Dissertations / Theses: 'Social medicine'

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Kim, David A. "The Social Geography of American Medicine." Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:27007745.

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Health care exhibits wide geographic variation. Because care is driven by the behavior of physicians, regional differences in its cost and quality are thought to reflect local cultures of medical practice, but the mechanisms producing and maintaining these putative cultures remain unclear. Local billing and prescribing cultures may be reflected in physician referral networks, but the complexity of U.S. health care has made it difficult to study such networks on a nationwide basis. Here we combine comprehensive, longitudinal, publicly available data on physician billing, prescribing, and patient-sharing behavior to characterize the “social geography” underlying area variations in health care. Focusing on six measures of billing and prescribing intensity, we investigate the clustering of physicians’ behavior on the basis of their social proximity in patient-sharing networks, finding that both social influence and selection contribute to the clustering observed. Our results have implications for efforts to improve the value and quality of health care, and highlight the potential of publicly available administrative data in promoting transparency in research and public affairs.

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Bachur, Catherine. "Integrating social context into personalized medicine." Master's thesis, Temple University Libraries, 2019. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/549613.

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Urban Bioethics
M.A.
Personalized medicine is the idea that every patient can be treated in a unique manner, tailored specifically to his or her individual needs. Traditionally the field of personalized medicine has focused on using genetic information to determine medical treatment. However, humans are not only the sum of their genetic parts. All people exist within the context of their environment, their experiences, and their relationships. While the connection between this greater context and medical treatment may not be immediately obvious, it exists. If we are to truly tailor medical care, it must occur in a holistic manner, combining both genetics and social context. A thorough understanding of the way that they interact, as well as the individual limitations of both, is the best way to offer individualized care to all patients.
Temple University--Theses

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Neelakantan, Vivek. "Health and Medicine in Soekarno Era Indonesia: Social Medicine, Public Health and Medicine Education 1949 to 1967." Thesis, The University of Sydney, 2013. http://hdl.handle.net/2123/9916.

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In 1949, newly-independent Indonesia inherited a health system that was devastated by three-and-a-half years of Japanese occupation and four years of revolutionary struggle against the Dutch. The country suffered from an acute shortage of doctors who were mostly concentrated in urban areas where a minority of the population lived. Additionally, the Ministry of Health had to cope with the resurgence of smallpox outbreaks, and endemic diseases such as malaria, tuberculosis, yaws and leprosy. By the early 1950s, the Ministry of Health initiated a number of symbolic public health initiatives that resulted in a noticeable decline of mortality. These initiatives demonstrated to the international community that Indonesia was capable of standing on its own two feet. Unfortunately, by the mid-1950s, Indonesia’s public health initiatives faltered due to a constellation of factors resulting from political differences between Java and the outer islands, political instability, rampant inflation, and corruption. The initial exuberance that characterised the early years of independence paved way for pessimism. This thesis reveals the benefits of linking the historiography of postcolonial Indonesian medicine with political history of the 1950s more generally. The synthesis of these two streams of historiography serves as a useful vantage point to examine how Indonesia’s leadership sought to cautiously balance the country’s ambition of safeguarding its political sovereignty in health with increased openness to international health assistance administered through the channel of UN agencies, particularly the WHO. Indonesian leaders elected to follow what I have characterised as the ‘Bandung approach to health.’ Indonesia adhered to a non-aligned foreign policy without the intervention of either the US or USSR, established Afro-Asian solidarity, and creatively appropriated international assistance in health to reflect the country’s unique demographic and epidemiological requirements.

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Gadd, Andersson Sara, and Sofie Nilsson. "Hälsoinspiratören - en del av en källa till fysisk, psykisk och social hälsa." Thesis, Kristianstad University College, Department of Health Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-4311.

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Det är viktigt att se hälsa ur ett helhetsperspektiv där den sociala, fysiska samt psykiska hälsan ingår. Människan tillbringar en stor del av sitt liv på arbetsplatsen, det är därför en viktig arena att arbeta hälsofrämjande med. Hälsofrämjande sjukhus är ett exempel på en sådan arena. För hälsofrämjande sjukhus är det bland annat viktigt att främja den egna personalens hälsoutveckling i en positiv riktning, med hjälp av en aktiv kunskapsförmedling. På arbetsplatsen är det viktigt med nyckelpersoner som kan förmedla kunskap om hälsans villkor till övriga anställda. En sådan nyckelperson kan vara hälsoinspiratören. Syftet var att på Centralsjukhuset Kristianstad undersöka de anställdas syn på hälsoinspiratörens roll, om de motiverade till sundare levnadsvanor samt synen på hälsoinspiratörernas kunskapsförmedling. En kvantitativ metod valdes och en enkätundersökning genomfördes bland 794 anställda.

Resultatet visade att hälften av respondenterna visste vem hälsoinspiratören var. Majoriteten av de anställda såg hälsoinspiratören som källa till inspiration. Resultatet visade även att tre fjärdedelar av respondenterna var positivt inställda till hälsoinspiratörens roll och såg hälsoinspiratören som bland annat källa till inspiration. En tiondel ansåg sig ha blivit motiverade till hälsosammare val av hälsoinspiratören. Majoriteten av respondenterna ställde sig neutrala till hälsoinspiratören gällande kunskapsförmedling. Slutsatsen av studien är att hälsoinspiratören kan fungera som en nyckelperson gällande socialt stöd och som källa till motivation för hälsosammare val. För att hälsoinspiratörens roll ska utvecklas och fungera på bästa sätt behövs mer tid och utbildning.

It is very important to see health from an overall view where the social, physical and psychological healths are included. The human being spends a great part of their lives at work. Because of that it is an important arena in which to work with health promotion. The Health promoting Hospital is an example of such an arena. It is important in The Health promoting Hospital to promote the staff’s own health in a constructive aim, taking help from active mediation of knowledge. At a workplace it is important to have key persons who can mediate knowledge about the health conditions to the employees. “The inspirerer of health” is an example of such a key person. The aim was to examine the employees view on the role of “the inspirerer of health”, whether they motivate to healthier way of living and the view on their knowledge mediation. A quantitative method was chosen and a questionnaire took place among 794 employees. The result revealed that half of the respondents had knowledge about who “the inspirerer of health” was. The majority of the employees saw “the inspirerer of health” as a source to inspiration. The result revealed that three out of four were positive to the role of “the inspirerer of health” and saw them as a source of inspiration. One out of ten said they had been motivated to healthier choices by “the inspirerer of health”. The majority of the respondents was taking a neutral point of view about knowledge mediation by the “the inspirerer of health”. The final scene of the study is that “the inspirerer of health” can work as a key person regarding social support and as a source to motivate persons to healthier choices. To insure that the role of “the inspirerer of health” will develop and work for the best there needs to be more time and education for all parts involved.

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Race, Kane National Centre in HIV Social Research Faculty of Arts &amp Social Sciences UNSW. "Pleasure consuming medicine." Awarded by:University of New South Wales. School of Social Science and Policy, 2004. http://handle.unsw.edu.au/1959.4/20473.

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Pleasure Consuming Medicine investigates the significance of the classification of drugs for conceptions of personhood in the context of consumer citizenship. It examines how drug discourses operate politically to sustain particular notions of personhood and organise bodies. As the normative conception of social life shifts to a discourse of consumer agency and active citizenship, it is argued, drugs come to describe the moral boundaries of a freedom configured around personal consumption. The thesis tracks the parallel rise of two discourses of drug mis/use from the 1970s - a discourse of 'drug abuse' and a discourse of 'patient compliance' - illustrating how these discourses bind personal agency to medical authority through a vocabulary of self-administration. It describes how illicit drugs are constructed as a sign and instance of excessive conformity to consumer culture, and how this excess is opportunistically scooped off and spectacularised to stage an intense but superficial battle between the amoral market and the moral state. Pleasure Consuming Medicine uses a theoretical frame developed from queer theory, corporeal feminism, governmentality studies and cultural studies to explore the political character of drug regimes, tracing some of the ramifications for sex, race, class, and citizenship. Then it turns to the field of gay men's HIV education to conceive some alternative and provisional vocabularies of safety. The thesis develops an argument on the exercise of power in consumer society, with the aim of contributing to cultural and critical understandings of consumption, embodiment, sex, health, and citizenship.

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McFadden, Jessica Mason. "Woolf's alternative medicine| Narrative consciousness as social treatment." Thesis, Western Illinois University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1572942.

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The primary objective of this thesis project is to investigate Woolf's narrative construction of consciousness and its enactment of resistance against the clinical model of cognitive normativity, using Mrs. Dalloway. This objective is part of an effort to identify the ways in which Woolf's writing can be used, foundationally, to challenge the contemporary language of clinical diagnosis, as it functions to maintain power imbalances and serves as a mechanism of the rigid policing of normativity. It is also intended to support the suggestion that Woolf's novels and essays make a valuable contribution, when advanced by theory—including disability theory, to scientific conversations on the mind. One major benefit is that doing so encourages border-crossing between disciplines and views. More specifically, this project examines the ways in which Mrs. Dalloway resists the compulsory practice of categorizing and dividing the mind. The novel, I assert, supports an alternative narrative treatment, not of the mind but, of the normative social forces that police it. It allows and encourages readers to reframe stigmatizing, divisive, and power-based categories of cognitive difference and to resist the scientific tendency to dismiss pertinent philosophical and theoretical treatments of consciousness that are viable in literature. The critical portion of the project is concerned with the way in which Mrs. Dalloway addresses consciousness and challenges medical authority. Its implications urge the formation of an investigative alliance between Woolf's work and psychology that will undermine the power differential, call attention to and dismantle the stigma of "mental illness," and propel clinical treatment into new diagnostic practices.

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Strömberg, Karin, and Gita Westerlund. "Level of self-esteem, social network and experience of school education among girls - a questionnaire survey in Kitwe, Zambia." Thesis, Kristianstad University College, Department of Teacher Education, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-3323.

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Health should be seen as a resource in daily life so people can feel satisfaction and social support network has been shown to have a significant impact on health. Another important determinant on health is education. There is a strong interrelationship between health and education. The centre of work in health education and promotion is the development of self-esteem. The aim of the study was to investigate the level of self-esteem, social network and experience of school education among girl’s 13-16 years, in Kitwe Zambia, in order to increase knowledge about how to learn to strengthen self-esteem and empowerment in girls. This investigation is a cross-sectional survey and we have chosen to use a quantitative method such as questionnaires. Our study received the approval of the University of Kristianstad Ethics Committee. The result shows that the girls think that the school is important for their future and that they enjoy going to school. But 34% of the girls felt that the school did not treat everybody the same and 50% of the girls were not involved at all in any student club. The results in our study showed that there were no statistical connections between level of self-esteem, social network and experience of school education. Our conclusion is that it did not matter what level of self-esteem the girls had, they had a good social network and a positive attitude towards school. A high level of self-esteem increases the young girls believes in themselves and that they can feel capable of taking a bigger part in the society. We hope that this study will underline the importance of women’s education, empowerment and self-esteem for their development. We believe that this may not change the world, but it is one good step in the development of a country.

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Cohen, Joshua B. "Medisyne van die Vader = Medicine from the Father : people, plants, and landscape in Kannaland : towards an ecology of medicine." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/3632.

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Buchianeri, Luís Guilherme Coelho [UNESP]. "O adolescer pós-moderno: novos paradigmas na medicina." Universidade Estadual Paulista (UNESP), 2004. http://hdl.handle.net/11449/97627.

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Made available in DSpace on 2014-06-11T19:29:03Z (GMT). No. of bitstreams: 0 Previous issue date: 2004-03-12Bitstream added on 2014-06-13T19:37:52Z : No. of bitstreams: 1 buchianeri_lgc_me_assis.pdf: 866093 bytes, checksum: 2af8124b1024afb7541af0bc5b3b4586 (MD5)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
A valorização da adolescência a partir do século XX repercutiu também na medicina impondo a ela a necessidade de criar uma especialidade para o tratamento dos problemas que passaram a ser visualizados especificamente nessa fase do desenvolvimento. Surge então a Hebiatria ou a Medicina do Adolescente como uma área de atuação, segundo a resolução do Conselho Federal de Medicina ou como uma especialidade propriamente dita na visão do profissionais que passaram a se ocupar da adolescência. Como uma nova especialidade ou área de atuação constitui-se como um campo privilegiado para a compreensão das injunções que cercam o aparecimento de um novo campo de saber e prática profissional portando as marcas do seu tempo. Nesse sentido, o objetivo dessa dissertação foi procurar mapear o trajeto da constituição da Medicina do Adolescente, seu corpo teórico e seus atravessamentos pelos paradigmas atuais da ciência dentro desse momento de transição ou de surgimento de novos modos de concepção da ciências e de metodologia que tem alterado profundamente os fundamentos da ciência moderna. Para tanto, foi feita uma revisão da literatura sobre a Medicina do Adolescente e sobre as transformações paradigmáticas da ciência na atualidade e coletadas informações junto a profissionais que participaram no nascimento da Medicina do Adolescente no país e que ainda são referências nesse campo. Como principal conclusão, foi possível constatar que essa especialidade não teria surgido na medicina sem que houvesse a centralização...
The valorization of adolescence from XX century until now has also rebounded inside Medicine imposing to it the necessity of creating a specialty to treat the problems which began to be seen especially in this phase of development. Then Hebiatrics or Adolescent Medicine appeared as an area of acting, according to the resolution of Federal Medicine Council or as a specialty in the view of the professionals who started working with adolescents. As a new specialty or area of acting constituted itself as a privileged field to understand the ideas which surround the emergence of a new field of professional knowledge and practice carrying the mark of its time. In this direction, the aim of this dissertation was to map the way of Adolescent Medicine was constituted, its theoretic body and its crosses through the new science paradigms inside this moment of change or from the emergence of new ways of science conception and methodology which has deeply changed the bases of modern science. For so, it was done a review of the literature about Adolescent Medicine and about the paradigmatic changes of science nowadays and it was collected information with professionals who participated of Adolescent Medicine born in our country and who are still references in this field. As main conclusion, it was possible to note that this specialty wouldn't have appeared in medicine if there hadn't been the centralization of adolescence in contemporaneous culture outlined especially ...(Complete abstract, click electronic access below)

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Martin, Sheonagh M. K. "William Pulteney Alison : activist philanthropist and pioneer of social medicine." Thesis, University of St Andrews, 1997. http://hdl.handle.net/10023/2815.

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The thesis looks in detail at three inter-related aspects of Alison's life. It examines, firstly, his role in the development of Edinburgh's rudimentary 'health' network, achieved through the expansion of the existing medical charity structure and the introduction of a more interventionist and coordinated approach to the city's health problems. It traces, secondly, the development of Alison's social thought - in 1820 he believed that medical and practical relief for the poor could and should be supplied through the voluntary charities and only when that proved unsatisfactory through the poor law, whereas by 1840 he argued that public health should be the responsibility of government and that the excessive increase in poverty and disease in Scotland, which he believed had occurred, was proof that the charitable and legal relief provided was inadequate. Finally, Alison's influence on the passage of Scottish poor law and public health legislation in the 1840s and 1850s is examined - the latter involving an assessment of how far he was responsible for the legislative delay. The poor law debate, 1840-1845, which reveals the forces shaping the reform and the prevailing attitudes to poverty, highlights the challenge which Alison's opinions represented and the resulting turmoil in Scottish social thinking, while his reasons for opposing health legislation, which established London control are of great importance. They reveal differences in the rationale behind, and way in which, the concept of public health was developed in Scotland and England. Unlike Chadwick and his supporters, Alison emphasised poverty amelioration and sanitary reform. Part of the explanation for the differing opinions lay in their respective miasmatic and contagionist theories for fever generation, but it also reflects, perhaps more significantly, the impact of European medical police ideas on Scottish medical opinion - Alison's view of public health closely resembled that of the French hygienists.

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Rushbrook, Sophie Catherine. "Post-event processing : its role in the maintenance of social phobia and social anxiety." Thesis, University of Southampton, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273900.

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Lam, Dominic Hung. "Social cognitive aspects of depression." Thesis, King's College London (University of London), 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.295141.

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Hunter, Cecily Elizabeth. "Doctoring old age : a social history of geriatric medicine in Victoria /." Connect to thesis, 2003. http://eprints.unimelb.edu.au/archive/00000123.

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Crowder, Steve. "Black folk medicine in southern Appalachia." [Johnson City, Tenn. : East Tennessee State University], 2001. http://etd-submit.etsu.edu/etd/theses/available/etd-0322101-181118/unrestricted/crowder0416.pdf.

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Fourie, Jorique. "Social and economic decision-making in Urbach-Wiethe Disease." Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32253.

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Background: Rodent and primate research have identified the basolateral amygdala as indispensable for social decision-making. This finding has not yet been translated to humans, and has even been partially contradicted by previous findings in patients with amygdala lesions that show generous economic investments in strangers. This thesis therefore aimed to determine whether selective basolateral amygdala damage in humans, caused by Urbach-Wiethe Disease, impairs instrumental non-social economic decision-making. Methods: Using an adapted reinforcement-learning task, the performance of basolateral amygdala damaged individuals (n=6) was compared with that of healthy controls (n=20) on social and economic decision-making during a probabilistic reinforcement task. The task required participants to make decisions for themselves and others based on learned probability of monetary reward or loss. A random effects Generalised Least Squares regression was conducted using Stata 15.1. to assess discrimination between Gain and Loss domains. A social-decision making task was also administered. Results: When making choices for themselves, Urbach-Wiethe Disease participants showed no difference in correct choices made between Gain and Loss domains. The Urbach-Wiethe disease participant's lack of discrimination between gains and losses for themselves was significantly different (p< 0.01) from that of controls, who made significantly more correct choices for themselves in the gain domain compared to the Loss domain. Social decision-making performance did not, however, differ significantly between Urbach-Wiethe Disease participants and controls. Conclusions: These findings regarding non-social decision-making support the important role of the basolateral amygdala as a salience detector, with lesions to this region resulting in reduced bias to the valence of potential economic outcomes, regardless of whether these pertain to costs or benefits. These findings are also consistent with prior work indicating that lesions to the basolateral amygdala can possibly produce loss-aversion due to a hypervigilance for fear and the lack of inhibition of the centromedial amygdala by the basolateral amygdala.

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Adjemian-Baskerville, Maro. "Medicine from the forest: the impact of deforestation on medicinal plant availability and use in the Bilili Game Management Area, Southern Zambia." Thesis, McGill University, 2009. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=32376.

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Globally, deforestation is threatening medicinal plant species. Concern about this process has led to renewed interest in medicinal plant research, in an effort to discover medicinal properties before species become extinct. However, little research has been done on the local social impacts of deforestation in regions where populations depend on medicinal plants for their primary health care. This study investigates the impact of deforestation on medicinal plant availability and use in the Bilili Game Management Area in southern Zambia, where rapid deforestation is taking place, and where the local population uses medicinal plants extensively. Despite ongoing deforestation, this study found that medicinal plants are still widely available and commonly used in this area. Forest ecology, natural resource management practices and tenure systems all buffer the effects of deforestation on medicinal resources. This demonstrates that local ecological, social and historical processes must be considered in order to understand the impacts of deforestation on medicinal plant resources.
Dans le monde entier, des espèces de plantes médicinales sont ménacées par la déforestation. L'inquiétude concernant ce processus a mené à augmenter la recherche sur les plantes médicinales. Cependant, il n'existe peu de recherche sur les impacts sociaux de la déforestation dans les régions où les populations dépendent des plantes médicinales pour leurs soins de santé. La présente étude examine l'impact de la déforestation sur la disponibilité et l'utilisation des plantes médicinales dans le «Bilili Game Management Area» dans le sud de la Zambie. Il s'agit d'une région où la déforestation progresse rapidement, et où la population locale utilise très souvent des plantes médicinales. Malgré cette déforestation, cette étude a trouvé que les plantes médicinales sont encore disponibles et souvent utilisées dans cette region. L'écologie de la forêt, la gestion des ressources naturelles et le régime foncier offrent de la protection aux ressources médicinales et diminuent les impacts de la déforestation. Ceci démontre que l'écologie locale, et les processus sociaux et historiques doivent être considerés pour comprendre l'impact de la déforestation sur les plantes médicinales.

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Blackwelder, Reid B. "Schizophrenia Revealed: From Neurons to Social Interactions." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/6919.

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Futterer, Patricia. "Cultural studies of science : skinning bodies in Western medicine." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23332.

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This thesis explores the cultural implications underlying the medical practice of cutting human flesh. The examination focuses, in particular, on the function of representational technologies--from anatomy sketches to computer imaging--in the scientific understanding of the body in the West. By foregrounding the technologies of representation which inform and have directed a history of surgery, it is hoped that the cultural aspects of modern medicine will be made apparent. This thesis argues that while science benefitted from art to construct its image of 'the' body, it has had to rid itself of art in order to justify its empirical claims. The study concludes with a discussion of the work of the French performance artist Orlan who uses plastic surgery in a performative setting to deconstruct these very claims.

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Shirely, Kaitlyn, Margaret Smith, Kacie Denton, Blair Brandt, Ivy A. Click, and Joseph Gravel. "Social Determinants of Health in Rural Tennessee Clinics." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6383.

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Svarogic, Addi. "Behandla människan, inte symptomen! : En studie av komplementärmedicin." Thesis, Linköping University, Department of Social Anthropology, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-9841.

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Den här studien fokuserar på komplementärmedicin ur fyra informanters perspektiv och med kopplingar till aktuella vetenskapliga diskussioner och strömningar. Bakgrunden till studien är en ökande användning av komplementärmedicin i samhället och livliga debatter kring dess vetenskapliga status. Syftet är att genom kvalitativa metoder belysa viktiga aspekter av informanternas användning av komplementärmedicin. Mycket uppmärksamhet ägnas åt informanternas syn på de olika metodernas effektivitet, hur denna definieras och vilka konkreta resultat informanterna strävar efter eller upplever.

This study focuses on complementary medicine from the perspectives of four informants, and with reference to topical scientific discussions and currents. The background of this study is to be found in the growing use of complementary medicine in the society. The main goal is to shed light on important aspects of the informants’ use of complementary medicine. Much attention is focused on their views regarding the efficacy of the various methods, how it is defined and what concrete results they are striving for, or experiencing.

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Amery, Fran. "Abortion politics in the UK : feminism, medicine and the state." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/4950/.

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Abortion rights are often used as a litmus test for how well women’s interests are represented by the state. However, feminist accounts of British abortion legislation have been conflicting, either presenting the law as fundamentally anti-feminist, or noting that feminist actors have played an active role in its construction and defence. This thesis makes sense of this tension through coding and a chronological discourse analysis of Parliamentary debates on abortion legislation from the 1967 Abortion Act onwards, supplemented by analysis of interview data and commentary. The thesis finds that the gendered assumptions encoded in the Act have constrained the debate. Due to a desire to protect access to abortion, feminists have been forced to defend a law which constructs women as vulnerable and irrational. While feminists have used the discursive resources available to them in creative ways, they have also perpetuated problematic ideas about gender. Difficulties have also been present for anti-abortion politicians, who oppose an Act widely regarded as protecting the vulnerable. These actors have attempted to borrow elements of a liberal, ‘pro-woman’ discourse on abortion, appropriating feminist language. Nonetheless, alongside this rhetoric are elements of a conservative backlash politics which identifies feminism as the cause of women’s problems.

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White, Sam. "Recollections of humiliation in individuals with social phobia." Thesis, University of Warwick, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.275296.

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Prost, Audrey Gabrielle. "Exile, social change and medicine among Tibetans in Dharamsala (Himachal Pradesh), India." Thesis, University College London (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405953.

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This thesis is a study of the predicaments of exile among Tibetan refugees in Dharamsala. It examines the ways in which structural and cultural factors linked to exile underpin local understandings of health and the provision of healthcare. The study demonstrates that exile uncertainty is reflected in illness explanatory models put forward by Tibetan refugees, and in the organisation of healthcare provision in Dharamsala. The first part of the thesis. (Chapters 2-3) is an account of changes in social organisation and economic strategies as a consequence of exile. Chapter 2 looks at transforming social networks in relation to exile identity politics and economic strategies. I discuss societal tensions within the Tibetan refugee community, principally in relation to the group of `newcomer' (tsar `hyor ba) refugees, and the local Indian community. Chapter 3 focuses on two examples of economic strategies linked to dependency and the predicaments of exile: firstly rags ram, or the sponsorship offered to Tibetans by foreigners, and secondly, `grogsp a, or mutual help and reliance on intra-communal networks of solidarity. The second part of the study (Chapters 4-6) examines how the physical and psychosocial hardships of exile, in addition to social uncertainty, have influenced individuals' understanding of health and disease, and, consequently, the activities and status of the two most prominent exile medical institutions, the Delek Hospital and the Tibetan Astro-Medical Institute (Men-Tsee-Khang). Chapter 5 discusses the rise and institutionalisation of Dharamsala's Men-Tsee-Khang and the systematisation of traditional medical teaching as linked to the predicaments of exile. Chapter 6 provides individual case studies of Tibetan exiles' experiences of illness. Chapter 7 is given over to a discussion of the political significance of discourses relating to physical suffering in the context of exile.

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Walker, Siovahn Amanda. "From description to prescription : twelfth-century medicine for psychological and social health /." May be available electronically:, 2008. http://proquest.umi.com/login?COPT=REJTPTU1MTUmSU5UPTAmVkVSPTI=&clientId=12498.

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Brown, Martin Thomas. "A clinical and social enquiry into the suicide pact." Thesis, University of Southampton, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.285648.

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Fincher, Warren Kelley. "Globalizing systems of knowledge the growth and spread of ayurvedic medicine /." Access restricted to users with UT Austin EID Full text (PDF) from UMI/Dissertation Abstracts International, 2001. http://wwwlib.umi.com/cr/utexas/fullcit?p3031051.

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Buchianeri, Luís Guilherme Coelho. "O adolescer pós-moderno : novos paradigmas na medicina /." Assis : [s.n.], 2004. http://hdl.handle.net/11449/97627.

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Orientador: José Sterza Justo
Banca: Tamara Beres Lederer Goldberg
Banca: Francisco de Agostinho Junior
Resumo: A valorização da adolescência a partir do século XX repercutiu também na medicina impondo a ela a necessidade de criar uma especialidade para o tratamento dos problemas que passaram a ser visualizados especificamente nessa fase do desenvolvimento. Surge então a Hebiatria ou a Medicina do Adolescente como uma área de atuação, segundo a resolução do Conselho Federal de Medicina ou como uma especialidade propriamente dita na visão do profissionais que passaram a se ocupar da adolescência. Como uma nova especialidade ou área de atuação constitui-se como um campo privilegiado para a compreensão das injunções que cercam o aparecimento de um novo campo de saber e prática profissional portando as marcas do seu tempo. Nesse sentido, o objetivo dessa dissertação foi procurar mapear o trajeto da constituição da Medicina do Adolescente, seu corpo teórico e seus atravessamentos pelos paradigmas atuais da ciência dentro desse momento de transição ou de surgimento de novos modos de concepção da ciências e de metodologia que tem alterado profundamente os fundamentos da ciência moderna. Para tanto, foi feita uma revisão da literatura sobre a Medicina do Adolescente e sobre as transformações paradigmáticas da ciência na atualidade e coletadas informações junto a profissionais que participaram no nascimento da Medicina do Adolescente no país e que ainda são referências nesse campo. Como principal conclusão, foi possível constatar que essa especialidade não teria surgido na medicina sem que houvesse a centralização ...(Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The valorization of adolescence from XX century until now has also rebounded inside Medicine imposing to it the necessity of creating a specialty to treat the problems which began to be seen especially in this phase of development. Then Hebiatrics or Adolescent Medicine appeared as an area of acting, according to the resolution of Federal Medicine Council or as a specialty in the view of the professionals who started working with adolescents. As a new specialty or area of acting constituted itself as a privileged field to understand the ideas which surround the emergence of a new field of professional knowledge and practice carrying the mark of its time. In this direction, the aim of this dissertation was to map the way of Adolescent Medicine was constituted, its theoretic body and its crosses through the new science paradigms inside this moment of change or from the emergence of new ways of science conception and methodology which has deeply changed the bases of modern science. For so, it was done a review of the literature about Adolescent Medicine and about the paradigmatic changes of science nowadays and it was collected information with professionals who participated of Adolescent Medicine born in our country and who are still references in this field. As main conclusion, it was possible to note that this specialty wouldn't have appeared in medicine if there hadn't been the centralization of adolescence in contemporaneous culture outlined especially ...(Complete abstract, click electronic access below)
Mestre

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Morrow, James. "The clinical, social and psychological problems of patients with epilepsy." Thesis, Queen's University Belfast, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.333780.

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Keirnan, Elizabeth Carole, University of Western Sydney, College of Law and Business, and School of Management. "Medicine, money and madness : conversations with psychiatrists - a postmodern perspective." THESIS_CLAB_MAN_Keirnan_E.xml, 2004. http://handle.uws.edu.au:8081/1959.7/533.

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Foucault speaks of the formation of an individual’s identity, or the process of becoming someone else, as a worthy game. For postmodernists, it is considered a life-long process of reconstruction and re-evaluation. The identities that are the focus of this research are psychiatrists, but also the self. This research follows previous post-graduate research that reflected on knowledge, power, space, surveillance, the body and organisational control. The major questions of this earlier research was; “What constituted normality in the work place and who were the arbiters of this normality” Chapter one of this work - Psychiatrists in Post-modernity, introduces the research project through the research questions, motivation for the project and the challenges to be met. Chapter two is a theoretical chapter that presents Post-modern Philosophical Perspective and discusses the history of development of post-modern thought in social research. Chapter three – History, Myth and Reality, places today’s psychiatry in Australia, in historical context. Chapter four – People, Politics and Purpose, considers the current state of mental health policy in Australia. Chapter five – Methodology and Methods, considers the methodological debate in the social sciences between qualitative and quantitative research methods. Chapter six – Outcomes and Interpretation presents an interpretation of the research interviews and discusses the connections and possible meanings of the stories told by psychiatrists, within the context of the post-modern philosophical perspective. Chapter seven – Post-modern Psychiatry considers the question: is there or can there be a post-modern psychiatry? It takes the interpretations, connections and meanings from Chapter six and locates them in the wider social context of the Australian National Mental Health Strategy
Doctor of Philosophy (PhD)

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Fries, Christopher J. "Contested knowledge, contested health, the social politics of regulating alternative medicine in Canada." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0004/MQ43165.pdf.

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Northcott, Sarah Ann Jacquin. "Social support after a stroke." Thesis, City, University of London, 2013. http://openaccess.city.ac.uk/19586/.

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Background: The social consequences of having a stroke can be severe, with social isolation a reported problem. It is little explored, however, what factors predict who will feel well supported and retain a strong social network after a stroke, nor is it well understood why friendships and other social contacts are lost. Aims: This thesis explored: 1) how social support and social network change over time following a stroke, and whether this is different for those with aphasia; 2) what factors predict perceived social support and social network six months post stroke; 3) why people lose contact with friends, and whether there are any protective factors; 4) how the changing dynamics within the family unit are perceived by the stroke survivor. Design and setting: Repeated measures cohort study. Participants were recruited from two acute stroke units and assessed at two weeks (baseline), three months and six months post stroke. A subset of participants was selected for in-depth qualitative interviews 8 – 15 months post stroke. Measures and methods: Stroke Social Network Scale; MOS Social Support Survey; General Health Questionnaire; National Institute of Health Stroke Scale; Frenchay Aphasia Screening Test; Frenchay Activities Index; and the Barthel Index. Multiple regression, ANOVA, correlation and t-tests were used as appropriate. Results: 87 participants were recruited of whom 71 were followed up at six months. At six months, 56% of participants were male, 16% had aphasia, and the average age was 69 years old. 29 participants took part in qualitative interviews. Perceived social support at six months was not significantly different from pre-morbid levels; social network, however, did significantly reduce (p = .001). Those with aphasia had comparable levels of perceived social support but significantly reduced social networks (p < .05) compared to those without aphasia. Concurrent predictors of perceived social support at six months were: a person’s social network, their marital status, and their level of psychological distress (adjusted R2 = .37). There was only one baseline predictor of social support at six months: perceived social support prior to the stroke (adjusted R2 = .43). Concurrent predictors of social network at six months were: perceived social support, ethnic background, aphasia and extended activities of daily living (adjusted R2 = .42). There were two baseline predictors: pre-morbid social network and aphasia (adjusted R2 = .60). There was a significant reduction in the Friends factor of the social network measure (p < .001). The main reasons for losing friends were: changing social desires especially a sense that many participants were ‘closing in’ on themselves; aphasia; loss of shared activities; reduced energy levels; physical disability; environmental barriers; and unhelpful responses of others. Family were generally robust members of the social network post stroke. The spouse was the main provider of all support functions. Nonetheless, beneath the apparent stability of the quantitative data there were changes in how family relationships functioned, including some distressing role shifts, for example, receiving rather than providing support. Conclusion: Contact with family and perceived social support remained stable post stroke. In contrast, a person’s social network, in particular contact with friends, was found to reduce, especially for those with aphasia. Indeed, aphasia was the only stroke-related factor at the time of the stroke that predicted social network six months later. Intervention aimed at addressing social isolation may be most effective if it takes into account the multiple reasons for friendship loss, including new language and physical disabilities, as well as changing social desires.

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Sadek, Mahmoud Mohamed Ahmed. "Industrial social work and employee drug abuse in Egypt." Thesis, Cardiff University, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.389974.

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lopez, Kimber. "Natural Medicine: Personal Responsibility and Self-Empowerment." Scholarship @ Claremont, 2009. http://scholarship.claremont.edu/pomona_theses/113.

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Although most “alternative” medical practices have existed far longer than conventional healthcare, modern allopathic continues to be the dominant system of medicine used in the United States. Herbal medicine is one of the oldest healing practices known to humankind and continues to be practiced today despite the numerous challenges modern society poses. As Julie Stone and Joan Mathews illuminate in Complimentary Medicine and the Law, “Plant-based remedies have been the principal source of medicines in healing traditions around the world and, as the World health Organization is at pains to remind us, 80 percent of the world’s population still depends primarily on plant medicine." Another statistic cited by Larry Dossey in Reinventing Medicine illustrates, “…researchers have found that adverse reactions to drugs kill over 100,000 people a year in US hospitals. That is the equivalent of a passenger jet crashing everyday. If this level of death were seen in any other field, it would probably be considered a national scandal." These facts reveal that American citizens have come to believe in a form of healthcare that is not widely accepted by the rest of the world, and that has some surprisingly dangerous characteristics hidden within. The question thus arises as to why biomedicine continues to be the standard form of healthcare in the US, and why alternative forms of medicine are devalued and failed to be justifiably recognized and incorporated into treatment strategies.

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Appio, Alexandre João. "Dinâmica social da automedicação." Universidade do Vale do Rio dos Sinos, 2012. http://www.repositorio.jesuita.org.br/handle/UNISINOS/3852.

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Submitted by Mariana Dornelles Vargas (marianadv) on 2015-06-15T12:53:49Z No. of bitstreams: 1 dinamica_social.pdf: 2231723 bytes, checksum: 9fad65550a198228318af4a723ac2975 (MD5)
Made available in DSpace on 2015-06-15T12:53:49Z (GMT). No. of bitstreams: 1 dinamica_social.pdf: 2231723 bytes, checksum: 9fad65550a198228318af4a723ac2975 (MD5) Previous issue date: 2012-02-29
Nenhuma
A busca por alívio de sintomas existe desde a Antiguidade, mas a medicalização por fármacos é um fenômeno relativamente recente, assim como o uso indiscriminado de medicamentos por conta própria. O propósito deste trabalho é compreender as motivações da automedicação continuada e com efeitos colaterais constatados. A análise teórica considerou três dimensões do problema: econômica – expansionismo produtivista característico da globalização, permanente estímulo ao consumo; política – lacunas do Estado como fiscalizador e hegemonia do modelo biomédico; e epistemológica – concepção cartesiana do corpo humano e da saúde, suprimindo conhecimentos tradicionais de prevenção e cura. A pesquisa empírica foi realizada através de entrevista qualitativa com pessoas que se automedicam, selecionadas por conveniência. Entre as motivações constatadas estão a busca de alívio rápido do sintoma (motivada pelo desenvolvimento e acesso facilitado a substâncias eficazes) e a dificuldade de acesso ao serviço médico. Constatou-se um processo de “ilusão da cura” na medida em que não é tratada a real causa; tornou-se visível igualmente a existência de um círculo vicioso, no qual o indivíduo se automedica inicialmente para tratar um sintoma e, posteriormente, para tratar os efeitos colaterais. A “cura da ilusão” se expressou através da necessidade de implementação de medidas de educação e de comunicação voltadas para a conscientização de prevenção e qualidade de vida e de reformas no sistema altamente especializado e burocratizado da saúde.
The search for relief of symptoms has existed since Antiquity, but medication by pharmaceutical drugs is a relatively recent phenomenon, as well as the indiscriminate act of self-medication. The purpose of this study is to comprehend the motivations of continued selfmedication, noting the side effects observed. The theoretical analysis considers three dimensions of the problem: economic - productivist expansionism, characteristic of globalization, permanent stimulus to consume; political - gaps in the State as a watchdog and the hegemony of the biomedical model; and epistemological - Cartesian conception of the human body and health, removing traditional knowledge of prevention and cure. The empirical research was conducted through qualitative interviews with people who often selfmedicate, selected by convenience. Among the reasons noted are the search for rapid relief of symptoms (motivated by the development and easier access to effective substances) and difficult access to medical services. It was noted a process of "illusion of healing" in means that the real cause is in fact not treated; It also became clear that there is a vicious circle in which the individual self-medicate initially to treat a symptom and afterwards ends up having to self-medicate in order to treat the side effects. The "cure of illusion" is expressed through the need to implement measures of education and communication aimed at raising awareness to prevention and quality of life and reforms in the highly specialized and bureaucratized health system.

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Spoozak, Lori. "Evaluation of a social support measure that may indicate risk of depression during pregnancy." [New Haven, Conn. : s.n.], 2008. http://ymtdl.med.yale.edu/theses/available/etd-12092008-163254/.

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36

Lavelle, Mary. "Nonverbal communication in schizophrenia : a 3-D analysis of patients' social interactions." Thesis, Queen Mary, University of London, 2012. http://qmro.qmul.ac.uk/xmlui/handle/123456789/2485.

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Background: Schizophrenia is a severe mental illness affecting approximately 0.4% of the population. A core feature of schizophrenia is social dysfunction, however, the precise nature of patients’ social deficits remain unknown. During face-to-face interaction we use nonverbal cues to coordinate, regulate and manage conversation. Patients have difficulty perceiving nonverbal cues in social cognitive tests, but it is unclear if this difficulty persists in their social encounters. The aim of this thesis is to determine if patients’ social deficits are manifest in the nonverbal behaviour of their social interactions, specifically investigating; (1) interpersonal coordination between the head movements of interacting partners and (2) the head and hand movements of patients and their partners in the context of conversation role. The relationship between nonverbal behaviour and patients’ symptoms, social cognition, rapport and social outcomes will also be assessed. Methods: The experimental study involved twenty patient (1 patient, 2 healthy participants) and twenty control (3 healthy participants) three-way groups. Groups were motion captured while discussing a moral dilemma. Healthy participants were unaware a patient was present. Results: (1) interpersonal coordination was reduced in patients’ three-way interactions (2) patients displayed less head and hand movement, while their healthy participant partners displayed more. Increased patients’ negative symptoms intensified this pattern and were associated with reduced patient rapport. Patients spending more time actively involved in their three-way interactions had poorer social outcomes. Patients’ performance on social cognitive assessments showed no association with their nonverbal behaviour. Interpretation: Patients’ three-way interactions display atypical patterns of nonverbal behaviour. The presence of a patient changes the behaviour of the healthy participants they are interacting with; even when they are unaware a patient is present. Patients’ symptoms mediate the behaviour of patients and their partners, and influence patients’ rapport.

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Luo, Yi. "Chinese Medicine's Commercialization and its Social and Environmental Impact." Scholarship @ Claremont, 2015. http://scholarship.claremont.edu/cmc_theses/1214.

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Nickell, Debra Faith. "SCREEN DOOR MEDICINE: THE INFORMAL MEDICAL CONSULTATION." UKnowledge, 2010. http://uknowledge.uky.edu/gradschool_diss/6.

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This study explores the phenomenon of the informal medical consultation, a communication event in which an individual asks for medical information, advice, or care from an off-duty health professional with whom the individual has no formal patient-provider relationship. Using surveys and interviews, the study describes these consultations from the perspective of the health care professional and the informal patient. The study explores foundational theories that offer explanations for the phenomenon. The theories considered include social support, decision-making, social exchange, perceived partner responsiveness to needs, and uncertainty management. This study suggests health care providers perceive informal medical consultations to be more problematic than do the informal patients who consult them. The problematic nature of informal consultations increases as the type of request moves from purely informational to a request for treatment. Informal patients do not perceive this distinction. The informal patient’s motivation to pursue an informal consultation instead of a formal consult is affected by the relationship with, trust in, and access to the informal consultant. The willingness of the informal consultant to engage in an informal consultation is affected by the relationship with the informal patient, the type of request made, and perception of risk/benefit for both the provider and the patient. The study supports the idea that informal medical consultations are potentially problematic within the current medico-legal-ethical environment. Alternately, these consultations may be viewed as offering positive contributions to the health and well-being of informal patients. The study suggests translational research is needed to guide health professionals in considering requests for informal medical consultations.

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Featherstone, Lisa. "Breeding and feeding: a social history of mothers and medicine in Australia, 1880-1925." Australia : Macquarie University, 2003. http://hdl.handle.net/1959.14/38533.

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Thesis (PhD)--Macquarie University, Division of Humanities, Department of Modern History, 2003.
Bibliography: p. 417-478.
Introduction: breeding and feeding -- The medical man: sex, science and society -- Confined: women and obstetrics 1880-1899 -- The kindest cut? The caesarean section as turning point -- Reproduction in decline -- Resisting reproduction: women, doctors and abortion -- From obstetrics to paediatrics: the rise of the child -- The breast was best: medicine and maternal breastfeeding -- The deadly bottle and the dangers of the wet nurse: the "artificial" feeding of infants -- Surveillance and the mother -- Mothers and medicine: paradigms of continuity and change.
The late nineteenth and early twentieth centuries saw profound changes in Australian attitudes towards maternity. Imbibed with discourses of pronatalism and eugenics, the production of infants became increasingly important to society and the state. Discourses proliferated on "breeding", and while it appeared maternity was exulted, the child, not the mother, was of ultimate interest. -- This thesis will examine the ways wider discourses of population impacted on childbearing, and very specifically the ways discussions of the nation impacted on medicine. Despite its apparent objectivity, medical science both absorbed and created pronatalism. Within medical ideology, where once the mother had been the point of interest, the primary focus of medical care, increasingly medical science focussed on the life of the infant, who was now all the more precious in the role of new life for the nation. -- While all childbirth and child-rearing advice was formed and mediated by such rhetoric, this thesis will examine certain key issues, including the rise of the caesarean section, the development of paediatrics and the turn to antenatal care. These turning points can be read as signifiers of attitudes towards women and the maternal body, and provide critical material for a reading of the complexities of representations of mothers in medical discourse.
Mode of access: World Wide Web.
478 p

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Chou, J. Y. "Reforming towards a scientific medicine and a changing social identity : British homoeopathy, 1866-1893." Thesis, University College London (University of London), 2016. http://discovery.ucl.ac.uk/1474209/.

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This study aims to investigate whether homoeopathydeclinedn Britainduring the second half of the nineteenth centurywhen anemerging medicalprofession converged with the dawn of biomedicine. Previousstudies of the history of homoeopathy are often coloured by controversies over homoeopathy odayy To avoid the pitfalls of a presentist definition of homoeopathy and a dichotomous view of the relationship between homoeopathy and orthodox medicine, I analyse 'homoeopathy' as a social identityrather than a medical system or a collection of medical institutions. This study focuses on the homoeopathies' of medicallyy-ualified practitioners. I identify two important aspects of the socialdentity of professional homoeopaths: the idea of scientific medicine, and the identification with themedical profession. In this thesis I trace how the changes in these two aspectswereranslated into new homoeopathic practicetheories, andrelationships with themedical profession and lay public between 1866 and 1893I examine theextensive discussions among professional British homoeopaths regarding medical theoryand practice, and heir relationship with other medical practitioners and the publicas representedn homoeopathic journalspublications and archival sources during the time periodd This study challenges four prevailing notions in the historiography of heterodox medicine: the use of dichotomous frameworks to analyse acon~icting relationship between heterodox and orthodox medicines, the negligence of the deasof science in heterodox medicine, the notion of the ~decline~ of heterodox medicine during the second half of the nineteenth centuryand a grand narrativeof Angloo-axon homoeopathy. I conclude that professional homoeopathydid not decline' or become 'static' during the second half of the nineteenthcenturyn BritainnProfessional homoeopaths identified themselves first as scientific and professionalpractitioners rather than homoeopathic physicians. Homoeopathy' did not establishtself as an independent identity and its practitioners gradually merged withorthodoxynhe name of scientific medicine.

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Joyner, Katherine. "Beyond medicine is ASEAN advancing social, economic, and political justice through HIV/AIDS prevention? /." Connect to Electronic Thesis (CONTENTdm), 2009. http://worldcat.org/oclc/456291051/viewonline.

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42

Melrose, Karen L. "Social comparison and health-related judgement and decision making." Thesis, University of Warwick, 2016. http://wrap.warwick.ac.uk/80144/.

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The six studies presented in this thesis investigated the extent to which people compare to others when making a range of health-related judgements and decisions and aimed to identify the cognitive mechanisms used in this comparison process. A key question was whether biases found in specific judgements and decisions, such as deciding to seek help when it is not needed or not seeking help when it is needed, could be explained by social comparison effects. It was found that participants compared to others using rank-based strategies when making judgements and decisions about mental and physical health symptoms and when judging their health in general (Study 1, 2 and 4). Social comparison effects were generally small to medium in size (average Cohen's f2 = 0.09, range = 0.01-0.39). Health-related help-seeking accuracy was associated with how participants believed their experience of symptoms compared to that of others. Participants were four times more likely to seek help when it was not needed if they believed that they experienced symptoms more frequently than others, and two to three times more likely not to seek help when it was needed if they believed that they experienced symptoms less frequently than others (Study 1). However, participants' beliefs about how their sleep compared to that of others had little influence on their sleep-related judgement and decision-making (Study 3). There was no evidence that participants' beliefs about how much support they received relative to others was associated with perceptions of this support (Study 5 and 6). The findings have implications for the development of both interventions that may improve accuracy in health help-seeking decisions and social norms-based interventions, the measurement of comparison effects, self-rated health and social support, social comparison theory, and models of symptom appraisal and health-related help-seeking.

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LaDuke, Sheri L., Stacey Williams, and Jodi Polaha. "Merging Social and Clinical Concepts: Self-Compassion and Acceptance and Action." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6584.

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Paulus, Trena. "What Words Can Do: Social Media Research." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/7858.

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MacDonald, Malcolm. "The social construction of medical discourse." Thesis, University of Warwick, 1994. http://wrap.warwick.ac.uk/3980/.

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The social construction of the discourse of medical institutions is analysed, drawing on both speech act and structural theories. Discourse is defined as a symbol system which has an ideological effect. This effect is linked to the maintenance of the interests of hegemonic social groups. Michel Foucault's archaeological method accords primacy to the relations which exist between institutional and social processes in the formation of discursive relations. Foucault's genealogical method also describes how the identity of the modern subject is constituted within the power nexus of coercive institutions. Medical discourse is paradigmatic of Basil Bernstein's model of pedagogic discourse. Pedagogic discourse is constructed according to the intrinsic grammar of the pedagogic device. This comprises distributive, recontextualizing and evaluative rules. These operate in three institutional contexts: the field of production, the field of reproduction and the recontextualizing field. M. A. K. Halliday's systemic linguistics defines three metafunctions of the text which operate in relation to its context of situation: the textual, ideational, and interpersonal. The textual characteristics of three principal modalities, or genres, of medical text are described in relation to their institutional contexts: the medical research report within the field of production, the medical interview within the field of reproduction and the medical textbook within the recontextualizing field. As a medical text shifts from the field of production to the recontextualizing field, certain transformations take place in the ideational options of tense, transitivity and process and the interpersonal options of modality. These syntactic transformations, organized by codes of the pedagogic device, symbolically authorize the recontextualized medical text.

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Roza, Monica Maria Raphael da. "A linha do lado de fora: um ensaio atual sobre a noção de saúde da anatomopolítica à biopolítica." reponame:Repositório Institucional da FIOCRUZ, 2006. https://www.arca.fiocruz.br/handle/icict/6156.

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Made available in DSpace on 2013-01-07T15:59:32Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 5.pdf: 811496 bytes, checksum: 87653e3822a9e5f5013a9dbf16475c8f (MD5) Previous issue date: 2006
Este trabalho tem como objetivo investigar o conceito de saúde assumindo sua estreita relação com o domínio político. Nesse sentido este ensaio pretende extrair da história, através da análise genealógica, os processos de produção desse conceito, fazendo emergir o jogo de forças que está presente na articulação do mesmo com as práticas em saúde, em especial com o domínio da saúde mental. Com a investigação da dimensão política da clínica e da saúde pretendemos lançar as bases a partir das quais o conceito de saúde possa sofrer uma mudança significativa de valor, escapando dos focos de normalização e biopoder e aliando-se com os processos de produção de si e do mundo. Com a biopolítica o tema da vida se coloca no centro da incidência do exercício do poder ao mesmo tempo em que comparece como foco de resistência desse mesmo poder. Tal é o paradoxo que a vida enfrenta nas sociedades de controle. Através das noções de atualidade, normatividade e autonomia surgem formas de resistência ao biopoder. Se o biopoder toma a vida como objeto de seu exercício, é necessário empreender uma clínica e uma prática de saúde na forma de uma biopolítica. Essa resistência se faz a partir de práticas de si que apostam na capacidade de autonomia e normatividade da vida, isto é, na construção de uma atitude ética. O si que vai ser criado não está no ponto inicial da criação, mas é efeito de uma conduta que parte da experiência de sua vacuidade. É a experiência que possibilita a abertura para essa dimensão da atualidade, abertura que nos lança a um lado de fora: a linha do lado de fora. A estratégia revalorização da vida na busca de uma experiência de saúde coincide com a clínica e com o ato de produção de um desvio. A clínica da reforma psiquiátrica em sua inseparabilidade da política é tomada aqui como exemplo. A clínica e a saúde são forçadas sempre a ocupar o lugar dessa atualidade, espaço marcado pela instabilidade que faz com que elas, sob pena de tornarem-se normalizadora e normalizada, se localizem em um espaço a ser construído. A saúde por sua vez ocupa sempre esse lado de fora. A intervenção clínica se dá assim em um tempo que é extemporâneo. Para que ela se estabeleça, então, deve haver um compromisso de questionamento de nossos especialismos e de nossas imagens identitárias. Na articulação da saúde com a história e desse modo da clínica com a história, é necessário que a dimensão política das práticas de saúde e da própria clínica esteja incluída.

47

Watts, Sione. "The influence of congruent beliefs and perceived social support in a pain management programme." Thesis, University of Surrey, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309256.

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McPeake, Joanne. "The health and social consequences of alcohol related admission to critical care." Thesis, University of Glasgow, 2015. http://theses.gla.ac.uk/6967/.

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Abstract:

Introduction: Alcohol related admissions to critical care are increasing. However, there is uncertainty about the impact of excessive alcohol use on the intensive care stay and recovery from critical illness. Aim: The aim of this study was to understand the impact of alcohol use disorders on the critically ill patient's journey. Settings & participants: The setting for this study was a 20 bed mixed ICU, in a large teaching hospital in Scotland. On admission patients were allocated to one of three alcohol groups: low risk; harmful/hazardous or alcohol dependency. Methods: This was a mixed methods study. An 18 month prospective observational cohort study was undertaken. In addition, 21 in depth, semi structured interviews were undertaken with patients with and without alcohol use disorders, three to seven months after discharge from critical care. Results: 580 ICU patients were screened for the presence of alcohol use disorders during the study period. 34.4% of patients were admitted with a background of alcohol misuse. ICU stay was significantly different between the three study groups, with those in the alcohol dependency group having a longer stay (p=0.01). After adjustment for all lifestyle factors which were significantly different between the groups, alcohol dependence was associated with more than a twofold increased odds of ICU mortality (OR 2.28; 95% CI 1.2-4.69, p=0.01). Four themes which impacted on recovery from ICU were identified in this patient group: psychological resilience; impact and support for activities of daily living; social support and cohesion; and the impact of alcohol use disorders on recovery. Conclusions: Alcohol related admissions account for a significant proportion of admissions to critical care and alcohol dependency is independently associated with ICU outcome. A more targeted rehabilitation pathway for all patients leaving critical care, with specific emphasis on alcohol misuse if appropriate, needs to be generated.

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Friedli, Karin. "Counselling patients with emotional problems in general practice : effects on psychological, social and economic outcomes." Thesis, University College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.265774.

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O'Neill, Monica Rose. "Social class influences on adolescent dietary behaviours and lifestyle patterns : The Young Hearts 2000 Project." Thesis, University of Ulster, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272052.

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Dissertations / Theses on the topic 'Social medicine'

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