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Flinkfeldt, Marie
Publications (10 of 18) Show all publications
Flinkfeldt, M. (2017). Wanting to work: Managing the sick role in high-stake sickness insurance meetings. Sociology of Health and Illness, 39(7), 1149-1165
Open this publication in new window or tab >>Wanting to work: Managing the sick role in high-stake sickness insurance meetings
2017 (English)In: Sociology of Health and Illness, ISSN 0141-9889, E-ISSN 1467-9566, Vol. 39, no 7, p. 1149-1165Article in journal (Refereed) Published
Abstract [en]

This article respecifies and develops Parsons's sick role theory, focusing on the postulate that the sick person must want' to get well. Using conversation analysis and discursive psychology to study how the psychological term want' is used in high-stake, multi-professional meetings with sickness benefit claimants in Sweden, the article shows how establishing that one wants' to get well requires extensive interactional work. In the examined meetings, the sick person's want' formulations make explicit the relationship between wants' and illness or inabilities, thus allowing for motivational character to be established without committing to its implications, and without appearing strategic or biased. By contrast, professional parties in the meetings invoke the sick person's wants' either to hold them accountable, or for establishing a desired course of recovery, confirming the centrality of such wants' in this setting as well as the risks associated with expressing them. The article suggests that analysing psychological matters as they are oriented to by participants renders sick role theory relevant for a wide range of settings and respecifies criticism of the model.

National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology) Occupational Health and Environmental Health
Research subject
Sociology
Identifiers
urn:nbn:se:uu:diva-267403 (URN)10.1111/1467-9566.12567 (DOI)000410766100011 ()28503755 (PubMedID)
Available from: 2015-11-22 Created: 2015-11-22 Last updated: 2018-01-25Bibliographically approved
Flinkfeldt, M. (2017). What mothers do: Motherhood as a resource for negotiating sick-leave legitimacy in Swedish sickness insurance interactions. NORA: Nordic Journal of Feminist and Gender Research, 25(3), 179-194
Open this publication in new window or tab >>What mothers do: Motherhood as a resource for negotiating sick-leave legitimacy in Swedish sickness insurance interactions
2017 (English)In: NORA: Nordic Journal of Feminist and Gender Research, ISSN 0803-8740, E-ISSN 1502-394X, Vol. 25, no 3, p. 179-194Article in journal (Refereed) Published
Abstract [en]

Sick leave in the Nordic countries is a gendered issue. Alongside other explanations, women’s higher levels of sick leave have been linked to their far-reaching family responsibilities. Meanwhile, studies have shown how such responsibilities induce questioning of the legitimacy of sick leave, indicating that normative aspects linking these categories cannot solely be approached in terms of causal explanations. The current study suggests an alternative way of studying this relationship, approaching motherhood as something being “done” in situated ways, to particular ends; a resource for interaction. By analysing naturally occurring interactions—meetings held by the Swedish Social Insurance Agency—the study renders visible the collaborative production of sick leave as a gendered matter, and motherhood as part of the negotiation of sickness insurance. The analysis shows the meaning and import of motherhood for sick leave to be a live issue for participants, drawing attention to how these categories are neither culturally predefined, nor dispositional, but flexibly assembled for certain purposes. Motherhood functions as a resource in two ways: (1) displaying restricted ability to care for children supports claims of impairment; (2) invoking motherhood works to account for slow or inactive rehabilitation. However, occasioning motherhood in the examined context is also risky: (3) displaying extensive mothering may be treated as indicating low commitment to rehabilitation, and (4) displaying limited mothering may be taken as indicating unfitness as a parent.

Keywords
motherhood, gender, institutional talk, sickness insurance, sick leave, membership categorization analysis, conversation analysis, interaction
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Sociology
Identifiers
urn:nbn:se:uu:diva-331998 (URN)10.1080/08038740.2017.1380698 (DOI)000416769700003 ()
Available from: 2017-10-20 Created: 2017-10-20 Last updated: 2018-03-19Bibliographically approved
Flinkfeldt, M. (2016). Legitimacy Work: Managing Sick Leave Legitimacy in Interaction. (Doctoral dissertation). Uppsala: Acta Universitatis Upsaliensis
Open this publication in new window or tab >>Legitimacy Work: Managing Sick Leave Legitimacy in Interaction
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis studies how sick leave legitimacy is managed in interaction and develops an empirically driven conceptualization of ‘legitimacy work’. The thesis applies an ethnomethodological framework that draws on conversation analysis, discursive psychology, and membership categorization analysis. Naturally occurring interaction is examined in two settings: (1) multi-party meetings at the Swedish Social Insurance Agency, in which participants assess and discuss the ‘status’ of the sick leave and plan for work rehabilitation; (2) peer-based online text-in-interaction in a Swedish forum thread that gathers people on sick leave.

The thesis shows how mental states, activities and alternative categories function as resources for legitimacy work. However, such invocations are no straight-forward matter, but impose additional contingencies. It is thus crucial how they are invoked. By detailed analyses of the interaction, with attention to aspects such as lexicality and delivery, the thesis identifies a range of discursive features that manage sick leave legitimacy. Deployed resources are also subtle enough to be deniable as legitimacy work, that is, they also manage the risk of an utterance being seen as invested or biased.

While legitimate sick leave is a core concern for Swedish policy-making, administration, and public debate on sick leave, previous research has for the most part been explanatory in orientation, minding legitimacy rather than studying it in its own right. By providing detailed knowledge about the legitimacy work that people on long-term sick leave do as part of both institutional and mundane encounters, the thesis contributes not only new empirical knowledge, but a new kind of empirical knowledge, shedding light on how the complexities of sick leave play out in real-life situations.

Traditional sociological approaches have to a significant extent treated legitimacy as an entity with beginnings and ends that in more or less direct ways relate to external norms and cognitive states, or that focus on institutions, authority or government. By contrast, the herein emerging concept ‘legitimacy work’ understands legitimacy as a locally contingent practicality – a collaborative categorially oriented accomplishment that is integral to the interactional situation.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2016. p. 113
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 122
Keywords
legitimacy, legitimation, legitimacy-in-action, sick leave, sickness absence, sick role, Sweden, social insurance, sickness benefit, conversation analysis, discursive psychology, ethnomethodology, membership categorization analysis, institutional talk, categories, moral work, social interaction, talk-in-interaction, text-in-interaction, meetings, online forums
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology) Social Psychology
Research subject
Sociology
Identifiers
urn:nbn:se:uu:diva-267405 (URN)978-91-554-9419-3 (ISBN)
Public defence
2016-01-15, Auditorium Minus, Museum Gustavianum, Akademigatan 3, Uppsala, 13:15 (English)
Opponent
Supervisors
Available from: 2015-12-18 Created: 2015-11-22 Last updated: 2016-01-13
Flinkfeldt, M. (2015). Wanting to get back to work: Negotiating the sick role in doctors' meetings with sick-listed patients and social insurance case officers. In: : . Paper presented at 5th International Conference on Conversation Analysis and Clinical Encounters (CACE), Loughborough, July 3-5, 2015.
Open this publication in new window or tab >>Wanting to get back to work: Negotiating the sick role in doctors' meetings with sick-listed patients and social insurance case officers
2015 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Sciences
Research subject
Sociology
Identifiers
urn:nbn:se:uu:diva-271362 (URN)
Conference
5th International Conference on Conversation Analysis and Clinical Encounters (CACE), Loughborough, July 3-5, 2015
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2016-01-07
Flinkfeldt, M. (2014). Doing chairing, negotiating professional asymmetries: Administration and medicine in Swedish sick leave status meetings. In: : . Paper presented at National Communication Association's 100th Annual Convention, Chicago, November 20-23, 2014.
Open this publication in new window or tab >>Doing chairing, negotiating professional asymmetries: Administration and medicine in Swedish sick leave status meetings
2014 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Sciences
Research subject
Sociology
Identifiers
urn:nbn:se:uu:diva-271387 (URN)
Conference
National Communication Association's 100th Annual Convention, Chicago, November 20-23, 2014
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2016-01-07
Flinkfeldt, M. (2014). Legitimacy and knowledge in sick leave status meetings in Sweden. In: : . Paper presented at Nordic Interdisciplinary Conference on Discourse and Interaction (Nordisco), Jyväskylä, November 12-14, 2014.
Open this publication in new window or tab >>Legitimacy and knowledge in sick leave status meetings in Sweden
2014 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Sciences
Research subject
Sociology
Identifiers
urn:nbn:se:uu:diva-271390 (URN)
Conference
Nordic Interdisciplinary Conference on Discourse and Interaction (Nordisco), Jyväskylä, November 12-14, 2014
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2016-01-07
Flinkfeldt, M. (2014). Making equality relevant: Gender, housework, and sick leave legitimacy in online interaction. Feminism and Psychology, 24(3), 295-313
Open this publication in new window or tab >>Making equality relevant: Gender, housework, and sick leave legitimacy in online interaction
2014 (English)In: Feminism and Psychology, ISSN 0959-3535, E-ISSN 1461-7161, Vol. 24, no 3, p. 295-313Article in journal (Refereed) Published
Abstract [en]

This article uses discursive psychology and conversation analysis to examine a Swedish online forum thread in which participants, who present as women on long-term sick leave, make gender equality relevant when discussing housework. Doing housework can challenge the legitimacy of the sick leave, and as a woman, one risks being categorized as a "housewife." Such a categorization can work to undermine sick leave legitimacy and is also problematic given norms of gender equality in Sweden. In the studied data, such inferences are managed by invoking a (male) partner in accounts for housework or by humorous and ironic gendered categorizations. The analysis focuses on how this is done in the fine details of the interaction, showing how sick leave legitimacy is managed within a normative framework of gender equality. The study provides a practically oriented approach to the gendered aspects of sick leave legitimacy and sheds light on the delicate interplay between gender equality and sick leave in everyday life.

Place, publisher, year, edition, pages
Sage, 2014
Keywords
Gender equality, housework, sick leave, online interaction, conversation analysis, discursive psychology, accounts, categorization, humor
National Category
Psychology Gender Studies
Research subject
Sociology; Psychology
Identifiers
urn:nbn:se:uu:diva-229579 (URN)10.1177/0959353513515295 (DOI)000340165600001 ()
Available from: 2014-08-12 Created: 2014-08-11 Last updated: 2017-12-05Bibliographically approved
Flinkfeldt, M. (2014). 'Sick leave culture': Institutional categorization, legitimacy and moral order at the intersection of research and politics. In: : . Paper presented at Sociologidagarna, Gothenburg, March 13-15, 2014.
Open this publication in new window or tab >>'Sick leave culture': Institutional categorization, legitimacy and moral order at the intersection of research and politics
2014 (English)Conference paper, Oral presentation only (Refereed)
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Sociology
Identifiers
urn:nbn:se:uu:diva-271393 (URN)
Conference
Sociologidagarna, Gothenburg, March 13-15, 2014
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2016-01-07
Flinkfeldt, M. (2014). Sick leave culture: Institutional categorization, legitimacy and moral order at the intersection of research and politics in Sweden. In: : . Paper presented at International Sociological Association's 18th World Congress, Yokohama, July 13-19, 2014.
Open this publication in new window or tab >>Sick leave culture: Institutional categorization, legitimacy and moral order at the intersection of research and politics in Sweden
2014 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Sociology
Identifiers
urn:nbn:se:uu:diva-271391 (URN)
Conference
International Sociological Association's 18th World Congress, Yokohama, July 13-19, 2014
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2016-01-07
Flinkfeldt, M. (2013). Making equality relevant: Gender, housework and sick leave legitimacy in online interaction. In: : . Paper presented at 8th Nordic Conference on Language and Gender, Stockholm, October 10-11, 2013.
Open this publication in new window or tab >>Making equality relevant: Gender, housework and sick leave legitimacy in online interaction
2013 (English)Conference paper, Oral presentation only (Refereed)
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Sociology
Identifiers
urn:nbn:se:uu:diva-271394 (URN)
Conference
8th Nordic Conference on Language and Gender, Stockholm, October 10-11, 2013
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2016-01-07
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