In this article, I outline a framework for the sociological study of culture that connects three ... more In this article, I outline a framework for the sociological study of culture that connects three intertwined elements of human culture (cultural motivations, resources, and meanings) and demonstrates the concrete contexts under which each most critically influences actions and their subsequent outcomes. In contrast to models that cast motivations, resources, and meanings as competing explanations of how culture affects action, I argue that these are fundamental constituent elements of culture that are inseparable, interdependent, and simultaneously operative. Which element provides the strongest link to action, and how this link operates, must be understood as a function of the actor's position within wider social contexts. I argue that on average motivations have the most discernable link to action within a social strata, cultural resources provide the strongest link across strata, and meanings have the greatest direct influence when codified and sanctioned. I then offer a refr...
Aging is remarkably unequal. Who survives to grow old in America and the circumstances they face ... more Aging is remarkably unequal. Who survives to grow old in America and the circumstances they face once there reflect durable racial, socioeconomic, and gender inequalities that structure our lives from birth. Yet within the field of social stratification and mainstream sociology proper, examinations of the rapidly growing population of older Americans are often relegated to a "gerontological" periphery. This essay posits that the failure to place aging as a core concern in stratification and inequality is a missed opportunity. We argue for the importance of reintegrating studies on the stratification of aging and explain why such a move is necessary. Specifically, we posit that (a) examining the aging population is necessary for understanding American inequality because aging is an outcome that is ubiquitous yet highly stratified; (b) aging and being seen as "old" in a youth-focused society are stratifying processes in their own right; and (c) later life provides ...
Recent methodological debates in sociology have focused on how data and analyses might be made mo... more Recent methodological debates in sociology have focused on how data and analyses might be made more open and accessible, how the process of theorizing and knowledge production might be made more explicit, and how developing means of visualization can help address these issues. In ethnography, where scholars from various traditions do not necessarily share basic epistemological assumptions about the research enterprise with either their quantitative colleagues or one another, these issues are particularly complex. Nevertheless, ethnographers working within the field of sociology face a set of common pragmatic challenges related to managing, analyzing, and presenting the rich context-dependent data generated during fieldwork. Inspired by both ongoing discussions about how sociological research might be made more transparent, as well as innovations in other data-centered fields, the authors developed an interactive visual approach that provides tools for addressing these shared pragmat...
PurposeThe treatment decisions of melanoma patients are poorly understood. Most research on cance... more PurposeThe treatment decisions of melanoma patients are poorly understood. Most research on cancer patient decision-making focuses on limited components of specific treatment decisions. This study aimed to holistically characterize late-stage melanoma patients’ approaches to treatment decision-making in order to advance understanding of patient influences and supports.Methods(1) Exploratory analysis of longitudinal qualitative data to identify themes that characterize patient decision-making. (2) Pattern analysis of decision-making themes using an innovative method for visualizing qualitative data: a hierarchically-clustered heatmap. Participants were 13 advanced melanoma patients at a large academic medical center.ResultsExploratory analysis revealed eight themes. Heatmap analysis indicated two broad types of patient decision-makers. “Reliant outsiders” relied on providers for medical information, demonstrated low involvement in decision-making, showed a low or later-in-care intere...
Social scientists have long been concerned with how and why marginalized groups create and partic... more Social scientists have long been concerned with how and why marginalized groups create and participate in subcultures. There has been significantly less work examining how those with access to conventional status and success participate in subcultures, often despite significant economic and social costs. The result has been lopsided theorizing that neglects much of the positive, affective, and moral appeal of subcultures at all levels of stratification. The participation of middle-class men and women in the rapidly growing world of cage-fighting speaks to this longstanding issue in the existing literature. We find these individuals participate in a sporting subculture that involves bodily, interpersonal, and professional sacrifices because they feel it gives them the ability to viscerally realize the widely shared American ideals that form the core components of their “moral world.” The subculture holds particular sway over its members because they feel that its ideals, status hiera...
The objective of this commentary is to develop a framework for assessing the rigour of qualitativ... more The objective of this commentary is to develop a framework for assessing the rigour of qualitative approaches that identifies and distinguishes between the diverse objectives of qualitative health research, guided by a narrative review of the published literature on qualitative guidelines and standards from peer-reviewed journals and national funding organisations that support health services research, patient-centered outcomes research and other applied health research fields. In this framework, we identify and distinguish three objectives of qualitative studies in applied health research: exploratory, descriptive and comparative. For each objective, we propose methodological standards that may be used to assess and improve rigour across all study phases—from design to reporting. Similar to hierarchies of quality of evidence within quantitative studies, we argue that standards for qualitative rigour differ, appropriately, for studies with different objectives and should be evaluate...
When making health care decisions, patients and consumers use data but also gather stories from f... more When making health care decisions, patients and consumers use data but also gather stories from family and friends. When advising patients, clinicians consult the medical evidence but also use professional judgment. These stories and judgments, as well as other forms of narrative, shape decision making but remain poorly understood. Furthermore, qualitative research methods to examine narrative are rarely included in health science research. We illustrate how narratives shape decision making and explain why it is difficult but necessary to integrate qualitative research on narrative into the health sciences. We draw on social-scientific insights on rigorous qualitative research and our ongoing studies of decision making by patients with cancer, and we describe new tools and approaches that link qualitative research findings with the predominantly quantitative health science scholarship. Finally, we highlight the benefits of more fully integrating qualitative research and narrative an...
Research in Social Stratification and Mobility, 2012
Despite the rapidly growing ranks of the elderly in America, the increasing racial and ethnic div... more Despite the rapidly growing ranks of the elderly in America, the increasing racial and ethnic diversity of this population, and the large number of seniors who are poor, there are relatively few systematic investigations that examine the causes of racial differences in health care use specifically among elders living in poverty. This article addresses this issue by examining differences in patterns of having and using a physician among the elderly poor, the role that race plays and what might explain it. We demonstrate that even within this disadvantaged and medically engaged population there are persistent and significant racial differences in having and using a doctor. Specifically, we show: (1) Whites and women are more likely to have a regular doctor than men and African Americans; (2) Among those who have a doctor, whites and women also visit the doctor with greater frequency than other groups even at the same levels of health or illness; (3) After accounting for the varying le...
Objective: To propose a framework for assessing the rigor of qualitative research that identifies... more Objective: To propose a framework for assessing the rigor of qualitative research that identifies and distinguishes between the diverse objectives of qualitative studies currently used in patient-centered outcomes and health services research (PCOR and HSR). Study Design: Narrative review of published literature discussing qualitative guidelines and standards in peerreviewed journals and national funding organizations that support PCOR and HSR. Principal Findings: We identify and distinguish three objectives of current qualitative studies in PCOR and HSR: exploratory, descriptive, and comparative. For each objective, we propose methodological standards that can be used to assess and improve rigor across all study phases—from design to reporting. Similar to quantitative studies, we argue that standards for qualitative rigor differ, appropriately, for studies with different objectives and should be evaluated as such. Conclusions: Distinguishing between different objectives of qualitat...
Contemporary Sociology: A Journal of Reviews, 2009
Forced Out: Older Workers Confront Job Loss by Kenneth A. Root and Rosemarie J. Park is a detaile... more Forced Out: Older Workers Confront Job Loss by Kenneth A. Root and Rosemarie J. Park is a detailed case study of the adjustment process experienced by older blue-collar workers (those over 45 years of age) after being downsized from a Minnesota defense firm. The authors investigate the effects of job loss on these unionized production workers and examine the myriad difficulties they face as they either attempt to re-enter the labor market or retire. To this end, Root and Park conducted a small-scale panel-based survey that asked each of the workers displaced in the 1998–1999 layoffs about their employment status, adjustment post-firing, feelings towards the company and union, social life, and family. The authors sent these out in 2000, 2001 and 2002. They then augmented their survey data with in-depth interviews, focus groups, and a detailed history of the firm from 1907 to present. Forced Out lacks a strong central thesis and organizational road map. Still, there are several useful...
PURPOSE Patients with advanced cancer and oncologists deliberate about early-phase (EP) trials as... more PURPOSE Patients with advanced cancer and oncologists deliberate about early-phase (EP) trials as they consider whether to pursue EP trial enrollment. We have limited information about those deliberations and how they may facilitate or impede trial initiation. This study describes these deliberations and their relationship to trial initiation. PATIENTS AND METHODS We collected longitudinal, ethnographic data on deliberations of patients with advanced cancer at two academic medical centers. We used constant comparative and framework analyses to characterize the deliberative process and its relationship to trial initiation. RESULTS Of 96 patients with advanced cancer, 26% initiated EP enrollment and 19% joined a trial. Constant comparative analysis revealed two foci of deliberation. Setting the stage focused on patient and physician support for EP trial involvement, including patients' interest in research and oncologists' awareness of trials and assessment of patient fit. Sec...
Author(s): Abramson, Corey Michael | Advisor(s): Sanchez-Jankowski,, Martin | Abstract: From our ... more Author(s): Abramson, Corey Michael | Advisor(s): Sanchez-Jankowski,, Martin | Abstract: From our first breath in the hospital to the day we die, we live in a society characterized by unequal opportunities for maintaining health and taking care of ourselves when ill. These disparities reflect persistent racial, socio-economic, and gender-based inequalities and contribute to their persistence over time. Social scientists have established that gaps in access to information, uneven material resources, unequal treatment in medical institutions, and differences in interpersonal networks link social inequalities to disparities in morbidity, mortality, and health behaviors. However, we know less about how these links operate in everyday life. This dissertation uses findings from three years of comparative ethnographic research in four urban neighborhoods and 60 in-depth interviews with seniors from different race, class, and gender groups, to show how inequality shapes seniors' response...
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Papers by Corey Abramson