“We want another doctor!” Citizen agency and contested notions of disability in social assistance applications in South Africa
| dc.contributor.author | Kelly, Gabrielle | |
| dc.date.accessioned | 2016-08-29T13:02:46Z | |
| dc.date.available | 2016-08-29T13:02:46Z | |
| dc.date.issued | 2016-07 | |
| dc.description.abstract | Problems in fairly allocating welfare and health resources or targeting social programmes are very often located in the spaces where citizens interact directly with state workers. This study draws on observations of doctor-patient encounters in disability assessments for the South African disability grant (DG), to examine how doctor-patient interactions shape social welfare allocation. I show that interactions between doctors and patients are sites of negotiation and contestation over rights to social assistance. Claimants’ understanding of disability differed from biomedical conceptions of disability. Doctors carrying out DG assessments faced both direct and indirect pressure from claimants, who aimed to influence their decisions through narratives of suffering and performances of disability. Frustrated by communication barriers, as well as the perceived unfairness and arbitrary nature of assessments, some claimants used verbal or physical abuse as a form of protest against the system. In order to defend themselves from these pressures and maintain authority in these interactions, doctors employed coping strategies that distanced and objectified claimants, minimising opportunities for patients to bully them or affect their judgment. These strategies strained already tense doctor-patient relationships and made the DG system illegible to the public. This demonstrates the importance of considering trust, power dynamics and the exercise of agency by both patients and providers in understanding policy implementation. | en_ZA |
| dc.identifier.apacitation | Kelly, G. (2016). <i>“We want another doctor!” Citizen agency and contested notions of disability in social assistance applications in South Africa</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR). Retrieved from http://hdl.handle.net/11427/21585 | en_ZA |
| dc.identifier.chicagocitation | Kelly, Gabrielle <i>“We want another doctor!” Citizen agency and contested notions of disability in social assistance applications in South Africa.</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR), 2016. http://hdl.handle.net/11427/21585 | en_ZA |
| dc.identifier.citation | Kelly, G. (2016). “We want another doctor!” Citizen agency and contested notions of disability in social assistance applications in South Africa. CSSR Working Paper No. 383. Centre for Social Science Research, University of Cape Town. | en_ZA |
| dc.identifier.isbn | 978-1-77011-370-1 | en_ZA |
| dc.identifier.ris | TY - Working Paper AU - Kelly, Gabrielle AB - Problems in fairly allocating welfare and health resources or targeting social programmes are very often located in the spaces where citizens interact directly with state workers. This study draws on observations of doctor-patient encounters in disability assessments for the South African disability grant (DG), to examine how doctor-patient interactions shape social welfare allocation. I show that interactions between doctors and patients are sites of negotiation and contestation over rights to social assistance. Claimants’ understanding of disability differed from biomedical conceptions of disability. Doctors carrying out DG assessments faced both direct and indirect pressure from claimants, who aimed to influence their decisions through narratives of suffering and performances of disability. Frustrated by communication barriers, as well as the perceived unfairness and arbitrary nature of assessments, some claimants used verbal or physical abuse as a form of protest against the system. In order to defend themselves from these pressures and maintain authority in these interactions, doctors employed coping strategies that distanced and objectified claimants, minimising opportunities for patients to bully them or affect their judgment. These strategies strained already tense doctor-patient relationships and made the DG system illegible to the public. This demonstrates the importance of considering trust, power dynamics and the exercise of agency by both patients and providers in understanding policy implementation. DA - 2016-07 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 978-1-77011-370-1 T1 - “We want another doctor!” Citizen agency and contested notions of disability in social assistance applications in South Africa TI - “We want another doctor!” Citizen agency and contested notions of disability in social assistance applications in South Africa UR - http://hdl.handle.net/11427/21585 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/21585 | |
| dc.identifier.vancouvercitation | Kelly G. “We want another doctor!” Citizen agency and contested notions of disability in social assistance applications in South Africa. 2016 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/21585 | en_ZA |
| dc.language | eng | en_ZA |
| dc.publisher.department | Centre for Social Science Research(CSSR) | en_ZA |
| dc.publisher.faculty | Faculty of Humanities | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights | Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | en_ZA |
| dc.title | “We want another doctor!” Citizen agency and contested notions of disability in social assistance applications in South Africa | en_ZA |
| dc.type | Working Paper | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Working paper | en_ZA |