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WHAT DO PEOPLE BECOME PATIETS? PROFESSIONALS' DEFINITIONS OF ILLNESS
Whether someone is permitted to become a patient will depend in part on the professionals' definitions of illness, how they define their particular clients, how they define their own role and the resources available to them. Thus someone of over 65 years of age may be denied access to a rehabilitation centre, someone with a persistent chronic illness may be deemed unsuitable for physiotherapy and someone whose symptoms are thought to result from stress and depression may be considered an inappropriate candidate for physical treatment.
Such criteria change over time and according to circumstances. Although professional rhetoric is almost always in terms of patient care, all organizations, including the professions, are in the business of self-survival and are often eager to expand. Thus if patients are in short supply people not previously permitted entry may be encouraged to become patients and if, on the other hand, patients become very plentiful or staffing levels depleted, then people who had once been allowed to take on the role of patient may be denied it. If one source of work ceases to exist or is reduced, for example acute illness, then professionals will tend to extend their service to other groups, for example mentally ill and mentally handicapped people. Not everyone views such 'medicalization' as helpful or appropriate and physiotherapists should be clear as to why their services have developed in various directions, what they are trying to achieve and whether they are the most appropriate people to intervene.
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