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The social construction of illness is a major research perspective in medical sociology. This article traces the roots of this perspective and presents three overarching constructionist findings. First, some illnesses are particularly embedded with cultural meaning—which is not directly derived from the nature of the condition—that shapes how society responds to those afflicted and influences the experience of that illness. Second, all illnesses are socially constructed at the experiential level, based on how individuals come to understand and live with their illness. Third, medical knowledge about illness and disease is not necessarily given by nature but is constructed and developed by claims-makers and interested parties. We address central policy implications of each of these findings and discuss fruitful directions for policy-relevant research in a social constructionist tradition. Social constructionism provides an important counterpoint to medicine's largely deterministic approaches to disease and illness, and it can help us broaden policy deliberations and decisions.

This article illustrates the role electronic support groups play in consumer-driven medicalization. The analysis is based on an observational study of a year in the life of an electronic support group for sufferers of the contested illness fibromyalgia syndrome. The analysis builds on and extends scholarship concerning the growing influence of lay expertise in the context of medical uncertainty by showing how the dominant beliefs and routine practices of this electronic community simultaneously (and paradoxically) challenge the expertise of physicians and encourage the expansion of medicine's jurisdiction. Drawing on their shared embodied expertise, participants confirm the medical character of their problem and its remedy, and they empower each other to search for physicians who will recognize and treat their condition accordingly. Physician compliance is introduced as a useful concept for understanding the relationship between lay expertise, patient-consumer demand, and contemporary (and future) instances of medicalization.

Sociologists have documented how the pharmaceutical industry has corrupted pharmacovigilance (PV), defined as the practices devoted to detecting and preventing adverse drug reactions (ADRs). In this article, I juxtapose the official postmarketing system of PV with firsthand accounts of ADRs as found in 60 YouTube vlogs created by 29 individuals who recount debilitating reactions to fluoroquinolones, a common class of antibiotics. Whereas official PV is said to contribute the banalization of risk, these vlogs exemplify the dramatization of risk. I consider the vlogs as instances of lay PV. They represent lay knowledge claims created in response to perceived failures in the official system of regulation. As such, lay PV shares commonalties with other articulations of lay expertise as a counter to medical authority. At the same time, this case also underscores how the YouTube platform offers new tools for the creation and distribution of lay expertise.

Wildlife translocations are increasingly used to combat declining biodiversity worldwide. Successful translocation often hinges on coexistence between humans and wildlife, yet not all translocation efforts explicitly include human dimensions (e.g., economic incentives, education programs, and conflict reduction assistance). To evaluate the prevalence and associated outcomes of including human dimensions as objectives when planning translocations, we analyze 305 case studies from the IUCN’s Global Re-Introduction Perspectives Series. We find that fewer than half of all projects included human dimension objectives (42%), but that projects including human dimension objectives were associated with improved wildlife population outcomes (i.e., higher probability of survival, reproduction, or population growth). Translocation efforts were more likely to include human dimension objectives if they involved mammals, species with a history of local human conflict, and local stakeholders. Our findings underscore the importance of incorporating objectives related to human dimensions in translocation planning efforts to improve conservation success. Conservation biologists have made calls for including human dimensions in wildlife conservation efforts. This quantitative synthesis of case studies from a global IUCN reintroduction program suggests that inclusion of local stakeholders in wildlife restoration programs boosts success rate.

Ungulates migrate to maximize nutritional intake when forage varies seasonally. Populations of ungulates often include both migratory and non‐migratory individuals, but the mechanisms driving individual differences in migratory behaviour are not well‐understood. We quantified associations between hypothesized drivers of partial migration and the likelihood of migration for individual ungulates that experienced a range of environmental conditions and anthropogenic influences. We evaluated the effects of forage variation, conspecific density, and human land uses on migratory behaviour of 308 adult female elk in 16 herds across western Montana. We found irrigated agriculture on an individual's winter range reduced migratory behaviour, but individuals were more likely to migrate away from irrigated agricultural areas if better forage was available elsewhere or if they experienced high conspecific density on their winter range. When the forage available during the summer growing season varied predictably between years, elk were more likely to migrate regardless of whether they had access to irrigated agriculture. Our study shows that predictable availability of beneficial native forage can encourage migration even for ungulates with irrigated agriculture on their winter range. Perturbations that can affect the forage available to ungulates include wildfires, timber harvest, livestock grazing and changing weather patterns. If these or other disturbances negatively affect forage on summer ranges of migrants, or if they cause forage to vary unpredictably across space and time, our results suggest migratory behaviour may decline as a result. Partial migration is common in ungulate populations, but the mechanisms driving variation in individual behaviours are poorly understood. This study found consistent influences of both native forage and irrigated agriculture on migratory behaviour of more than 300 elk in 16 herds across varying environmental conditions and anthropogenic influences.

Ungulates typically migrate to maximize nutritional intake when forage varies seasonally. In western North America, however, increasing numbers of ungulates reside on low-elevation winter range year-round rather than migrating. These residents often occupy irrigated agricultural areas, but it is not known whether the nutrition provided by agricultural land exceeds that gained by migration. We evaluated the nutrition available to a partially migratory population of elk (Cervus canadensis) in west-central Montana where some individuals summered on low-elevation agricultural lands, whereas others summered on traditional higher-elevation ranges. We sampled elk forage plants from ground plots and adult female elk movements from global positioning system (GPS) collar locations during late summer for 2 years. We tested for differences in the nutrition provided by 11 vegetative communities commonly available to elk in the Rocky Mountains and the nutrition available in areas used by individuals whose behaviors ranged from residency to migration. We found the nutrition available to elk decreased along the continuum from resident to migratory behavior, contrary to our hypothesis that all behaviors would provide access to equivalent forage quality. The relatively small summer home ranges of migrants suggest other factors (e.g., decreased competition) may compensate for their lower nutritional value, because the size of a home range is often inversely related to its fitness benefits. We found irrigated agriculture provided the highest forage quality in low elevations, but recently burned (1–6 yr prior) dry forests at higher elevations provided forage quality approximately equivalent to that of irrigated agriculture. Excluding elk from irrigated agricultural areas should therefore reduce nutritional incentives for elk to reside at low elevations year-round. Additionally, fire in higher-elevation dry forests may temporarily increase forage quality for elk and improve nutritional benefits of migratory behavior. Our results indicate land management practices can affect nutritionally mediated fitness benefits of differing behaviors in partially migratory populations of ungulates.

Global declines in wildlife migrations have prompted new initiatives to conserve remaining migratory behaviors. However, many migrations have already been lost. Important attempts have been made to recover extirpated migrations, and our understanding of restoration remains narrowly confined to these particular species and landscapes. Here, we examine diverse restoration efforts through the unifying lens of behavioral ecology to draw broader inferences regarding the feasibility and effectiveness of restoring lost migrations. First, we synthesize recent research advances that illuminate key roles of exploration, learning, and adaptation in migratory behavior. Then, we review case studies to identify common themes of restoration success across four major vertebrate groups: fish, birds, mammals, and herpetofauna. We describe three broad strategies to effectively restore lost migrations: reestablishing migratory populations, recovering migratory habitats, and reviving migratory behavior itself. To guide conservation and research efforts, we link these strategies with specific management techniques, and we explore the biological mechanisms underpinning the success of each. Our work reveals a previously underappreciated potential for restoring lost migrations in terrestrial and freshwater vertebrates, and it provides guidance on whether and how conservation practitioners, researchers, and policymakers can work to restore the valuable migrations we have lost.

For wildlife inhabiting snowy environments, snow properties such as onset date, depth, strength, and distribution can influence many aspects of ecology, including movement, community dynamics, energy expenditure, and forage accessibility. As a result, snow plays a considerable role in individual fitness and ultimately population dynamics, and its evaluation is, therefore, important for comprehensive understanding of ecosystem processes in regions experiencing snow. Such understanding, and particularly study of how wildlife–snow relationships may be changing, grows more urgent as winter processes become less predictable and often more extreme under global climate change. However, studying and monitoring wildlife–snow relationships continue to be challenging because characterizing snow, an inherently complex and constantly changing environmental feature, and identifying, accessing, and applying relevant snow information at appropriate spatial and temporal scales, often require a detailed understanding of physical snow science and technologies that typically lie outside the expertise of wildlife researchers and managers. We argue that thoroughly assessing the role of snow in wildlife ecology requires substantive collaboration between researchers with expertise in each of these two fields, leveraging the discipline‐specific knowledge brought by both wildlife and snow professionals. To facilitate this collaboration and encourage more effective exploration of wildlife–snow questions, we provide a five‐step protocol: (1) identify relevant snow property information; (2) specify spatial, temporal, and informational requirements; (3) build the necessary datasets; (4) implement quality control procedures; and (5) incorporate snow information into wildlife analyses. Additionally, we explore the types of snow information that can be used within this collaborative framework. We illustrate, in the context of two examples, field observations, remote‐sensing datasets, and four example modeling tools that simulate spatiotemporal snow property distributions and, in some cases, evolutions. For each type of snow data, we highlight the collaborative opportunities for wildlife and snow professionals when designing snow data collection efforts, processing snow remote sensing products, producing tailored snow datasets, and applying the resulting snow information in wildlife analyses. We seek to provide a clear path for wildlife professionals to address wildlife–snow questions and improve ecological inference by integrating the best available snow science through collaboration with snow professionals.

Private lands support much of the biodiversity in North America, but supporting wildlife can be costly for landowners. Innovative tools are needed to reduce the risks that wildlife pose to private landowners while conserving biodiversity. Here, we present a range of innovative tools that have effectively been used to “de‐risk” wildlife occupancy of private lands in the Greater Yellowstone Ecosystem. Lessons learned from these risk reduction strategies inform conservation more broadly by highlighting the importance of economic and risk‐management considerations to wildlife conservation on private lands. Incorporating de‐risking tools into the wildlife conservation toolbox can help conservation practitioners more strategically allocate resources to benefit wildlife and the private lands that help support them. This work presents a range of innovative tools that have successfully been used to “de‐risk” wildlife occupancy of private working lands. By reconciling the economic interests of private landowners with the goals of conservationists, these tools have improved conservation outcomes on and around working lands. Lessons learned from implementing these new risk‐reduction tools can help conservation practitioners more strategically allocate resources to benefit wildlife and the private lands that help support them.

The term “Medically Unexplained Symptoms” (MUS) describes chronic symptoms for which medical investigations fail to reveal a specific pathology or biomarker. Even as MUS are among the most prevalent chronic health problems in the global north, patients who experience them reside in a nebulous space. Such nebulousness is heightened for women patients. Moreover, women report MUS at higher rates than men. In this review essay, we analyze the medicalization and feminization processes vis-à-vis MUS by focusing on two particular syndromes: Fibromyalgia (FMS) and Long COVID (LC). FMS and LC present clear parallels that allow us to trace an unhappy marriage of women and MUS. We demonstrate how the medical constructions of these two syndromes as knowledge categories are representations of medical uncertainty vis-a-vis women patients. We then scrutinize the resulting gendered consequences of these categories for the illness experience. We conclude our review by calling for a cultural reorientation in our thinking about MUS that centers a recognition that the origins and manifestations of a great deal of human suffering reside outside of medicine’s ways of knowing. In so doing, we connect to foundational claims in medical anthropology and sociology; namely, that illness is more than disease, and health cannot be achieved primarily via biomedical means.