Culture, Illness and Healing – serie
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28 produkter
28 produkter
2 207 kr
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In this book I present a series of eleven essays written between 1978 and 1987 on subjects relevant to the anthropology of health and international health. The issues addressed in these essays were investigated during 38 months of fieldwork in rural southwest peninsular India (197 4-86) and 15 months of fieldwork in southwest Sri Lanka (1983-84 ). ;During various periods of this time I conducted ethnographic fieldwork, explored the feasibility of participatory community research, facilitated the development of a postgraduate health education training program, and served as a consultant to various international health organizations. The essays document my ongoing attempts to integrate academic interests in the anthropology of health with applications of anthropology for international health and development. The volume is divided into four sections structured around the themes of: ethnophysiology, illness ethnography, pharmaceutical related behavior, and health communication. Included are studies of fertility and pregnancy (Chapters 1 and 2), states of malnutrition and approaches to nutrition education (Chapters 5 and 11 ), diarrheal disease and water boiling behavior (Chapters 6 and 1 0), and lay perceptions of fertility control methods and medicines (Chapters 3 and 7). Emerging from these studies is a recognition that perceptions of ethnophysiology and contingent health concerns signifi cantly influence health behavior and the use as well as demand for traditional and modern health resources.
2 143 kr
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2 143 kr
Skickas inom 10-15 vardagar
In this book I present a series of eleven essays written between 1978 and 1987 on subjects relevant to the anthropology of health and international health. The issues addressed in these essays were investigated during 38 months of fieldwork in rural southwest peninsular India (197 4-86) and 15 months of fieldwork in southwest Sri Lanka (1983-84 ). ;During various periods of this time I conducted ethnographic fieldwork, explored the feasibility of participatory community research, facilitated the development of a postgraduate health education training program, and served as a consultant to various international health organizations. The essays document my ongoing attempts to integrate academic interests in the anthropology of health with applications of anthropology for international health and development. The volume is divided into four sections structured around the themes of: ethnophysiology, illness ethnography, pharmaceutical related behavior, and health communication. Included are studies of fertility and pregnancy (Chapters 1 and 2), states of malnutrition and approaches to nutrition education (Chapters 5 and 11 ), diarrheal disease and water boiling behavior (Chapters 6 and 1 0), and lay perceptions of fertility control methods and medicines (Chapters 3 and 7). Emerging from these studies is a recognition that perceptions of ethnophysiology and contingent health concerns signifi cantly influence health behavior and the use as well as demand for traditional and modern health resources.
2 207 kr
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Medical schools seem increasingly to be filling rare positions in the humanities and social sciences with ethicists. In their analyses of complex situations, ethicists often appear grandly oblivious to the social and cultural context in which these occur, and indeed to empirical referents of any sort.
2 207 kr
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This book concerns the use of the drug qat in North Yemen (Yemen Arab Republic), a country lying on the southwestern corner of the Arabian Peninsula. However, because this substance is so interwoven into the fabric of society and culture, it is also necessarily about Yemen itself. The history and culture of South Arabia are still relatively unknown to the rest of the world, and the drug qat, so widely used there, is equally unknown. Thus, the material we present here should be of interest to all of those concerned with drug use, those who wish to understand more about Yemen and the Middle East, and to the Yemenis themselves. Another purpose is to develop some general understandings about sub stance uses and their effects which are less clouded by the mass hysteria and political considerations which often obscure drug issues in our own society. Examination of drug-use patterns in a country where millions of people are users on a regular basis, and where there has been familiarity with the drug for several hundred years, offers an opportunity to achieve perspectives not possible in countries with different attitudes and without such histories. I am not sanguine about the prospects of our abilities to learn from others or from the past, but I do not think we should abandon hope of doing so.
2 207 kr
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This book concerns the use of the drug qat in North Yemen (Yemen Arab Republic), a country lying on the southwestern corner of the Arabian Peninsula. However, because this substance is so interwoven into the fabric of society and culture, it is also necessarily about Yemen itself. The history and culture of South Arabia are still relatively unknown to the rest of the world, and the drug qat, so widely used there, is equally unknown. Thus, the material we present here should be of interest to all of those concerned with drug use, those who wish to understand more about Yemen and the Middle East, and to the Yemenis themselves. Another purpose is to develop some general understandings about sub stance uses and their effects which are less clouded by the mass hysteria and political considerations which often obscure drug issues in our own society. Examination of drug-use patterns in a country where millions of people are users on a regular basis, and where there has been familiarity with the drug for several hundred years, offers an opportunity to achieve perspectives not possible in countries with different attitudes and without such histories. I am not sanguine about the prospects of our abilities to learn from others or from the past, but I do not think we should abandon hope of doing so.
Child Survival
Anthropological Perspectives on the Treatment and Maltreatment of Children
Inbunden, Engelska, 1987
2 143 kr
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of older children, adults, and the family unit as a whole. These moral evaluations are, in turn, influenced by such external contingencies as popula tion demography, social and economic factors, subsistence strategies, house hold composition, and by cultural ideas concerning the nature of infancy and childhood, definitions of personhood, and beliefs about the soul and its immortality. MOTHER LOVE AND CHILD DEATH Of all the many factors that endanger the lives of young children, by far the most difficult to examine with any degree of dispassionate objectivity is the quality of parenting. Historians and social scientists, no less than the public at large, are influenced by old cultural myths about childhood inno cence and mother love as well as their opposites. The terrible power and significance attributed to maternal behavior (in particular) is a commonsense perception based on the observation that the human infant (specialized as it is for prematurity and prolonged dependency) simply cannot survive for very long without considerable maternal love and care. The infant's life depends, to a very great extent, on the good will of others, but most especially, of course, that of the mother. Consequently, it has been the fate of mothers throughout history to appear in strange and distorted forms. They may appear as larger than life or as invisible; as all-powerful and destructive; or as helpless and angelic. Myths of the maternal instinct compete, historically, witli -myths of a universal infanticidal impulse.
Child Survival
Anthropological Perspectives on the Treatment and Maltreatment of Children
Häftad, Engelska, 1987
2 143 kr
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of older children, adults, and the family unit as a whole. These moral evaluations are, in turn, influenced by such external contingencies as popula tion demography, social and economic factors, subsistence strategies, house hold composition, and by cultural ideas concerning the nature of infancy and childhood, definitions of personhood, and beliefs about the soul and its immortality. MOTHER LOVE AND CHILD DEATH Of all the many factors that endanger the lives of young children, by far the most difficult to examine with any degree of dispassionate objectivity is the quality of parenting. Historians and social scientists, no less than the public at large, are influenced by old cultural myths about childhood inno cence and mother love as well as their opposites. The terrible power and significance attributed to maternal behavior (in particular) is a commonsense perception based on the observation that the human infant (specialized as it is for prematurity and prolonged dependency) simply cannot survive for very long without considerable maternal love and care. The infant's life depends, to a very great extent, on the good will of others, but most especially, of course, that of the mother. Consequently, it has been the fate of mothers throughout history to appear in strange and distorted forms. They may appear as larger than life or as invisible; as all-powerful and destructive; or as helpless and angelic. Myths of the maternal instinct compete, historically, witli -myths of a universal infanticidal impulse.
Context of Medicines in Developing Countries
Studies in Pharmaceutical Anthropology
Inbunden, Engelska, 1988
2 537 kr
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Western pharmaceuticals are flooding the Third World. Injections, capsules and tablets are available in city markets and village shops, from 'traditional' practitioners and street vendors, as well as from more orthodox sources like hospitals. Although many are aware of this 'pharmaceutical invasion', little has been written about how local people perceive and use these products. This book is a first attempt to remedy that situation. It presents studies of the ways Western medicines are circulated and understood in the cities and rural areas of Africa, Asia and Latin America. We feel that such a collection is long overdue for two reasons. The first is a practical one: people dealing with health problems in developing countries need information about local situations and they need examples of methods they can use to examine the particular contexts in which they are working. We hope that this book will be useful for pharmacists, doctors, nurses, health planners, policy makers and concerned citizens, who are interested in the realities of drug use. Why do people want various kinds of medicine? How do they evaluate and choose them and how do they obtain them? The second reason for these studies of medicines is to fill a need in medical anthropology as a field of study. Here we address our colleagues in anthropol ogy, medical sociology and related disciplines.
2 207 kr
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The culture of contemporary medicine is the object of investigation in this book; the meanings and values implicit in biomedical knowledge and practice and the social processes through which they are produced are examined through the use of specific case studies. The essays provide examples of how various facets of 20th century medicine, including edu cation, research, the creation of medical knowledge, the development and application of technology, and day to day medical practice, are per vaded by a value system characteristic of an industrial-capitalistic view of the world in which the idea that science represents an objective and value free body of knowledge is dominant. The authors of the essays are sociologists and anthropologists (in almost equal numbers); also included are papers by a social historian and by three physicians all of whom have steeped themselves in the social sci ences and humanities. This co-operative endeavor, which has necessi tated the breaking down of disciplinary barriers to some extent, is per haps indicative of a larger movement in the social sciences, one in which there is a searching for a middle ground between grand theory and attempts at universal explanations on the one hand, and the context-spe cific empiricism and relativistic accounts characteristic of many historical and anthropological analyses on the other.
2 427 kr
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The culture of contemporary medicine is the object of investigation in this book; the meanings and values implicit in biomedical knowledge and practice and the social processes through which they are produced are examined through the use of specific case studies. The essays provide examples of how various facets of 20th century medicine, including edu cation, research, the creation of medical knowledge, the development and application of technology, and day to day medical practice, are per vaded by a value system characteristic of an industrial-capitalistic view of the world in which the idea that science represents an objective and value free body of knowledge is dominant. The authors of the essays are sociologists and anthropologists (in almost equal numbers); also included are papers by a social historian and by three physicians all of whom have steeped themselves in the social sci ences and humanities. This co-operative endeavor, which has necessi tated the breaking down of disciplinary barriers to some extent, is per haps indicative of a larger movement in the social sciences, one in which there is a searching for a middle ground between grand theory and attempts at universal explanations on the one hand, and the context-spe cific empiricism and relativistic accounts characteristic of many historical and anthropological analyses on the other.
2 207 kr
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2 207 kr
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Our purpose in assembling the papers in this collection is to introduce readers to studies of normal and abnormal behavior in Chinese culture. We want to offer a sense o/what psychiatrists and social scientists are doing to advance our under standing of this subject, including what fmdings are being made, what questions researched, what conundrums worried over. Since our fund of knowledge is obviously incomplete, we want our readers to be aware of the limits to what we know and to our acquisition of new knowledge. Although the subject is too vast and uncharted to support a comprehensive synthesis, in a few areas - e. g. , psychiatric epidemiology - enough is known for us to be able to present major reviews. The chapters themselves cover a variety of themes that we regard as both intrinsically interesting and deserving of more systematic evaluation. Many of the issues they address we believe to be valid concerns for comparative cross cultural studies. No attempt is made to artificially integrate these chapters, since the editors wish to highlight their distinctive interpretive frameworks as evidence of the rich variety of approaches that scholars take to this subject. 'We see this volume as a modest and self-consciously limited exploration. Here are some accounts and interpretations (but by no means all) of normal and ab normal behavior in the context of Chinese culture that we believe fashion a more discriminating understanding of at least a few important aspects of that subject.
557 kr
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These include: social epidemiology, health services research, social network analysis, cultural studies of illness behavior, along with chapters on the social labeling of deviance, patterns of therapeutic communication, and economic and political analyses of macro-social factors which influence health outcomes as well as services.
Cultural Context of Therapeutic Choice
Obstetrical Care Decisions Among the Bariba of Benin
Inbunden, Engelska, 1982
1 107 kr
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This book examines the factors influencing women's choices of obstetrical care in a Bariba community in the People's Republic of Benin, West Africa. When selecting a research topic, I decided to investigate health care among the Bariba for several reasons. First, I had served as a Peace Corps Volunteer in northern Benin (then Dahomey) and had established a network of contacts in the region. In addition, I had worked for a year as assistant manager of a pharmacy in a northern town and had become interested in the pattern of utilization of health care services by urban residents. This three-year residence proved an invaluable asset in preparing and conducting research in the northern region. In particular, I was able to establish relationships with several indigenous midwives whose families I already knew both from prior research experience and mutual friend ships. These relationships enabled me to obtain detailed information regarding obstetrical practice and thus form the foundation of this book. The fieldwork upon which the book is directly based was conducted between June 1976 and December 1977 and sponsored by the F ord-Rockefeller Popula tion Policy Program, the Social Science Research Council, the National Science Foundation, and the FUlbright-Hays Doctoral Dissertation Research Program. The Ford-Rockefeller Population Policy Program funded the project as a collab oration between myself and Professor Eusebe Alihonou, Professor Agrege (Gynecologie-Obstetrique) at the National University of Benin.
2 207 kr
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Similarities in our solutions led the Editors to believe that publication of our teaching experi ences and research relevant to teaching would help others and might begin the process of generating principles leading to a more coherent approach.
1 657 kr
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Within the past two decades, there has been an increased interest in the study of culture and mental health relationships. This interest has extended across many academic and professional disciplines, including anthropology, psychology, sociology, psychiatry, public health and social work, and has resulted in many books and scientific papers emphasizing the role of sociocultural factors in the etiology, epidemiology, manifestation and treatment of mental disorders. It is now evident that sociocultural variables are inextricably linked to all aspects of both normal and abnormal human behavior. But, in spite of the massive accumulation of data regarding culture and mental health relationships, sociocultural factors have still not been incorporated into existing biological and psychological perspectives on mental disorder and therapy. Psychiatry, the Western medical specialty concerned with mental disorders, has for the most part continued to ignore socio-cultural factors in its theoretical and applied approaches to the problem. The major reason for this is psychiatry's continued commitment to a disease conception of mental disorder which assumes that mental disorders are largely biologically-caused illnesses which are universally represented in etiology and manifestation. Within this perspective, mental disorders are regarded as caused by universal processes which lead to discrete and recognizable symptoms regardless of the culture in which they occur. However, this perspective is now the subject of growing criticism and debate.
Del 6 - Culture, Illness and Healing
Physicians of Western Medicine
Anthropological Approaches to Theory and Practice
Inbunden, Engelska, 1984
2 207 kr
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After putting down this weighty (in all senses of the word) collection, the reader, be she or he physician or social scientist, will (or at least should) feel uncomfortable about her or his taken-for-granted commonsense (therefore cultural) understanding of medicine. The editors and their collaborators show the medical leviathan, warts and all, for what it is: changing, pluralistic, problematic, powerful, provocative. What medicine proclaims itself to be - unified, scientific, biological and not social, non-judgmental - it is shown not to resemble very much. Those matters about which medicine keeps fairly silent, it turns out, come closer to being central to its clinical practice - managing errors and learning to conduct a shared moral dis course about mistakes, handling issues of competence and competition among biomedical practitioners, practicing in value-laden contexts on problems for which social science is a more relevant knowledge base than biological science, integrating folk and scientific models of illness in clinical communication, among a large number of highly pertinent ethnographic insights that illuminate medicine in the chapters that follow.
Culture-Bound Syndromes
Folk Illnesses of Psychiatric and Anthropological Interest
Inbunden, Engelska, 1985
2 207 kr
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In the last few years there has been a great revival of interest in culture-bound psychiatric syndromes. A spate of new papers has been published on well known and less familiar syndromes, and there have been a number of attempts to put some order into the field of inquiry. In a review of the literature on culture-bound syndromes up to 1969 Yap made certain suggestions for organizing thinking about them which for the most part have not received general acceptance (see Carr, this volume, p. 199). Through the seventies new descriptive and conceptual work was scarce, but in the last few years books and papers discussing the field were authored or edited by Tseng and McDermott (1981), AI-Issa (1982), Friedman and Faguet (1982) and Murphy (1982). In 1983 Favazza summarized his understanding of the state of current thinking for the fourth edition of the Comprehensive Textbook of Psychiatry, and a symposium on culture-bound syndromes was organized by Kenny for the Eighth International Congress of Anthropology and Ethnology. The strong est impression to emerge from all this recent work is that there is no substantive consensus, and that the very concept, "culture-bound syndrome" could well use some serious reconsideration. As the role of culture-specific beliefs and prac tices in all affliction has come to be increasingly recognized it has become less and less clear what sets the culture-bound syndromes apart.
Culture-Bound Syndromes
Folk Illnesses of Psychiatric and Anthropological Interest
Häftad, Engelska, 1985
2 207 kr
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In the last few years there has been a great revival of interest in culture-bound psychiatric syndromes.
Physicians of Western Medicine
Anthropological Approaches to Theory and Practice
Häftad, Engelska, 1984
2 207 kr
Skickas inom 10-15 vardagar
After putting down this weighty (in all senses of the word) collection, the reader, be she or he physician or social scientist, will (or at least should) feel uncomfortable about her or his taken-for-granted commonsense (therefore cultural) understanding of medicine. The editors and their collaborators show the medical leviathan, warts and all, for what it is: changing, pluralistic, problematic, powerful, provocative. What medicine proclaims itself to be - unified, scientific, biological and not social, non-judgmental - it is shown not to resemble very much. Those matters about which medicine keeps fairly silent, it turns out, come closer to being central to its clinical practice - managing errors and learning to conduct a shared moral dis course about mistakes, handling issues of competence and competition among biomedical practitioners, practicing in value-laden contexts on problems for which social science is a more relevant knowledge base than biological science, integrating folk and scientific models of illness in clinical communication, among a large number of highly pertinent ethnographic insights that illuminate medicine in the chapters that follow.
Del 8 - Culture, Illness and Healing
Culture and Retardation
Life Histories of Mildly Mentally Retarded Persons in American Society
Inbunden, Engelska, 1986
557 kr
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Mental retardation in the United States is currently defined as " ... signif icantly subaverage general intellectual functioning existing concurrently with deficits in adaptive behavior, and manifested during the development period" (Grossman, 1977). Of the estimated six million plus mentally retarded individuals in this country fully 75 to 85% are considered to be "func tionally" retarded (Edgerton, 1984). That is, they are mildly retarded persons with no evident organic etiology or demonstrable brain pathology. Despite the relatively recent addition of adaptive behavior as a factor in the definition of retardation, 1.0. still remains as the essential diagnostic criterion (Edgerton, 1984: 26). An 1.0. below 70 indicates subaverage functioning. However, even such an "objective" measure as 1.0. is prob lematic since a variety of data indicate quite clearly that cultural and social factors are at play in decisions about who is to be considered "retarded" (Edgerton, 1968; Kamin, 1974; Langness, 1982). Thus, it has been known for quite some time that there is a close relationship between socio-economic status and the prevalence of mild mental retardation: higher socio-economic groups have fewer mildly retarded persons than lower groups (Hurley, 1969). Similarly, it is clear that ethnic minorities in the United States - Blacks, Mexican-Americans, American Indians, Puerto Ricans, Hawaiians, and others - are disproportionately represented in the retarded population (Mercer, 1968; Ramey et ai., 1978).
Del 8 - Culture, Illness and Healing
Culture and Retardation
Life Histories of Mildly Mentally Retarded Persons in American Society
Häftad, Engelska, 1987
557 kr
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Mental retardation in the United States is currently defined as " ... signif icantly subaverage general intellectual functioning existing concurrently with deficits in adaptive behavior, and manifested during the development period" (Grossman, 1977). Of the estimated six million plus mentally retarded individuals in this country fully 75 to 85% are considered to be "func tionally" retarded (Edgerton, 1984). That is, they are mildly retarded persons with no evident organic etiology or demonstrable brain pathology. Despite the relatively recent addition of adaptive behavior as a factor in the definition of retardation, 1.0. still remains as the essential diagnostic criterion (Edgerton, 1984: 26). An 1.0. below 70 indicates subaverage functioning. However, even such an "objective" measure as 1.0. is prob lematic since a variety of data indicate quite clearly that cultural and social factors are at play in decisions about who is to be considered "retarded" (Edgerton, 1968; Kamin, 1974; Langness, 1982). Thus, it has been known for quite some time that there is a close relationship between socio-economic status and the prevalence of mild mental retardation: higher socio-economic groups have fewer mildly retarded persons than lower groups (Hurley, 1969). Similarly, it is clear that ethnic minorities in the United States - Blacks, Mexican-Americans, American Indians, Puerto Ricans, Hawaiians, and others - are disproportionately represented in the retarded population (Mercer, 1968; Ramey et ai., 1978).
Anthropology and Epidemiology
Interdisciplinary Approaches to the Study of Health and Disease
Häftad, Engelska, 1986
1 107 kr
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Over the past two decades increasing interest has emerged in the contribu tions that the social sciences might make to the epidemiological study of patterns of health and disease. Several reasons can be cited for this increasing interest. Primary among these has been the rise of the chronic, non-infectious diseases as important causes of morbidity and mortality within Western populations during the 20th century. Generally speaking, the chronic, non infectious diseases are strongly influenced by lifestyle variables, which are themselves strongly influenced by social and cultural forces. The under standing of the effects of the behavioral factors in, say, hypertension, thus requires an understanding of the social and cultural factors which encourage obesity, a sedentary lifestyle, non-compliance with anti-hypertensive medica tions (or other prescribed regimens), and stress. Equally, there is a growing awareness that considerations of human behavior and its social and cultural determinants are important for understanding the distribution and control of infectious diseases. Related to this expansion of epidemiologic interest into the behavioral realm 'has been the development of etiological models which focus on the psychological, biological and socio-cultural characteristics of hosts, rather than exclusive concern with exposure to a particular agent or even behavioral risk. Also during this period advances in statistical and computing techniques have made accessible the ready testing of multivariate causal models, and so have encouraged the measurement of the effects of social and cultural factors on disease occurrence.
2 207 kr
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Our purpose in assembling the papers in this collection is to introduce readers to studies of normal and abnormal behavior in Chinese culture. We want to offer a sense o/what psychiatrists and social scientists are doing to advance our under standing of this subject, including what fmdings are being made, what questions researched, what conundrums worried over. Since our fund of knowledge is obviously incomplete, we want our readers to be aware of the limits to what we know and to our acquisition of new knowledge. Although the subject is too vast and uncharted to support a comprehensive synthesis, in a few areas - e. g. , psychiatric epidemiology - enough is known for us to be able to present major reviews. The chapters themselves cover a variety of themes that we regard as both intrinsically interesting and deserving of more systematic evaluation. Many of the issues they address we believe to be valid concerns for comparative cross cultural studies. No attempt is made to artificially integrate these chapters, since the editors wish to highlight their distinctive interpretive frameworks as evidence of the rich variety of approaches that scholars take to this subject. 'We see this volume as a modest and self-consciously limited exploration. Here are some accounts and interpretations (but by no means all) of normal and ab normal behavior in the context of Chinese culture that we believe fashion a more discriminating understanding of at least a few important aspects of that subject.
Cultural Context of Therapeutic Choice
Obstetrical Care Decisions Among the Bariba of Benin
Häftad, Engelska, 2011
1 075 kr
Skickas inom 10-15 vardagar
This book examines the factors influencing women's choices of obstetrical care in a Bariba community in the People's Republic of Benin, West Africa. When selecting a research topic, I decided to investigate health care among the Bariba for several reasons. First, I had served as a Peace Corps Volunteer in northern Benin (then Dahomey) and had established a network of contacts in the region. In addition, I had worked for a year as assistant manager of a pharmacy in a northern town and had become interested in the pattern of utilization of health care services by urban residents. This three-year residence proved an invaluable asset in preparing and conducting research in the northern region. In particular, I was able to establish relationships with several indigenous midwives whose families I already knew both from prior research experience and mutual friend ships. These relationships enabled me to obtain detailed information regarding obstetrical practice and thus form the foundation of this book. The fieldwork upon which the book is directly based was conducted between June 1976 and December 1977 and sponsored by the F ord-Rockefeller Popula tion Policy Program, the Social Science Research Council, the National Science Foundation, and the FUlbright-Hays Doctoral Dissertation Research Program. The Ford-Rockefeller Population Policy Program funded the project as a collab oration between myself and Professor Eusebe Alihonou, Professor Agrege (Gynecologie-Obstetrique) at the National University of Benin.
2 143 kr
Skickas inom 10-15 vardagar
Medical schools seem increasingly to be filling rare positions in the humanities and social sciences with ethicists. In their analyses of complex situations, ethicists often appear grandly oblivious to the social and cultural context in which these occur, and indeed to empirical referents of any sort.
Context of Medicines in Developing Countries
Studies in Pharmaceutical Anthropology
Häftad, Engelska, 2013
2 463 kr
Skickas inom 10-15 vardagar
Western pharmaceuticals are flooding the Third World. Injections, capsules and tablets are available in city markets and village shops, from 'traditional' practitioners and street vendors, as well as from more orthodox sources like hospitals. Although many are aware of this 'pharmaceutical invasion', little has been written about how local people perceive and use these products. This book is a first attempt to remedy that situation. It presents studies of the ways Western medicines are circulated and understood in the cities and rural areas of Africa, Asia and Latin America. We feel that such a collection is long overdue for two reasons. The first is a practical one: people dealing with health problems in developing countries need information about local situations and they need examples of methods they can use to examine the particular contexts in which they are working. We hope that this book will be useful for pharmacists, doctors, nurses, health planners, policy makers and concerned citizens, who are interested in the realities of drug use. Why do people want various kinds of medicine? How do they evaluate and choose them and how do they obtain them? The second reason for these studies of medicines is to fill a need in medical anthropology as a field of study. Here we address our colleagues in anthropol ogy, medical sociology and related disciplines.