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Anthropology & Medicine

Joanna Reynolds, Sue Lewis
In public health there is increased focus on evaluating 'complex' interventions for health improvement, examining how their multiple components interact dynamically with the contextual system in which they are delivered. Amid this complexity framing are calls for methodologies that can facilitate contextual understanding as part of the evaluation process, including ethnography. However, while ethnography's attention to 'context' has been recognised as valuable for evaluation, few questions have been raised about the possible tensions of aligning what are quite different expectations for knowledge making in evaluation and in ethnography...
March 12, 2019: Anthropology & Medicine
Gauri Pathak
Within public health, investigations into the rise of metabolic syndrome disorders, such as obesity and type II diabetes, following on the heels of globalisation have tended to focus on the twin axes of diet and physical exercise. However, such a limited focus obscures wider transformations in bodily and health-related practices that emerge in response to globalisation. This paper is an exploration of public discourses about PCOS-a hormonal disorder that affects menstruation, is associated with obesity, heart disease, and type II diabetes, and has been on the rise in India since the liberalisation of its economy in 1991- and it examines the concerns regarding sociocultural, environmental, and political-economic changes brought by liberalisation that these discourses index...
March 1, 2019: Anthropology & Medicine
Jerome Wright, Limbika Maliwichi-Senganimalunje
The individual and social construction of psychological distress is fundamental to help-seeking and the extent to which interventions are seen as credible. Where pluralistic attributions for mental health problems predominate, the development of global mental health (GMH) interventions in the form of task-shifting approaches create increased access to new ways of understanding and responding to distress. However, little is known about how participants in these initiatives manage these encounters. This qualitative study in Malawi explored village-based health workers' (HSAs) and patients' and carers' views of the causes of distress and how these beliefs influenced help-seeking and the health workers' response...
February 4, 2019: Anthropology & Medicine
Gemma Hughes
An in-depth case study of integrated health and social care provides the empirical basis for this exploration of tensions between ethnography and evaluation. The case study, developed from a two year period of fieldwork, is based on ethnographic data of individuals' experiences of living with multiple long-term conditions, their experiences of integrated care, and integrated care commissioning practices. Narrative and phenomenological analysis show how temporal aspects of ethnographic fieldwork contribute to producing knowledge of patients' experiences...
February 4, 2019: Anthropology & Medicine
Diego Herrera, Frank Hutchins, David Gaus, Carlos Troya
Intimate connections between culture and health are complicated by various understandings of the human body, divergent beliefs about reality and place-bound theories about healing. Health care systems in various countries are modified with a goal of creating 'hybrid' structures that make room for traditional practices within a dominant Western model. But genuine intercultural health care is elusive. In Ecuador, a country with great cultural and geographic diversity, the culture-health spectrum is broad and bumpy...
December 21, 2018: Anthropology & Medicine
Zeynep B G├╝rtin, Charlotte Faircloth
No abstract text is available yet for this article.
December 2018: Anthropology & Medicine
Kathleen Hammond
This paper explores 18 infertile Canadian intended mothers' experiences using donor eggs to conceive. Their narratives reflect a persistent normative ideology of reproduction and motherhood in Canada, where reproduction is natural, and expected, mother and child are genetically related, and two (genetic) parent families are what is normal. These ideologies permeate intended mothers' experiences of infertility, and their relationship with their egg donor. Much of the intended mothers' grief over their infertility was attributable to the gap between their experience and their perceived sense of normality...
December 2018: Anthropology & Medicine
Marcia C Inhorn
No abstract text is available yet for this article.
December 2018: Anthropology & Medicine
Jenny Gunnarsson Payne, Theo Erbenius
It is an oft-repeated trope that the recent medical advances in the field of assisted reproduction have radically transformed the ways in which we can achieve, practice and imagine parenthood. This development has enabled new forms of non-heterosexual family constellations, including same-sex nuclear families and solo-parents by choice, and as a result an increasing number of groups are mobilising politically for access to fertility treatments. Swedish transgender patients are one of these groups; after many years of political mobilisation, they are no longer required by law to go through sterilisation as a compulsory part of gender corrective surgery, and instead today, all transgender patients are offered fertility preservation through gamete freezing...
December 2018: Anthropology & Medicine
Cathy Herbrand
This paper engages with the complex gender and parental dynamics experienced in the context of co-parenting arrangements. These arrangements, based on mutual agreement, involve people who commit to raising a child together, possibly with their respective partners. These family forms are usually pursued to avoid what is perceived as the uncertainty surrounding alternative assisted reproductive options such as donor insemination or surrogacy, and to allow the child to have two biological and sexually differentiated parental figures...
December 2018: Anthropology & Medicine
Nanda Kishore Kannuri, Sushrut Jadhav
Existing literature demonstrates agro-chemicals result in physical toxicity and damages human health, flora and fauna. However, little is known about how such 'toxicity' relates to mental well-being and social suffering. This paper aims to demonstrate how local, national and international vectors are interlinked to shape social distress among cotton farmers in India. Ethnographic interviews and focus group discussions were conducted in a cotton-growing village of the Warangal district, Telangana state, India...
August 2018: Anthropology & Medicine
Roland Littlewood
No abstract text is available yet for this article.
August 2018: Anthropology & Medicine
Honge Zheng, Yingying Pei
Kleinman pioneered the use of intensive case studies in China and elsewhere. Drawing on this approach, this paper shows how two rural Chinese converts to Christianity recovered from prolonged mental sickness incurred during the Cultural Revolution many years earlier. The apparent 'cure' is part of local narrative in which rural Chinese Christians' first contact with Christianity has the pragmatic aim of seeking treatment to relieve physical pain, but leads to conversion and believed divine deliverance from psychological as well as physical suffering...
August 2018: Anthropology & Medicine
Eva Bleyenberg, Koen Stroeken
This explorative and qualitative study, based on 27 interviews during two months of fieldwork, describes pese, an affliction of the skin that has conspicuously stayed under the radar of medico-anthropological research in Kigoma, a rural city in the northwest Tanzania. The condition reminds of a locally better known condition labeled kisigo, raising the question why two concepts of the same affliction exist side by side. It seems indicative that the two illness concepts stem from different cultures and that each specializes in an explanatory model: the former witchcraft (sorcery) and the latter spirit possession...
August 2018: Anthropology & Medicine
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Anthropology & Medicine
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...
August 2018: Anthropology & Medicine
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...
August 2018: Anthropology & Medicine
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...
August 2018: Anthropology & Medicine
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...
August 2018: Anthropology & Medicine
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Anthropology & Medicine
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