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Thursday 16 April 2015 13:30 - 15:00<br />

PAPER SESSION 5<br />

Rose Barbour, Susan Halford and Wendy Martin will form the panel for the day, providing background to their<br />

considerations and inviting delegate feedback. The <strong>full</strong> working party includes Huw Davies, Robert Dingwall, Christina<br />

Hotz, Gabriel Newfield and Daniel Conway.<br />

Frontiers 2<br />

W828, HAMISH WOOD BUILDING<br />

HOW TO GET YOUR WORK READ AND CITED<br />

This session will be hosted by Wiley and is open to all delegates.<br />

Medicine, Health and Illness<br />

C236, CHARLES OAKLEY BUILDING<br />

Changing the Label: Re-Configuring Identity as a Path to Resilience for Destitute Asylum Seekers in the UK<br />

Cuthill, F.<br />

(University of Edinburgh)<br />

In recent years, an asset based approach to public health has gained traction and while not a new approach, it has<br />

turned the attention of both policy makers and researchers away from a focus on health deficits, towards identifying<br />

capabilities for health. Resilience is increasingly seen as an asset for health and this is especially so for people living<br />

in marginalised spaces, where ill health is often associated with structural oppression. While it is widely recognised<br />

that people seeking asylum in high-income countries occupy a vulnerable structural position, it is rare for research to<br />

explore the concept of resilience with this group. More often, the focus for research has been on physical and mental<br />

ill-health. Nonetheless, to study the notion of resilience in groups who live stigmatised lives beyond the margins of<br />

citizenship and lawful employment, offers the potential to find new understandings of the ways that resilience is<br />

developed.<br />

In this paper, the findings of a peer participatory research study with people who find themselves destitute following<br />

the asylum process in the UK is presented. The findings explore new contours of resilience and contribute to<br />

expanding our understandings of the ways that resilience is shaped within positions of extreme structural oppression.<br />

'Because We're Responsible Citizens!': Constructions of the 'Good Patient' in GPs' and Lay People's<br />

Narratives of the Presentation of Cancer Symptoms in Primary Care<br />

Green, T., Seymour; J., Macleod, U.<br />

(University of Hull)<br />

This paper draws on data from a qualitative study undertaken in the UK that explored General Practitioners' (GPs) use<br />

of Clinical Decision Support (CDS) tools for cancer in primary care. Twenty-eight GPs were interviewed over the<br />

telephone about their experiences of using the tools in practice and to complement these data, focus groups were<br />

conducted with six patient representative groups to explore their perceptions of GPs' use of such tools during<br />

GP/patient consultations. Fieldwork was carried out during 2012 – 2013, a time which heralded a period of flux within<br />

primary care and a raised public awareness via the media of limited resources within the National Health Service<br />

(NHS), alongside ongoing public health campaigns to raise awareness of cancer symptoms. The paper will use the<br />

data to show GPs' and lay people's narrative constructions of the 'good patient' to reveal how maintenance of this<br />

identity was underscored by notions of the patient as worthy and deserving of GP time. We draw on Dixon-Woods<br />

concept of 'candidacy' to interrogate how lay constructions of the self as 'good patient' can act as a facilitator and/or a<br />

barrier to the receipt of timely healthcare. Applying a Bourdieuan analysis, our discussion is grounded in the<br />

conceptual framework of 'cultural health capital' (Shim, 2010) in order to broaden understandings of healthcare<br />

inequalities and cultural health practices in a contemporary UK context and in relation to the earlier diagnosis of<br />

cancer.<br />

179 BSA Annual Conference 2015<br />

Glasgow Caledonian University

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