Anthropology & Medicine最新文献_第5页

Care without heart: kinship, chronic illness, and the emotion of care in Delhi. 无心无旁骛的关怀：德里的亲情、慢性病和关怀的情感。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-09-01 Epub Date: 2023-11-27 DOI: 10.1080/13648470.2023.2245308

Emilija Zabiliūtė

{"title":"Care without heart: kinship, chronic illness, and the emotion of care in Delhi.","authors":"Emilija Zabiliūtė","doi":"10.1080/13648470.2023.2245308","DOIUrl":"10.1080/13648470.2023.2245308","url":null,"abstract":"Drawing on ethnography of one family's life with diabetes in a poor settlement in Delhi's suburbs, this paper examines the relationship between emotional structures of care and kinship in the face of chronic illness. While anthropologists have argued for a relational understanding of care and discussed how, in India, modernity and social transformations have resulted in crises of familial care, less attention has been paid to the emotional terrains of care and its difficulties as they unfold in concrete relationships over time. This paper demonstrates how emotional intensities define the possibilities, limits, and ambivalence of kin care for the chronically ill. Described as care without heart, this mode of attention implies a continuation of care labour that maintains kinship ties and holds the possibility of kin futures, but is disinvested emotionally and feels unsatisfactory. The analytic of care without heart expresses a particular mode of care by which persons navigate dominant moral regimes around gendered family responsibilities and imperatives of love in relationships, but without fully subscribing to them. Care without heart at once signifies an inadequate form of care, invokes North Indian normative moral regimes around family care responsibilities and emotions, and acknowledges the shortcomings of these regimes and norms of relatedness.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"230-245"},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41103797","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

Infertility as inevitable: chronic lifestyles, temporal inevitability and the making of abnormal bodies in India. 不孕是不可避免的:在印度，长期的生活方式，暂时的必然性和不正常身体的形成。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-06-01 DOI: 10.1080/13648470.2021.1874872

Anindita Majumdar

{"title":"Infertility as inevitable: chronic lifestyles, temporal inevitability and the making of abnormal bodies in India.","authors":"Anindita Majumdar","doi":"10.1080/13648470.2021.1874872","DOIUrl":"https://doi.org/10.1080/13648470.2021.1874872","url":null,"abstract":"In seeking to explore the meaning of chronic and chronicity, the association with infertility is neither immediate nor evident. However, this paper explores this relationship by analyzing the idea of infertility in relation to chronicity. In the linkages that come forth the idea of chronic lifestyle emerging from certain ways of being and living, as well the imaginings associated with the chronic body become important nodes of exploring the relationship between infertility and chronicity. Most importantly, the role that time plays in marking the chronic state is seen to be especially potent in the practice of infertility treatment, and the narratives that emerge around its temporal inevitability. The rhetoric that marks the diagnosis and prescription of treatment is often based on the identification of the body as susceptible to reproductive decline and failure, due to the contingencies of modern living. This often translates into a more sustained involvement with ARTs, which may or may not fulfil the required desire for a child. In this paper I seek to analyse the ways in which practitioners of infertility medicine create an image of an affliction that borders on chronicity. In the process, I question the idea of both chronic diseases and chronicity by looking at how illness is imagined in narratives that IVF specialists create in public, and through the idea of a cure for infertility. By analysing data collected through ethnographic fieldwork, this paper aims to build on the idea of the chronic as inevitable within clinical discourse and practice.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":"30 2","pages":"120-134"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9984078","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: 5

Chronic relationships and mental health care: global pharmaceuticals in a local healing shrine in India. 慢性关系和精神保健:印度当地治疗圣地的全球药品。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-06-01 DOI: 10.1080/13648470.2023.2212212

Shubha Ranganathan

{"title":"Chronic relationships and mental health care: global pharmaceuticals in a local healing shrine in India.","authors":"Shubha Ranganathan","doi":"10.1080/13648470.2023.2212212","DOIUrl":"https://doi.org/10.1080/13648470.2023.2212212","url":null,"abstract":"The paper explores how chronicities and chronic relationships are fostered at a state-sponsored community psychiatry clinic that has been affiliated with a Sufi shrine in western India. The clinic provides free psychotropic treatment to patients, most of whom are pilgrims visiting the shrine. While the clinic has been lauded for its collaborative approach of blending 'medicine and prayer' in the provision of mental health care, observations of clinical encounters reflect the prevalence of a strongly medicalized perspective of mental illness, where local narratives of distress are reframed as globalized categories of mental disorder, thereby permitting pharmacological intervention. Importantly, in a context where free medicines are offered just as other freebies are in development initiatives in India, this results in the creation of long-term, 'chronic' relationships with patients who only seem to return for medicines, never recovering. This paper illustrates how 'chronicity', in many ways, is built into the project from the beginning itself. It becomes evident in the assumptions of the officials and psychiatrists that mental illness is chronic, in the case files of patients that record their consultation and medication histories, and in the clinical conversations about the importance of compliance to treatment. Given that historically, community mental health emerged in the context of reducing long hospital stays and deinstitutionalizing mental health care, it is important to reflect on how these policies and practices result in the creation of a cadre of chronic out-patients.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":"30 2","pages":"135-152"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9987172","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

Weeping wombs: Leucorrhea and the chronicity of distress in Gilgit-Baltistan. 哭泣的子宫:白带和吉尔吉特-巴尔蒂斯坦的慢性痛苦。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-06-01 DOI: 10.1080/13648470.2020.1865037

Emma Varley

{"title":"Weeping wombs: Leucorrhea and the chronicity of distress in Gilgit-Baltistan.","authors":"Emma Varley","doi":"10.1080/13648470.2020.1865037","DOIUrl":"https://doi.org/10.1080/13648470.2020.1865037","url":null,"abstract":"In Gilgit, capital of the Gilgit-Baltistan region in northern Pakistan, leucorrhea - vaginal discharge known in the vernacular as safaid pani, or 'white water' - serves as both a medical diagnosis and signifier of the chronicity of the reproductive, social, and emotional burdens endured by women. While ethnomedical providers explained safaid pani as resulting from relatively benign forms of 'weakness', which required minimal dietary or ethno-botanical recourse, allopathic physicians approached discharge as evidence of numerous pathologies that necessitated protracted and sometimes also expensive treatments. Physicians' clinical assessments were not solely biomedical, but also integrated informal folk and formal ethnomedical theories of causation. Clinical diagnoses that affirmed leucorrhea as a pathophysiology substantiated women's belief that it was proof of the destructive effects of sustained social inequity, peril, and distress on the body, and the uterus in particular. Women and their treating providers recognized the power of the (dys)functional uterus to not only threaten women's reproductive wellness but also their social, marital, and familial status, which hinged on their ability to become pregnant and give birth, to sons especially. Because of the ailing uterus's expansive importance, weeping wombs served as a potent source for women's claims making and calls for attention and care.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":"30 2","pages":"103-119"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13648470.2020.1865037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10000249","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

Chronic illness in South Asia: rethinking discourses of risk, evidence, and control. 南亚慢性病:重新思考风险、证据和控制的话语。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-06-01 DOI: 10.1080/13648470.2023.2202055

Shubha Ranganathan

引用次数: 0

"Initially, medicines will be given, and then we need to study the case": Medicalized perspectives about chronicity and mental health care in Kerala. “最初，将提供药物，然后我们需要研究病例”:喀拉拉邦慢性病和精神卫生保健的医学观点。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-06-01 DOI: 10.1080/13648470.2023.2212206

Sudarshan R Kottai, Shubha Ranganathan

{"title":"\"Initially, medicines will be given, and then we need to study the case\": Medicalized perspectives about chronicity and mental health care in Kerala.","authors":"Sudarshan R Kottai, Shubha Ranganathan","doi":"10.1080/13648470.2023.2212206","DOIUrl":"https://doi.org/10.1080/13648470.2023.2212206","url":null,"abstract":"In response to the global call to upscale mental health services in low--income countries, mental health non-governmental organisations (MHNGOs) have sprung up in Kerala to address mental health needs by partnering with pre-existing locally grown, bottom-up, community-led pain and palliative clinics (PPCs) to increase access to mental health care through task-shifting. The MHNGOs mandate filtering only patients with 'severe mental disorders' from low socioeconomic backgrounds for their free services. This eligibility criterion mandated by the MHNGO is ruffling feathers within the palliative clinics that oppose such -classifications. They believe that suffering cuts across all divisions and should not be discriminated against based on economic background and severity of illnesses. When chronicity and suffering are held universal by the MHNGO and palliative care, respectively, it brings to the fore the enactment of two perspectives of care. Drawing on observations of clinical interactions between patients, MHNGO staff and mental health professionals and interviews with community volunteers of palliative care clinics in Kerala, this paper demonstrates how chronicity narrative promoted by MHNGOs based on biopsychiatric model gains hegemony, whereas the community care model loses traction progressively. The state, caught between these two narratives, frontstages development by submitting its health machinery to the MHNGOs flouting basic medical safety laws in its services to marginalised people like the tribal population. This paper argues that the rising dominance of chronicity narrative in community mental health clinics as well as in popular media discourses evolves out of power relations between the MHNGOs and the palliative clinics.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":"30 2","pages":"153-170"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9631528","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

Imaginaries of a laparoscope: power, convenience, and sterilization in rural India. 想象中的腹腔镜:印度农村的力量、便利和消毒。

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-03-01 DOI: 10.1080/13648470.2022.2152634

Eva Fiks

引用次数: 1

The unsanitary other and racism during the pandemic: analysis of purity discourses on social media in India, France and United States of America during the COVID-19 pandemic. 大流行期间的不卫生他人与种族主义:对2019冠状病毒病大流行期间印度、法国和美利坚合众国社交媒体上的纯粹性言论的分析

IF 1.8 4区社会学

Anthropology & Medicine Pub Date : 2023-03-01 DOI: 10.1080/13648470.2023.2180259

Christian Desmarais, Melissa Roy, Minh Thi Nguyen, Vivek Venkatesh, Cecile Rousseau

{"title":"The unsanitary other and racism during the pandemic: analysis of purity discourses on social media in India, France and United States of America during the COVID-19 pandemic.","authors":"Christian Desmarais, Melissa Roy, Minh Thi Nguyen, Vivek Venkatesh, Cecile Rousseau","doi":"10.1080/13648470.2023.2180259","DOIUrl":"https://doi.org/10.1080/13648470.2023.2180259","url":null,"abstract":"The global rise of populism and concomitant polarizations across disenfranchised and marginalized groups has been magnified by so-called echo chambers, and a major public health crisis like the COVID-19 pandemic has only served to fuel these intergroup tensions. Media institutions disseminating information on ways to prevent the propagation of the virus have reactivated a specific discursive phenomenon previously observed in many epidemics: the construction of a defiled 'Other'. With anthropological lenses, discourse on defilement is an interesting path to understand the continuous emergence of pseudo-scientific forms of racism. In this paper, the authors focus on 'borderline racism', that is the use of an institutionally 'impartial' discourse to reaffirm the inferiority of another race. The authors employed inductive thematic analysis of 1200 social media comments reacting to articles and videos published by six media in three different countries (France, United States and India). Results delineate four major themes structuring defilement discourses: food (and the relationship to animals), religion, nationalism and gender. Media articles and videos portrayed Western and Eastern countries through contrasting images and elicited a range of reaction in readers and viewers. The discussion reflects on how borderline racism can be an appropriate concept to understand the appearance of hygienic othering of specific subgroups on social media. Theoretical implications and recommendations on a more culturally sensitive approach of media coverage of epidemics and pandemics are discussed.","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":"30 1","pages":"31-47"},"PeriodicalIF":1.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9528992","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