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Anthropology & Medicine

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https://www.readbyqxmd.com/read/28721744/entangled-local-biologies-genetic-risk-bodies-and-inequities-in-brazilian-cancer-genetics
#1
Sahra Gibbon
Engaging recent social science work examining the truth making claims of science and biomedicine, this paper explores how biology is being localised in Brazilian cancer genetics. It draws from ethnographic fieldwork in urban regions of southern Brazil working with and alongside patients, families and practitioners in cancer genetic clinics. It examines how different sorts of 'local biologies' are articulated in the context of research, clinical practice and among implicated patient communities and the way these can 'recursively' move across different spheres and scales of social action to extend and transform the meaning of the biological...
July 19, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28721739/birds-meat-and-babies-the-multiple-realities-of-fetuses-in-qatar
#2
Susie Kilshaw
This paper explores miscarriage in a variety of Qatari contexts to reveal the multiple realities of the unborn. During 18 months of ethnographic research, a range of settings in which fetuses emerged were explored. The unborn are represented and imagined differently, particularly in relation to the ways they are located, with multiple beings emerging according to the context and position of the stakeholder. This paper considers fetuses produced within these contexts and considers how they can be different beings simultaneously...
July 19, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28721738/counting-bodies-on-future-engagements-with-science-studies-in-medical-anthropology
#3
Emily Yates-Doerr
Thirty years ago, Nancy Scheper-Hughes and Margaret Lock outlined a strategy for 'future work in medical anthropology' that focused on three bodies. Their article - a zeitgeist for the field - sought to intervene into the Cartesian dualisms characterizing ethnomedical anthropology at the time. Taking a descriptive and diagnostic approach, they defined 'the mindful body' as a domain of future anthropological inquiry and mapped three analytic concepts that could be used to study it: the individual/phenomenological body, the social body, and the body politic...
July 19, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28671478/a-qualitative-study-exploring-factors-influencing-clinical-decision-making-for-influenza-like-illness-in-solapur-city-maharashtra-india
#4
A S Ahankari, P R Myles, S Tsang, F Khan, S Atre, T Langley, A Kudale, M Bains
The co-existence of different types of medical systems (medical pluralism) is a typical feature of India's healthcare system. For conditions such as influenza-like illness (ILI), where non-specific disease signs/symptoms exist, clinical reasoning in the context of medical pluralism becomes crucial. Recognising this need, we undertook a qualitative study, which explored factors underpinning clinical decisions on diagnosis and management of ILI. The study involved semi-structured interviews including clinical vignettes with 20 healthcare practitioners (working within allopathy, homeopathy and Ayurveda) working in the private healthcare sector in Solapur city, India...
July 3, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28644074/reinforcing-marginality-maternal-health-interventions-in-rural-nicaragua
#5
Birgit Kvernflaten
To achieve Millennium Development Goal 5 on maternal health, many countries have focused on marginalized women who lack access to care. Promoting facility-based deliveries to ensure skilled birth attendance and emergency obstetric care has become a main measure for preventing maternal deaths, so women who opt for home births are often considered 'marginal' and in need of targeted intervention. Drawing upon ethnographic data from Nicaragua, this paper critically examines the concept of marginality in the context of official efforts to increase institutional delivery amongst the rural poor, and discusses lack of access to health services among women living in peripheral areas as a process of marginalization...
June 23, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28641454/correction-to-ayurvedic-college-education-reifying-biomedicine-and-the-need-for-reflexivity
#6
(no author information available yet)
No abstract text is available yet for this article.
June 23, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28553877/search-for-security-an-ethno-psychiatric-study-of-rural-ghana-by-m-j-field
#7
Roland Littlewood
No abstract text is available yet for this article.
May 29, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28513182/-it-just-opens-up-their-world-autism-empathy-and-the-therapeutic-effects-of-equine-interactions
#8
Roslyn Malcolm, Stefan Ecks, Martyn Pickersgill
Experiences of autism-spectrum disorder are now increasingly studied by social scientists. Human-animal relations have also become a major focus of social inquiry in recent years. Examining horse-assisted therapy for autistic spectrum disorders, this is the first paper that brings these fields together. Drawing on participant observation and interviews at a UK horse therapy Centre, this article examines how staff and the parents of riders account for the successes and limitations of equine therapy. To the respondents, horses 'open up' autistic children and make possible interactions that seemed impossible before...
May 17, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28508673/ayurvedic-college-education-reifying-biomedicine-and-the-need-for-reflexivity
#9
Maarten Bode, Prasan Shankar
The paper analyses the experiences with government sanctioned Ayurvedic college education of 14 young Ayurvedic doctors working at the Integrative Health Centre in Bangalore, India. Unfamiliarity with Ayurvedic logic and Indian natural philosophies, lack of clinical training and the mixing-up of Ayurvedic and biomedical notions are their main complaints. The 14 young Ayurvedic doctors also missed a convincing perspective on how to integrate Ayurvedic logic, modern scientific knowledge and biomedical diagnostics...
May 16, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28506127/living-into-death-a-case-for-an-iterative-fortified-and-cross-sector-approach-to-advance-care-planning
#10
Rebecca Llewellyn, Chrystal Jaye, Richard Egan, Wayne Cunningham, Jessica Young, Peter Radue
Advance care planning (ACP) has been framed as best practice for quality palliative care, yet a growing body of literature affirms the need for an early iterative ACP process to begin when people are young and healthy. A significant gap appears to exist in the literature regarding the utility of death conversations outside the end-of-life context. Could 'death conversations' early in life be an effective tool by which doctor and patient can co-construct a more healthful way of life, and realistic relationship with death? And what variables must be taken into account for these conversations to proceed successfully? This paper provides a narrative exploration of the value of death conversations in the clinical context in New Zealand...
May 16, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28504592/hungers-that-need-feeding-on-the-normativity-of-mindful-nourishment
#11
Else Vogel
Drawing on participant observation in a 'mindful weight loss' course offered in the Netherlands, this paper explores the normative register through which mindfulness techniques cast people in relation to concerns with overeating and body weight. The women seeking out mindfulness use eating to cope with troubles in their lives and are hindered by a preoccupation with the size of their bodies. Mindfulness coaches aim to help them let go of this 'struggle with eating' by posing as the central question: 'what do I really hunger after?' The self's hungers include 'belly hunger' but also stem from mouths, hearts, heads, noses and eyes...
May 15, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28492085/self-managing-hiv-aids-cultural-competence-and-health-among-women-in-nairobi-kenya
#12
Toni Copeland
Despite recent efforts to supply antiretroviral therapy, many in Africa are not receiving medication, instead relying on self-management in their attempts to remain healthy. In Kenya, the majority of those infected are women who are below the extreme poverty level. Building on research demonstrating a link between knowledge of HIV/AIDS management and the length of time HIV-positive women have lived in Nairobi, this article uses a cognitive anthropological approach that conceives of culture as shared models and explores the relationship between how well women know a cultural model of self-managing HIV/AIDS and health among women who are not receiving biomedical treatment...
May 11, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28485174/the-slumbering-masses-sleep-medicine-and-modern-american-life-by-matthew-j-wolf-meyer
#13
Karin Olsson
No abstract text is available yet for this article.
May 9, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28480739/translation-and-purification-ayurvedic-psychiatry-allopathic-psychiatry-spirits-and-occult-violence-in-kerala-south-india
#14
Claudia Lang
In this paper, the author traces two parallel movements of institutionalized Ayurvedic psychiatry, an emergent field of specialization in Kerala, India: the 'work of purification' and the 'work of translation' that Latour has described as characteristic of the 'modern constitution.' The author delineates these processes in terms of the relationship of Ayurvedic psychiatry to (1) allopathic psychiatry, (2) bhutavidya, a branch of textual Ayurveda dealing with spirits, and (3) occult violence. The aim is to offer a model of these open and hidden processes and of Ayurvedic psychiatry's positioning within a hierarchical mental health field characterized simultaneously by biopsychiatric hegemony and a persistent vernacular healing tradition...
May 8, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28292208/herbal-medicines-for-diabetes-control-among-indian-and-pakistani-migrants-with-diabetes
#15
Tania Porqueddu
Drawing on data collected during a 16-month ethnographic investigation, this paper explores practices around Indians' and Pakistanis' use of herbal medications for diabetes control. The ethnographic study was conducted among Indian and Pakistani migrants in Edinburgh, Scotland and included extended participant observation, six group discussions and 21 semi-structured interviews. Respondents showed great resistance in adhering to medication prescriptions for diabetes control due to their various side effects, especially within the stomach...
April 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28292207/adherence-and-recursive-perception-among-young-adults-with-cystic-fibrosis
#16
D August Oddleifson, Gregory S Sawicki
Adherence to prescribed treatment is a pressing issue for adolescents and young adults with cystic fibrosis (CF). This paper presents two narratives from the thematic analysis of unstructured interviews with 14 adolescents, young adults, and older adults living with CF. Through a new identity-based framework termed recursive perception that draws focus on how an individual perceives how others view them, it explores the social context of adherence and self-care among young adults with CF. It demonstrates that an individual's understanding of self and desire to maintain a certain image for peers can be deeply embedded in adherence and self-care patterns, leading individuals to feel they need to choose between tending to their health needs and living their lives...
April 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28292206/mhealth-and-the-management-of-chronic-conditions-in-rural-areas-a-note-of-caution-from-southern-india
#17
Papreen Nahar, Nanda Kishore Kannuri, Sitamma Mikkilineni, G V S Murthy, Peter Phillimore
This article examines challenges facing implementation of likely mHealth programmes in rural India. Based on fieldwork in Andhra Pradesh in 2014, and taking as exemplars two chronic medical 'conditions' - type 2 diabetes and depression - we look at ways in which people in one rural area currently access medical treatment; we also explore how adults there currently use mobile phones in daily life, to gauge the realistic likelihood of uptake for possible mHealth initiatives. We identify the very different pathways to care for these two medical conditions, and we highlight the importance to the rural population of healthcare outside the formal health system provided by those known as registered medical practitioners (RMP), who despite their title are neither registered nor trained...
April 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28292205/not-taking-the-easy-way-out-reframing-bariatric-surgery-from-low-effort-weight-loss-to-hard-work
#18
Sarah Trainer, Alexandra Brewis, Amber Wutich
Cultural notions equating greater morality and virtue with hard work and productive output are deeply embedded in American value systems. This is exemplified in how people understand and execute personal body projects, including efforts to become slim. Bariatric surgery is commonly viewed as a 'low-effort' means of losing weight, and individuals who opt for this surgery are often perceived to be 'cheating.' This extended ethnographic study within one bariatric program in the Southwestern United States shows how patients conscientiously perform this productivity...
April 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28140615/unsettling-the-fistula-narrative-cultural-pathology-biomedical-redemption-and-inequities-of-health-access-in-niger-and-ethiopia
#19
Alison Heller, Anita Hannig
Obstetric fistula, a maternal childbirth injury that results in chronic incontinence, affects an estimated one million women in the global south. In the course of media and donor coverage on this condition, fistula sufferers have been branded as 'child brides' who, following the onset of their incontinence, become social pariahs and eventually find physical and social redemption through surgical repair. This narrative framing pits the violence of 'culture' against the potency of biomedical salvation. Based on over two years of ethnographic research at fistula repair centres in Niger and Ethiopia, this paper challenges this narrative and argues that most women with obstetric fistula remain embedded in social relations, receive continued familial support, and, unexpectedly, experience ambiguous surgical outcomes...
April 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/27855514/trail-blazing-or-jam-session-towards-a-new-concept-of-clinical-decision-making
#20
Torsten Risør
Clinical decision-making (CDM) is key in learning to be a doctor as the defining activity in their clinical work. CDM is often portrayed in the literature as similar to 'trail blazing'; the doctor as the core agent, clearing away obstacles on the path towards diagnosis and treatment. However, in a fieldwork of young doctors in Denmark, it was difficult connect their practice to this image. This paper presents the exploration of this discrepancy in the heart of medical practice and how an alternative image emerged; that of a 'jam session'...
April 2017: Anthropology & Medicine
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