Medical Anthropology最新文献

{"title":"Articulating Interesting Subject Positions for People with Dementia: On Hanging Out in Dutch Nursing Homes.","authors":"Annelieke Driessen","doi":"10.1080/01459740.2023.2263805","DOIUrl":"10.1080/01459740.2023.2263805","url":null,"abstract":"<p><p>In this article, drawing on ethnographic research on everyday life and care for people with dementia in Dutch residential care, I argue that researchers who work with people with dementia can contribute to the enactment of \"interesting subject positions,\" thereby enriching the ways in which life with the condition is understood. The crux, I propose, is to use \"hanging out\" as a method and to ask \"interesting questions,\" an approach that enables participants to let researchers know what matters to them. Researchers, in turn, are enabled to \"say more\" about dementia, and to bring to light interesting subject positions.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"737-751"},"PeriodicalIF":2.3,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41171578","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}

{"title":"Clothing the Clown: Creative Dressing in a Day-center for People with Dementia in the Netherlands.","authors":"Ruud Hendriks","doi":"10.1080/01459740.2023.2263808","DOIUrl":"10.1080/01459740.2023.2263808","url":null,"abstract":"<p><p><i>Creatief met clowns</i> is a creative and art-based workshop for people living with dementia that invites participants to join in a collaborative process of creating an outfit and clothing a clown. In this article, I look at what happened in workshop sessions and how this mattered to those involved, including what participants with dementia valued about the activity - by listening to what they had to say, but also by attending to their performative, creative and affective ways of engaging in <i>Creatief met Clowns</i>. To further articulate values that came up in practice, I analyzed my findings in terms of the quality of psychosocial relations, the role of embodiment, material aspects, and playfulness in person-centered care. By combining an ethnographic study of art-based care-practice with a value-sensitive theoretical reflection on empirical findings, my approach offers an alternative to problematic efforts to quantify the value of art in person-centered dementia care.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":"42 8","pages":"771-786"},"PeriodicalIF":2.3,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399765","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}

{"title":"Researching Words without Speaking Them. Language as Care Practice in Multi-Lingual Care Environments in Poland.","authors":"Luise Schurian-Dąbrowska, Kristine Krause","doi":"10.1080/01459740.2023.2223998","DOIUrl":"10.1080/01459740.2023.2223998","url":null,"abstract":"<p><p>Being able to speak and understand local languages is regarded as an important prerequisite for conducting fieldwork. In this article we reflect on fieldwork in which we did not speak the local language - Polish - but in which we could still learn something about a central practice in our field sites: how language was implicated in practices of care. Hanging out as linguistically constricted researchers propelled us to research situations in which care was done through using words as sounds and practices, rather than relying on meanings, and to relate to not sharing a language in new ways.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"815-827"},"PeriodicalIF":2.3,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10003083","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}

{"title":"Recentering Labor in the Egg Donation Bioeconomy: Egg Donors' (Re)productive Work and Subjectification in Spain.","authors":"Anna Molas","doi":"10.1080/01459740.2023.2263806","DOIUrl":"https://doi.org/10.1080/01459740.2023.2263806","url":null,"abstract":"<p><p>In 2019, Spanish fertility clinics reached a historical record of ova extractions. A total of 14,521 surgeries were performed to serve the growing egg demand internationally. Here I show how bringing a cycle to completion is not an easy task for egg donors. Selecting a clinic, understanding their own biocapital in the industry and how to invest it, fitting the cycle into their lives, and managing pain and emotions become crucial parts of their work. I argue that these activities constitute a vast amount of labor that, although essential for the generation of value in reproductive bioeconomies, remains invisible and undertheorized.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160493","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}

{"title":"\"Watering-Down\" Strict HIV Testing Quotas on Chinese Men Who Have Sex with Men Community-Based Organizations.","authors":"Andrew T Wortham","doi":"10.1080/01459740.2023.2244650","DOIUrl":"10.1080/01459740.2023.2244650","url":null,"abstract":"<p><p>The Chinese Center for Disease Control employs Community-Based Organizations (CBO) to conduct mass testing on \"hidden\" Men who have Sex with Men (MSM). Testing MSMs is intended to make risky bodies legible to the state and discipline the CBOs around narrow health goals. However, detailed ethnographic fieldwork with MSM CBOs in southwest China demonstrates that pressures to achieve HIV testing quotas produce the need to \"water-down\" or manipulate data. This distorts the identities and practices of MSMs from state surveillance and builds collusive partnerships between CBOs and low-level government officials to mitigate the disciplinary impacts of strict audits.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"667-681"},"PeriodicalIF":2.3,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028086","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}

{"title":"Complimentary Addictions: Pharmaceutical Experimentalism and the Problem of Recovery in Baltimore.","authors":"Sanaullah Khan","doi":"10.1080/01459740.2023.2249203","DOIUrl":"10.1080/01459740.2023.2249203","url":null,"abstract":"<p><p>In Baltimore, clients in methadone maintenance treatment (MMT) experiment with prescription medicine and in doing so face new risks of noncompliance as they tread this blurry line between medical and illegal. This can potentially lead to suspension from drug treatment programs, resulting in clients finding the next most suitable treatment center to enroll into. I argue that the close interaction between drug treatment centers and illegal markets results in new pharmaceutical dependencies, forms of self-care as well as suspicions toward, but also among clients, about their intentions to recover.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"637-649"},"PeriodicalIF":2.3,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10118342","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}

{"title":"Antibiotics in Catalan Primary Care: Prescription, Use and Remedies for a Crisis of Care.","authors":"Adam Brisley, Helen Lambert, Carla Rodrigues","doi":"10.1080/01459740.2023.2256451","DOIUrl":"10.1080/01459740.2023.2256451","url":null,"abstract":"<p><p>Antimicrobial resistance is one of the twenty-first century's major health challenges. Linked to the extensive use of antibiotics and other antimicrobials, resistance occurs when microbes stop responding to medications. Rates of antibiotic consumption in Spain are among the highest in Europe. Drawing on research conducted in Catalonia, in this article we present findings from ethnographic fieldwork and semi-structured interviews with general practitioners, residents of Barcelona, and professionals who have worked in antibiotic stewardship. We argue that the circulation of antibiotics should be understood in relation to broader historical processes and the deficient systems of health and social care provision they have produced.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":"42 7","pages":"682-696"},"PeriodicalIF":2.3,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152270","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}

{"title":"Emerging Technologies for Preventing the 'New' Dementia: Ambiguous Optimism in the Canadian Context.","authors":"Annette Leibing,&nbsp;Cynthia Lazzaroni,&nbsp;Niklas Petersen","doi":"10.1080/01459740.2023.2244649","DOIUrl":"10.1080/01459740.2023.2244649","url":null,"abstract":"<p><p>Experts' views on the use of mostly digital technologies for dementia prevention are characterized by a simultaneity of \"gerontechnological optimism\" and skeptical hesitancy. Despite the hope for progress in dementia prevention through preventive technologies, experts also point to the complexity of prevention, the importance of environmental factors and public health policies, and the danger of an excessive focus on individual interventions. Without questioning the positive impact such technologies can have on many people, we claim that the experts' ambiguity reveals a deeper concern, a kind of \"cruel optimism\" that is based on a fantasy of \"supported autonomy\".</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"607-622"},"PeriodicalIF":2.3,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10316561","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}

{"title":"The Trouble of Stigma in the Age of Datafication: Screening for Mental Health Issues in a Refugee Camp in Jordan.","authors":"Lars Rune Christensen,&nbsp;Hasib Ahsan","doi":"10.1080/01459740.2023.2250060","DOIUrl":"10.1080/01459740.2023.2250060","url":null,"abstract":"<p><p>Drawing on ethnographic fieldwork in a refugee camp in Jordan, this article investigates how datafication through digital screening technologies helps shape mental health issues in the face of widespread uneasiness about the subject, especially among the intended beneficiaries. We argue that the refugees and their health care providers face a dilemma: on the one hand, the desire to make mental health issues visible and clinically actionable through datafication and, on the other hand, the wish to keep mental health issues out of public view to avoid potential stigma.</p>","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"623-636"},"PeriodicalIF":2.3,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10168488","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}

{"title":"Ethics in Ethnography: Lessons of Amana and Ghayb in the Middle East for Medical Anthropology.","authors":"Ashwak Sam Hauter","doi":"10.1080/01459740.2023.2257017","DOIUrl":"10.1080/01459740.2023.2257017","url":null,"abstract":"Much has been written about the ethics of doing and writing ethnography, the imbalance of power between anthropologists and the communities they study, the extraction of information from interlocutors – who are often themselves on the margins of their communities – and the ethical dilemmas that arise in ethnographic fieldwork. For medical anthropologists working with vulnerable populations – patients, refugees, migrants – on the relationship between medicine and politics, these ethical concerns are only intensified. I write this not to take us down the path of recounting the ills and evils of ethnography, nor to explain many anthropologists’ turn to activism and performative solidarity. I also do not aim to return us to the critique of writing culture (Clifford and Marcus 1986), or the idea that confessing our ills and various privileges will save us from our position within a stratified world. Rather, I ask how ethnography can explore truth and justice while allowing space for others’ desires to be heard ethically, without slipping into a politics of compassion and empathy (Dubal 2018; Iqbal 2019; Liu and Shange 2018; Mittermaier 2019; Pandolfo 2018). How could such an approach be the means by which space is produced for waves to be generated for our interlocutors, for ourselves, and for scientific inquiry (Pandolfo 2018:339)? In this essay, I present reflections from my own fieldwork experiences that detail the knot of positionality and methods of research and inquiry that I encounter as a medical anthropologist specializing in the Middle East. As I moved through my field sites of Yemen, Jordan, and Saudi Arabia during the summers of 2009 and 2013 and for 24 months between 2016 and 2018, working with physicians, bioethicists, patients, migrants, and refugees, I found my interlocutors and medical staff evaluating me by the same criteria that are used to evaluate physicians: i.e., do they bear the divine trust (amana) and practice their craft with an openness to the unseen realm (al-ghayb)? This assessment of a good physician included evaluation of their modes of knowing and expertise. These in turn depended on their capacity to hone their internal and external senses, which was affected by the cultivation of their soul, piety, and akhlaq (character). In my field sites, the physician was understood as a malakat al-rahma (angel of mercy). That they were seen as instruments or tools of the divine, in working for individual and communal wellbeing (‘afiya), did not enhance their authority so much as underscore their fallibility and limitations (Hauter 2020a). As I found myself being assessed by the same criteria, I came to understand that, for an ethnographer, bearing the amana and admitting the ghayb involved listening ethically, transmitting knowledge as intended, not stealing or misrepresenting ideas, and not Orientalizing or essentializing interlocutors. These latter commitments are particularly relevant given the prevailing geopolitics of medici","PeriodicalId":47460,"journal":{"name":"Medical Anthropology","volume":" ","pages":"697-705"},"PeriodicalIF":2.3,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10673553","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}