难治性小儿癫痫后的文化一致性和大麻护理。

IF 1.5 4区 社会学 Q2 ANTHROPOLOGY
Anthropology & Medicine Pub Date : 2021-06-01 Epub Date: 2021-06-02 DOI:10.1080/13648470.2021.1893583
Elisa J Sobo
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引用次数: 2

摘要

生物医学可以控制许多癫痫患儿的癫痫发作,但不是全部。在这种情况下,父母在各种结构、文化和物质破裂之后挣扎。持续使用无效的药物可能会导致可怕的严重症状和衰弱,其影响与不受控制的癫痫发作一起,以具有挑战性的方式向外扩散。2015年,早在大麻被脱去污名之前,25位美国加州父母就倾向于为患病的孩子提供大麻,以满足生物医学癫痫治疗的医源性负担。本文利用这些数据,探讨了父母对临床医源性影响的重新认识,认为这是不可避免的,并为找到更好的选择提供了必要的证据。在参与医源性的生成维度时,本文努力帮助澄清父母的困境,他们批评生物医学对孩子的孤立,唯物主义,有时显然是随意的方法,但仍然依赖生物医学和相关系统来维持家庭的福祉。在此过程中,本文强调了他们经历的种族和性别维度。大多数人并没有拒绝生物医学,而是紧紧地坚持着,将无法控制的癫痫发作及其后果归咎于“科学”的滞后,并指出文化观念认为,每个孩子在解释自己的孩子迄今为止对治疗没有反应时都是独一无二的。同样,他们努力确定有效的大麻治疗方案,科学严谨。然而,最终——与(男性)白人文化保持一致——耻辱、长期护理提供的疲劳、对科学的信仰以及对生物医学媒介形式的社会归属的需要,使得大多数人希望将大麻纳入官方生物医学药典。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cultural conformity and cannabis care in the wake of intractable pediatric epilepsy.

Biomedicine controls seizures for many children with epilepsy - but not all. In such cases, parents struggle in the wake of various structural, cultural, and corporeal ruptures. Continued use of ineffective medications can lead, iatrogenically, to frightening and serious symptoms and debilitations whose effects, along with those of uncontrolled seizures, ripple outward in challenging ways. Using data from 25 Californian (US) parents who favored providing cannabis to their ill children to meet the iatrogenic burdens of biomedical epilepsy treatments in 2015, well before cannabis's present destigmatization, this paper explores parental refiguration of the effects of clinical iatrogenesis as inevitable - and as productive of evidence necessary to finding better options. In attending to the generative dimensions of iatrogenesis, this paper strives to help clarify the dilemma for parents who critique biomedicine's isolating, materialist, and sometimes apparently haphazard approach to their children, but depend on biomedical and associated systems for their family's well-being nonetheless. Along the way, this paper underscores raced and gendered dimensions of their experiences. Rather than rejecting biomedicine, most hung on tightly, blaming the uncontrolled seizures and their aftermath on a lag in 'the science' and pointing to the cultural idea that every child is unique in explaining their own children's non-responsiveness to treatment thus far. Likewise, they worked to determine effective cannabis regimens with scientised rigour. However, in the end - and in keeping with a culture of (male) Whiteness - stigmatisation, fatigue from chronic care provision, faith in science, and a need for a biomedically-mediated form of social belonging underwrote a majority desire for cannabis's incorporation into the official biomedical pharmacopeia.

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CiteScore
2.90
自引率
0.00%
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13
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