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Pharmaceuticalization and Care Coordination in New York City Outpatient Mental Health. 纽约市精神健康门诊病人的药物治疗和护理协调。
IF 1.5 3区 社会学
Medical Anthropology Pub Date : 2024-07-03 Epub Date: 2024-07-22 DOI: 10.1080/01459740.2024.2378092
Neil Krishan Aggarwal
{"title":"Pharmaceuticalization and Care Coordination in New York City Outpatient Mental Health.","authors":"Neil Krishan Aggarwal","doi":"10.1080/01459740.2024.2378092","DOIUrl":"10.1080/01459740.2024.2378092","url":null,"abstract":"<p><p>US government quality measures prioritize pharmaceuticalization and care coordination to promote patient treatment adherence. How these measures affect outpatient mental health service delivery and patient-provider communication where psychiatrists and nonphysicians collaborate is understudied. Analyzing 500 hours of participant-observation, 117 appointments, and 98 interviews with 45 new patients and providers, I show that psychiatrists and social workers coordinated care by encouraging medications and seeing two mental health providers as the default treatment, irrespective of patient preferences. Ethnographic perspectives crucially account for models of service delivery and provider behaviors in researching treatment adherence.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"383-396"},"PeriodicalIF":1.5,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11306980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adoption of Diabetes Technology in Denmark: Continuous Glucose Monitor as Time-Machine. 丹麦采用糖尿病技术的情况：作为时间机器的连续式葡萄糖监测仪。
IF 1.5 3区 社会学
Medical Anthropology Pub Date : 2024-07-03 Epub Date: 2024-06-26 DOI: 10.1080/01459740.2024.2362883
Astrid Andrea Anesen
{"title":"Adoption of Diabetes Technology in Denmark: Continuous Glucose Monitor as Time-Machine.","authors":"Astrid Andrea Anesen","doi":"10.1080/01459740.2024.2362883","DOIUrl":"10.1080/01459740.2024.2362883","url":null,"abstract":"<p><p>Health technologies to monitor glucose values are an important part of daily diabetes self-care. Based on 12 months of fieldwork in Denmark with 14 people with type 2 diabetes, I explore people's experience of living with Continuous Glucose Monitoring. This new technology automatically measures glucose levels throughout the day but is not yet common in type 2 diabetes treatment in Denmark. In this article, I capture the social shaping of Continuous Glucose Monitoring, employing the concept of time. I show how adoption of the technology is embedded in a form of biographical time. This refers to people's use of the technology linked to their stories about themselves. Drawing on a notion of habitus, people's embodied past experiences and future prospects come to shape its use, I propose. My main claim is that while people with diabetes implement the technology into their lives in unique ways, adapting it to their circumstances and social conditions, practice of Continuous Glucose Monitoring reproduce social structures. This is evinced, I argue, in people's tinkering with the technology and the frames of reference used to inform it. I introduce the term \"tinkering in time\", highlighting the introduction of new health technology within the frame of lived human time.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"428-440"},"PeriodicalIF":1.5,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sound Baths, Trauma Talk, and the Wellness Paradox in the USA. 美国的 "声音浴"、"创伤谈话 "和 "健康悖论"。
IF 1.5 3区 社会学
Medical Anthropology Pub Date : 2024-07-03 Epub Date: 2024-07-24 DOI: 10.1080/01459740.2024.2377289
Elisa J Sobo
{"title":"Sound Baths, Trauma Talk, and the Wellness Paradox in the USA.","authors":"Elisa J Sobo","doi":"10.1080/01459740.2024.2377289","DOIUrl":"10.1080/01459740.2024.2377289","url":null,"abstract":"<p><p>Yoga-informed sound bath providers orchestrate vibrations from singing bowls, chimes, gongs, and other simple instruments to promote client well-being - sometimes in ways that create a trauma trap. Drawing on immersive research with sound bath providers and receivers in California, USA, I explore how these ritual performances feed on and fuel narratives regarding trauma, stress, and dysregulation, diverting attention from structural and cultural factors creating said disharmony. Beyond thereby ensuring a market, they can perpetuate a trauma-informed self-identification and subjectivity that harmonizes with the American work ethic, diminishes nonproductive sensual enjoyment, promotes self-care over community care, undermines resilience, and amplifies suffering.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":"43 5","pages":"367-382"},"PeriodicalIF":1.5,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pregnancy and 'the Other': Nausea and Accommodation in Manila. 怀孕与 "他人"：马尼拉的恶心与住宿。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-05-18 Epub Date: 2024-05-16 DOI: 10.1080/01459740.2024.2349516
Daniel Tranter-Santoso
{"title":"Pregnancy and 'the Other': Nausea and Accommodation in Manila.","authors":"Daniel Tranter-Santoso","doi":"10.1080/01459740.2024.2349516","DOIUrl":"https://doi.org/10.1080/01459740.2024.2349516","url":null,"abstract":"<p><p>Pregnancy is a processual dialectic that involves continual acts of tactical, responsive, and creative accommodation by pregnant women. This article is a phenomenological investigation of pregnancy experience of working-class women in Manila. In it, I provide an outline of \"accommodation:\" acts which vary according to the political ecology of procreation in which they are enmeshed, and which are particularly evident in unexpected or unplanned pregnancies. Accommodation constitutes the core act in which the mother-to-be is engaged as the protagonist of procreation, transforming the character of unexpected pregnancy from uncertain and troubled to stable and even joyous as acts of accommodation restore bodily integrity.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":"43 4","pages":"353-365"},"PeriodicalIF":2.3,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Which Ethnography? Whose Ethnography? Medical anthropology's Epistemic Sensibilities Among Health Ethnographies. 哪种民族志？谁的民族志？医学人类学在健康民族志中的认识论情感。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-05-18 Epub Date: 2024-05-16 DOI: 10.1080/01459740.2024.2349513
Catherine Trundle, Tarryn Phillips
{"title":"Which Ethnography? Whose Ethnography? Medical anthropology's Epistemic Sensibilities Among Health Ethnographies.","authors":"Catherine Trundle, Tarryn Phillips","doi":"10.1080/01459740.2024.2349513","DOIUrl":"10.1080/01459740.2024.2349513","url":null,"abstract":"<p><p>Medical anthropologists working in interdisciplinary teams often articulate expertise with respect to ethnography. Yet increasingly, health scientists utilize ethnographic methods. Through a comparative review of health ethnographies, and autoethnographic observations from interdisciplinary research, we find that anthropological ethnographies and health science ethnographies are founded on different epistemic sensibilities. Differences center on temporalities of research, writing processes, sites of social intervention, uses of theory, and analytic processes. Understanding what distinguishes anthropological ethnography from health science ethnography enables medical anthropologists - who sometimes straddle these two ethnographic modes - to better articulate their epistemic positionality and facilitate interdisciplinary research collaborations.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":"43 4","pages":"295-309"},"PeriodicalIF":2.3,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Waiting for Care and Community Organizing for Serious Health-Related Suffering in Kerala, India. 印度喀拉拉邦与严重健康相关的苦难：等待护理和社区组织。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-05-18 Epub Date: 2024-05-16 DOI: 10.1080/01459740.2024.2351066
Devi Vijay, Gitte H Koksvik
{"title":"Waiting for Care and Community Organizing for Serious Health-Related Suffering in Kerala, India.","authors":"Devi Vijay, Gitte H Koksvik","doi":"10.1080/01459740.2024.2351066","DOIUrl":"10.1080/01459740.2024.2351066","url":null,"abstract":"<p><p>We explore the temporalities that shape and alleviate serious health-related suffering among those with chronic and terminal conditions in Kerala, India. Drawing on ethnographic fieldwork between 2009 and 2019, we examine the entanglements between waiting for care within dominant institutions and the community organizing that palliates this waiting. Specifically, people navigate multiple medical institutions, experience loneliness and abandonment, loss of autonomy, and delays and denials of recognition as they wait for care. Community palliative care organizations offering free, routine, home-based care provide samadhanam (peace of mind) and swatantrayam (self-determination) in lifeworlds mired with chronic waiting. We document how community care sustains an alternative politics of shared time, untethered from marketized notions of efficiency and productivity toward profits. In so doing, we cast in high relief community healthcare imaginaries that alleviate serious health-related suffering and reconfigure Global North-centric perspectives.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":"43 4","pages":"338-352"},"PeriodicalIF":2.3,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicalization of Old Age: Experiencing Healthism and Overdiagnosis in a Nordic Welfare State. 老年医疗化：在北欧福利国家体验健康主义和过度诊断》（Medicalization of Old Age: Experiencing Healthism and Overdiagnosis in a Nordic Welfare State）。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-05-18 Epub Date: 2024-05-16 DOI: 10.1080/01459740.2024.2349515
Alexandra Brandt Ryborg Jønsson
{"title":"Medicalization of Old Age: Experiencing Healthism and Overdiagnosis in a Nordic Welfare State.","authors":"Alexandra Brandt Ryborg Jønsson","doi":"10.1080/01459740.2024.2349515","DOIUrl":"10.1080/01459740.2024.2349515","url":null,"abstract":"<p><p>In Denmark, people are expected to take responsibility for their health, not least as their bodies age and they experience signs of physical or mental decline. Drawing on fieldwork among older Danes, I illustrate that an excessive focus on health gives rise to social and structural controversies and disparities, linking ideas of healthy behavior at the individual level with the societal framing of disease and aging. I argue that this emphasis contributes to the unwarranted diagnosis of bodily variations that naturally occur in the aging process, a phenomenon referred to as overdiagnosis, adding to a broader medicalization of old age.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":"43 4","pages":"310-323"},"PeriodicalIF":2.3,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Who We Test For: Aligning Relational and Public Health Responsibilities in COVID-19 Testing in Scotland. 我们为谁检测？调整苏格兰 COVID-19 检测中的关系责任和公共卫生责任。
IF 1.5 3区 社会学
Medical Anthropology Pub Date : 2024-05-18 Epub Date: 2024-05-07 DOI: 10.1080/01459740.2024.2349514
Imogen Bevan, Linda Bauld, Alice Street
{"title":"Who We Test For: Aligning Relational and Public Health Responsibilities in COVID-19 Testing in Scotland.","authors":"Imogen Bevan, Linda Bauld, Alice Street","doi":"10.1080/01459740.2024.2349514","DOIUrl":"10.1080/01459740.2024.2349514","url":null,"abstract":"<p><p>COVID-19 testing programs in the UK often called on people to test to \"protect others.\" In this article we explore motivations to test and the relationships to \"others\" involved in an asymptomatic testing program at a Scottish university. We show that participants engaged with testing as a relational technology, through which they navigated multiple overlapping responsibilities to kin, colleagues, flatmates, strangers, and to more diffuse publics. We argue that the success of testing as a technique of governance depends not only on the production of disciplined selves, but also on the program's capacity to align interpersonal and public scales of responsibility.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"277-294"},"PeriodicalIF":1.5,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
As Long As it Lasts-Older Substance Users, Brittle Ties and Danish Health Care. 天长地久--年长的药物使用者、脆弱的纽带和丹麦的医疗保健。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-05-18 Epub Date: 2024-05-16 DOI: 10.1080/01459740.2024.2349512
Jonas Strandholdt Bach, Bagga Bjerge, Natasja Eilerskov, Camilla Hoffmann Merrild
{"title":"As Long As it Lasts-Older Substance Users, Brittle Ties and Danish Health Care.","authors":"Jonas Strandholdt Bach, Bagga Bjerge, Natasja Eilerskov, Camilla Hoffmann Merrild","doi":"10.1080/01459740.2024.2349512","DOIUrl":"10.1080/01459740.2024.2349512","url":null,"abstract":"<p><p>In this article, we examine a group of older marginalized substance-using citizens and their relations to Danish health care. We offer empirical examples collected through ethnographic fieldwork, about how they handle their health situation and encounters with the Danish healthcare system. Analytically, we particularly draw on the concept of disposable ties, and suggest the term \"brittle ties\" to nuance the term and examine how perceived individual autonomy is weighted against health care trajectories and how these citizens often prefer to fend for themselves or lean on provisional networks rather than enter into health care trajectories and follow-up treatment.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":"43 4","pages":"324-337"},"PeriodicalIF":2.3,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Beautiful Registrations": Metrics and Prenatal Care in Rural Bahia, Brazil. "美丽的注册"：巴西巴伊亚州农村地区的衡量标准和产前护理。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-04-02 Epub Date: 2024-01-11 DOI: 10.1080/01459740.2023.2301388
Laura Caballe-Climent
{"title":"\"Beautiful Registrations\": Metrics and Prenatal Care in Rural Bahia, Brazil.","authors":"Laura Caballe-Climent","doi":"10.1080/01459740.2023.2301388","DOIUrl":"10.1080/01459740.2023.2301388","url":null,"abstract":"<p><p>In Brazil, lack of quality in the delivery of prenatal care is a persistent concern. In this study, I analyze the dynamics taking place in the prenatal clinical encounter, and illuminate how the requirement to produce metrics through registration and monitoring endorses a form of bureaucratic care. This form of care develops in a context characterized by scarcity and a lack of medical resources, where healthcare professionals attempt to contain uncertainty. Ruled by notions of risk, centered in measuring practices, and saturated by an overvaluation of technology, bureaucratic care reinforces the disenfranchizement and stigmatization of Black rural women.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"233-246"},"PeriodicalIF":2.3,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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