‘To me, it's my life’: medical communication, trust, and activism in cyberspace
Abstract
This paper studies the conversations and activities of an online support group for breast cancer sufferers and survivors and their supporters. Using communications medium theory and social capital theory, it examines the mundane and profound exchanges, the poignant self-disclosures, the creative expressions of solidarity, and the minor but not-insignificant political actions of people--initially strangers--who come together as a 'virtuous circle,' not only to assist with medical issues but also to meet emotional and even material needs. Sponsored by the Canadian nonprofit organization Breast Cancer Action Nova Scotia (BCANS), this virtual community has logged over a half million messages since 1996. Not every BCANS participant is an activist--many are just trying to grapple with their disease--but some find ways to shatter the professional "information monopoly," and to press for healthcare improvements. The study illustrates the scope, passion, and complexity of peer-to-peer medical communication in a virtual environment that promotes "thick trust". BCANS participants discuss with candor, warmth and even humor such painful topics as death and dying and the crises in intimate relationships brought about by a terminal illness. The sharing of confidences and fears enables participants to pool their 'collective intelligence' about many things, from how to cope with swelling, to how to think about end-of-life issues, to how to improve social policy.
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Technology does not merely enable individuals to identify on the basis of their biological/pathological characteristics but through the use of technology a new set of rights and responsibilities opens up for health citizens.
“Technology does not merely enable individuals to identify on the basis of their biological/pathological characteristics (Petersen et al., 2018) but through the use of technology a new set or rights and responsibilities opens up for health citizens (Barrett et al., 2016;Radin, 2006;Vicari and Cappai, 2016).”
From The Cultivation of Digital Health Citizenship (2021) · cites this paper as Radin, 2006
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The Cultivation of Digital Health Citizenship
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“This extends the idea of ‘crowd sourced communication ’ (Vicari and Cappai, 2016) and ‘collec-tive intelligence ’ (Radin, 2006) that rely largely on the exchange of information between patients as it has more direct impact on patients ’ decisions and actions about their health.”
Background
- Authors
- Radin, P.
- Corresponding author
- Radin, Patricia
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2006-02
- Volume
- 62
- Issue
- 3
- Pages
- 591-601
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2065971522
- Cited by
- 235
- References
- 49
- Citations by year
- 2025: 9 · 2024: 6 · 2023: 8 · 2022: 8 · 2021: 5 · 2020: 20 · 2019: 6 · 2018: 7 · 2017: 13 · 2016: 9 · 2015: 8 · 2014: 18 · 2013: 11 · 2012: 16
- FWCI
- 25.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Social Sciences › Communication › Social Media and Politics
- Social Sciences › Health › Social Media in Health Education
- Keywords
- breast cancer, online support groups, online communities, activism, social capital, solidarity, self-disclosure, collective intelligence, end-of-life issues
- MeSH terms
- Adolescent, Adult, Breast Neoplasms, Cooperative Behavior, Female, Humans, Nova Scotia, Patient Advocacy, Patient Participation, Self Disclosure, Self-Help Groups, Social Change, Sociology, Medical, Voluntary Health Agencies, Models, Organizational, Internet, Trust
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