Chronicity rhetoric in health and welfare systems inhibits patient recovery: a qualitative, ethnographic study of fibromyalgia care Article Swipe
Caroline Cupit
,
Teresa Finlay
,
Catherine Pope
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1016/j.socscimed.2025.118313
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1016/j.socscimed.2025.118313
Fibromyalgia is a leading cause of disability in the UK and worldwide, but is difficult to diagnose and treat due to unclear pathogenesis and diverse and fluctuating symptoms. Although various treatment modalities are recommended, no treatments have been proven to effect sustainable improvement or recovery, and patients are typically dissatisfied with their care. Increasingly, biopsychosocial services are being developed, that aim to take a multifaceted, holistic approach. In this paper, we draw on a qualitative, ethnographic study of biopsychosocial services in the UK (including 59 interviews, 200 h observation, document review, and stakeholder workshops), that are providing new and promising forms of support. Drawing on Smith's Sociology for People as our analytic framework, we explore the work that is undertaken in these services. We discover chronicity rhetoric that interrupts practitioners' and patients' efforts to promote healing and recovery. We show that chronicity rhetoric is produced and reinforced through Biomedical Research and Welfare Benefits systems. Our findings are likely to have wider applicability to services for other difficult-to-treat conditions that are having increasingly problematic impacts on health, wellbeing and economic productivity worldwide (e.g., chronic pain, Chronic Fatigue Syndrome (CFS), Myalgic Encephalomyelitis (ME)).
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.socscimed.2025.118313
- OA Status
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https://doi.org/10.1016/j.socscimed.2025.118313Digital Object Identifier
- Title
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Chronicity rhetoric in health and welfare systems inhibits patient recovery: a qualitative, ethnographic study of fibromyalgia careWork title
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
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2025-06-10Full publication date if available
- Authors
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Caroline Cupit, Teresa Finlay, Catherine PopeList of authors in order
- Landing page
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https://doi.org/10.1016/j.socscimed.2025.118313Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.1016/j.socscimed.2025.118313Direct OA link when available
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Rhetoric, Ethnography, Fibromyalgia, Qualitative research, Welfare, Health care, Medicine, Sociology, Public health, Psychology, Gender studies, Nursing, Political science, Psychiatry, Social science, Economic growth, Anthropology, Economics, Philosophy, Linguistics, LawTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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