Routledge Studies in Health and Medical Anthropology – serie
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38 produkter
38 produkter
Inbunden, Engelska, 2019
2 222 kr
Skickas inom 10-15 vardagar
Haemophilia in Aotearoa New Zealand provides a richly detailed analysis of the experience of the bleeding disorder of haemophilia based on longterm ethnographic research. The chapters consider experiences of diagnosis; how parents, children, and adults care and integrate medical routines into family life; the creation of a gendered haemophilia; the use and ethical dilemmas of new technologies for treatment, testing and reproduction; and how individuals and the haemophilia community experienced the infected blood tragedy and its aftermath, which included extended and ultimately successful political struggles with the neoliberalising state. The authors reveal a complex interplay of cultural values and present a close-up view of the effects of health system reforms on lives and communities. While the book focuses on the local biology of haemophilia in Aotearoa New Zealand, the analysis allows for comparison with haemophilia elsewhere and with other chronic and genetic conditions.
Inbunden, Engelska, 2021
2 366 kr
Skickas inom 10-15 vardagar
This book investigates amaXhosa circumcision and the psychological processes involved. Lauraine Vivian employs concepts such as resilience, orthodoxy, broken men, and reciprocity to examine the experiences of men who have developed mental health issues in relation to their initiation into manhood. The chapters cover sensitive topics such as physical injury, pain, harm, and women’s agency. Drawing on the stories of over seventy amaXhosa men, the book provides rare insight into circumcision and psychotic experience.
Inbunden, Engelska, 2020
2 139 kr
Skickas inom 10-15 vardagar
Affective Health and Masculinities in South Africa explores how different masculinities modulate substance use, interpersonal violence, suicidality, and AIDS as well as recovery cross-culturally.With a focus on three male protagonists living in very distinct urban areas of Cape Town, this comparative ethnography shows that men’s struggles to become invulnerable increase vulnerability. Through an analysis of masculinities as social assemblages, the study shows how affective health problems are tied to modern individualism rather than African ‘tradition’ that has become a cliché in Eurocentric gender studies. Affective health is conceptualized as a balancing act between autonomy and connectivity that after colonialism and apartheid has become compromised through the imperative of self-reliance. This book provides a rare perspective on young men’s vulnerability in everyday life that may affect the reader and spark discussion about how masculinities in relationships shape physical and psychological health. Moreover, it shows how men change in the face of distress in ways that may look different than global health and gender-transformative approaches envision. Thick descriptions of actual events over the life course make the study accessible to both graduate and undergraduate students in the social sciences.Contributing to current debates on mental health and masculinity, this volume will be of interest to scholars from various disciplines including anthropology, gender studies, African studies, psychology, and global health.
Inbunden, Engelska, 2020
2 157 kr
Skickas inom 10-15 vardagar
This book explores the experiences of Muslims in the United States as they interact with the health care system during serious illness and end-of-life care. It shifts "actively dying" from a medical phrase used to describe patients who are expected to pass away soon or who exhibit signs of impending death, to a theoretical framework to analyze how end-of-life care, particularly within a hospital, shapes the ways that patients, families, and providers understand Islam and think of themselves as Muslim. Using the dying body as the main object of analysis, the volume shows that religious identities of Muslim patients, loved ones, and caregivers are not only created when living, but also through the physical process of dying and through death.Based on ethnographic and qualitative research carried out mainly in the Washington, D.C. region, this volume will be of interest to scholars in anthropology, sociology, public health, gerontology, and religious studies.
Inbunden, Engelska, 2021
2 157 kr
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This book examines the intersectionality and stratified lived experience of rural poor and urban middle-class childless women in Bangladesh.Childless women in Bangladesh, an over-populated country where fertility control is the primary focus of health policy, are all but non-existent. Papreen Nahar offers an alarming account of stigma, abuse, ostracism and violence against these women, sharing their experiences of marginalisation in a culture that idealises motherhood. In such a reality, the experience of childlessness, particularly for women, can be much more severe than what is defined as ‘infertility’ in the biomedical sense. As childlessness is a complex interaction between biology, society and culture, the book illustrates the ways in which infertility transforms a health problem into social suffering. Although Bangladeshi childless women are systematically excluded by various structural forces, it appears they do not succumb to their circumstances; rather, they develop resilience and agency to become survivors of their new, albeit bleak, lives. The volume will be of interest to scholars working in anthropology, reproductive and women’s health, global health, gender studies, development studies and Asian studies.
Häftad, Engelska, 2023
590 kr
Skickas inom 10-15 vardagar
This book examines the intersectionality and stratified lived experience of rural poor and urban middle-class childless women in Bangladesh.Childless women in Bangladesh, an over-populated country where fertility control is the primary focus of health policy, are all but non-existent. Papreen Nahar offers an alarming account of stigma, abuse, ostracism and violence against these women, sharing their experiences of marginalisation in a culture that idealises motherhood. In such a reality, the experience of childlessness, particularly for women, can be much more severe than what is defined as ‘infertility’ in the biomedical sense. As childlessness is a complex interaction between biology, society and culture, the book illustrates the ways in which infertility transforms a health problem into social suffering. Although Bangladeshi childless women are systematically excluded by various structural forces, it appears they do not succumb to their circumstances; rather, they develop resilience and agency to become survivors of their new, albeit bleak, lives. The volume will be of interest to scholars working in anthropology, reproductive and women’s health, global health, gender studies, development studies and Asian studies.
Häftad, Engelska, 2020
693 kr
Skickas inom 10-15 vardagar
Over the past decades, infectious disease epidemics have come to increasingly pose major global health challenges to humanity. The Anthropology of Epidemics approaches epidemics as total social phenomena: processes and events which encompass and exercise a transformational impact on social life whilst at the same time functioning as catalysts of shifts and ruptures as regards human/non-human relations. Bearing a particular mark on subject areas and questions which have recently come to shape developments in anthropological thinking, the volume brings epidemics to the forefront of anthropological debate, as an exemplary arena for social scientific study and analysis.
Häftad, Engelska, 2020
664 kr
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The dominance of "illness narratives" in narrative healing studies has tended to mean that the focus centers around the healing of the individual. Meza proposes that this emphasis is misplaced and the true focus of cultural healing should lie in managing the disruption of disease and death (cultural or biological) to the individual’s relationship with society. By explicating narrative theory through the lens of cognitive anthropology, Meza reframes the epistemology of narrative and healing, moving it from relativism to a philosophical perspective of pragmatic realism. Using a novel combination of narrative theory and cognitive anthropology to represent the ethnographic data, Meza’s ethnography is a valuable contribution in a field where ethnographic records related to medical clinical encounters are scarce. The book will be of interest to scholars of medical anthropology and those interested in narrative history and narrative medicine.
Häftad, Engelska, 2020
645 kr
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This book examines depression as a widely diagnosed and treated common mental disorder in India and offers a significant ethnographic study of the application of a traditional Indian medical system (Ayurveda) to the very modern problem of depression. Based on over a year of fieldwork, it investigates the Ayurvedic response to the burden of depression in the Indian state of Kerala as one of the key processes of the local appropriation or glocalization of depression. More broadly, Lang considers: What happens with the category of depression when it leaves the West and travels to South Asia? How is depression appropriated in a South Asian society characterized by medical pluralism? She explores on the level of ideas, institutions and materialities how depression interacts with and changes local worlds, clinical practice and knowledge and subjectivities. As depression travels from ‘the West’ to South India, its ontology, Lang argues, multiplies and thus leads to what she calls ‘depression multiple’.
Häftad, Engelska, 2022
664 kr
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Wandering the Wards provides a detailed and unflinching ethnographic examination of life within the contemporary hospital. It reveals the institutional and ward cultures that inform the organisation and delivery of everyday care for one of the largest populations within them: people living with dementia who require urgent unscheduled hospital care. Drawing on five years of research embedded in acute wards in the UK, the authors follow people living with dementia through their admission, shadowing hospital staff as they interact with them during and across shifts. In a major contribution to the tradition of hospital ethnography, this book provides a valuable analysis of the organisation and delivery of routine care and everyday interactions at the bedside, which reveal the powerful continuities and durability of ward cultures of care and their impacts on people living with dementia.*Shortlisted for the Foundation for the Sociology of Health and Illness Book Prize 2021*
Inbunden, Engelska, 2021
2 222 kr
Skickas inom 10-15 vardagar
Focusing on the world of Norwegian Opioid Substitution Treatment (OST) in the aftermath of significant reforms, this book casts a critical light on the intersections between medicine and law, and the ideologies infusing the notions of "individual choice" and "patient involvement" in the field of addiction globally.With ethnographic attention to the encounters between patients, clinicians, and bureaucrats, the volume shows that OST sustains the realities it is meant to address. The chapters follow one particular patient through complex clinical and legal battles as they fight to achieve a better quality of life. The study provides ethnographic insight that captures the individual, experiential aspects of addiction treatment, and how these experiences find a register within different domains of treatment and policy, including the familial, social, legal, and clinical.Offering a rare view of addiction treatment in a Scandinavian welfare state, this book will be of interest to scholars of medical and legal anthropology and sociology, and others with an interest in drug policy and addiction treatment.
Häftad, Engelska, 2023
590 kr
Skickas inom 10-15 vardagar
Focusing on the world of Norwegian Opioid Substitution Treatment (OST) in the aftermath of significant reforms, this book casts a critical light on the intersections between medicine and law, and the ideologies infusing the notions of "individual choice" and "patient involvement" in the field of addiction globally.With ethnographic attention to the encounters between patients, clinicians, and bureaucrats, the volume shows that OST sustains the realities it is meant to address. The chapters follow one particular patient through complex clinical and legal battles as they fight to achieve a better quality of life. The study provides ethnographic insight that captures the individual, experiential aspects of addiction treatment, and how these experiences find a register within different domains of treatment and policy, including the familial, social, legal, and clinical.Offering a rare view of addiction treatment in a Scandinavian welfare state, this book will be of interest to scholars of medical and legal anthropology and sociology, and others with an interest in drug policy and addiction treatment.
Häftad, Engelska, 2020
693 kr
Skickas inom 10-15 vardagar
Haemophilia in Aotearoa New Zealand provides a richly detailed analysis of the experience of the bleeding disorder of haemophilia based on longterm ethnographic research. The chapters consider experiences of diagnosis; how parents, children, and adults care and integrate medical routines into family life; the creation of a gendered haemophilia; the use and ethical dilemmas of new technologies for treatment, testing and reproduction; and how individuals and the haemophilia community experienced the infected blood tragedy and its aftermath, which included extended and ultimately successful political struggles with the neoliberalising state. The authors reveal a complex interplay of cultural values and present a close-up view of the effects of health system reforms on lives and communities. While the book focuses on the local biology of haemophilia in Aotearoa New Zealand, the analysis allows for comparison with haemophilia elsewhere and with other chronic and genetic conditions.
Häftad, Engelska, 2020
673 kr
Skickas inom 10-15 vardagar
Medical Materialities investigates possible points of cross-fertilisation between medical anthropology and material culture studies, and considers the successes and limitations of both sub-disciplines as they attempt to understand places, practices, methods, and cultures of healing. The editors present and expand upon a definition of ‘medical materiality’, namely the social impact of the agency of often mundane, at times non-clinical, materials within contexts of health and illness, as caused by the properties and affordances of this material. The chapters address material culture in various clinical and biomedical contexts and in discussions that link the body and healing. The diverse ethnographic case studies provide valuable insight into the way cultures of medicine are understood and practised.
Häftad, Engelska, 2022
645 kr
Skickas inom 10-15 vardagar
This book explores the experiences of Muslims in the United States as they interact with the health care system during serious illness and end-of-life care. It shifts "actively dying" from a medical phrase used to describe patients who are expected to pass away soon or who exhibit signs of impending death, to a theoretical framework to analyze how end-of-life care, particularly within a hospital, shapes the ways that patients, families, and providers understand Islam and think of themselves as Muslim. Using the dying body as the main object of analysis, the volume shows that religious identities of Muslim patients, loved ones, and caregivers are not only created when living, but also through the physical process of dying and through death.Based on ethnographic and qualitative research carried out mainly in the Washington, D.C. region, this volume will be of interest to scholars in anthropology, sociology, public health, gerontology, and religious studies.
Häftad, Engelska, 2023
590 kr
Skickas inom 10-15 vardagar
This book investigates amaXhosa circumcision and the psychological processes involved. Lauraine Vivian employs concepts such as resilience, orthodoxy, broken men, and reciprocity to examine the experiences of men who have developed mental health issues in relation to their initiation into manhood. The chapters cover sensitive topics such as physical injury, pain, harm, and women’s agency. Drawing on the stories of over seventy amaXhosa men, the book provides rare insight into circumcision and psychotic experience.
Inbunden, Engelska, 2022
2 157 kr
Skickas inom 10-15 vardagar
This book centers on negotiations around cultural, governmental, and individual constructions of COVID-19. It considers how the coronavirus pandemic has been negotiated in different cultures and countries, with the final part of the volume focusing on South Asia and Pakistan in particular. The chapters include auto-ethnographic accounts and ethnographic explorations that reflect upon experiences of living with the pandemic and its implications for all areas of life. The book explicates people’s dealings with COVID-19 at various levels, situates the spread of rumors, conspiracy theories, and new social rituals within micro- and/or macro-contexts, and describes the interplay between the virus and various institutionalized forms of inequalities and structural vulnerabilities. Bringing together a variety of perspectives, the volume relates to the past, describes the Covidian present, and offers futuristic implications. It enlists distinct imaginaries based on current understandings of an extraordinary challenge that holds significant importance for our human future.
Häftad, Engelska, 2023
607 kr
Skickas inom 10-15 vardagar
This book centers on negotiations around cultural, governmental, and individual constructions of COVID-19. It considers how the coronavirus pandemic has been negotiated in different cultures and countries, with the final part of the volume focusing on South Asia and Pakistan in particular. The chapters include auto-ethnographic accounts and ethnographic explorations that reflect upon experiences of living with the pandemic and its implications for all areas of life. The book explicates people’s dealings with COVID-19 at various levels, situates the spread of rumors, conspiracy theories, and new social rituals within micro- and/or macro-contexts, and describes the interplay between the virus and various institutionalized forms of inequalities and structural vulnerabilities. Bringing together a variety of perspectives, the volume relates to the past, describes the Covidian present, and offers futuristic implications. It enlists distinct imaginaries based on current understandings of an extraordinary challenge that holds significant importance for our human future.
Häftad, Engelska, 2021
664 kr
Skickas inom 10-15 vardagar
The emergence of Zika virus in 2015 challenged conventional ideas of mosquito-borne diseases, tested the resilience of health systems and embedded itself within local sociocultural worlds, with major implications for environmental, sexual, reproductive and paediatric health. This book explores this complex viral epidemic and situates it within its broader social, epidemiological and historical context in Latin America and the Caribbean. The chapters include a diverse set of case studies from scholars and health practitioners working across the region, from Brazil, Venezuela, Ecuador, Mexico, Colombia, the United States and Haiti. The book explores how mosquito-borne disease epidemics (not only Zika but also chikungunya, dengue and malaria) intersect with social change and health governance. By doing so, the authors reflect on the ways in which situated knowledge and social science approaches can contribute to more effective health policy and practice for mosquito-borne disease threats in a changing world.The Open Access version of this book, available at http://www.tandfebooks.com , has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.
Inbunden, Engelska, 2024
2 222 kr
Skickas inom 10-15 vardagar
This book explores issues surrounding measles and vaccination in Pakistan. Drawing on long-term ethnographic research, it focuses on two major outbreaks in Sindh Province and on Pakistan’s vaccination campaigns. The chapters examine the responses to outbreaks and vaccination from various stakeholders including local people, the Pakistani government and the WHO. Inayat Ali reflects on the competing agendas, differing conceptualizations of measles and vaccination, and the factors that lie behind these contestations. Situating outbreaks within the institutionalized form of disparities, he analyzes the rituals used to deal with measles and local resistance to vaccines in Pakistan. The distinct imaginaries and practices related to measles and vaccination are considered in national and global context, and the book makes a valuable contribution to the development of an anthropology of vaccination and medical anthropology of Pakistan.
Häftad, Engelska, 2025
664 kr
Skickas inom 10-15 vardagar
This book explores issues surrounding measles and vaccination in Pakistan. Drawing on long-term ethnographic research, it focuses on two major outbreaks in Sindh Province and on Pakistan’s vaccination campaigns. The chapters examine the responses to outbreaks and vaccination from various stakeholders including local people, the Pakistani government and the WHO. Inayat Ali reflects on the competing agendas, differing conceptualizations of measles and vaccination, and the factors that lie behind these contestations. Situating outbreaks within the institutionalized form of disparities, he analyzes the rituals used to deal with measles and local resistance to vaccines in Pakistan. The distinct imaginaries and practices related to measles and vaccination are considered in national and global context, and the book makes a valuable contribution to the development of an anthropology of vaccination and medical anthropology of Pakistan.
Häftad, Engelska, 2021
627 kr
Skickas inom 10-15 vardagar
Affective Health and Masculinities in South Africa explores how different masculinities modulate substance use, interpersonal violence, suicidality, and AIDS as well as recovery cross-culturally.With a focus on three male protagonists living in very distinct urban areas of Cape Town, this comparative ethnography shows that men’s struggles to become invulnerable increase vulnerability. Through an analysis of masculinities as social assemblages, the study shows how affective health problems are tied to modern individualism rather than African ‘tradition’ that has become a cliché in Eurocentric gender studies. Affective health is conceptualized as a balancing act between autonomy and connectivity that after colonialism and apartheid has become compromised through the imperative of self-reliance. This book provides a rare perspective on young men’s vulnerability in everyday life that may affect the reader and spark discussion about how masculinities in relationships shape physical and psychological health. Moreover, it shows how men change in the face of distress in ways that may look different than global health and gender-transformative approaches envision. Thick descriptions of actual events over the life course make the study accessible to both graduate and undergraduate students in the social sciences.Contributing to current debates on mental health and masculinity, this volume will be of interest to scholars from various disciplines including anthropology, gender studies, African studies, psychology, and global health.
Inbunden, Engelska, 2023
2 079 kr
Skickas inom 10-15 vardagar
Living with Diabetes and Uncertainty in Cairo offers an ethnographic exploration of the interactions of two different understandings of type-2 diabetes: one related to the notion of ḍaghṭ, translated as “pressure” or “stress,” and another related primarily to obesity. The book is set in Egypt but draws links to a diabetes clinic in Denmark and a multinational medical company, as well as engaging with international diabetes research and guidelines. It tells a story of uncertainty, not only among people in Cairo, but also within medical research, and considers what uncertainty may generate in both bodies and societies at large. The chapters provide valuable insight into the lives of those in Cairo who are diagnosed with type-2 diabetes, and explore how those lives are linked to global movements. The book ultimately reflects on the question of what is overlooked and why in prevention strategies and treatments of type-2 diabetes in Egypt. It will be of particular interest to scholars of anthropology, global and public health, and the Middle East and North Africa.
Häftad, Engelska, 2024
607 kr
Skickas inom 10-15 vardagar
Living with Diabetes and Uncertainty in Cairo offers an ethnographic exploration of the interactions of two different understandings of type-2 diabetes: one related to the notion of ḍaghṭ, translated as “pressure” or “stress,” and another related primarily to obesity. The book is set in Egypt but draws links to a diabetes clinic in Denmark and a multinational medical company, as well as engaging with international diabetes research and guidelines. It tells a story of uncertainty, not only among people in Cairo, but also within medical research, and considers what uncertainty may generate in both bodies and societies at large. The chapters provide valuable insight into the lives of those in Cairo who are diagnosed with type-2 diabetes, and explore how those lives are linked to global movements. The book ultimately reflects on the question of what is overlooked and why in prevention strategies and treatments of type-2 diabetes in Egypt. It will be of particular interest to scholars of anthropology, global and public health, and the Middle East and North Africa.
Inbunden, Engelska, 2024
2 222 kr
Skickas inom 10-15 vardagar
This book focuses on syndemics in the Global South and uses COVID‑19 as a window to understand clusters of disparities and disease comorbidities. The pandemic has exposed and multiplied structural inequalities and certain subpopulations were more exposed to COVID‑19 as well as experienced greater morbidity and mortality. The effects of the pandemic differ between countries but have had an especially major impact, although in varying ways, in the Global South. The contributions in this volume explore the differential impacts of COVID‑19 at individual, community, national, or regional levels, considering how structural violence is institutionalized in a way that creates vulnerable situations and disproportionate suffering. The book will be of interest to anthropologists and sociologists as well as to those working in global and public health.
Häftad, Engelska, 2025
664 kr
Skickas inom 10-15 vardagar
This book focuses on syndemics in the Global South and uses COVID‑19 as a window to understand clusters of disparities and disease comorbidities. The pandemic has exposed and multiplied structural inequalities and certain subpopulations were more exposed to COVID‑19 as well as experienced greater morbidity and mortality. The effects of the pandemic differ between countries but have had an especially major impact, although in varying ways, in the Global South. The contributions in this volume explore the differential impacts of COVID‑19 at individual, community, national, or regional levels, considering how structural violence is institutionalized in a way that creates vulnerable situations and disproportionate suffering. The book will be of interest to anthropologists and sociologists as well as to those working in global and public health.
Inbunden, Engelska, 2025
2 222 kr
Skickas inom 10-15 vardagar
With a focus on the way the coronavirus disease 2019 (COVID-19) pandemic unfolded in Pakistan, this book casts a critical light on the unique experiences and responses of individuals, community and government. It critically examines how these diverse actors made sense of and navigated the outbreak of disease. The author reveals differing perspectives and multiple narratives that emerged at various levels. The chapters situate the spread of rumors, conspiracy theories, and new social rituals within micro- and/or macro-contexts, and describe the interplay between the virus and various institutionalized forms of inequities and structural vulnerabilities. Touching on socio-cultural, economic, and (geo-)political contexts that make Pakistan a unique case study, the book relates to the past, describes and analyzes the Covidian present, and offers futuristic implications. It enlists distinct imaginaries based on current understandings of an extraordinary challenge that holds significant importance for our human future. Constructing the Pandemic in Pakistan will interest scholars of anthropology, sociology, and the Global South as well as those working in the domains of global and public health.
Breathlessness and Biosociality
An Ethnographic Perspective on Living with Lung Disease in Later Life
Inbunden, Engelska, 2024
2 079 kr
Skickas inom 10-15 vardagar
This book delves into the intricate landscape of respiratory diseases among older people, shedding light on their biosocial encounters while grappling with chronic breathlessness. While respiratory ailments predominantly afflict older people, often stemming from lifestyle choices like smoking, contemporary factors such as the COVID-19 pandemic and escalating air pollution further exacerbate respiratory health challenges. Rooted in ethnographic research conducted in the UK, the narrative captures the quotidian struggles associated with abnormal breathing—an aspect typically overlooked despite its indispensability to life. Through poignant accounts, the book elucidates the profound transformations engendered by medical diagnoses, delving into their ripple effects on personal relationships and social engagements, while also offering insights into coping mechanisms. Chapters traverse the contours of patient identity, societal perceptions, community healthcare dynamics, advocacy endeavours, and the intrinsic link between health and human rights. Notably, the author delves into the pivotal role of support groups such as Breathe Easy, the empowering realm of “self-help”, and the organic formation of communities to address diverse social needs. With its multidisciplinary approach, this book appeals to a broad spectrum of scholars spanning anthropology, sociology, gerontology, and public health, offering a rich tapestry of insights into the complex interplay between health, society, and individual experiences.
- Nyhet
Breathlessness and Biosociality
An Ethnographic Perspective on Living with Lung Disease in Later Life
Häftad, Engelska, 2026
664 kr
Skickas inom 10-15 vardagar
This book delves into the intricate landscape of respiratory diseases among older people, shedding light on their biosocial encounters while grappling with chronic breathlessness. While respiratory ailments predominantly afflict older people, often stemming from lifestyle choices like smoking, contemporary factors such as the COVID-19 pandemic and escalating air pollution further exacerbate respiratory health challenges. Rooted in ethnographic research conducted in the UK, the narrative captures the quotidian struggles associated with abnormal breathing—an aspect typically overlooked despite its indispensability to life. Through poignant accounts, the book elucidates the profound transformations engendered by medical diagnoses, delving into their ripple effects on personal relationships and social engagements, while also offering insights into coping mechanisms. Chapters traverse the contours of patient identity, societal perceptions, community healthcare dynamics, advocacy endeavours, and the intrinsic link between health and human rights. Notably, the author delves into the pivotal role of support groups such as Breathe Easy, the empowering realm of “self-help”, and the organic formation of communities to address diverse social needs. With its multidisciplinary approach, this book appeals to a broad spectrum of scholars spanning anthropology, sociology, gerontology, and public health, offering a rich tapestry of insights into the complex interplay between health, society, and individual experiences.
Inbunden, Engelska, 2024
2 008 kr
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This book uses the notion of “discretionary medicine” to explore the landscape of contemporary healthcare in Pakistan. It considers how patients frequently experience health interventions as out of touch with the suffering of everyday life and how healthcare provisions are viewed as intrusive, corrupted, and lacking in empathy towards the sick. The study focuses on mental health, acknowledging that the experience of mental illness in Pakistan is increasingly inseparable from conditions of chronic poverty caused directly by deepening inequality. The chapters address the establishment of priorities by the Pakistani healthcare system in conjunction with global disease programs and investigate the misalignments between the priorities of global institutes and local expectations/realities. It is argued that the discretionary nature of medicine is caused by the remnants of colonial-era laws, which link the maintenance of public health with questions of security. This, the author suggests, frequently contributes to forms of care that are riddled with bureaucratic violence. Using a combination of archival and ethnographic research, the book offers a multi-sited and interdisciplinary perspective on healthcare, ranging from care within low-income households and neighborhoods to diasporic communities and state institutions. It will be of interest to scholars and students of medical/psychiatric anthropology, global health, and history of medicine, as well as South Asian and Pakistan studies.