Health最新文献 - Book学术

Differences as potentials: A posthuman re-envisioning of disability and mobility.

IF 1.9 4区医学

Health Pub Date : 2025-03-25 DOI: 10.1177/13634593251329489

Barbara E Gibson, Carla Rice, Brenda M Gladstone, Julia Gray, Evadne Kelly, Donya Mosleh, Bhavnita Mistry

{"title":"Differences as potentials: A posthuman re-envisioning of disability and mobility.","authors":"Barbara E Gibson, Carla Rice, Brenda M Gladstone, Julia Gray, Evadne Kelly, Donya Mosleh, Bhavnita Mistry","doi":"10.1177/13634593251329489","DOIUrl":"https://doi.org/10.1177/13634593251329489","url":null,"abstract":"Drawing on a posthuman onto-epistemology, this paper explores movements of bodies labelled-as-disabled as creative 'choreographies' that are coproduced through the coming together of multiple material, social, discursive and affective forces across time-spaces. The purpose is to challenge thinking as usual towards re-envisioning differences as potentials rather than deficits. To do so, we consider how disability can move deficit-thinking and how mobility can be put to work to rethink disability. Movement and mobility in relation to disability are frequently discussed in terms of bodily deficits and/or disabling access barriers. Deficit-thinking separates people into categories of disabled or so-called 'abled' wherein reforms are oriented to erasure of differences through providing disabled people with access to a normal/ized life. In this posthuman analysis we advance an affirmative way of thinking about differences by recursively retheorizing disability through movement and retheorizing movement through disability. To do so we present three 'mobility experiments' generated from a recent study conducted with five youth partners who identified as disabled. Within the experiments, we position creative mobilities as micro-activist becomings that suggest avenues for celebrating differences towards instigating radical change. We conclude with a discussion of posthuman disability ethics and the implications of our analysis for thinking and doing differently in healthcare and beyond.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593251329489"},"PeriodicalIF":1.9,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating uncertainty in low back pain care through an ethic of openness: Learnings from a post-critical analysis.

IF 1.9 4区医学

Health Pub Date : 2025-03-13 DOI: 10.1177/13634593241310383

Nathalia Costa, Rebcca Olson, Miriam Dillon, Karime Mescouto, Prudence Butler, Roma Forbes, Jenny Setchell

{"title":"Navigating uncertainty in low back pain care through an ethic of openness: Learnings from a post-critical analysis.","authors":"Nathalia Costa, Rebcca Olson, Miriam Dillon, Karime Mescouto, Prudence Butler, Roma Forbes, Jenny Setchell","doi":"10.1177/13634593241310383","DOIUrl":"https://doi.org/10.1177/13634593241310383","url":null,"abstract":"Theoretical and practical guidance on how to navigate uncertainties in healthcare are scarce. Here, we draw from Gibson's ethic of openness to explore clinicians' experiences navigating uncertainty with individuals who experience low back pain (LBP) and provide guidance on avenues for navigating uncertainty in LBP and healthcare more broadly. Our analysis suggests that clinicians practice within different philosophical commitments when providing care for individuals with LBP, with some of them aligning with a (post)positivist approach with pre-determined endpoints and others an ethic of openness, with no fixed endpoints and consideration of multiple options and perspectives. Based on our analysis, an ethic of openness may help to surface these philosophical commitments, creating space for possibilities other than denying uncertainty and oversimplifying (evidence-based) practice. We argue that an ethic of openness may assist clinicians to navigate uncertainty in fruitful ways - embracing uncertainty, engaging in reflexivity and creativity, moving clinicians to directions that are likely to best meet the needs of patients.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593241310383"},"PeriodicalIF":1.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Agency, sex and drug education: Examining the response-ability of education responses to consumption, sex and harm.

IF 1.9 4区医学

Health Pub Date : 2025-03-12 DOI: 10.1177/13634593251326285

Adrian Farrugia

{"title":"Agency, sex and drug education: Examining the response-ability of education responses to consumption, sex and harm.","authors":"Adrian Farrugia","doi":"10.1177/13634593251326285","DOIUrl":"https://doi.org/10.1177/13634593251326285","url":null,"abstract":"This article examines how drug education professionals understand and respond to the relationship between alcohol and other drug consumption, sex and harm. While recent research examines how these issues are addressed in drug education curriculum, little is known about the perspectives of professionals involved in education design and delivery. Research suggests that agency is centrally important for understanding experiences of harmful, pleasurable or ambiguous sexual encounters in consumption settings. I analyse understandings of the relationship between agency, drug consumption, sex and harm generated during in-depth interviews with drug education professionals. Informed by Karen Barad's relational concepts of agency and response-ability, I examine the agencies that these professionals constitute as the locus of harms related to consumption and sex. Some focus on individual human agency, while others position alcohol and drugs as the primary agents of harm. Throughout the analysis I argue that both approaches offer an impoverished account of drug consumption and sex and inform education approaches that struggle to respond to other significant agencies such as gender. I also examine accounts that grapple with agencies beyond people and drugs. Overall, I argue for drug education approaches that are more response-able to the multiple agencies that together constitute experiences of drug consumption and sex.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593251326285"},"PeriodicalIF":1.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143614693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical context and communication in shared decision-making about major surgery: Findings from a qualitative study with colorectal, orthopaedic and cardiac patients. 大手术共同决策中的临床环境与沟通：对结肠直肠癌、骨科和心脏病患者的定性研究结果。

IF 1.9 4区医学

Health Pub Date : 2025-03-01 Epub Date: 2024-03-21 DOI: 10.1177/13634593241238857

Gemma Hughes, Timothy J Stephens, Lucas M Seuren, Rupert M Pearse, Sara E Shaw

{"title":"Clinical context and communication in shared decision-making about major surgery: Findings from a qualitative study with colorectal, orthopaedic and cardiac patients.","authors":"Gemma Hughes, Timothy J Stephens, Lucas M Seuren, Rupert M Pearse, Sara E Shaw","doi":"10.1177/13634593241238857","DOIUrl":"10.1177/13634593241238857","url":null,"abstract":"Increasing numbers of older people undergo major surgery in the United Kingdom (UK), with many at high risk of complications due to age, co-morbidities or frailty. This article reports on a study of such patients and their clinicians engaged in shared decision-making. Shared decision-making is a collaborative approach that seeks to value and centre patients' preferences, potentially addressing asymmetries of knowledge and power between clinicians and patients by countering medical authority with greater patient empowerment. We studied shared decision-making practices in the context of major surgery by recruiting 16 patients contemplating either colorectal, cardiac or joint replacement surgery in the UK National Health Service (NHS). Over 18 months 2019-2020, we observed and video-recorded decision-making consultations, studied the organisational and clinical context for consultations, and interviewed patients and clinicians about their experiences of making decisions. Linguistic ethnography, the study of communication and interaction in context, guided us to analyse the interplay between interactions (during consultations between clinicians, patients and family members) and clinical and organisational features of the contexts for those interactions. We found that the framing of consultations as being about life-saving or life-enhancing procedures was important in producing three different genres of consultations focused variously on: resolving problems, deliberation of options and evaluation of benefits of surgery. We conclude that medical authority persists, but can be used to create more deliberative opportunities for decision-making through amending the context for consultations in addition to adopting appropriate communication practices during surgical consultations.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"200-219"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140184261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vibrant Screens: Remote therapy and counselling through the lens of digital materiality. 充满活力的屏幕：通过数字物质的视角进行远程治疗和咨询。

IF 1.9 4区医学

Health Pub Date : 2025-03-01 Epub Date: 2024-02-26 DOI: 10.1177/13634593241234491

Marjo Kolehmainen

引用次数: 0

"Too soft for real psychiatry"? Gendered boundary-making between coercion and dialog in Italian wards. "对真正的精神病学来说太软弱"？意大利病房中强制与对话之间的性别边界划分。

IF 1.9 4区医学

Health Pub Date : 2025-03-01 Epub Date: 2024-02-26 DOI: 10.1177/13634593241234479

Eleonora Rossero, Raffaella Ferrero Camoletto

{"title":"\"Too soft for real psychiatry\"? Gendered boundary-making between coercion and dialog in Italian wards.","authors":"Eleonora Rossero, Raffaella Ferrero Camoletto","doi":"10.1177/13634593241234479","DOIUrl":"10.1177/13634593241234479","url":null,"abstract":"Psychiatric practice has always entailed a coercive dimension, visible not only in its formal expressions (e.g. compulsory treatment) but in many informal and implicit forms. In fact, contemporary psychiatric practices are characterized by an interplay of coercion and dialog to be interpreted not as binary categories but as extremes of a spectrum. Within this perspective, it becomes crucial to draw boundaries attributing meaning to professional identities and practices in psychiatric work. This is particularly relevant in acute wards: to explore this issue, we selected two cases according to a most-different-cases design, one ward with a mechanical-restraint approach compared to one with no-mechanical-restraint. We argue that gender, mobilized to performatively draw distinctions and hierarchies in order to define and justify different approaches to psychiatric crises along the continuum between coercion and dialog, is a key dimension in the boundary-making process. The analysis identifies two main dimensions of drawing gendered boundaries: inter-gender boundaries (overlapping the binary distinction between masculinity and femininity with a more coercive or relational-dialogic approach to crisis) and intra-gender boundaries (distinguishing and ranking of different masculinities and femininities), associating a less coercive orientation with a devirilized masculinity.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"163-180"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Power, position and social relations: Is the espoused absence of hierarchy in Open Dialogue naïve? 权力、地位和社会关系：开放对话中没有等级之说是否天真？

IF 1.9 4区医学

Health Pub Date : 2025-03-01 Epub Date: 2024-04-26 DOI: 10.1177/13634593241249101

Rochelle Einboden, Lisa Dawson, Andrea McCloughen, Niels Buus

{"title":"Power, position and social relations: Is the espoused absence of hierarchy in Open Dialogue naïve?","authors":"Rochelle Einboden, Lisa Dawson, Andrea McCloughen, Niels Buus","doi":"10.1177/13634593241249101","DOIUrl":"10.1177/13634593241249101","url":null,"abstract":"Open Dialogue practitioners aim to reduce social hierarchies by not privileging any one voice in social network conversations, and thus creating space for a polyphony of voices. This sits in contrast to the traditional privileging of those voices credited with more knowledge or power because of social position or professional expertise. Using qualitative interviews, the aim of this current study was to explore Open Dialogue practitioners' descriptions of challenges in implementing Open Dialogue at a women's health clinic in Australia. Findings revealed how attempts to rhetorically flatten hierarchies among practitioners created challenges and a lack of clarity regarding roles and responsibilities. As the practitioners tried to adjust to new ways of working, they reverted to taking up engrained positions and power aligned with more conventional social and professional roles for leading therapy and decision-making. The findings raise questions about equity-oriented ways of working, such as Open Dialogue, where intentions of creating a flattened hierarchy may allow power structures and their effects to be minimised or ignored, rather than actively acknowledged and addressed. Further research is needed to consider the implications that shifting power relations might have on the roles and responsibilities of practitioners in the move to equity-oriented services.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"258-275"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bright-siding stigma: Older adults' experiences at a higher weight in Atlantic Canada. 亮边耻辱：加拿大大西洋地区老年人体重增加的经历。

IF 1.9 4区医学

Health Pub Date : 2025-03-01 Epub Date: 2024-03-19 DOI: 10.1177/13634593241238869

Andrea E Bombak, Norma Chinho, Lisa Thomson, Courtney Burk, Sumaiya Akhter, Kathleen O'Keefe, Lee Turner

{"title":"Bright-siding stigma: Older adults' experiences at a higher weight in Atlantic Canada.","authors":"Andrea E Bombak, Norma Chinho, Lisa Thomson, Courtney Burk, Sumaiya Akhter, Kathleen O'Keefe, Lee Turner","doi":"10.1177/13634593241238869","DOIUrl":"10.1177/13634593241238869","url":null,"abstract":"The lived experiences of higher-weight people vary; homogenous samples may fail to capture this diversity. This study develops an in-depth understanding of the lived experiences of higher-weight (Body Mass Index ⩾ 30) older adults (⩾60 years of age) in a Canadian Atlantic province. Participants (n = 11) were interviewed face-to-face using a semi-structured interview guide twice at 2-to-3-month intervals regarding their perceived treatment in social and health situations; how positive and negative healthcare experiences affected their health, lifestyles and healthcare seeking-behaviour; and recommendations in terms of patient experiences, access and inclusion. Participants infrequently reported negative experiences; however, participants' experiences were informed by uptake of moralistic, neoliberal discourses. Thematic content analysis identified two major themes: active citizenship (participants demonstrated internalisation of the imperative for weight loss, healthy lifestyles and active ageing) and bright-siding (participants expressed that a positive attitude could prevent/help cope with stigma). Results suggest that individualistic, rather than collective, political solutions to health and stigma have been taken up by higher-weight older adults in a Canadian Atlantic province, which may hinder attempts at structural reforms addressing stigma.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"236-257"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140158019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-led research and displacements of biomedical knowledge production, distribution, and consumption. 患者主导的研究与生物医学知识的生产、传播和消费的位移。

IF 1.9 4区医学

Health Pub Date : 2025-03-01 Epub Date: 2024-04-26 DOI: 10.1177/13634593241249096

Dixi Louise Strand, Mari Holen

引用次数: 0

Beyond the neoliberal label: A historical perspective on sexual actors and responsibility in HIV prevention in England (1986-2023). 超越新自由主义标签：从历史角度看英格兰预防艾滋病的性行动者和责任（1986-2023 年）。

IF 1.9 4区医学

Health Pub Date : 2025-03-01 Epub Date: 2024-03-18 DOI: 10.1177/13634593241238862

Alvaro Martinez-Lacabe

{"title":"Beyond the neoliberal label: A historical perspective on sexual actors and responsibility in HIV prevention in England (1986-2023).","authors":"Alvaro Martinez-Lacabe","doi":"10.1177/13634593241238862","DOIUrl":"10.1177/13634593241238862","url":null,"abstract":"Framed across three distinct periods of the history of neoliberalism and the HIV epidemic in England, this article conducts a detailed examination of the concept of personal responsibility and its contested uses within HIV prevention. The article questions the theoretical potential of neoliberal subjectivities to comprehend behaviours related to the pharmaceuticalised governance (or lack thereof) of gay men's sexual health, exploring the gap between theories emphasising individual responsibility and the practical experiences of gay men. The analysis draws on testimonials from gay men in oral history interviews and archival sources. The article illustrates how the pervasive notion of personal responsibility in England has been co-opted by neoliberal ideologies, leading to the stigmatisation of gay men whose sexual behaviours diverge from public health mandates. The widespread stigmatisation resulting from this ideology underscores a significant limitation in the theoretical framework of neoliberal subjectivities. This constraint extends beyond merely failing to grasp the complexity of sexual behaviours; it also reflects a lack of understanding of any other behaviour related to public health. Therefore, the article concludes by advocating the necessity of employing and constructing alternative theoretical frameworks to comprehend the pharmaceutical governance or lack thereof of gay men's sexual health. Through a concise autoethnography of the authors' pharmaceutical sexual health governance, the article introduces the concept of biocommesuration as an illustrative analysis that transcends the limitations of neoliberal subjectivities.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"220-235"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140143264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0