title: Labor, social exclusion, and chronic muscular illness: the case of mid-impoverished sectors in a peripheral neighborhood in Madrid, Spain.
abstract: This study analyzes the combination of different and differing representations and care practices that social groups belonging to a mid-impoverished sector of Madrid use to alleviate chronic muscular pain, as well as the consequences that this has for both domestic and work life. I collected empirical evidence in a peripheral neighborhood of Madrid during 2004 using a number of anthropological methods such as participant observation, in-depth interviews, and life-history interviews. The following results can be singled out from the completed investigation: in the context of social impoverishment there are macrostructural factors that are transformed into health-destructive processes that influence the development and incidence of chronic muscular illness. This requires the different social groups that are suffering from this to establish a number of care practices mainly based on the use of Western medicine as well as other medical traditions of self-care. These practices relate to economic, educational, sociocultural, and ideological factors that characterize the lives of these individuals. This essay focuses on perceptions of illness and care practices beyond the biomedical context, as it addresses those representations and practices that these impoverished social groups display in accordance with their way of life and in relation to their ailments.
authors.affiliation: Department of Social Anthropology, Universidad Complutense de Madrid, Spain. dbetrisey@cps.ucm.es
authors.forename: Débora
authors.initials: D
authors.lastname: Betrisey
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health / Q000208:ethnology*; D002908:Chronic Disease; D006801:Humans; D007407:Interviews as Topic; D017116:Low Back Pain / Q000208:ethnology / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000208:ethnology / Q000523:psychology* / Q000628:therapy; D009784:Occupational Diseases / Q000523:psychology; D010817:Physician-Patient Relations; D011788:Quality of Life; D012111:Residence Characteristics; D012648:Self Care; D012919:Social Behavior; D012923:Social Class; D012931:Social Environment; D013030:Spain; D055815:Young Adult