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Pesquisa : F04.096.879.201.500 [Categoria DeCS]
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  1 / 612 MEDLINE  
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[PMID]:29357855
[Au] Autor:Zörgo S; Purebl G; Zana Á
[Ad] Endereço:Semmelweis University, Institute of Behavioural Sciences, 4 Nagyvárad tér, Budapest, 1089, Hungary. zorgoszilvia@gmail.com.
[Ti] Título:A qualitative study of culturally embedded factors in complementary and alternative medicine use.
[So] Source:BMC Complement Altern Med;18(1):25, 2018 Jan 22.
[Is] ISSN:1472-6882
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Within the intercultural milieu of medical pluralism, a nexus of worldviews espousing distinct explanatory models of illness, our research aims at exploring factors leading to complementary and alternative medicine (CAM) use with special attention to their cultural context. METHODS: The results are based on medical anthropological fieldwork (participant observation and in-depth interviews) spanning a period from January 2015 to May 2017 at four clinics of Traditional Chinese Medicine in Budapest, Hungary. Participant observation involved 105 patients (males N = 42); in-depth interviews were conducted with patients (N = 9) and practitioners (N = 9). The interviews were coded with Interpretative Phenomenological Analysis; all information was aggregated employing Atlas.ti software. RESULTS: In order to avoid the dichotomization of "push and pull factors," results obtained from the fieldwork and interviews were structured along milestones of the patient journey. These points of reference include orientation among sources of information, biomedical diagnosis, patient expectations and the physician-patient relationship, the biomedical treatment trajectory and reasons for non-adherence, philosophical congruence, and alternate routes of entry into the world of CAM. All discussed points which are a departure from the strictly western therapy, entail an underlying socio-cultural disposition and must be scrutinized in this context. CONCLUSIONS: The influence of one's culturally determined explanatory model is ubiquitous from the onset of the patient journey and exhibits a reciprocal relationship with subjective experience. Firsthand experience (or that of the Other) signifies the most reliable source of information in matters of illness and choice of therapy. Furthermore, the theme of (building and losing) trust is present throughout the patient journey, a determining factor in patient decision-making and dispositions toward both CAM and biomedicine.
[Mh] Termos MeSH primário: Antropologia Médica
Terapias Complementares
Comportamentos Relacionados com a Saúde/etnologia
Medicina Tradicional Chinesa
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE
[do] DOI:10.1186/s12906-018-2093-0


  2 / 612 MEDLINE  
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[PMID]:29283037
[Au] Autor:Ryang S
[Ad] Endereço:a Chao Center for Asian Studies , Rice University , Houston , TX , USA.
[Ti] Título:A critique of medicalisation: three instances.
[So] Source:Anthropol Med;24(3):248-260, 2017 Dec.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:By briefly exploring three different examples where the existence of mental illness and developmental delay has been presumed, this paper sheds light on the way what Foucault calls the emergence of a regime of truth, i.e. where something that does not exist is made to exist through the construction of a system of truth around it. The first example concerns the direct marketing of pharmaceutical products to consumers in the US, the second the use of psychology in semi-post-Cold War Korea, and the third the persisting authority of psychology in the treatment of the developmentally delayed. While these instances are not innately connected, looking at these as part of the process by which the authoritative knowledge is established will help us understand, albeit partially, the mechanism by which mental illness penetrates our lives as truth, and how this regime of truth is supported by the authority of psychology, psychiatry and psychoanalysis, what Foucault calls the 'psy-function,' reinforcing the medicalisation of our lives.
[Mh] Termos MeSH primário: Medicalização
Transtornos Mentais
Psiquiatria
Psicometria
Psicotrópicos
[Mh] Termos MeSH secundário: Antropologia Médica
Publicidade Direta ao Consumidor
Seres Humanos
Transtornos Mentais/classificação
Transtornos Mentais/diagnóstico
Transtornos Mentais/tratamento farmacológico
Psicotrópicos/economia
Psicotrópicos/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Psychotropic Drugs)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171229
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1389169


  3 / 612 MEDLINE  
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[PMID]:29283036
[Au] Autor:Padmanabhan D
[Ad] Endereço:a School of Social Sciences, Jawaharlal Nehru University , New Delhi , India.
[Ti] Título:From distress to disease: a critique of the medicalisation of possession in DSM-5.
[So] Source:Anthropol Med;24(3):261-275, 2017 Dec.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper critiques the category of possession-form dissociative identity disorder as defined in the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5) published in 2013 by the American Psychiatric Association (APA). The DSM as an index of psychiatry pathologises possession by categorising it as a form of dissociative identity disorder. Drawing upon ethnographic fieldwork, this paper argues that such a pathologisation medicalises possession, which is understood as a non-pathological condition in other contexts such as by those individuals who manifest possession at a temple in Kerala, South India. Through medicalising and further by creating distinctions between acceptable and pathological possession, the DSM converts a form of distress into a disease. This has both conceptual and pragmatic implications. The temple therefore becomes reduced to a culturally acceptable site for the manifestation of a mental illness in a form that is culturally available and possession is explained solely through a biomedical framework, denying alternative conceptualisations and theories which inform possession. By focussing on the DSM-5 classification of possession and the limitations of such a classification, this paper seeks to posit an alternative conceptualisation of possession by engaging with three primary areas which are significant in the DSM categorisation of possession: the DSM's conceptualisation of self in the singular, the distinction between pathological and non-pathological forms of possession, and the limitations of the DSM's equation of the condition of possession with the manifestation of possession. Finally, the paper briefly highlights alternative conceptualisations of possession, which emerged from the perspective of those seeking to heal possession at the Chottanikkara temple.
[Mh] Termos MeSH primário: Manual Diagnóstico e Estatístico de Transtornos Mentais
Medicalização
Transtornos Mentais/diagnóstico
Possessão Espiritual
[Mh] Termos MeSH secundário: Antropologia Médica
Seres Humanos
Índia
Transtornos Mentais/classificação
Transtornos Mentais/economia
Religião
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171229
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1389168


  4 / 612 MEDLINE  
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[PMID]:29283033
[Au] Autor:Hodges S
[Ad] Endereço:a History Department , University of Warwick , Coventry , UK.
[Ti] Título:Hospitals as factories of medical garbage.
[So] Source:Anthropol Med;24(3):319-333, 2017 Dec.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Over the course of the twentieth century, as hospitals cleaned up, they came to produce more and more rubbish. Beginning in the 1970s and gaining pace in the 1980s and 1990s, single-use plastic items (syringes, blood bags, tubing) saturated everyday medical practice across the globe. This essay brings the question of plastic to bear upon the longer history of twentieth century sanitary science. The widespread adoption of single-use disposable medical plastics consolidated a century's worth of changes in medical hygiene. As strange as it may seem today, the initial uptake of medical plastics was not driven primarily by concerns about hygiene. Plastic began as a mid-century technology of convenience and durability. It was not until the end of the twentieth century that it morphed into a powerful symbol and instrument of medical hygiene. Today, both patients and practitioners have embraced plastic as an indispensable technology of clean medicine. The procession of single-use medical plastics through everyday medicine now comprises a constant, if disposable, infrastructure of medical hygiene. This new processional infrastructure of disposable hygiene has produced another, albeit unintended, consequence. This new regime has exponentially increased hospitals' material outputs. In so doing, plastic has refigured the ecologies of everyday medicine. Plastic hygiene has rendered hospitals factories of medical garbage.
[Mh] Termos MeSH primário: Hospitais
Resíduos de Serviços de Saúde
Plásticos
[Mh] Termos MeSH secundário: Antropologia Médica
Feminino
Seres Humanos
Índia
Masculino
Eliminação de Resíduos de Serviços de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Medical Waste); 0 (Medical Waste Disposal); 0 (Plastics)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171229
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1389165


  5 / 612 MEDLINE  
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[PMID]:29283035
[Au] Autor:Naraindas H
[Ad] Endereço:a CSSS, School of Social Sciences, Jawaharlal Nehru University , New Delhi , India.
[Ti] Título:Of sacraments, sacramentals and anthropology: is anthropological explanation sacramental?
[So] Source:Anthropol Med;24(3):276-300, 2017 Dec.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper suggests that what is usually called a cultural misunderstanding of biomedical disease categories may be construed as a biomedical and anthropological misunderstanding of cultural categories. This is premised on the fact that anthropology often functions as an intimate double and handmaiden of biomedicine, in so far as it refuses to countenance the possibility of theurgic aetiologies in the realm of what is called 'mental illness'. Such a refusal displaces native explanations of divine or demonic agency to human agency. This is best elucidated by examining the unexamined religious beliefs of Anglo-European anthropology, which appears to be the terra firma of its emic explanatory categories. The paper attempts to demonstrate this by proposing that while native explanations are akin to the sacraments, anthropological explanations are akin to sacramentals (holy water, the cross, the scapular, verbal blessings). While the sacraments, like divine agency, operate ex opere operato, the sacramentals are dependent on the disposition of the recipient and on the good offices of the church, as they operate ex opere operantis ecclesiae (from the work of the working church), as well as ex opere operantis (from the work of the working one). If the sacraments are efficacious as it is work done by Christ alone, and akin to work done by the possessing agent, sacramentals are efficacious as they are also dependent on human agency. In other words, anthropological explanations are, at best, 'sacramental' as they replace emic theurgic explanations by etic ones, where human agency in the form of the priest, the institution of the church, and the lay person who is the recipient of divine dispensation, also have a role to play; or, as is often the case, the only role to play.
[Mh] Termos MeSH primário: Antropologia Médica
Comportamento Ritualístico
Religião e Psicologia
Religião
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Índia
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171229
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1389167


  6 / 612 MEDLINE  
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[PMID]:28766953
[Au] Autor:Christensen BJ; Hillersdal L; Holm L
[Ad] Endereço:a Faculty of Science , Institute of Food and Resource Economics, University of Copenhagen , Frederiksberg , Denmark.
[Ti] Título:Working with a fractional object: enactments of appetite in interdisciplinary work in anthropology and biomedicine.
[So] Source:Anthropol Med;24(2):221-235, 2017 Aug.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper explores the productive tensions occurring in an interdisciplinary research project on weight loss after obesity surgery. The study was a bio-medical/anthropological collaboration investigating to what extent eating patterns, the subjective experience of hunger and physiological mechanisms are involved in appetite regulation that might determine good or poor response to the surgery. Linking biomedical and anthropological categories and definitions of central concepts about the body turned out to be a major challenge in the collaborative analysis. Notably, the conception of what constitutes 'appetite' was a key concern, as each discipline has its particular definition and operationalization of the term. In response, a material-semiotic approach was chosen which allowed for a reconceptualization of appetite as a 'fractional object', engaged in multiple relations and enacted differently in each instance. This perspective produced creative contrasts and offered alternative explorations of both scientific knowledge production and anthropological practices. The paper thereby explores the interfaces between anthropology and medical science by attending to the challenges and opportunities that result from destabilising an assumed fixed and well-defined concept associated with the body.
[Mh] Termos MeSH primário: Apetite/etnologia
Pesquisa Biomédica
Obesidade
Perda de Peso/etnologia
[Mh] Termos MeSH secundário: Antropologia Médica
Alimentos
Seres Humanos
Fome/etnologia
Estudos Interdisciplinares
Obesidade/etnologia
Obesidade/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1322846


  7 / 612 MEDLINE  
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[PMID]:28721744
[Au] Autor:Gibbon S
[Ad] Endereço:a Department of Anthropology , University College London , London , United Kingdom.
[Ti] Título:Entangled local biologies: genetic risk, bodies and inequities in Brazilian cancer genetics.
[So] Source:Anthropol Med;24(2):174-188, 2017 Aug.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Engaging recent social science work examining the truth making claims of science and biomedicine, this paper explores how biology is being localised in Brazilian cancer genetics. It draws from ethnographic fieldwork in urban regions of southern Brazil working with and alongside patients, families and practitioners in cancer genetic clinics. It examines how different sorts of 'local biologies' are articulated in the context of research, clinical practice and among implicated patient communities and the way these can 'recursively' move across different spheres and scales of social action to extend and transform the meaning of the biological. It shows how the mattering of the biological in Brazilian cancer genetics is fundamentally informed by questions of inequity and care, even while multiple local biologies may obscure rather than reveal the biopolitics of cancer. In an era of epigenetics this raises new opportunities and challenges for anthropological analysis as intervention.
[Mh] Termos MeSH primário: Genômica
Neoplasias/etnologia
Neoplasias/genética
[Mh] Termos MeSH secundário: Adulto
Antropologia Médica
Brasil/etnologia
Feminino
Disparidades em Assistência à Saúde/etnologia
Seres Humanos
Meia-Idade
Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1326756


  8 / 612 MEDLINE  
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[PMID]:28721739
[Au] Autor:Kilshaw S
[Ad] Endereço:a Department of Anthropology , University College London (UCL) , London , United Kingdom.
[Ti] Título:Birds, meat, and babies: the multiple realities of fetuses in Qatar.
[So] Source:Anthropol Med;24(2):189-204, 2017 Aug.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper explores miscarriage in a variety of Qatari contexts to reveal the multiple realities of the unborn. During 18 months of ethnographic research, a range of settings in which fetuses emerged were explored. The unborn are represented and imagined differently, particularly in relation to the ways they are located, with multiple beings emerging according to the context and position of the stakeholder. This paper considers fetuses produced within these contexts and considers how they can be different beings simultaneously. The paper reveals how categories meant to define these beings are in flux and are constantly negotiated; it reflects moments of ambiguity. The paper serves as an illustration of the way in which value-afforded pregnancy materials affects the contexts in which they emerge; this then loops back as context dictates the significance of the material, hence multiple realities of these beings.
[Mh] Termos MeSH primário: Aborto Espontâneo/etnologia
Gravidez/etnologia
[Mh] Termos MeSH secundário: Adulto
Antropologia Médica
Feminino
Seres Humanos
Masculino
Catar/etnologia
Reprodução
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1324617


  9 / 612 MEDLINE  
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[PMID]:28721738
[Au] Autor:Yates-Doerr E
[Ad] Endereço:a University of Amsterdam , Anthropology , Amsterdam , The Netherlands.
[Ti] Título:Counting bodies? On future engagements with science studies in medical anthropology.
[So] Source:Anthropol Med;24(2):142-158, 2017 Aug.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Thirty years ago, Nancy Scheper-Hughes and Margaret Lock outlined a strategy for 'future work in medical anthropology' that focused on three bodies. Their article - a zeitgeist for the field - sought to intervene into the Cartesian dualisms characterizing ethnomedical anthropology at the time. Taking a descriptive and diagnostic approach, they defined 'the mindful body' as a domain of future anthropological inquiry and mapped three analytic concepts that could be used to study it: the individual/phenomenological body, the social body, and the body politic. Three decades later, this paper returns to the 'three bodies'. It analyses ethnographic fieldwork on chronic illness, using a rescriptive, practice-oriented approach to bodies developed by science studies scholars that was not part of the initial three bodies framework. It illustrates how embodiment was a technical achievement in some practices, while in others bodies did not figure as relevant. This leads to the suggestion that an anthropology of health need not be organized around numerable bodies. The paper concludes by suggesting that future work in medical anthropology might embrace translational competency, which does not have the goal of better definitions (better health, better bodies, etc.) but the goal of better engaging with exchanges between medical and non-medical practices. That health professionals are themselves moving away from bodies to embrace 'planetary health' makes a practice-focused orientation especially crucial for medical anthropology today.
[Mh] Termos MeSH primário: Pesquisa Biomédica
Medicina Tradicional
Obesidade/etnologia
[Mh] Termos MeSH secundário: Antropologia Médica
Feminino
Guatemala/etnologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1317194


  10 / 612 MEDLINE  
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[PMID]:28704073
[Au] Autor:Gulbas LE
[Ad] Endereço:a School of Social Work , The University of Texas , Austin , Texas , USA.
[Ti] Título:Transformative Possibilities: Politics and Cosmetic Surgery in the Bolivarian Revolution.
[So] Source:Med Anthropol;36(7):642-656, 2017 Oct.
[Is] ISSN:1545-5882
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:I examine the intersection of politics and aesthetics in a public hospital in Caracas, Venezuela in the first years of the twenty-first century. Given Venezuela's long-standing embrace of physical enhancement and the contradictions of the medical values of cosmetic surgery with those of Bolivarian socialism, the changing surgical practices at a well-established public site offer a significant case for considering how different actors negotiate the dialectics of care. In the face of increasing resource shortages, negotiations of aesthetic care contributed to tensions in the clinical encounter as patients creatively pushed Bolivarian policies to support their pursuits of aesthetic self-improvement.
[Mh] Termos MeSH primário: Estética
Política
Cirurgia Plástica
[Mh] Termos MeSH secundário: Antropologia Médica
Feminino
Seres Humanos
Masculino
Socialismo
Venezuela/etnologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170714
[St] Status:MEDLINE
[do] DOI:10.1080/01459740.2017.1353980



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