Background
For Parsons, illness disrupts role performance and is therefore a form of deviance; society channels it through physician legitimation and the institution of the sick role.
Rights and obligations
- Right 1: exemption from normal social roles, in proportion to severity and certified by a physician.
- Right 2: not held responsible for the condition.
- Duty 1: regard illness as undesirable and try to get well.
- Duty 2: seek technically competent help and cooperate with the physician.
Doctor-patient relationship
Physicians follow professional norms of universalism, affective neutrality, functional specificity and collectivity orientation, in an asymmetric relationship with the patient.
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Criticisms
- It fits acute illness better than chronic illness and disability.
- Ability to adopt the role varies by class and culture.
- Labelling theory notes that some illnesses bring blame rather than exemption.
- Freidson highlighted medicine's professional power to define illness.
References
- Parsons, T. (1951). The Social System. Free Press. (Chapter 10)
- Parsons, T. (1975). The sick role and the role of the physician reconsidered. Milbank Memorial Fund Quarterly, 53(3), 257-278.
- Freidson, E. (1970). Profession of Medicine. Dodd, Mead.
- Williams, S. J. (2005). Parsons revisited: From the sick role to...? Health, 9(2), 123-144.