肝脏衰竭,预期的未来和不希望的移植。

IF 1.5 4区 社会学 Q2 ANTHROPOLOGY
Anthropology & Medicine Pub Date : 2022-03-01 Epub Date: 2022-02-21 DOI:10.1080/13648470.2021.2017126
Julia Rehsmann
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引用次数: 1

摘要

这篇文章着眼于肝移植作为慢性肝功能衰竭的延长生命的治疗方法,并探讨了预期在慢性肝病的背景下所起的作用。基于在德国的人类学田野调查,本文借鉴了三个典型的患者帐户,以显示等待肝移植的预期经验如何在移植轨迹中发挥重要作用,以及缺乏等待如何可能对患者的健康产生长期影响。在慢性肝病的背景下,对等待和预期的关注使人们对慢性疾病所带来的复杂的时间特性有了新的理解。作为肝脏衰竭的唯一长期治疗方法,移植医学的可能性塑造了患者对未来的预期。相反,病人对未来的预期会影响他们如何理解自己的移植手术,以及他们在移植前和移植后的慢性生活。这篇文章表明,肝移植作为一种治疗多种慢性疾病的方法,并不是提供一种具有明确终点的线性治疗,而是再现慢性生命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Failing livers, anticipated futures and un/desired transplants.

This article looks at liver transplants as life-prolonging treatment for chronic liver failure and examines the role anticipation plays in the context of chronic liver conditions. Based on anthropological fieldwork in Germany, this article draws on three exemplary patient accounts to show how the anticipatory experience of waiting for a liver transplant serves as an important period in transplant trajectories, and how the lack of a wait may have long-term consequences for patients' wellbeing. A focus on waiting and anticipation in the context of chronic livers enables new understandings of the complex temporal qualities that living with chronic conditions entails. As the sole long-term treatment available for failing livers, the possibilities of transplant medicine shape patients' anticipation of their future. Conversely, the particular futures that patients anticipate mould how they make sense of their transplant and their chronic pre- and post-transplant lives. This article shows that rather than offering a unilinear treatment with a clear-cut end, liver transplants, as treatment for a wide range of chronic conditions, reproduce chronic lives.

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CiteScore
2.90
自引率
0.00%
发文量
13
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