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Medical Anthropology Quarterly

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https://www.readbyqxmd.com/read/29700845/re-racialization-of-addiction-and-the-redistribution-of-blame-in-the-white-opioid-epidemic
#1
Sonia Mendoza, Allyssa Stephanie Rivera, Helena Bjerring Hansen
New York City has the largest number of opioid dependent people of U.S. cities, and within New York, Whites have the highest rate of prescription opioid and heroin overdose deaths. The rise of opioid abuse among Whites has resulted in popular narratives of victimization by prescribers, framing of addiction as a biological disease, and the promise of pharmaceutical treatments that differ from the criminalizing narratives that have historically described urban Latino and black narcotic use. Through an analysis of popular media press and interviews with opioid prescribers and community pharmacists in Staten Island-the epicenter of opioid overdose in New York City and the most suburban and white of its boroughs-we found that narratives of white opioid users disrupted notions of the addict as "other," producing alternative logics of blame that focus on prescribers and the encroachment of dealers from outside of white neighborhoods...
April 27, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29700851/-accept-and-utilize-alternative-medicine-minimality-and-ethics-in-an-indonesian-healing-collective
#2
Nicholas J Long
Cosmopolitan forms of alternative medicine have become very popular in contemporary Indonesia. Many healers have trained in an eclectic range of techniques, predicated on ontological claims so diverse that they call each other's legitimacy into question. This article explores how a collective of alternative healers in central Java navigated the quandaries presented by such therapeutic eclecticism over a six-year period. Healers' engagement with, or indifference toward, the principles underpinning therapeutic efficacy fluctuated in ways that allowed them to surmount the dilemmas of Islamization, the changing demographic of their collective's membership, and the threat of commercialization, thereby maintaining a medical landscape in which alternative healing was widely available and accessible...
April 26, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29665064/tourism-labor-embodied-suffering-and-the-deportation-regime-in-the-dominican-republic
#3
Mark Padilla, José Félix Colón-Burgos, Nelson Varas-Díaz, Armando Matiz-Reyes, Caroline Mary Parker
In this article, we use syndemic theory to examine socio-structural factors that result in heightened vulnerability to HIV infection and drug addiction among Dominican deportees who survive post-deportation through informal tourism labor. Through an ongoing NIDA-funded ethnographic study of the syndemic of HIV and problematic drug use among men involved in tourism labor in the Dominican Republic, we argue that the legal and political-economic context of the global deportation regime contributes to structural vulnerabilities among deportees in the Dominican Republic, most of whom are men with histories of incarceration in the United States and/or Puerto Rico...
April 17, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29572952/a-genealogy-of-animal-diseases-and-social-anthropology-1870-2000
#4
Frédéric Keck
Culling, vaccinating, and monitoring animals are the three main techniques used in contemporary veterinary public health to manage animal diseases that can be transmitted to humans. Each technique is underpinned by different ontological understandings of how microbes figure in relations between humans and animals. Therefore, animal diseases are not only a question for an applied anthropology but also involve the theoretical core of the discipline: that is, understanding how social causality emerges out of physical causality...
March 23, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29520829/cell-phones-%C3%A2-self-and-other-problems-with-big-data-detection-and-containment-during-epidemics
#5
Susan L Erikson
Evidence from Sierra Leone reveals the significant limitations of big data in disease detection and containment efforts. Early in the 2014-2016 Ebola epidemic in West Africa, media heralded HealthMap's ability to detect the outbreak from newsfeeds. Later, big data-specifically, call detail record data collected from millions of cell phones-was hyped as useful for stopping the disease by tracking contagious people. It did not work. In this article, I trace the causes of big data's containment failures. During epidemics, big data experiments can have opportunity costs: namely, forestalling urgent response...
March 8, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28872187/the-attachment-imperative-parental-experiences-of-relation-making-in-a-danish-neonatal-intensive-care-unit
#6
Laura E Navne, Mette N Svendsen, Tine M Gammeltoft
In this article, we explore how parents establish relations with extremely premature infants whose lives and futures are uncertain. Drawing on ethnographic fieldwork in a Danish Neonatal Intensive Care Unit (NICU), we engage recent discussions of the limits of conventional anthropological thinking on social relations and point to the productive aspects of practices of distance and detachment. We show that while the NICU upholds an imperative of attachment independently of the infant's chances of survival, for parents, attachment is contingent on certain hesitations in relation to their infant...
March 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28804960/handle-with-care-rethinking-the-rights-versus-culture-dichotomy-in-cancer-disclosure-in-india
#7
Cecilia Coale Van Hollen
Medical practitioners, bioethicists, psychologists, and anthropologists have debated whether it is ethical to disclose or withhold information from patients about cancer diagnoses. This debate is framed as pitting universal individual human rights against cultural pluralism. The rights-based argument asserts that people have a right to information about their own health to make the best decisions about their treatment. The cultural variation argument suggests that in some cultural contexts there is a perception that information about one's cancer diagnosis may cause more harm than good due to the psychological trauma this may cause...
March 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28791731/only-near-is-dear-doing-elderly-care-with-everyday-icts-in-indian-transnational-families
#8
Tanja Ahlin
In Kerala, South India, young people, especially women, are encouraged to become nurses in order to migrate abroad for work and thereby improve the financial status of their family. Meanwhile, many of their parents remain in India by themselves. This is occurring in the context of a strong popular discourse of elder abandonment, related to the local norms of intergenerational co-habitation. Based on fieldwork in Kerala and one of the nurses' destination countries, Oman, I present evidence that complicates this discourse by showing how: (1) migration is a form of elder care practice in itself; and (2) care for the elderly continues across countries and continents with the help of information and communication technologies (ICTs)...
March 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28556378/security-and-the-traumatized-street-child-how-gender-shapes-international-psychiatric-aid-in-cairo
#9
Rania Kassab Sweis
No abstract text is available yet for this article.
March 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28295596/embedded-narratives-metabolic-disorders-and-pentecostal-conversion-in-samoa
#10
Jessica Hardin
Drawing from interviews and participant observation, this article explores the intersection of diagnosis of metabolic disorders and religious conversion among Pentecostal Christians in Samoa by analyzing what I call embedded narratives--conversion narratives embedded in illness narratives. Drawing from ethnographic data, I examine how using conversion narrative conventions enabled those living with metabolic disorders to narrate behavior change in a culturally and socially valorized way. By embedding their narratives, I suggest those living with metabolic disorders shifted the object of care from a disease process toward the creation of a religious life and in turn transformed the risks associated with metabolic disorders, including diet, exercise, and pharmaceutical use into moral risks associated with everyday religious life...
March 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28261871/-you-can-learn-merely-by-listening-to-the-way-a-patient-walks-through-the-door-the-transmission-of-sensory-medical-knowledge
#11
Gili Hammer
Examining the mechanisms of medical knowledge transfer, this article addresses the ways nonvisual senses are employed within medical training, asking about the role of sound, touch, and movement in transmitting knowledge of the body. Based on a 10-month ethnography in a medical massage training course for blind students, the article examines the ways sensory medical knowledge is transferred in this setting. I discuss the multisensory characteristics of medical knowledge transfer, and the dual process inherent in this sensory pedagogy, in which senses such as touch and hearing undergo medicalization and scientification, while medicine enters the realm of the sensorial...
March 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29392771/the-redistribution-of-reproductive-responsibility-on-the-epigenetics-of-environment-in-prenatal-interventions
#12
Natali Valdez
The rapidly shifting field of epigenetics has expanded scientific understanding of how environmental conditions affect gene expression and development. This article focuses on two ongoing clinical trials-one in the United States and one in the United Kingdom-that have used epigenetics as the conceptual basis for testing the relationship between nutrition and obesity during pregnancy. Drawing on ethnographic research, I highlight the different ways that clinical scientists interpret epigenetics to target particular domains of the environment for prenatal intervention...
February 1, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29380412/from-drug-safety-to-drug-security-a-contemporary-shift-in-the-policing-of-health
#13
Julia Hornberger
The counterfeiting of medication is increasingly seen as a major threat to health, especially in the light of both the everyday reliance on and a broadening of world-wide access to pharmaceuticals. Exaggerated or real, this threat has inaugurated, this article argues, a shift from a drug safety regime to a drug security regime that governs the flow of pharmaceuticals and brings together markets, police, and health actors in new ways. This entails a shift from soft disciplinary means aimed at incremental and continued inclusion of defaulters, to one of drastically sovereign measures of exclusion and banishment aimed at fake goods and the people associated with them, in the name of health...
January 29, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29377315/the-data-hustle-how-beneficiaries-benefit-from-continual-data-collection-and-humanitarian-aid-research-in-the-somali-region-of-ethiopia
#14
Lauren Carruth
Based on ethnographic and policy research in the Somali Region of Ethiopia, this article examines how contemporary trends in the humanitarian relief industry to mandate continual data collection, "accountability," and the "localization" of aid have increased demands for participatory and intensive research methodologies in crisis-affected communities. International humanitarian relief agencies hustle to hire local staffs and recruit enough participants for their repeated research projects, while at the same time, the so-called beneficiaries of aid also hustle to participate in data collection as paid informants and temporary employees...
January 28, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29363780/kangaroo-mother-care-in-colombia-a-subaltern-health-innovation-against-for-profit-biomedicine
#15
César Ernesto Abadía-Barrero
This ethnographic study presents the origins, growth, and collapse of the first Kangaroo Mother Care (KMC) program, a well-established practice for neonatal care created in 1978 in Colombia. The WHO and UNICEF praised this zero-cost revolutionary technique for its promotion of skin-to-skin contact between premature and low-birth-weight newborns and family members. KMC facilitates early hospital discharge, brings many clinical and psychological benefits, and constitutes an excellent alternative to placing babies in incubators...
January 24, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29356066/the-morality-of-disordered-eating-and-recovery-in-southern-italy
#16
Ann M Cheney, Steve Sullivan, Kathleen Grubbs
Scholars have traced the processes through which moral subjectivities are constituted in culturally meaningful ways through eating disorders and recovery practices, demonstrating how subjective meanings of eating disorders and recovery from them are imbued with moral undertones and become meaningful ways of existing within specific historical and cultural contexts. Drawing on ethnographic insights and interviews with young women with disordered eating histories in southern Italy, we show how suffering from eating disorders and recovery from them enables women to retool their identities and craft moral selves...
January 22, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/29344977/there-is-no-place-like-home-imitation-and-the-politics-of-recognition-in-bolivian-obstetric-care
#17
Gabriela Elisa Morales
This article examines how efforts to "culturally adapt" birthing spaces in a rural Bolivian hospital are generating debates among doctors about what constitutes proper obstetric care. Working at the intersection of national and transnational projects, NGOs in Bolivia have remade the birthing rooms of some public health institutions to look more like a home, with the goal of making indigenous women feel more comfortable and encouraging them to come to the clinic to give birth. Yet narratives of transformation also obscure ongoing conditions of racial and gendered inequality in health services...
January 17, 2018: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28299834/guadalupan-devotion-as-a-moderator-of-psychosocial-stress-among-mexican-immigrants-in-the-rural-southern-united-states
#18
Mary Rebecca Read-Wahidi, Jason A DeCaro
This study considers how shared devotion to the Virgin of Guadalupe among Mexican immigrants in rural Mississippi buffers the effects of immigration stress. Rural destinations lacking social services can quickly compound the already stressful experience of immigration. Guadalupe devotion provides a way of coping with the daily life stressors of immigration. We test the hypothesis that high consonance in the cultural model of Guadalupan devotion will moderate the adverse health effects of immigration stress...
December 2017: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28215053/-the-first-intervention-is-leaving-home-reasons-for-electing-an-out-of-hospital-birth-among-minnesotan-mothers
#19
Helen Hazen
The Twin Cities (Minneapolis-St. Paul), Minnesota, has seen a recent increase in the number of mothers seeking an out-of-hospital birth. This research uses in-depth interviews with 24 mothers who intended an out-of-hospital birth in the previous two years, exploring their reasons for pursuing an alternative approach to birth. For many women, an out-of-hospital birth fits within a philosophy that rejects the pathologizing of birth. Escaping rigid hospital protocols is seen as critical to avoiding what many mothers described as unnecessary interventions...
December 2017: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28025859/negotiations-of-blame-and-care-among-hiv-positive-mothers-and-daughters-in-south-africa-s-eastern-cape
#20
Beth Vale, Rebecca Hodes, Lucie Cluver
Research delineates two epidemiological categories among HIV-positive adolescents: those who contract the virus sexually and those who inherit it as infants. In this article, we are interested in how tacit inferences about adolescents' mode of infection contribute to their experiences of HIV-related blame, and their ability to achieve care, in their intimate, everyday settings. The analysis arises from ethnographic research with 23 HIV-positive adolescents living in South Africa's Eastern Cape. From these, we draw particularly on the narratives of four HIV-positive teenage girls and their HIV-positive mothers...
December 2017: Medical Anthropology Quarterly
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