Stronger association between self rated health and mortality when the cause of death is a condtition the patient is likely to have known about )ie diabetes, cancer, alcohol) Weaker preditor for sudden causes such as violence. Identity and illness- lively and smith reading on blackbord. The effect on illness and identity: parsons" sick role. The critique of parsons : neglects chronic illness, and neglecting to incorporate the physical body (aches, pains) 73 interviews, 57 chronically ill individuals- they face several negative reactions, due to increased social isolation and being discredited by others because of their illness. Somebody diagnosed with cancer for ex will be unlikely to fulfill their roles in society, for ex as a lawyer etc. respondents used the terms loss and constraint. Concluded that chronic illness is a loss of self. We need to recover the individuals choice, although is influenced by social factors. Theoretical background: symbolic interactionism- george herbert mead: self shapes society and society shapes self.