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https://www.readbyqxmd.com/read/28830300/-it-s-sometimes-hard-to-tell-what-patients-are-playing-at-how-healthcare-professionals-make-sense-of-why-patients-and-families-complain-about-care
#1
Mary Adams, Jill Maben, Glenn Robert
This article draws from sociological and socio-legal studies of dispute between patients and doctors to examine how healthcare professionals made sense of patients' complaints about healthcare. We analyse 41 discursive interviews with professional healthcare staff working in eight different English National Health Service settings to explore how they made sense of events of complaint and of patients' (including families') motives for complaining. We find that for our interviewees, events of patients' complaining about care were perceived as a breach in fundamental relationships involving patients' trust or patients' recognition of their work efforts...
August 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28803501/men-s-weight-loss-stories-how-personal-confession-responsibility-and-transformation-work-as-social-control
#2
Danielle Couch, Gil-Soo Han, Priscilla Robinson, Paul Komesaroff
Obesity is considered a public health concern. In Australia, there are a greater number of overweight or obese men compared with women. The media is an important source of information about body weight and weight management. We undertook a qualitative study to analyse men's weight loss stories in a popular men's magazine. Between January 2009 and December 2012, we collected 47 men's weight loss stories from the Australian edition of Men's Health magazine. We undertook thematic analysis to examine the stories...
August 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28795600/the-weight-of-the-matter-a-new-material-feminist-account-of-thin-and-fat-oppressions
#3
Moss Edward Norman, Fiona J Moola
Critical feminist approaches to eating disorders and "obesity" have recently come under criticism for relying too heavily on textual- and image-based analyses of health, identity and body weight, shape, and size. In this article, we examine qualitative interviews with self-identified anorexic and "obese" women using a new material feminist lens-particularly the work of Karen Barad-to see what this perspective contributes to conceptualizations of weight-based oppressions. In addition to outlining how the material world actively participates in ongoing processes of oppression, we also highlight how the body presses back, offering up potentially less oppressive processes of materialization...
August 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28795597/in-one-s-own-time-contesting-the-temporality-and-linearity-of-bereavement
#4
Katherine Kenny, Alex Broom, Emma Kirby, Damien Ridge
This article explores the experience and meaning of time from the perspective of caregivers who have recently been bereaved following the death of a family member. The study is situated within the broader cultural tendency to understand bereavement within the logic of stages, including the perception of bereavement as a somewhat predictable and certainly time-delimited ascent from a nadir in death to a 'new normal' once loss is accepted. Drawing on qualitative data from interviews with 15 bereaved family caregivers we challenge bereavement as a linear, temporally bound process, examining the multiple ways bereavement is experienced and how it variously resists ideas about the timeliness, desirability and even possibility of 'recovery'...
August 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28795577/understanding-the-emergence-and-development-of-medical-collaboration-across-organizational-boundaries-a-longitudinal-case-study
#5
Nassera Touati, Charo Rodríguez, Marie-Andrée Paquette, Jean-Louis Denis
Our goal in this investigation was to help shed light on the very difficult process of collaboration between family physicians and specialists working at different levels of healthcare delivery. More precisely, and grounded on Giddens' structuration theory, our investigation aims to understand how medical collaboration emerges and develops around chronic patients. This was a longitudinal interpretive case study, the "case" being a continuum-of-care for patients suffering from diabetes, put in place in an urban health center in the Canadian province of Quebec...
August 1, 2017: Health (London)
https://www.readbyqxmd.com/read/27457688/vulnerable-children-stigmatised-smokers-the-social-construction-of-target-audiences-in-media-debates-on-policies-regulating-smoking-in-vehicles
#6
Josh Bain, Heide Weishaar, Sean Semple, Sheila Duffy, Shona Hilton
Following restrictions on smoking in vehicles carrying children in several countries, legislation to safeguard minors from second-hand smoke exposure in vehicles is under-consideration or has been implemented across the United Kingdom. This article presents the first investigation into social constructions of children, smokers and smoking parents in newsprint media and coverage of debates about protecting children from exposure to second-hand smoke in vehicles. Using Scotland as an example, articles on children's exposure to second-hand smoke published between 1 January 2004 and 16 February 2014 in three Scottish newspapers were identified using Nexis UK...
November 2017: Health (London)
https://www.readbyqxmd.com/read/27207941/obesity-frames-and-counter-frames-in-british-and-german-online-newspapers
#7
Dimitrinka Atanasova, Nelya Koteyko
By featuring news articles highlighting certain aspects of obesity and backgrounding others, the media can frame these aspects as especially applicable to how obesity should be understood and addressed. Despite the highest rates in Europe, news reports from Britain and Germany have come under little scholarly scrutiny. In this article, we explore frames and their frequency of use in British and German online newspapers. Our findings reveal a dominant cross-national framing of obesity in terms of 'self-control', which places a more pronounced emphasis on individual responsibility than demonstrated by earlier studies and may contribute to a culture of weight bias and stigma...
November 2017: Health (London)
https://www.readbyqxmd.com/read/26979983/-things-i-did-not-know-retrospectives-on-a-canadian-rural-male-youth-suicide-using-an-instrumental-photovoice-case-study
#8
Genevieve M Creighton, John L Oliffe, Maria Lohan, John S Ogrodniczuk, Emma Palm
In Canada, it is young, rural-based men who are at the greatest risk of suicide. While there is no consensus on the reasons for this, evidence points to contextual social factors including isolation, lack of confidential services, and pressure to uphold restrictive norms of rural masculinity. In this article, we share findings drawn from an instrumental photovoice case study to distil factors contributing to the suicide of a young, Canadian, rural-based man. Integrating photovoice methods and in-depth qualitative, we conducted interviews with seven family members and close friends of the deceased...
November 2017: Health (London)
https://www.readbyqxmd.com/read/26865213/science-and-scepticism-drug-information-young-men-and-counterpublic-health
#9
Adrian Farrugia, Suzanne Fraser
It is perhaps no surprise that young people can be sceptical of the drug-related information they receive in school-based health education, health promotion and the media. Significant societal anxiety surrounds young people's drug consumption, so it is tempting to approach this scepticism as a problem to be solved. In this article, we look closely at a group of young Australian men (n = 25), all of whom hold deeply sceptical views about the drug information they received in schools, social marketing campaigns and public speech generally...
November 2017: Health (London)
https://www.readbyqxmd.com/read/26851265/struggling-to-care-a-discursive-material-analysis-of-negotiating-agency-among-hiv-positive-msm
#10
Nico A Canoy, Mira Alexis P Ofreneo
A discursive-materialist framework of agency asserts the mutual constitution of agency within cultural discursive, economic, and embodied material structures. Understanding how HIV-positive men who have sex with men in the Philippines negotiate agency vis-a-vis wider social structures, we utilized Foucault's care of the self to locate agency in relationships with the self, others, and the broader world. Using data from narratives of 20 Filipino HIV-positive men who have sex with men, we analyzed the negotiation of agency as HIV-positive as embedded in the unique discursive terrain of Roman Catholicism and the economic materiality of a developing country...
November 2017: Health (London)
https://www.readbyqxmd.com/read/28805150/diffracting-addicting-binaries-an-analysis-of-personal-accounts-of-alcohol-and-other-drug-addiction
#11
Kiran Pienaar, David Moore, Suzanne Fraser, Renata Kokanovic, Carla Treloar, Ella Dilkes-Frayne
Associated with social and individual harm, loss of control and destructive behaviour, addiction is widely considered to be a major social problem. Most models of addiction, including the influential disease model, rely on the volition/compulsion binary, conceptualising addiction as a disorder of compulsion. In order to interrogate this prevailing view, this article draws on qualitative data from interviews with people who describe themselves as having an alcohol or other drug 'addiction', 'dependence' or 'habit'...
September 2017: Health (London)
https://www.readbyqxmd.com/read/28805149/contestation-instrumental-resistance-and-strategic-conformation-within-the-diagnostic-process-of-gender-dysphoria-in-portugal
#12
Ana Patrícia Hilário
This article aims to provide insights into the ways in which trans people (i.e. those whose gender identity or expression do not align with their assigned sex at birth) in Portugal make sense of the diagnosis of gender dysphoria. Drawing upon in-depth interviews with 10 trans men and 9 trans women carried out by the TRANSRIGHTS team, we identified three major themes: (a) contestation of gender dysphoria as a (mental) illness, (b) instrumental resistance to complete demedicalisation of gender dysphoria and (c) strategic conformation to gender essentialism within the diagnostic process of gender dysphoria...
September 2017: Health (London)
https://www.readbyqxmd.com/read/28770633/understanding-each-other-in-the-medical-encounter-exploring-therapists-and-patients-understanding-of-each-other-s-experiential-knowledge-through-the-imitation-game
#13
Rik Wehrens, Bethany Hipple Walters
The ability of health-care professionals to understand the lived experiences of their patients has become increasingly important but has been a difficult topic to investigate empirically because it involves two distinctive research strands: interpretative phenomenological analysis and patient-provider communication. While interpretative phenomenological analysis focuses on experiences and illness narratives of patients, but not on therapist's understanding of those, patient-provider communication surveys focus primarily on effective forms of communication without addressing the actual illness experiences of patients...
July 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28649862/the-role-of-sociocultural-perspectives-in-eating-disorder-treatment-a-study-of-health-professionals
#14
Su Holmes
Eating disorders are now often approached as biopsychosocial problems, because they are widely recognised as multifactorial in origin. However, it has been suggested that there is a substantial and unwarranted imbalance within this biopsychosocial framework, with the 'social' aspects of the equation relegated to secondary or facilitating factors within treatment contexts. Drawing on data from 12 qualitative interviews with health professionals in a UK region, this article examines the extent to which sociocultural perspectives on eating disorders are valued and explored in eating disorder treatment, with a particular focus on the relationship between eating disorders and gender...
June 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28649859/medical-authority-managerial-power-and-political-will-a-bourdieusian-analysis-of-antibiotics-in-the-hospital
#15
Emma Kirby, Alex Broom, Alexandra Gibson, Jennifer Broom, Trent Yarwood, Jeffrey Post
Antibiotic resistance poses a significant global threat, yet clinically inappropriate antibiotic use within hospitals continues despite the implementation of abatement strategies. Antibiotic use and the viability of existing antibiotic options now sit precariously at the nexus of political will, institutional governance and clinical priorities 'at the bedside'. Yet no study has hitherto explored the perspectives of managers, instead of focusing on clinicians. In this article, drawing on qualitative interviews with hospital managers, we explore accounts of responding to antimicrobial resistance, managing antibiotic governance and negotiating clinical and managerial priorities...
June 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28637363/-think-positively-parkinson-s-disease-biomedicine-and-hope-in-contemporary-germany
#16
Ingrid Metzler, Paul Just
Narratives of hope shape contemporary engagements with Parkinson's disease. On the one hand, a "biomedical narrative of hope" promises that biomedical research will help to transform this treatable but incurable disease into a curable one in the future. On the other hand, a more individual "illness narrative of hope" encourages patients to influence the course of Parkinson's disease by practicing self-care and positive thinking. This article asks how these two narratives of hope interact. It bases its argument on an analysis of data from 13 focus groups conducted in Germany in 2012 and 2014 with patients with Parkinson's disease and their relatives...
June 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28637360/who-or-what-has-agency-in-the-discussion-of-antimicrobial-resistance-in-uk-news-media-2010-2015-a-transitivity-analysis
#17
Luke Curtis Collins, Rusi Jaspal, Brigitte Nerlich
The increase in infections resistant to the existing antimicrobial medicines has become a topic of concern for health professionals, policy makers and publics across the globe; however, among the public there is a sense that this is an issue beyond their control. Research has shown that the news media can have a significant role to play in the public's understanding of science and medicine. In this article, we respond to a call by research councils in the United Kingdom to study antibiotic or antimicrobial resistance as a social phenomenon by providing a linguistic analysis of reporting on this issue in the UK press...
June 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28629224/-it-s-not-my-business-exploring-heteronormativity-in-young-people-s-discourses-about-lesbian-gay-bisexual-transgender-and-queer-issues-and-their-implications-for-youth-health-and-wellbeing
#18
Cara Ky Ng, Rebecca J Haines-Saah, Rodney E Knight, Jean A Shoveller, Joy L Johnson
In Canada, the issue of creating safe and inclusive school environments for lesbian, gay, bisexual, transgender, and queer students has been in the spotlight. Several researchers and advocates have pointed out the positive effects of lesbian, gay, bisexual, transgender, and queer-positive policy frameworks on the health and wellbeing of all young people. In this article, we take a critical approach to analyzing narrative findings from qualitative interviews conducted with youth in three communities in British Columbia, Canada: "the North," Vancouver, and Abbotsford...
June 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28552003/-i-m-only-dealing-with-the-acute-issues-how-medical-ward-busyness-constrains-care-of-the-dying
#19
Lisa S Chan, Mary Ellen Macdonald, Franco A Carnevale, S Robin Cohen
Acute hospital units are a common location of death. Curative characteristics of the acute medical setting make it difficult to provide adequate palliative care; these characteristics include an orientation to life-prolonging treatment, an emphasis on routine or task-oriented care and a lack of priority on emotional engagement with patients. Indeed, research shows that dying patients in acute medical units often experience unmet needs at the end of life, including uncontrolled symptoms (e.g. pain, breathlessness), inadequate emotional support and poor communication...
May 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28537093/facilitating-resident-community-in-nursing-homes-a-slippery-slope-an-analysis-on-collectivistic-and-individualistic-approaches
#20
Gudmund Ågotnes, Christine Øye
Residents in nursing homes are old and frail and are dependent on constant care, medical, or otherwise, by trained professionals. But they are also social beings, secluded in an institutional setting which is both total and foreign. In this setting, most of the residents most of the time must relate to other residents: other residents are the nursing home residents' peers, companions, and perhaps even significant others. In this article, we will discuss how resident communities in nursing homes are influenced by the approaches of nursing home staff...
May 1, 2017: Health (London)
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