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Resistance in unjust times: Archer, structured agency and the sociology of health inequalities

Scambler, GN; (2013) Resistance in unjust times: Archer, structured agency and the sociology of health inequalities. Sociology , 47 (1) pp. 142-156. 10.1177/0038038512455878. Green open access

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Abstract

Few sociologists dissent from the notion that the mid- to late 1970s witnessed a shift in capitalism’s modus operandi. Its association with a rapid increase of social and material inequality is beyond dispute. This article opens with a brief summation of contemporary British trends in economic inequalities, and finds an echo of these trends in health inequalities. It is suggested that the sociology of health inequalities in Britain lacks an analysis of agency, and that such an analysis is crucial. A case is made that the recent critical realist contribution of Margaret Archer on ‘internal conversations’ lends itself to an understanding of agency that is salient here. The article develops her typology of internal conversations to present characterizations of the ‘focused autonomous reflexives’ whose mind-sets are causally efficacious for producing and reproducing inequalities, and the ‘dedicated meta-reflexives’ whose casts of mind might yet predispose them to mobilize resistance to inequalities.

Type: Article
Title: Resistance in unjust times: Archer, structured agency and the sociology of health inequalities
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/0038038512455878
Publisher version: http://dx.doi.org/10.1177/0038038512455878
Additional information: © The Author(s) 2012. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(http://www.uk.sagepub.com/aboutus/openaccess.htm).
Keywords: Archer on internal conversations critical realism dedicated meta-reflexives; focused autonomous reflexives; health inequalities; mobilizing for resistance; neoliberalism; social and material inequalities;
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/1332175
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