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Abstract The concept of biographical disruption has now enjoyed nearly 40 years of use in medical sociology. This paper argues that taking an embodied approach to biographical disruption helps to explain the concept's enduring efficacy. Drawing on the work of Maurice Merleau-Ponty and contemporary theories of embodiment inspired by his phenomenology, this paper advances that biographical disruption involves, in the first instance, a disruption to the ability to enact an embodied orientation towards the world. Biographical disruption does not, from this perspective, result from illness as such, but from the ways that illness impinges on one's physical ability to engage with daily life. This paper examines the experiences of solid organ transplant recipients for the purpose of shedding light on the conditions under which biographical disruption arises in experience. The analysis includes interviews with 36 post-operative solid organ transplant recipients (heart, liver, lung, and kidney) living in British Columbia or Ontario, Canada. These participants exhibit a wide range of illness experiences, some of which manifest as biographical disruption and others that do not. Tracing the contours of these experiences, this paper argues that the efficacy of biographical disruption for describing the illness experience depends not only on the illness experience but also, fundamentally, on the content of embodiment prior to the onset of that experience. Highlights • The embodiment perspective improves the efficacy of biographical disruption. • The embodied context of an experience structures the illness experience. • Organ transplant recipients present variable experiences of biographical disruption. [ABSTRACT FROM AUTHOR]

The Canadian government recently sanctioned a supervised consumption site (SCS) that is currently in Vancouver, British Columbia. The government is open to sanctioning more sites across the country; however, by law the federal health minister must consider whether such facilities are supported by local governments representing the cities where the sites are proposed to be located. Until 2016, the government of Canada's largest city, Toronto, did not support SCSs. Drawing on Lenton cannabis policy research, this study analyses government documents, policy papers, scientific reports, and newspaper articles and secondary literature to identify some of the significant barriers that minimised the likelihood that Toronto's council would support SCSs between 2003 and 2016. The report compares conditions in Toronto to those of Vancouver where SCSs have enjoyed council support since 2001. This study find that three conditions play an important role in explaining why SCSs were supported in Vancouver 14 years before they were endorsed in Toronto: (1) Strong public support; (2) Favourable electoral conditions; and (3) Law enforcement support. Changes in Toronto surrounding these conditions help explain why its council endorsed SCSs in 2016. This study concludes that Lenton's research holds utility as a socio-legal theory of municipal drug policy change. [ABSTRACT FROM AUTHOR]

As the social programmes of the postwar welfare state have been dramatically cut back and transformed, many have looked to the voluntary nonprofit sector as the 'beacon of hope' in terms of delivering support and services to citizens in need of assistance. But at the same time as these organizations have been under mounting pressure to deliver support and services, they have also been subject to forces of change which limit their capacities to play this vital social role. In this paper, we examine how disability organizations in two Canadian provinces have been faring in increasingly harsh neoliberal environments. We look, in particular, at the ways in which these organizations are struggling to negotiate the pressures of diminished and inadequate funding, rising demand for their services, and changing regulatory relations with the state. Drawing on mail surveys of sixty-two disability organizations in the provinces of Ontario and British Columbia, we discuss the impacts that organizational survival strategies are having on clients, staff, volunteers and volunteerism, and on the operation and structure of such organizations. We show how disability organizations are experiencing significant pressures to change how they deliver services and supports to disabled people in need. These include pressures to diminish levels of service provision to clients, particularly those in greatest need, to reduce staffing levels and institute survival strategies that negatively impact working conditions, to rely even more heavily upon volunteer labour, and to modify their operations and organizations in a struggle to cope with harsh neoliberal conditions. [ABSTRACT FROM AUTHOR]