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Uncertainty Work: Dealing with a Psychiatric Crisis in Two European Community Mental Health Teams. 不确定性工作：在两个欧洲社区心理健康团队中处理精神病危机》（Dealing with a Psychiatric Crisis in Two European Community Mental Health Teams）。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-04-02 Epub Date: 2024-02-08 DOI: 10.1080/01459740.2024.2310857
Christina Gerdien Roelofke Muusse, Cornelis L Mulder, Hans Kroon, Jeannette Pols
{"title":"Uncertainty Work: Dealing with a Psychiatric Crisis in Two European Community Mental Health Teams.","authors":"Christina Gerdien Roelofke Muusse, Cornelis L Mulder, Hans Kroon, Jeannette Pols","doi":"10.1080/01459740.2024.2310857","DOIUrl":"10.1080/01459740.2024.2310857","url":null,"abstract":"<p><p>The quest for how to deal with a crisis in a community setting, with the aim of deinstitutionalizing mental health care, and reducing hospitalization and coercion, is important. In this article, we argue that to understand how this can be done, we need to shift the attention from acute moments to daily uncertainty work conducted in community mental health teams. By drawing on an empirical ethics approach, we contrast the modes of caring of two teams in Utrecht and Trieste. Our analysis shows how temporality structures, such as watchful waiting, are important in dealing with the uncertainty of a crisis.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"247-261"},"PeriodicalIF":2.3,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703759","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
Becoming a (Neuro)migrant: Haitian Migration, Translation and Subjectivation in Santiago, Chile. 成为（新）移民：智利圣地亚哥的海地移民、翻译和主体化。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-04-02 Epub Date: 2024-03-06 DOI: 10.1080/01459740.2024.2324890
Gabriel Abarca-Brown
{"title":"Becoming a (Neuro)migrant: Haitian Migration, Translation and Subjectivation in Santiago, Chile.","authors":"Gabriel Abarca-Brown","doi":"10.1080/01459740.2024.2324890","DOIUrl":"10.1080/01459740.2024.2324890","url":null,"abstract":"<p><p>Based on a multi-sited ethnography conducted over 14 months in northern Santiago, I examine how the introduction of a series of health policies and the global mental health agenda has interacted with and impacted Haitian migrants in the context of a postdictatorship neoliberal Chile (1990-2019). Specifically, I explore the interactions between health and social institutions, mental health practitioners, psy technologies, and Haitian migrants, highlighting migrants' subjectivation processes and everyday life. I argue that Haitian migrants engage with heterogeneous subjectivation processes in their interactions with health and social institutions, challenging normative values of integration into Chilean society. These processes are marked not only by the presence of, or exposure to, psy interventions and mental health discourses but also by the degree of compatibility between a psychiatric and neurological language and Haitians' ideals and moral frameworks.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"262-276"},"PeriodicalIF":2.3,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11090156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040611","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
Crafting Ethnographic Relationships During the COVID-19 Pandemic in Germany Using Voice-Based Technologies. 在德国 COVID-19 大流行期间利用语音技术构建人种学关系。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-04-02 Epub Date: 2024-03-07 DOI: 10.1080/01459740.2024.2324891
Sibille Merz, Franziska König, Joshua Paul, Andreas Bergholz, Christine Holmberg
{"title":"Crafting Ethnographic Relationships During the COVID-19 Pandemic in Germany Using Voice-Based Technologies.","authors":"Sibille Merz, Franziska König, Joshua Paul, Andreas Bergholz, Christine Holmberg","doi":"10.1080/01459740.2024.2324891","DOIUrl":"10.1080/01459740.2024.2324891","url":null,"abstract":"<p><p>Drawing on a two-year ethnography of care practices during the COVID-19 pandemic in Germany, we discuss the affordances of voice-based technologies (smartphones, basic mobile phones, and landline telephones) in collecting ethnographic data and crafting relationships with participants. We illustrate how such technologies allowed us to move with participants, eased data collection through the social expectations around their use, and reoriented our attention to the multiple qualities of sound. Adapting research on the performativity of technology, we argue that voice-based technologies integrated us into participants' everyday lives while also maintaining physical distance in times of infectious sociality.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"219-232"},"PeriodicalIF":2.3,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050686","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
Challenging NHS Corporate Mentality: Hospital-Management and Bureaucracy in London's Pandemic. 挑战国家医疗服务体系的企业心态：伦敦大流行病中的医院管理和官僚主义。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-04-02 Epub Date: 2024-03-28 DOI: 10.1080/01459740.2024.2325606
Rebecca Irons
{"title":"Challenging NHS Corporate Mentality: Hospital-Management and Bureaucracy in London's Pandemic.","authors":"Rebecca Irons","doi":"10.1080/01459740.2024.2325606","DOIUrl":"10.1080/01459740.2024.2325606","url":null,"abstract":"<p><p>Whilst NHS Health Service management is usually characterized by hierarchized bureaucracy and profit-driven competitiveness, the COVID-19 pandemic drastically disrupted these ways of working and allowed London-based non-clinical management to experience their roles otherwise. This paper is based on 35 interviews with senior non-clinical management at a London-based NHS Trust during 'Alpha phase' of Britain's pandemic response (May-August 2020), an oft-overlooked group in the literature. I will draw upon Graeber's theory of \"total bureaucratization\" to argue that though the increasing neo-liberalization of the health-services has hitherto contributed toward a corporate mentality, the pandemic gave managers a chance to experience more collaboration and freedom than usual, which ultimately led to more effective realization of decision-making and change. The pandemic has shown NHS managers that there are alternatives to neoliberal logics of competition and hierarchy, and that those alternatives actually result in happier and effectively, more capable staff.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":"43 3","pages":"205-218"},"PeriodicalIF":2.3,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307357","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
Tackling the Unknown: Medical Semiotics of Inflammation and their Legal-Epistemological Boundaries in Brazil. 应对未知：巴西的炎症医学符号学及其法律-认识论界限》（Medical Semiotics of Inflammation and their Legal-Epistemological Boundaries in Brazil）。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-02-17 Epub Date: 2024-03-06 DOI: 10.1080/01459740.2024.2324887
Márcio Vilar
{"title":"Tackling the Unknown: Medical Semiotics of Inflammation and their Legal-Epistemological Boundaries in Brazil.","authors":"Márcio Vilar","doi":"10.1080/01459740.2024.2324887","DOIUrl":"10.1080/01459740.2024.2324887","url":null,"abstract":"<p><p>Do different medico-scientific understandings of autoimmune inflammation, whose carriers disobediently promote the therapeutic use of immunostimulants, have the potential to destabilize the hegemony of the standard palliative treatment based on immunosuppression? Here I explore whether and how medical paradigms in Brazil develop and expand around immunopathologies through practices of exclusion and inclusion in the context of global circulation of knowledges, therapies, and regulatory frameworks. While focusing on concurrent immunotherapeutic models <i>within</i> biomedicine, I discuss aspects of legal-epistemological frictions that animate controversies in which distinct ways of co-producing medical evidence affect and are affected by the biomedical establishment.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"130-145"},"PeriodicalIF":2.3,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050687","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
Turning Towards the Affective: Medical Semiotics of Child Maltreatment in Denmark. 转向情感：丹麦虐待儿童的医学符号学。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-02-17 Epub Date: 2023-08-31 DOI: 10.1080/01459740.2023.2250059
Camilla Hoffmann Merrild
{"title":"Turning Towards the Affective: Medical Semiotics of Child Maltreatment in Denmark.","authors":"Camilla Hoffmann Merrild","doi":"10.1080/01459740.2023.2250059","DOIUrl":"10.1080/01459740.2023.2250059","url":null,"abstract":"<p><p>Signs of child maltreatment may be physical and detectable by clinical examination but may also arise as a feeling of strangeness that sparks uncertainty. Based on fieldwork in Danish general practice, and thinking along recent discussions around semiotics and affect, the article explores how feelings of \"strangeness\" arise in child consultations. It focuses on how subjective, embodied, and interpersonal reactions arise, how signs, however tactile and arbitrary, are felt and experienced, and how engaging with affective aspects when doing diagnosis, could expand the medical semiotics of child maltreatment.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"161-173"},"PeriodicalIF":2.3,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10501463","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
Testing Care and Morality: Everyday Testing During COVID-19 in Denmark. 检测关怀与道德：丹麦 COVID-19 期间的日常检测。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-02-17 Epub Date: 2024-03-07 DOI: 10.1080/01459740.2024.2324897
Charlotte Nørholm, Jens Seeberg, Andreas Roepstorff, Mette Terp Høybye
{"title":"Testing Care and Morality: Everyday Testing During COVID-19 in Denmark.","authors":"Charlotte Nørholm, Jens Seeberg, Andreas Roepstorff, Mette Terp Høybye","doi":"10.1080/01459740.2024.2324897","DOIUrl":"10.1080/01459740.2024.2324897","url":null,"abstract":"<p><p>COVID-testing was central to control the spread of infection in Denmark. Drawing on ethnographic fieldwork, we show that testing was not just a diagnostic sign; it was also a biosocial practice that enacted a public health morality, centered on responsibility, care, and belonging. We argue that testing led to a public healthicization of everyday life, as it moralized individual and collective behavior and created a moral divide between the tested and the untested. By attending to COVID-19 testing as a material-semiotic sign, we show how testing is embedded within a particular cultural and moral framework of the Danish welfare state.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"146-160"},"PeriodicalIF":2.3,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050688","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
Expanding Medical Semiotics. 拓展医学符号学。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-02-17 Epub Date: 2024-03-04 DOI: 10.1080/01459740.2024.2324892
R S Andersen, M T Høybye, M B Risør
{"title":"Expanding Medical Semiotics.","authors":"R S Andersen, M T Høybye, M B Risør","doi":"10.1080/01459740.2024.2324892","DOIUrl":"10.1080/01459740.2024.2324892","url":null,"abstract":"<p><p>This special issue explores the evolving landscape of medical semiotics of conventional biomedicine. With expansion we refer to the range of phenomena considered signs or symptoms of underlying disease, but also the growing anthropological attention to the medical sign system in ways which reach beyond classic semiotic analysis. The articles testify to the expansion in terms of empirical foci and theoretical contributions. As part of the introduction, we discuss three modes of reading symptoms within medical anthropology: the hermeneutic, material, and critical readings, all highlighting the crucial role of medical anthropology in understanding the biosocial and cultural dimensions of medical semiotics.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"91-101"},"PeriodicalIF":2.3,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022975","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
Understanding Gut Sensations: Irritable Bowel Syndrome and Diagnostic Fluidity in Danish Clinical Practice. 了解肠道感觉：丹麦临床实践中的肠易激综合征和诊断流畅性。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-02-17 Epub Date: 2023-09-08 DOI: 10.1080/01459740.2023.2248354
Camilla Brændstrup Laursen, Rikke Sand Andersen, Marie Louise Tørring
{"title":"Understanding Gut Sensations: Irritable Bowel Syndrome and Diagnostic Fluidity in Danish Clinical Practice.","authors":"Camilla Brændstrup Laursen, Rikke Sand Andersen, Marie Louise Tørring","doi":"10.1080/01459740.2023.2248354","DOIUrl":"10.1080/01459740.2023.2248354","url":null,"abstract":"<p><p>Irritable bowel syndrome (IBS) is a prevalent health challenge in a Danish welfare context. Drawing on ethnographic fieldwork at two Danish gastroenterology clinics, and inspired by Charles E. Rosenberg's idea of styles of explaining widespread diseases, we outline three styles of understanding and treating gut trouble in daily clinical work: \"The microbial gut,\" \"the mindful gut,\" and \"the lifestyled gut.\" Moreover, we suggest the concept of fluidity to characterize IBS as a diagnostic category that allows clinicians and patients to operate through complex understandings of permeable boundaries between body, mind, and environment to negotiate personalized solutions for embodied gut sensations.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"174-187"},"PeriodicalIF":2.3,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10243026","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
Making It Count - Tracing Signs of Consciousness and Potentiality in Severe Brain Injury in Denmark. 让它发挥作用--追踪丹麦严重脑损伤患者的意识和潜能迹象。
IF 2.3 3区 社会学
Medical Anthropology Pub Date : 2024-02-17 Epub Date: 2024-01-11 DOI: 10.1080/01459740.2023.2300080
Mette Terp Høybye, Lise Marie Andersen, Hanne Bess Boelsbjerg
{"title":"Making It Count - Tracing Signs of Consciousness and Potentiality in Severe Brain Injury in Denmark.","authors":"Mette Terp Høybye, Lise Marie Andersen, Hanne Bess Boelsbjerg","doi":"10.1080/01459740.2023.2300080","DOIUrl":"10.1080/01459740.2023.2300080","url":null,"abstract":"<p><p>Healthcare professionals use various technologies to evaluate and support patients who have suffered severe brain injuries. They integrate monitoring and sensory assessments into their clinical practice, and these assessments can have an impact on treatment decisions and prognostication. Responses from patients during different interactions are interpreted as \"signs of consciousness\" when considered contextually relevant. This study is based on anthropological fieldwork conducted in specialized Danish intensive care units, where we explore how signs of consciousness are made to count through practices of enactment. We ethnographically trace how the clinical concept of potential influences the interpretation of signs of consciousness as a complex biosocial practice based on the biomedical assumption that consciousness is a vital indicator of what makes a life. The article provides insights into the potential for recovery as an emergent biosocial practice and contributes to a broader discussion within medical anthropology of the moral landscapes of clinical and experimental borderlands.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"115-129"},"PeriodicalIF":2.3,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418287","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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