma. At the intersection of genre and action, participants systematically used parody to subvert the traditional workplace hierarchy. “Oh-prefaced” direct reported speech (OPDRS) was deployed to exaggerate workplace interactions, undermining managers/colleagues who misattributed (in)visible symptoms. Parodic OPDRS index emotive interactional dilemmas. As subversions of organizational power, OPDRS denote those very areas where employees feel disempowered. Sensitivity to OPDRS can provide diagnostic support and complement evaluation frameworks.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019, The Author(s). This is an author produced version of a paper published in Qualitative Health Research. Reprinted by permission of SAGE Publications. |
Keywords: | multiple sclerosis; dialogical analysis; conversation analysis; focus groups; parody; chronic illness; reported speech; job retention; qualitative; United Kingdom |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Funding Information: | Funder Grant number Multiple Sclerosis Society 974/12 |
Depositing User: | Symplectic Publications |
Date Deposited: | 03 Jan 2019 10:30 |
Last Modified: | 07 Jun 2019 14:29 |
Status: | Published |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/1049732319825843 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:140449 |