Anthropology & Medicine最新文献

(In) visibility of health and illness: Instagram as an unregulated public health platform. (健康与疾病的可见性：Instagram 作为不受监管的公共卫生平台。

IF 1.5 4区社会学

Anthropology & Medicine Pub Date : 2024-11-12 DOI: 10.1080/13648470.2024.2386887

Rachael Kent

{"title":"(In) visibility of health and illness: Instagram as an unregulated public health platform.","authors":"Rachael Kent","doi":"10.1080/13648470.2024.2386887","DOIUrl":"https://doi.org/10.1080/13648470.2024.2386887","url":null,"abstract":"This paper examines the changing terrain of accessing health and illness guidance and information through the lens of social media, specifically It argues how Instagram, has increasingly become an unregulated -public health platform in today's digital society. Drawing on extensive empirical interview data from two research projects before and during the COVID-19 pandemic, which explored how users showcased and performed health and illness on Instagram, this paper demonstrates how Instagram has became an important forum from which to perform proactive health practices, as well as to legitimate ill health through making healthy behaviours visible, as well as invisible illnesses like disease, COVID-19, and mental health conditions. Over time and through continuous sharing of this content may contribute to increased understanding or even a de-stigmatisation of such illnesses or chronic conditions. With the social media market currently valued at 49.9 billion, and influencer spending around 4.9 billion, the value, reach and direct impact of this 'attention economy' on public health should not be underestimated. Instagram serves as a forum for these practices and helps legitimize ill health by making both healthy behaviours and -invisible illnesses visible. This visibility can contribute to increased understanding and de-stigmatization of chronic conditions and mental health issues. The paper argues that Instagram has evolved into an informal, unregulated public health platform.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

'We are not done': reclaiming care after mobile health in Burkina Faso. 我们还没有完成"：布基纳法索移动医疗后的医疗服务。

IF 1.5 4区社会学

Anthropology & Medicine Pub Date : 2024-11-10 DOI: 10.1080/13648470.2024.2378735

Vincent Duclos, N Hélène Sawadogo, Hamidou Sanou

引用次数: 0

'A factory of therapy': accountability and the monitoring of psychological therapy in IAPT. 治疗工厂"：IAPT 中心理治疗的责任与监督。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-12-01 Epub Date: 2023-07-19 DOI: 10.1080/13648470.2023.2217773

Mikkel Kenni Bruun

引用次数: 0

'I do not feel well here as such. But it has become my home': abandonment and care in healing shrines. “我在这儿感觉不舒服。但它已成为我的家:在治疗圣地的遗弃和关怀。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-09-01 Epub Date: 2023-05-08 DOI: 10.1080/13648470.2023.2171237

Shubha Ranganathan

{"title":"'I do not feel well here as such. But it has become my home': abandonment and care in healing shrines.","authors":"Shubha Ranganathan","doi":"10.1080/13648470.2023.2171237","DOIUrl":"10.1080/13648470.2023.2171237","url":null,"abstract":"Abstract In thinking about care, much research has focused on kin relations, family-related care, and formal (medical) or informal care providers. Yet, how do we understand care responsibilities in contexts where kin care is absent despite being a desired social norm, and people turn to other community sources or practices? This paper draws on ethnographic research in a Sufi religious shrine in western India well-known for providing succor to those in distress, including those with mental illness. Interviews were conducted with pilgrims who had left homes due to strained relationships with kin members. For many of them, the shrine emerged as a sanctuary, even while not entirely a safe one, allowing women to live alone. While both academic research on mental health institutions and state responses have delved into the abandoned or ‘dumped woman’ in long-stay institutions or care homes, this paper argues that ‘abandonment’ is not a straightforward condition, but rather a dynamic discourse that works in different ways. For women bereft of kinship ties, narratives of being abandoned by kin became ways of justifying long (and sometimes permanent) residence in religious shrines, which were able to absorb such ‘abandoned’ pilgrims who had nowhere else to go, even if half-heartedly so. Importantly, these alternative forms of living made possible by shrines reflect women’s agency, enabling women to live alone even while belonging to a community. In a context with limited social security options for women in precarious family situations, these care arrangements become significant, even if they are informal and ambivalent forms of care. Keywords: kinship; abandonment; agency; care; religious healing","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"278-293"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9431761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1

The double-edged sword of 'community' in community-based psychosocial care: reflections on task-shifting in rural Nepal. 以社区为基础的社会心理护理中的“社区”双刃剑:对尼泊尔农村任务转移的反思。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-09-01 Epub Date: 2023-02-01 DOI: 10.1080/13648470.2022.2161765

Liana Chase

{"title":"The double-edged sword of 'community' in community-based psychosocial care: reflections on task-shifting in rural Nepal.","authors":"Liana Chase","doi":"10.1080/13648470.2022.2161765","DOIUrl":"10.1080/13648470.2022.2161765","url":null,"abstract":"Research in the field of Global Mental Health has stoked hopes that 'task-shifting' to community workers can help fill treatment gaps in low-resource settings. The fact that community workers inhabit the same local moral worlds as their clients is widely framed as a boon, with little consideration of the social and ethical dilemmas this might create in the care of chronic, stigmatized conditions. Drawing on 14 months of ethnographic research focused on psychosocial interventions in Nepal, this paper traces how the multiple roles community workers occupied with respect to their clients - clinician, neighbour, and at times kin - came to bear on the care they provided. In-depth case studies are used to explore two divergent logics of care informing Nepali community workers' practice. While formal psychosocial care guidelines emphasized clients' autonomy, calling for non-judgmental and non-directive forms of emotional support, everyday efforts to 'convince' neighbours and relatives in distress often involved directive guidance oriented toward the restoration of moral personhood and social relations. These approaches could be mutually supportive, but tensions arose when community workers invoked moral standards linked with mental health stigma. This analysis highlights the challenge of mobilizing communities' strengths and resources without inadvertently reproducing their exclusions. It suggests the deployment of community workers to address psychosocial care gaps may entail not only leveraging existing relationships within communities, but also reconfiguring the very terms of relatedness.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"294-309"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9153663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 2

Narrating the caring fatigue: stories of the ambivalence of filial care in a caregivers' self-help group in Italy. 叙述照顾疲劳:意大利一个照顾者自助团体中子女照顾的矛盾心理。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-09-01 Epub Date: 2023-07-13 DOI: 10.1080/13648470.2023.2171238

Francesco Diodati

引用次数: 0

Patient patients: middle-aged British Pakistani women and the intuition of limits to care. 患者:中年英巴女性，直觉限制护理。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-09-01 Epub Date: 2023-09-15 DOI: 10.1080/13648470.2023.2236875

Kaveri Qureshi

{"title":"Patient patients: middle-aged British Pakistani women and the intuition of limits to care.","authors":"Kaveri Qureshi","doi":"10.1080/13648470.2023.2236875","DOIUrl":"10.1080/13648470.2023.2236875","url":null,"abstract":"This paper examines the affective inequalities underpinning the extensive responsibilities of care that are shouldered by chronically ill -middle-aged British Pakistani women. In the context of ethnic health inequalities, chronic illness and premature ageing are ubiquitous. Further, mid-life generates gendered pinchpoints in the dynamics of care. The paper draws on extended conversations with women over seven/eight years and tracks their unsettled perspectives on sabar (patient endurance). Middle-aged women described how, over the long haul of living alongside chronic illness, they intuited that they must place some limits on caring for others, and that care required self-care - not in a biomedical sense, but in the sense of attention to their own bodily and relational needs. The paper extends anthropological critiques of Levinas's philosophy of infinite responsibilities to care, tracking how changes at several temporal scales - the life course, intergenerational re-negotiations - affect care. While social transformations of gender, and the proliferation of neoliberal discourses on self-care do affect the traction of normative notions of selfless care for others, the paper locates women's changing perspectives on sabar primarily in the provocations of everyday life.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"184-198"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10243765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

When the clinic becomes home: on the limits of kinship care in an eating disorder treatment centre in Italy. 当诊所变成家:意大利饮食失调治疗中心亲属关怀的极限。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-09-01 Epub Date: 2023-09-12 DOI: 10.1080/13648470.2023.2239510

Giulia Sciolli

{"title":"When the clinic becomes home: on the limits of kinship care in an eating disorder treatment centre in Italy.","authors":"Giulia Sciolli","doi":"10.1080/13648470.2023.2239510","DOIUrl":"10.1080/13648470.2023.2239510","url":null,"abstract":"Drawing on fieldwork in a public residential facility for eating disorders in central Italy, the paper examines the relational temporalities of therapeutics by looking at how time affects treatment at the intersection of professional and family care practices. In arguing that 'chronic cases' put into question the specific kind of kinship care that is at the basis of treatment, the paper contributes to the anthropological literature on eating disorders by bringing time under the analytical lens, and to the literature on 'chronicity' by complicating simplified assumptions about structural care problems. In addition, the paper draws on and goes beyond anthropological works that have highlighted the potentially harmful side of kinship - including those that have explored how kinship can be framed as a source of mental distress and at the same time as a therapeutic tool. Kinship as a therapeutic tool here becomes risky because professionals need to borrow from kinship practices in their own work with patients, balancing those with the necessary clinical detachment. The paper shows that the time chronic patients need in residential treatment generates a particularly complex mix between what is seen as 'functional' and what is seen as 'dysfunctional' in kinship care, because the 'efficacy' of the kinship work that is at the basis of treatment rests on that being partial and temporary. Long term care in the facility complicates what otherwise allows clinical detachment: the treatment team ends up literally substituting the patient's family, with professional and family care mixing 'too much' with one another.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"262-277"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10213107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Isabella's lion: circular care, kinship, and healing in Brazilian Candomblé. 伊莎贝拉的狮子：巴西坎多姆布雷的循环关怀、亲情和治愈。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-09-01 Epub Date: 2023-11-27 DOI: 10.1080/13648470.2023.2240171

Hannah McNeilly

{"title":"Isabella's lion: circular care, kinship, and healing in Brazilian Candomblé.","authors":"Hannah McNeilly","doi":"10.1080/13648470.2023.2240171","DOIUrl":"10.1080/13648470.2023.2240171","url":null,"abstract":"This paper centers on Isabella, a Candomblé follower who struggled with severe rheumatoid arthritis from an early age, arguing that care and self-care practices in Candomblé are intertwined to such extent that they challenge the dichotomy of caring and being cared for. In contrast to a linear model of care that positions care-giver and care--receiver at opposite ends of care relationships, the concept of 'circular care' describes forms of care that are directed at others and simultaneously at oneself. Exploring the religious kinship in a Candomblé house - with Candomblé deities (orixás) and between humans - this paper shows how circular care blurs the distinction between self and other. The emic concept of 'the double mirror' illustrates the -'constitutive alterity' of humans and orixás who relate to each other through kinship building and collective care practices. Since circular care frames one's care for the orixás and the religious family as healing self-care, failing to provide the correct care may in turn be experienced as detrimental self-neglect. The concept of circular care thus enables a deeper understanding of complex dynamics of care and self-care in the contexts of chronic illness, religion, kinship, and beyond.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"199-214"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10308058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Hegemony versus pluralism: Ayurveda and the Movement for Global Mental Health. 霸权与多元主义:阿育吠陀和全球心理健康运动。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-06-01 DOI: 10.1080/13648470.2020.1785842

Murphy Halliburton

{"title":"Hegemony versus pluralism: Ayurveda and the Movement for Global Mental Health.","authors":"Murphy Halliburton","doi":"10.1080/13648470.2020.1785842","DOIUrl":"https://doi.org/10.1080/13648470.2020.1785842","url":null,"abstract":"Under the aegis of the World Health Organization, the Movement for Global Mental Health and an Indian Supreme Court ruling, biomedical psychiatric interventions have expanded in India augmenting biomedical hegemony in a place that is known for its variety of healing modalities. This occurs despite the fact that studies by the WHO show better outcomes in India for people suffering from schizophrenia and related diagnoses when compared to people in developed countries with greater access to biomedical psychiatry. Practitioners of ayurvedic medicine in Kerala have been mounting a claim for a significant role in public mental health in the face of this growing hegemony.This study examines efforts by ayurvedic practitioners to expand access to ayurvedic mental health services in Kerala, and profiles a rehabilitation center which combines biomedical and ayurvedic therapies and has been a key player in efforts to expand the use of Ayurveda for mental health. The paper argues for maintaining a pluralistic healing environment for treating mental illness rather than displacing other healing modalities in favor of a biomedical psychiatric approach.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":"30 2","pages":"85-102"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13648470.2020.1785842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9628353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 4