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Introduction and objective: The presented analysis is a reconstruction of the origins, inspirations for development, and theoretical foundations of the critical and unmasking trend in Polish and Western medical sociology. Abbreviated description of the state of knowledge: As a part of the critical medical sociology initiated in Poland by Professor Magdalena Sokołowska, a diagnosis of the (dys)functionality of contemporary medicine is carried out, emphasizing pathologies in the realization of its basic social functions, both at the level of systemic and institutional solutions, as well as stressing their consequences which include inter alia social health inequalities. Within the critical sociomedical research orientation, the diagnoses of the social role of medicine and distortions in the ways it is exercised are placed in the broad structural, political, and cultural contexts, which makes it possible to point to the principal causes of the analyzed phenomena. Summary: The crucial ‘value added’ of critical sociological analyses of medicine and health policy are directives intended to humanize medicine and health systems in contemporary societies, taking social and cultural realities into consideration. We understand the humanization of medicine in terms of its better adjustment to human needs that emerge in the situations of illness and being ill, with the simultaneous guarantee of universal and equal access to medical services.
Introduction and Objectives. One of the features of systemic transformation are its social costs. This is also the case with the Polish transformation initiated in 1989. Social processes connected with it are a kind of accelerator which increases the range of health needs realized outside the medical system. Utilization of non-medical healing methods may also be perceived as a way of coping with negative, i.e. sociopsychological consequences of transformation, including the fact that many people’s health needs were not met within institutional medicine. Such a situation results in a deepening of social inequalities in health. This problem will be presented from the perspective of ‘ordinary people’ in accordance with the leading research directive in medical sociology. Following the directives of humanistic sociology, the sources of information on the subject were personal documents. Materials and Methods. The paper presents selected results of the sociological qualitative analysis of 1,311 letters received by the editorial section of public Polish Television’s Channel Two in 1991 in connection with the broadcasting of a series of programmes conducted by the unconventional therapist Anatoly M. Kashpirovsky, who had a viewership of eight to nine million, on average. The presented and commented-on material consists of spectators’ statements on the adverse consequences of the systemic transformation, concerning health and illness. Results. The post-1989 political-system transformation is the most thorough-going social change in post-war Poland. It triggered off a number of both positive and negative processes. The negative ones include the deepening of social inequalities in health as a result of, inter alia, the progressive pauperization of society and also the growing utilization of non-medical healing methods. The negative effects of transformations are especially felt by typical ‘clients’ of Anatoly M. Kashpirovsky: poorly educated, indigent, residents of villages and small Polish towns: ‘the transformation process losers’. Conclusions. Systematic sociological knowledge on the ways of description and interpretation of health and illness by ‘lay people’ enables a more complete understanding of phenomena related to inequalities in health, including their social and structural causes.
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