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Medical Anthropology Quarterly最新文献

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"I'd rather die": Patients' will and decision-making practice in Japanese community psychiatry. “我宁愿死”：日本社区精神病学患者的意志与决策实践。
IF 1.9 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-08-25 DOI: 10.1111/maq.70021
Yuto Kano
{"title":"\"I'd rather die\": Patients' will and decision-making practice in Japanese community psychiatry.","authors":"Yuto Kano","doi":"10.1111/maq.70021","DOIUrl":"https://doi.org/10.1111/maq.70021","url":null,"abstract":"<p><p>Recent mental health reforms have embraced patient autonomy and shared decision-making, where care unfolds through collaboration between clinicians and patients. However, how decision-making can improve in marginalized psychiatric clinics remains unclear. This paper examines how social psychiatrists at a Japanese community clinic engage with patients' will-especially when it appears resistant, ambivalent, or self-destructive. At Sakura Clinic in Kanagawa, the challenge lies in navigating \"strong will\" (tsuyoi ishi)-instances where patients reject treatment, defy medical logic, or say, simply, \"I'd rather die.\" Here, decision-making stretches across time, shaped by evolving attunement between patients, clinicians, and their environments. When patients make risky choices, psychiatrists face an urgent ethical question: is this will an existential stance to be respected, or the mark of structural violence to be refused?</p>","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":" ","pages":"e70021"},"PeriodicalIF":1.9,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
"More Than Just the Two Percent": The reproductive politics of envisioning abortion and miscarriage in Turner syndrome. “不仅仅是百分之二”：在特纳综合症中设想堕胎和流产的生殖政治。
IF 1.9 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-08-18 DOI: 10.1111/maq.70022
A J Jones
{"title":"\"More Than Just the Two Percent\": The reproductive politics of envisioning abortion and miscarriage in Turner syndrome.","authors":"A J Jones","doi":"10.1111/maq.70022","DOIUrl":"10.1111/maq.70022","url":null,"abstract":"<p><p>Following the overturning of Roe v. Wade, the political, legal, and medical boundaries of spontaneous, elective, and selective abortion are blurring. Based on ethnographic research on Turner Syndrome, a genetic condition with a 98% miscarriage rate and uncertain abortion rates, this article examines the visual politics of reproduction and disability in the United States through the ambiguous treatment of miscarriage. Although infertile, my interlocutors with Turner syndrome emphasized how disability stereotypes, abortion unknowns, and miscarriage statistics impacted their lives. Centering our play More Than Just the Two Percent, I demonstrate how my interlocutors embodied various actors in reproductive experiences, including miscarried fetuses, to navigate the visibilities of their diagnosis and specify the value of their lives as social funds of knowledge-a process I term envisioning. Envisioning complicates notions of viability, personhood, privacy, spirituality, risk, luck, and survivorship that pro-life/pro-choice rhetorics flatten and may contribute to a more disability-oriented reproductive justice.</p>","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":" ","pages":"e70022"},"PeriodicalIF":1.9,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Epidemiology of conspiracy: Infected vaccines, infectious patients, and superspreaders for hire. 阴谋的流行病学：被感染的疫苗、感染的病人和被雇佣的超级传播者。
IF 1.9 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-08-18 DOI: 10.1111/maq.70019
Tankut Atuk
{"title":"Epidemiology of conspiracy: Infected vaccines, infectious patients, and superspreaders for hire.","authors":"Tankut Atuk","doi":"10.1111/maq.70019","DOIUrl":"10.1111/maq.70019","url":null,"abstract":"<p><p>This article traces the viral life of HIV conspiracies in Turkey, not as peripheral noise but as central to the ways public health crises are interpreted, contested, and experienced. By offering \"epidemiology of conspiracy\" both as a metaphor and an analytic, the article treats disease conspiracies not as epistemological failures, but as vernacular tools of meaning making-fragile yet forceful ways of navigating biopolitical abandonment, institutional opacity, and medical precarity. The paper examines three distinct conspiratorial narratives-ranging from infected vaccines to murderous patients to superspreaders hired by Big Pharma-and argues that these stories, while often dismissed as illogical or paranoid, are saturated with socio-political meaning and historical memory. Ultimately, the paper calls for a reparative, rather than dismissive, reading of conspiracy in medical anthropology, especially when studying epidemics in places where data is scarce, speech is policed, and stigma circulates with viral efficiency.</p>","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":" ","pages":"e70019"},"PeriodicalIF":1.9,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Defending rumba in Havana: The sacred and Black corporeal undercommons By Maya Berry, Durham: Duke University Press. 2025. 331 pp. 《捍卫哈瓦那的伦巴舞：神圣和黑人的身体底层》，玛雅·贝里著，达勒姆：杜克大学出版社，2025年。331页。
IF 1.9 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-08-18 DOI: 10.1111/maq.70020
Yvonne Daniel
{"title":"Defending rumba in Havana: The sacred and Black corporeal undercommons By Maya Berry, Durham: Duke University Press. 2025. 331 pp.","authors":"Yvonne Daniel","doi":"10.1111/maq.70020","DOIUrl":"10.1111/maq.70020","url":null,"abstract":"","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":"39 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Fertility, health, and reproductive politics: Re-imagining rights in India By Maya Unnithan, New York, NY: Routledge. 2019. 233 pp. 《生育、健康和生殖政治：重新想象印度的权利》，玛雅·乌尼森著，纽约，纽约：劳特利奇出版社，2019。233页。
IF 1.9 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-08-11 DOI: 10.1111/maq.70017
Cecilia Coale Van Hollen
{"title":"Fertility, health, and reproductive politics: Re-imagining rights in India By Maya Unnithan, New York, NY: Routledge. 2019. 233 pp.","authors":"Cecilia Coale Van Hollen","doi":"10.1111/maq.70017","DOIUrl":"10.1111/maq.70017","url":null,"abstract":"","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":"39 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
The way that leads among the lost: Life, death, and hope in Mexico City's anexos By Angela Garcia, New York: Farrar, Straus & Giroux. 2024. 272 pp. 《迷失之路：墨西哥城的生活、死亡和希望》安吉拉·加西亚著，纽约：法勒、斯特劳斯和吉鲁出版社，2024年版。272页。
IF 1.9 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-08-11 DOI: 10.1111/maq.70018
Agnes Mondragon-Celis
{"title":"The way that leads among the lost: Life, death, and hope in Mexico City's anexos By Angela Garcia, New York: Farrar, Straus & Giroux. 2024. 272 pp.","authors":"Agnes Mondragon-Celis","doi":"10.1111/maq.70018","DOIUrl":"10.1111/maq.70018","url":null,"abstract":"","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":"39 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Evidence-based medicine and private clinics in Russia: Unlikely co-production of good care and profit-making 俄罗斯的循证医学和私人诊所：不太可能的良好护理和盈利合作。
IF 1.9 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-07-28 DOI: 10.1111/maq.70016
Masha Denisova, Olga Zvonareva, Klasien Horstman
{"title":"Evidence-based medicine and private clinics in Russia: Unlikely co-production of good care and profit-making","authors":"Masha Denisova,&nbsp;Olga Zvonareva,&nbsp;Klasien Horstman","doi":"10.1111/maq.70016","DOIUrl":"10.1111/maq.70016","url":null,"abstract":"<p>Critical social science research demonstrates that evidence-based medicine (EBM) emerged through its proponents’ deliberate efforts to defend EBM's knowledge production methods as credible and independent of commercial interests. In the present study, we expand this discussion by showing how EBM is co-produced with profit-making within the context of private clinics in Russia. Drawing on the ethnography of three private clinics in Russia, we explore how they strategically articulate EBM ideals to demarcate the boundaries between good and bad medical practices. We identified four forms of boundary work that private clinics perform to define their epistemic culture as different from those applying poor quality evidence, providing harmful prescriptions, over-relying on clinical experience, and practicing a top-down approach in patient relations. We discuss how, in the Russian healthcare context, EBM, instead of becoming the opposite of commerce, has become interwoven with and even dependent on private healthcare.</p>","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":"39 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://anthrosource.onlinelibrary.wiley.com/doi/epdf/10.1111/maq.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Rumor as ethical vernacular: Ebola and the womb in eastern Congo 谣言作为伦理白话：埃博拉和刚果东部的子宫。
IF 1.9 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-07-22 DOI: 10.1111/maq.70015
Myfanwy James
{"title":"Rumor as ethical vernacular: Ebola and the womb in eastern Congo","authors":"Myfanwy James","doi":"10.1111/maq.70015","DOIUrl":"10.1111/maq.70015","url":null,"abstract":"<p>The position of pregnant women in clinical research remains a topic of international ethical debate. Yet, the reflections of actual and potential trial participants, including pregnant women themselves, often remain absent. Following a policy reversal in 2019, pregnant women were eligible to participate in a second Ebola vaccine trial during an epidemic in the eastern Democratic Republic of the Congo (DRC). This article follows how this decision was perceived in Goma, a city in the DRC, the meanings and functions of the rumors that emerged about reproductive health, and how these rumors influenced pregnant women's experience of the trial. I argue that the womb became a site to discuss broader biopolitical anxieties about collective survival, but that rumors also became a vehicle for ethical debate amid uncertainty. Ethical debates about medical research continue locally through other ethical vernaculars- like rumors- and center on contested ideas of acceptable risk, shaped by collective historical experiences.</p>","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":"39 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://anthrosource.onlinelibrary.wiley.com/doi/epdf/10.1111/maq.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Contextualizing adherence: Iron supplementation treatment among Peruvian caretakers and their anemic children. 情境化依从性：秘鲁看护人及其贫血儿童的补铁治疗。
IF 2 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-07-07 DOI: 10.1111/maq.70014
Achsah F Dorsey
{"title":"Contextualizing adherence: Iron supplementation treatment among Peruvian caretakers and their anemic children.","authors":"Achsah F Dorsey","doi":"10.1111/maq.70014","DOIUrl":"https://doi.org/10.1111/maq.70014","url":null,"abstract":"<p><p>This article describes an ethnographic study of adherence to iron supplementation protocols in 50 anemic preschoolers and their caregivers living in a peri-urban district in Lima, Peru. I use aspects of the syndemic approach to highlight the challenges caregivers face in following the recommended treatment and burden of treatment theory to develop a deeper understanding of adherence in a community with persistent childhood anemia. Interpreting adherence as an ideology also helps illuminate how health professionals' claims about patient behavior reflect social inequalities. Thematic analysis of qualitative data identified three major challenges to iron supplementation adherence-time constraints, acute health concerns, and child agency. These themes show how socioeconomic conditions and emotional burdens impact caregivers' ability to follow the prescribed treatment. Despite these challenges, the relatively high rate of adherence contests assumptions that lack of adherence is the primary explanation for persistent anemia rates among preschoolers living in this community.</p>","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":" ","pages":"e70014"},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
No rush: The relational time ethic and faith-based medical clinics in the United States 不急：关系时间伦理和信仰为基础的医疗诊所在美国。
IF 1.9 2区 社会学
Medical Anthropology Quarterly Pub Date : 2025-06-23 DOI: 10.1111/maq.70013
Carolyn Schwarz
{"title":"No rush: The relational time ethic and faith-based medical clinics in the United States","authors":"Carolyn Schwarz","doi":"10.1111/maq.70013","DOIUrl":"10.1111/maq.70013","url":null,"abstract":"<p>Based on ethnographic interviews with healthcare professionals from faith-based, Christian clinics in the United States, I develop the concept of the “relational time ethic.” This ethic refers to the ways that healthcare professionals seek to build relations with patients as persons and to demonstrate their valuing of lives through time expansion. In advancing this ethic, healthcare professionals are in part reflecting on their own well-being but are primarily making moral claims about the high quality of their care and critiquing a bureaucratic time model for healthcare delivery. The on-the-ground intricacies of the relational time ethic further anthropological understandings of the religious justifications for care and critique in biomedicine and bring attention to the ways that time comes to be constructed as an ethical practice in and of itself.</p>","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":"39 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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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