Neoliberal perspectives, policies, and practices increasingly affect chronically ill and disabled people's embodied experiences of stigma and exclusion. Neoliberalism emphasizes individual responsibility and self‐sufficiency, a limited social safety net, and narrow governmental accountability. Examining pivotal experiences of chronically ill people shows how neoliberalism can frame their alternatives, interactions, and actions. This examination prompts reconsidering Goffman's concept of stigma to include how larger social policies and practices affect experiencing stigma and exclusion and, also, illuminates temporal features of receiving a diagnosis, disclosing illness, and dealing with disabilities and unpredictable bodies. The analysis derives from an ethnographic story and published and unpublished personal accounts from first‐hand and library research over the course of my career.

中文翻译：

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遭受污名和排斥：新自由主义的观点，实践和政策对慢性病和残疾患者的影响

新自由主义的观点，政策和做法越来越影响到慢性病和残疾人的污名化和排斥现象。新自由主义强调个人责任感和自给自足，有限的社会安全网以及狭窄的政府责任制。审视慢性病患者的关键经验表明，新自由主义如何构建他们的选择，互动和行动。这项检查促使人们重新考虑戈夫曼的污名概念，其中包括更大的社会政策和做法如何影响经历的污名和排斥，并且还阐明了接受诊断，披露疾病以及处理残疾和不可预测的身体的时间特征。