Academic literature on the topic 'Bordieu medical anthropology'

This essay exemplifies a particular approach to the field of health tourism, whereby the anthropology of tourism and medical anthropology can be used in conjunction. The serious business of healing is not usually associated with the pleasures of relaxation; however, Czech spas have historically been sites of both healing and leisure for visitors. Building on the suggestion of Veijola and Jokinen (1994), the body of the tourist is made the centre of this study. The bodies of patient-tourists at Czech health spas undergo various healing regimens, and their bodies signify a negotiation of national and cultural identities. Just as Bunzl (2000) considers bodies as constituting European cultural landscapes, this essay considers the ways in which German patient bodies at Czech health spas constitute a changing national, political and cultural relationship at a 'border' of Europe.

Rapidly developing as an applied field of natural scientific knowledge, medicine is becoming an invasive and purely technical medical activity that is no longer aimed at ensuring and maintaining normal human health, but at intervention in it in order to manage it. It has been shown that the introduction of advances in medical science and technology has contributed to a change in the structure of pathologies and to the unfolding of the phenomenon of the floating border between the norm and pathology of the human body. In the developing conditions classical object-oriented medical paradigm is no longer single and universal, and the approach to medical care delivery based on it is no longer effective. The new paradigm, which is being developed in science and social practices, allows for the subjectivisation of disease and treatment phenomena in medicine and the expansion of these phenomena from a social, ethical and anthropologi-cal perspective. The need for a subject-oriented approach that involves the patient in the treatment process is discussed.

This paper is an exploratory study of moral anthropology focused on the local practices of global non-governmental organizations. For more than 10 years, Ruili Women and Children Development Center (the Center) in the southwest border region of China has developed itself into a non-governmental organization that adopts transnational humanitarianism and fosters a spirit of grassroots volunteer dedication. In this paper, two anthropologists’ analytic framework of morality will be examined and my own views on morality/ethics will be discussed in three aspects: morality as norms, morality as doing good, and ethics as affect. The Center came into existence in response to the decline and uncertainty of local morality (morality as norms). Under such conditions, the Center allies itself with transnational humanitarianism to provide much-needed medical care for the sick in the region (morality as doing good). In the process, the Center, mainly consisting of female members, has created a “life-environment” that is in tune with global humanitarianism and an army of devoted volunteers, especially among local HIV-infected women, who have found “ joie” in life itself (ethics as affect). This study hopes to broaden our theoretical and experiential understanding of non-governmental organizations, and of how to improve quality of life in times of social change.

In early- to mid-twentieth century China, the tropical landscapes and indigenous peoples of southern Yunnan entered public consciousness in two different modes of representation: as a desolate and unfamiliar frontier fraught with the peril of diseases and in desperate need of environmental and social engineering; or, as a haven of fertile land with an ideal of harmonious society. In the process of making new senses of this tropical border region, anthropology played a major role as Chinese anthropologists working in this newly institutionalized discipline turned the Dai, traditionally regarded by Han people as a marginal group living within a dangerous land of zhangqi (tropical miasma), into an ethnographic subject. From Ling Chunsheng’s vision of environmental modification and medical advancement as a twofold project to engineer a new landscape and a new people, to Tian Rukang’s cultural critique that imagined the way of life of Dai people as an antidote for modernity, this article examines early Chinese anthropological discourses on the Dai people and their lived environment. I investigate how technological and epistemological changes fundamentally reshaped the meaning of tropical landscapes in China, a multi-ethnic country of a vast and diverse territory struggling to rejuvenate within a new global order, and I ponder the symbolic and material consequences of this recent history.

Psychoactive substances are subject to law control, imposed through the system of medical prescription or legal prohibition, with legal penalties for their unauthorized use. The consumption of drugs in a non-medical contexts is often labelled as "drug abuse", and the substance used in this way as a “narcotic” - the term endowed with illegality (Goodman et al. 2017). While legal, medical and popular discourses attempt to establish the distinction between what is an illicit drug and what is a medicine by creating the presumptive ontologies of drugs, this way of approaching substances has become the object of critique within drug research associated with the ‘ontological turn’. Scholars in this field of study have destabilised the assumption of a fixed, ready-made, singular drug objects, postulating thinking about substance use as a mutable system of relations intertwined in the broader assemblages and ecologies of drug use. In this article, by using ethnographic examples and through the analysis of research conducted within the so called “psychedelic turn” movement, I demonstrate the fluidity and multiplicity of psychoactive substances and examine diverse ways in which the dominant – Euro-American – drug categorizations are undermined. I pose the question of how the border between what is an “illicit drug” and what is a “medicine” is stabilized and destabilized through the embodied users’ practices and scientific discourses.

Study of skulls has attracted the attention of anatomists since ages and sporadic attempts have been made to study skulls from time to time. Talking about the pterygoid processes of sphenoid bone, the irregular posterior border of lateral pterygoid plate usually presents, towards its upper part, a pterygospinous process, from which the pterygospinous ligament extends backwards and laterally to the spine of sphenoid. This ligament sometimes gets ossified as pterygospinous bar and a foramen is then formed, named pterygospinous foramen, for the passage of muscular branches of mandibular nerve. The present study was undertaken to observe the incidence and status of pterygospinous bony bridge and foramen, its variations, and clinical relevance in the adult human skulls of North India. For this purpose, 500 skulls were observed, belonging to the Anthropology Museum of Department of Anatomy, GSVM Medical College, Kanpur. Pterygospinous bars were found to be present in 51 skulls (10.2%), out of which completely ossified pterygospinous bony bridges were present in 20 skulls (4%) while 31 skulls (6.2%) had incompletely ossified pterygospinous ligaments. Such variations are of clinical significance for radiologists, neurologists, maxillofacial and dental surgeons, and anaesthetists, too.

The article analyses the problem of implementing legislation on medical care in the army during the reign of Peter the Great and Anna Ioannovna. The Admiralty Regulations of 1722 and the General Regulations on Hospitals of 1735 announced meticulously prescribed standards for taking care of patients in military hospitals, as well as the number, qualifications and duties of medical personnel in those centers. According to scholars, both documents represent bright examples of the authorities’ faith in the possibility of resolving of crisis in the work of any institution by detailed regulation of all aspects of its activities. However, a research on conditions of service of army employees and state of military health care implies a study based on local material and functioning of certain hospitals. The author focuses on the history of medical institutions in fortresses located on the Russian-Swedish border. The study was carried out on the basis of reports received in St. Petersburg from the border fortresses and devoted to the number of sick employees in the Vyborg and Kexholm garrisons, their diseases and providing them medical care. It is revealed that the military infirmaries have been opened in Vyborg and Kexholm in the early 1720s. And the number and qualifications of the medical personnel met the requirements of the state legislation. Nevertheless, the employees of the local garrisons suffered the same hardships as military men in other north-western fortresses (St. Petersburg, Kronstadt, Riga). This is indicated by the spread of diseases typical for the northern regions and poorly victualled communities, limited in access to proper food and clean sources of water (scurvy, typhus, digestive disorders). Along with that, the region had its own specifics: despite the harsh climate, work on fortifications was carried out from early Spring. Therefore, the soldiers were often hospitalised due to frostbite and colds. From the number of employees sent to the hospital for treatment 66 % died within six months. The most vulnerable group were employees of the first and second years of service under the age of 30. However, the situation in the fortresses did not become critical and epidemics were avoided.

Lucille Spence Byard is one of the most pivotal figures in the history of the Seventh-day Adventist Church. Her rejection for medical treatment due to her race at an Adventist sanitarium on the Maryland-Washington, D.C., border in 1943 was the major catalyst for the formation of regional conferences, or Black-administered governance units, within the North American administrative structure of the Seventh-day Adventist Church. However, almost since the day Lucy Byard was refused treatment, the major details of the event have been subject to the whim of the teller, and variant versions have become embedded in church lore. What has been particularly problematic, though, is that historians have not made the effort to explore what actually happened to Byard, which would require bypassing the entrenched legends and consulting primary sources. This article reconstructs the Byard event from primary sources, allowing the participants in the event, especially those of color, to be heard. What finally emerges is Lucy Byard the person—much more than just an icon of tragedy—whose last days sparked the most effective grassroots movement in Adventist history.

This thesis studies the relationship between subjective experience and social environment during recovery from alcoholism in Alcoholics Anonymous (AA). As a result of participation in AA meetings, many alcoholics undergo healing transformations involving a sense of acceptance of themselves, others and the world. In early sobriety these experiences often remove an alcoholic’s desire to drink. Outside AA, however, alcoholics frequently experience subjective unravelling – a sense of conflict with themselves, others and the world. For many, this subjective state is associated with actual or potential craving for a drink. Regular participation in AA meetings alleviates these states. This thesis construes the relationship between subjective experience and immediate social environment in terms of ‘experiential stakes of relevance’. This conceptual category can be used to characterise both the structural properties of the social environment and the key attributes of the subjective experience of agents within this environment. Listening to stories at AA meetings results for many alcoholics in a radical change in ‘experiential stakes of relevance’. It is argued that the process of spontaneous re-connection with one’s past experiences during AA meetings is akin to the process of mobilisation of embodied dispositions as theorised by Bourdieu. Transformation in AA takes place in the space of a mere one and a half hours and involves processes of intensification of experience. These are analysed in terms of Bourdieu’s notion of ‘illusio’ and Chion’s notion of ‘rendu’. The healing experiences of acceptance presuppose a social environment free of interpersonal conflict. This thesis argues that the need to structurally eliminate conflict between alcoholics has turned AA into a social field which is sustained by the very healing subjective experiences that it facilitates. In the process, AA has developed structural elements which can best be understood as mechanisms inverting the social logic of competitive fields. The fieldwork entailed a detailed ethnographic study of one particular group of Alcoholics Anonymous in Sydney’s Lower North Shore as well as familiarisation with the more general culture of AA in Sydney. Methods of investigation included participant observations at AA meetings and interviews with a number of sober alcoholics in AA.

Doctor of Philosophy
This thesis studies the relationship between subjective experience and social environment during recovery from alcoholism in Alcoholics Anonymous (AA). As a result of participation in AA meetings, many alcoholics undergo healing transformations involving a sense of acceptance of themselves, others and the world. In early sobriety these experiences often remove an alcoholic’s desire to drink. Outside AA, however, alcoholics frequently experience subjective unravelling – a sense of conflict with themselves, others and the world. For many, this subjective state is associated with actual or potential craving for a drink. Regular participation in AA meetings alleviates these states. This thesis construes the relationship between subjective experience and immediate social environment in terms of ‘experiential stakes of relevance’. This conceptual category can be used to characterise both the structural properties of the social environment and the key attributes of the subjective experience of agents within this environment. Listening to stories at AA meetings results for many alcoholics in a radical change in ‘experiential stakes of relevance’. It is argued that the process of spontaneous re-connection with one’s past experiences during AA meetings is akin to the process of mobilisation of embodied dispositions as theorised by Bourdieu. Transformation in AA takes place in the space of a mere one and a half hours and involves processes of intensification of experience. These are analysed in terms of Bourdieu’s notion of ‘illusio’ and Chion’s notion of ‘rendu’. The healing experiences of acceptance presuppose a social environment free of interpersonal conflict. This thesis argues that the need to structurally eliminate conflict between alcoholics has turned AA into a social field which is sustained by the very healing subjective experiences that it facilitates. In the process, AA has developed structural elements which can best be understood as mechanisms inverting the social logic of competitive fields. The fieldwork entailed a detailed ethnographic study of one particular group of Alcoholics Anonymous in Sydney’s Lower North Shore as well as familiarisation with the more general culture of AA in Sydney. Methods of investigation included participant observations at AA meetings and interviews with a number of sober alcoholics in AA.

This thesis is the result of virtually a year's research conducted in three adjacent villages in northern Zululand, in the district known as KwaNgwanase. This community is distinguished by being subject to historical Zulu conquest, to a continuing influx of migrants fron neighbouring countries and to more recent social and economic transformation. It therefore exhibits a considerable degree of structural variation and cultural complexity, which in divining practice is registered as 'divinatory syncretism'. The theoretical stance adopted to make sense of this complex of variants is praxeological, with an enphasis on understanding divination from within, for which purpose the field method of participant observation is particularly suitable. Built upon close and prolonged interaction with some twenty diviners, the thesis examines divination from two interconnected perspectives; as a mystical performance, in which the inspired diviner endeavours to uncover the truth of a client's condition, and as a professional business in which the econanic motive is pararrount and in which the more successful corrpetitors flourish as entrepreneurs. KwaNgwanase itself emerges as a workshop of experimentation in mystical and syrrbolic forms, while it begins to export its innovative techniques to a broader market.
Thesis (Ph.D.)-University of Natal, Durban, 2002.

Ce mémoire examine les pratiques des demandeurs d’asile dans les structures humanitaires médicales de l’île de Lesvos, en Grèce. Maintenus dans la zone-frontière que constitue l'île, les demandeurs d’asile vivent dans le camp de Moria, reconnu pour ses conditions de vie extrêmement mauvaises. Dans le cadre de leur processus d’asile, ils sont soumis à une procédure médicale, l’évaluation de vulnérabilité, dont le résultat influence leurs parcours. Dans le cadre d’un terrain ethnographique mené sur l’île à l’été 2018, j’ai effectué de la participation observante en tant qu’interprète au sein d’une clinique humanitaire, où des médecins bénévoles et des demandeurs d’asile négocient ensemble le pouvoir attribué à l’évaluation de vulnérabilité. Le mémoire analyse les pratiques des demandeurs d’asile à partir du concept d’agentivité circonscrite, une forme d'agentivité aux effets imprévisibles. Dans une première partie, je démontre que les demandeurs d’asile mettent en œuvre des stratégies pour négocier la situation inhumaine dans laquelle ils sont mis ainsi que pour obtenir une reconnaissance. Leurs stratégies se structurent autour d’une réappropriation des logiques du dispositif humanitaire, notamment des stéréotypes qui sont assignés aux réfugiés. Dans une seconde partie, j’examine en profondeur un élément de ces stratégies qui est central aux interactions de soin dans la clinique humanitaire : les documents médicaux. Je montre que ces documents sont une technologie flexible dont la fonction est détournée par les pratiques des demandeurs d’asile, qui les utilisent comme une ressource et comme une preuve. Finalement, j’analyse les différentes façons dont les médecins bénévoles réagissent à ces pratiques ainsi que leurs conséquences sur l’accès aux soins médicaux. Ces éléments établissent un portrait nuancé des effets du dispositif humanitaire établi aux frontières de l’Europe suite à la crise des réfugiés de 2015.
This study examines asylum seekers’ practices within medical humanitarian structures on Lesvos island, Greece. Maintained inside the border-zone constituted by the island, asylum seekers live in Moria camp, which is known for its extremely bad living conditions. In the context of their asylum process, they undergo a medical procedure, the vulnerability assessment, the result of which influences their trajectories. As part of an ethnographic fieldwork conducted on the island in the summer of 2018, I carried out observing participation as an interpreter in a humanitarian clinic, a space where volunteer doctors and asylum seekers negotiate the power attributed to the vulnerability assessment. This study analyses the practices of asylum seekers through the concept of circumscribed agency, which effects are unpredictable. I first show that asylum seekers set up strategies to negotiate the inhuman situation in which they find themselves, as well as to obtain recognition. Their strategies are structured around a reappropriation of the logics of the humanitarian device, notably the stereotypes assigned to refugees. The second part extensively examines an element of these strategies central to the care interactions taking place in the humanitarian clinic: the medical documents. I show that these documents act as a flexible technology and that their function is reconfigured by asylum seekers’ practices, who use them as resources and proofs. Finally, I highlight the different ways in which volunteer doctors react to these practices, along with their consequences on access to medical care. These elements provide a nuanced description of the effects of the humanitarian device established at Europe’s borders following the 2015 refugee crisis.