从“感觉”到“焦虑”:体现状态、关系关怀和美国神经分化儿童父母关怀中的伦理转变。

IF 1.9 4区 医学 Q2 ANTHROPOLOGY
Elsa Davidson
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引用次数: 0

摘要

本文利用北美中产阶级儿童社会情感差异关怀的民族志,探索神经分化或神经非典型儿童父母所采用的关怀实践与新兴关怀伦理之间的关系。专注于一个不对称护理的案例,在母亲和神经分化的孩子之间,我利用录像采访和其他人种学材料来强调护理的实践是如何强调身体和情感联系的形式,以及协调具体化状态和表达形式的劳动,使看护人对具体化状态的感知和情感取向发生变化。在此过程中,我展示了身体之间部分共享的感觉(相互体现)和身体之间的联系是如何产生父母-看护人对增强的主体间理解的感知,以及对孩子的具体体验的真实洞察,特别是关于焦虑和兴奋状态。因此,我描述了看护者的感知转变,从对孩子“感官问题”的个性化评估到对“焦虑”的关系理解,作为一种协作产生的具体情绪状态,可以通过非语言的触觉交流来改变、感受、分享和缓解。反过来,我认为它可以被看作是道德自我转变的“礼物”,对神经分化儿童的照顾有影响。在这样做的过程中,我认为这种洞察力会引起对神经分化的“他者”的关心,这可能更接近于保留他者的独特性。此外,我认为这种见解驳斥了将具体化的神经发散性自我理解为有限的、以大脑为基础的、不可渗透的刻板印象。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From 'Sensory' to 'Anxiety': Embodied States, Relational Care, and Ethical Transformation in Parental Care for U.S. Neurodivergent Childhood.

This paper draws on an ethnography of care for social-emotional differences in middle-class North American childhood to explore the relation between care practices employed by parents of neurodivergent, or neuroatypical, children, and emergent ethics of care. Focusing on a single case of asymmetrical care, that between a mother and a neurodivergent child, I draw on video-recorded interviews as well other ethnographic material to highlight how practices of care emphasizing forms of bodily and emotional connection, and labors of attunement to embodied states and forms of expression, enable shifts in the caretaker's perception of, and affective orientation toward, embodied states. In doing so, I show how moments of partially shared feeling across bodies (interembodiment) and intercorporeal connections can engender the parent-caretaker's perception of enhanced intersubjective understanding, and authentic insight into the child's embodied experience, particularly with regard to anxious and excited states. As such, I describe the caretaker's perceptual shift from an individualizing evaluation of her child's "sensory issues" to a relational understanding of "anxiety" as a collaboratively engendered embodied emotional state that can be altered, felt, shared, and alleviated through non-verbal tactile communication. In turn, I argue that it can be seen as a "gift" of ethical self-transformation that has implications for the care of neurodivergent childhood. In doing so, I suggest that such insight engenders care for a neurodivergent "other" that may come closer to preserving the other's singularity. Moreover, I argue that such insight rejects a stereotyped understanding of embodied neurodivergent selfhood as bounded, brain-based, and impermeable.

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来源期刊
CiteScore
3.70
自引率
5.90%
发文量
49
期刊介绍: Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.
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