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Free download from www.hsrcpress.ac.za4. According to the traditional trilogy, there are three models of patient care:custodial, classical and rehabilitative. Each model involves a set ofassumptions regarding the disease process, goals for caring for patientsand some expectations for the role of the patient (cf. Coe 1978: 311-316).5. According to Mead (1934), society is made up of individuals who haveselves. Society shapes the formation of the individual self and theindividual is also the creator of society. For Mead, the essence of the selfis reflexive; the individual is only such in relation to others.6. Cooley (1902) sees the development of the self deriving from interactionof the individual with others. An individual’s consciousness of himself is areflection of the ideas that others have of him which the individualascribes to the thoughts of others. Cooley uses the concept of the“looking-glass self” to illustrate the reflexive nature of the self.7. W.I. Thomas (1931) sees action in a situation as consisting of threeinterrelated elements: (i) objective conditions which include sociallyenforced rules of behaviour; (ii) pre-existing attitudes of the individualand the group, and (iii) the definition of the situation by the actor,influenced by the cultural and social definitions of the group.8. Thomas (in Thomas, Znaniecki 1928: 578) states that this subjective factorcan never be discounted in social analysis for “... If men define situationsas real they are real in their consequences”.9. In his dramaturgical approach, Goffman (1959,1961,1962,1963,1967,1971) focuses on descriptions of face-to-face interaction in ordinarysituations, and analyses the protection and destruction of self-images.10. See Ferreira (1982: 47-75) for a full exposition of the development of thetheoretical perspective for the investigation.11. “Patient world” as opposed to “provider world”. “World” in this senserefers to the background, attitudes and social support systems of eachgroup. See Weinberger et al. (1982).12. See Ferreira (1982: 76-78, 84-91) for a fuller exposition of thedevelopment of the methodological base for the investigation.13. Ideas put forward on the nature of the qualitative research paradigm derivefrom those of Filstead (ed.) 1970; Fletcher 1971; Douglas (ed.) 1974;Filstead, in Cook, Reichardt (eds.) 1979: 33-48; Reichardt, Cook, in Cook,Reichardt (eds.) 1979: 7-32, and Patton 1980.14. See Ferreira (1982: 111-115) for a complete description of the samplingprocedure.15. Evening clinics are attended more by working persons and their families,and were thus excluded from the study.221