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https://www.readbyqxmd.com/read/27895102/delaying-and-seeking-care-for-obstructive-sleep-apnea-the-role-of-gender-family-and-morality
#1
Dana Zarhin
Social scientists have proposed various theories as to when, why, and how people come to seek medical care for multiple conditions. Yet, there is still little empirical research to illustrate the pathways into and out of care, especially for chronic illness. This article contributes to this body of work by exploring individuals' reasons for delaying and seeking care for obstructive sleep apnea, which despite being the most diagnosed sleep disorder, has been largely neglected by social scientists. Drawing upon in-depth interviews with 65 Jewish-Israeli obstructive sleep apnea patients, this study shows how intersections of gender, family, and morality shape and are shaped by care-seeking behavior...
November 28, 2016: Health (London)
https://www.readbyqxmd.com/read/27895101/interaction-and-common-ground-in-dementia-communication-across-linguistic-and-cultural-diversity-in-a-residential-dementia-care-setting
#2
Lisa Strandroos, Eleonor Antelius
Previous research concerning bilingual people with a dementia disease has mainly focused on the importance of sharing a spoken language with caregivers. While acknowledging this, this article addresses the multidimensional character of communication and interaction. As using spoken language is made difficult as a consequence of the dementia disease, this multidimensionality becomes particularly important. The article is based on a qualitative analysis of ethnographic fieldwork at a dementia care facility. It presents ethnographic examples of different communicative forms, with particular focus on bilingual interactions...
November 28, 2016: Health (London)
https://www.readbyqxmd.com/read/27879342/tenacious-assumptions-of-person-centred-care-exploring-tensions-and-variations-in-practice
#3
Öncel Naldemirci, Doris Lydahl, Nicky Britten, Mark Elam, Lucy Moore, Axel Wolf
In recent decades, the 'tenacious assumptions' of biomedicine regarding the neutrality and universality of its knowledge claims have been significantly challenged by the growth of new collaborative and patient-focused models of Healthcare delivery. In this article, we discuss and critically reflect upon one such alternative Healthcare model developed at the University of Gothenburg Centre for Person-Centred Care in Sweden. This centre uses three clinical routines of narrative, partnership and documentation to provide Healthcare to people recognized as unique individuals rather than patients...
November 22, 2016: Health (London)
https://www.readbyqxmd.com/read/28064539/treating-the-binge-or-the-fat-body-representations-of-fatness-in-a-gold-standard-psychological-treatment-manual-for-binge-eating-disorder
#4
Amy Brown-Bowers, Ashley Ward, Nicole Cormier
This article reports the results of a Foucauldian-informed discourse analysis exploring representations of fatness embedded within an empirically based psychological treatment manual for binge eating disorder, a condition characterized by overvaluation of weight and shape. Analyses indicate that the manual prioritizes weight loss with relatively less emphasis placed on treating the diagnostic symptoms and underlying mechanisms of binge eating disorder. We raise critical concerns about these observations and link our findings to mainstream psychology's adoption of the medical framing of fatness as obesity within the "gold standard" approach to intervention...
January 2017: Health (London)
https://www.readbyqxmd.com/read/26929035/what-led-health-professionals-to-study-and-practise-acupuncture-in-spain
#5
Esther García-Escamilla, Beatriz Rodríguez-Martín, Vicente Martínez-Vizcaíno
Acupuncture is the most widespread practice of Traditional Chinese Medicine in the Western world. This confers special relevance to the experiences and circumstances of life to explain the health-illness process. Recent research has reported an increasing interest of Western health professionals in its practice. The aim of this study was to map and understand the motivation of health professionals to study and practise acupuncture in Spain. A total of 27 in-depth interviews were conducted with Spanish health professionals trained in acupuncture...
January 2017: Health (London)
https://www.readbyqxmd.com/read/26226954/using-liminality-to-understand-mothers-experiences-of-long-term-breastfeeding-betwixt-and-between-and-matter-out-of-place
#6
Sally Dowling, David Pontin
Breastmilk is widely considered as the optimum nutrition source for babies and an important factor in both improving public health and reducing health inequalities. Current international/national policy supports long-term breastfeeding. UK breastfeeding initiation rates are high but rapidly decline, and the numbers breastfeeding in the second year and beyond are unknown. This study used the concept of liminality to explore the experiences of a group of women breastfeeding long-term in the United Kingdom, building on Mahon-Daly and Andrews...
January 2017: Health (London)
https://www.readbyqxmd.com/read/26112800/the-uses-and-implications-of-standards-in-general-practice-consultations
#7
Maria Laura Lippert, Susanne Reventlow, Marius Brostrøm Kousgaard
Quality standards play an increasingly important role in primary care through their inscription in various technologies for improving professional practice. While 'hard' biomedical standards have been the most common and debated, current quality development initiatives increasingly seek to include standards for the 'softer' aspects of care. This article explores the consequences of both kinds of quality standards for chronic care consultations. The article presents findings from an explorative qualitative field study in Danish general practice where a standardized technology for quality development has been introduced...
January 2017: Health (London)
https://www.readbyqxmd.com/read/27580857/complementary-and-alternative-medicine-s-occupational-closure-in-portuguese-healthcare-contradictions-and-challenges
#8
Joana Almeida
This article analyses strategies of closure recently enacted by complementary and alternative medicine practitioners in order to achieve occupational control over work domains in healthcare, taking Portugal as an example. A combination of the neo-Weberian occupational closure theory of the professions and Abbott's jurisdictional vacancy theory is proposed as the framework for analysis. Acupuncture and homeopathy will be presented as case studies. Data are derived from in-depth interviews with 10 traditional acupuncturists and 10 traditional homeopaths...
September 2016: Health (London)
https://www.readbyqxmd.com/read/27491944/all-care-but-whose-responsibility-community-juries-reason-about-expert-and-patient-responsibilities-in-prostate-specific-antigen-screening-for-prostate-cancer
#9
Chris Degeling, Stacy M Carter, Lucie Rychetnik
General practitioners have implicitly been given responsibility for guiding men's decisions about prostate-specific antigen-based screening for prostate cancer, but patients' expectations of the bounds of this responsibility remain unclear. We sought to explore how well-informed members of the public allocate responsibilities in prostate-specific antigen screening decision-making. In 2014, we convened two Community juries in Sydney, Australia, to address questions related to the content and timing of information provision and respective roles of patients and general practitioners in screening decisions...
September 2016: Health (London)
https://www.readbyqxmd.com/read/27474754/hope-and-doubt-in-the-promise-of-neuroimaging-the-case-of-autism-spectrum-disorder
#10
Thomas Eugene Bertorelli
Although neuroimaging is currently not a component of the diagnostic process for autism spectrum disorders, some scientists hail these technologies for their promise to one day replace behaviorally based psychiatric diagnostic techniques. This article examines how psychiatrists understand the potential use of neuroimaging technologies within the context of clinical practice. Drawing on 10 semi-structured interviews with child and adolescent psychiatrists, I describe the hope and doubt that comprise their discourse of ambivalence...
September 2016: Health (London)
https://www.readbyqxmd.com/read/27000136/healthism-in-denmark-state-market-and-the-search-for-a-moral-compass
#11
Dorthe Brogård Kristensen, Ming Lim, Søren Askegaard
This article focuses on contemporary responses to public health messages in Denmark, a country whose system of social welfare is, like that of the United Kingdom and the rest of Europe, undergoing increasing levels of marketization and privatization. Drawing primarily upon Robert Crawford's analysis of healthism as a neoliberal project, the aim of this article is to develop critical understandings of how individuals respond both bodily and emotionally to ideologies of health and the body in the context of a changing marketplace for the consumption of health and its messages...
September 2016: Health (London)
https://www.readbyqxmd.com/read/26466601/in-the-loop-practices-of-self-monitoring-from-accounts-by-trial-participants
#12
Rebecca Lynch, Simon Cohn
Self-monitoring, by which individuals record and appraise ongoing information about the status of their body in order to improve their health, has been a key element in the personal management of conditions such as diabetes, but it is now also increasingly used in relation to health-associated behaviours. The introduction of self-monitoring as an intervention to change behaviour is intended to provide feedback that can be used by individuals to both assess their status and provide ongoing support towards a goal that may be formally set or remains implicit...
September 2016: Health (London)
https://www.readbyqxmd.com/read/27531066/the-medicalization-of-obesity-bariatric-surgery-and-population-health
#13
Selena E Ortiz, Ichiro Kawachi, Angie M Boyce
This article examines how the medicalization of obesity validates the use of bariatric surgery to treat obesity in the United States and how expansions in access to bariatric surgery normalize surgical procedures as disease treatment and prevention tools. Building on this discussion, the article poses two questions for population health regarding health technology: (1) to what extent does bariatric surgery treat obesity in the United States while diverting attention away from the ultimate drivers of the epidemic and (2) to what extent does bariatric surgery improve outcomes for some groups in the US population while simultaneously generating disparities? We conduct a brief, historical analysis of the American Medical Association's decision to reclassify obesity as a disease through internal documents, peer-reviewed expert reports, and major media coverage...
August 16, 2016: Health (London)
https://www.readbyqxmd.com/read/27491943/practices-of-partnership-negotiated-safety-among-couples-who-inject-drugs
#14
Jake Rance, Tim Rhodes, Suzanne Fraser, Joanne Bryant, Carla Treloar
Despite the majority of needle-syringe sharing occurring between sexual partners, the intimate partnerships of people who inject drugs have been largely overlooked as key sites of both hepatitis C virus prevention and transmission, and risk management more generally. Drawing on interviews with 34 couples living in inner-city Australia, this article focuses on participants' accounts of 'sharing'. While health promotion discourses and conventional epidemiology have tended to interpret the practice of sharing (like the absence of condom use) in terms of 'noncompliance', we are interested in participants' socially and relationally situated 'rationalities'...
August 3, 2016: Health (London)
https://www.readbyqxmd.com/read/27491942/narrative-as-re-fusion-making-sense-and-value-from-sickle-cell-and-thalassaemia-trait
#15
Simon M Dyson, Waqar Iu Ahmad, Karl Atkin
The moral turn within sociology suggests that we need to be attentive to values and have a rapprochement with philosophy. The study of illness narratives is one area of sociology that has consistently addressed itself to moral domains but has tended to focus on stories of living with genetic or chronic illness per se rather than liminal states such as genetic traits. This article takes the case of genetic carriers within racialized minority groups, namely, those with sickle cell or thalassaemia trait, and takes seriously the notion that their narratives are ethical practices In line with the work of Paul Ricoeur, such storied practices are found to link embodiment, social relationships with significant others and wider socio-cultural and socio-political relations...
August 3, 2016: 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
#16
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...
July 24, 2016: Health (London)
https://www.readbyqxmd.com/read/27246813/emoting-infertility-online-a-qualitative-analysis-of-men-s-forum-posts
#17
Esmée Hanna, Brendan Gough
Relatively little research on infertility focuses exclusively or significantly on men's experiences, particularly in relation to emotional aspects. Evidence that does exist around male infertility suggests that it is a distressing experience for men, due to stigma, threats to masculinity and the perceived need to suppress emotions, and that men and women experience infertility differently. Using thematic analysis, this article examines the online emoting of men in relation to infertility via forum posts from a men-only infertility discussion board...
July 2016: Health (London)
https://www.readbyqxmd.com/read/26944632/beyond-medicalization-self-injuring-acts-revisited
#18
Inger Ekman
For too long, medical/psychiatric and psychological studies, with focus on emotional sensitivity, personality traits, and correlation with psychopathology, have dominated research on self-injuring acts. The phenomenon thus has been defined as a predominantly medical issue. However, a large body of community prevalence studies show self-injuring acts to be a common phenomenon in society, and most of those who self-injure are unknown in psychiatric or other clinical settings. This article describes and analyzes the medicalization of self-injuring acts and argues a need to move research on self-injuring acts out of the medical paradigm...
July 2016: Health (London)
https://www.readbyqxmd.com/read/26843550/illness-is-work-revisiting-the-concept-of-illness-careers-and-recognizing-the-identity-work-of-patients-with-me-cfs
#19
Jan Grue
The concept of careers has an extensive history in the sociology of health and illness. Among other things, the notion of a career has been used to describe the changing identities of patients diagnosed with mental illness, to identify distinct stages in the progression of various illnesses, and to recognize the cooperative efforts of hospitalized patients. However, the career concept may be reanalyzed as part of an analytical metaphor that makes salient both the agency of people with illnesses and the social structures in which they are enmeshed...
July 2016: Health (London)
https://www.readbyqxmd.com/read/26711167/balancing-exercises-subjectivised-narratives-of-balance-in-cancer-self-health
#20
John I MacArtney
Having a 'balanced lifestyle' is often promoted as one way to manage the competing demands of contemporary life. For people with cancer, those demands are often multiplied, particularly when they use self-health approaches that seek to bring together an array of biomedical and complementary and alternative medicine therapies and practices. Yet, how balance is used in this complex healthcare milieu and the affects it has on experiences of illness are less well understood. In order to follow the polyphonic narratives involved, two case studies of women with breast cancer who used cancer self-health approaches were analysed...
July 2016: Health (London)
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