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Perinatal death, collective action and legislation against obstetric violence in Argentina. 阿根廷的围产期死亡、集体行动和反对产科暴力的立法。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-28 DOI: 10.1080/07481187.2024.2433108
Gabriela Irrazábal, Ana Lucía Olmos Álvarez, Bárbara Martínez

This article explores the interconnections between perinatal death, collective action, and legislation against obstetric violence in Argentina. It employs a comprehensive methodological approach, including in-depth interviews, document reviews, a survey, and intensive ethnographic fieldwork to provide a multidimensional understanding of how collective actions influence legislative outcomes. Johanna Piferrer's case, a poignant example detailed in this study, illustrates how personal tragedy catalyzed public and legislative acknowledgement of obstetric violence. This article argues that her advocacy, coupled with the broader feminist movement's support, was crucial in transforming personal grief into a public issue that led to significant legislative changes. These changes include the creation of "Johanna's Law," which mandates improved hospital protocols and health professional training to handle perinatal deaths more sensitively and effectively. The study concludes that collective action is a powerful catalyst for creating transformative legislation that addresses the systemic issues of obstetric violence in Argentina.

本文探讨了阿根廷围产期死亡、集体行动和反产科暴力立法之间的相互联系。文章采用了全面的方法论,包括深入访谈、文件审查、调查和深入的人种学实地调查,从多维度了解集体行动如何影响立法结果。约翰娜-皮费雷尔(Johanna Piferrer)的案例是本研究中详述的一个凄惨例子,它说明了个人悲剧是如何促使公众和立法机构承认产科暴力的。本文认为,她的倡导加上更广泛的女权运动的支持,是将个人悲痛转化为公共问题的关键,从而导致了重大的立法变革。这些变化包括制定了 "约翰娜法",该法要求改进医院规程和卫生专业人员培训,以便更敏感、更有效地处理围产期死亡事件。这项研究的结论是,集体行动是一种强大的催化剂,可促进制定变革性立法,解决阿根廷产科暴力的系统性问题。
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引用次数: 0
Barriers and solutions to equitable funeral care in the U.S. for the LGBTQIA+ community. 美国为 LGBTQIA+ 群体提供公平殡葬护理的障碍和解决方案。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-27 DOI: 10.1080/07481187.2024.2433100
Jennifer Wright-Berryman, Kenzie Huber

Research on the funeral industry in the United States is limited by privatization and the dearth of publicly available data, making assessment of equitable services a challenge. The goal of this study was to explore the experiences of LGBTQIA+ deathcare providers and consumers to understand barriers to equitable services. We interviewed 23 funeral providers (N = 17) and consumers (N = 6) using a phenomenological approach and employed grounded theory to develop a deeper understanding from different perspectives that could inform more equitable practices. Results suggested that fear of religious rejection, LGBTQIA+ consumer preferences, and traditional funeral practice should be evaluated and addressed. Potential solutions may be explicit marketing and safety signaling, deathcare provider involvement in LGBTQIA+ communities, and sweeping equality legislation.

由于私有化和公开数据的缺乏,对美国殡葬业的研究受到限制,因此评估公平服务是一项挑战。本研究旨在探讨 LGBTQIA+ 死亡护理提供者和消费者的经历,以了解公平服务的障碍。我们采用现象学方法采访了 23 位殡葬服务提供者(17 人)和消费者(6 人),并运用基础理论从不同角度加深了解,为更公平的实践提供依据。结果表明,应评估并解决对宗教排斥的恐惧、LGBTQIA+ 消费者的偏好以及传统葬礼做法等问题。潜在的解决方案可能是明确的营销和安全信号、死亡护理提供商参与 LGBTQIA+ 社区以及全面的平等立法。
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引用次数: 0
Correction. 更正。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-27 DOI: 10.1080/07481187.2024.2435144
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引用次数: 0
Experiences of maternal-fetal medicine specialists conducting feticide. 母胎医学专家实施堕胎手术的经验。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-26 DOI: 10.1080/07481187.2024.2433104
Ronit D Leichtentritt, Michal Bertele

This study is a qualitative analysis of 14 interviews with specialists in maternal-fetal medicine in Israel who implement feticide by injection at a late stage of pregnancy. The goal of this study was to reach an interpretive understanding of the physicians' experience. The study focuses on five major themes: (1) involvement in the decision-making process; (2) emotional control and medical expertise; (3) perception of feticide as dirty work; (4) strategies to minimize the procedure's inherent difficulty; and (5) the social and medical context of silence and silencing. The revealed themes capture the timeline of the procedure and address the individual, dyadic, and medical and social contexts in which feticide is carried out - all of which construct the physician's experience. The concept of moral uncertainty is useful in conceptualizing the physicians' experience, allowing researcher to draw policy and practical implications.

本研究对以色列母胎医学专家的 14 次访谈进行了定性分析,这些专家在妊娠晚期实施注射堕胎。本研究的目的是对医生的经验进行解释性理解。研究集中于五大主题:(1) 参与决策过程;(2) 情绪控制和医学专业知识;(3) 将堕胎视为脏活累活;(4) 尽量降低手术固有难度的策略;(5) 沉默和缄默的社会和医学背景。所揭示的主题捕捉到了手术的时间轴,并涉及到了实施堕胎手术的个人、双亲、医疗和社会背景--所有这些都构建了医生的经验。道德不确定性的概念有助于将医生的经历概念化,使研究人员能够得出政策和实际影响。
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引用次数: 0
Network analysis of prolonged grief disorder and anxiety symptoms among bereaved Chinese parents who lost their only child. 对失去独生子女的中国父母的长期悲伤障碍和焦虑症状进行网络分析。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-26 DOI: 10.1080/07481187.2024.2432301
Jiexi Xiong, Zhihan Chen, Hongfei Ma, Ruiyao Ma, Tianhui Xu, Bo Zhou, Yang Wang

Parents who have lost their only child and cannot or do not wish to adopt or have another child are labeled Shidu parents. Network analysis is used to examine symptom-level interactions in mental disorders. This study aimed to investigate the comorbidity network structure of prolonged grief disorder (PGD) and anxiety symptoms among Shidu parents and compare network differences between child loss from natural and unnatural causes. Key findings revealed that faintness, feeling afraid, panic, and meaninglessness are central symptoms, while meaninglessness, inability to trust others, and nightmares are bridge symptoms. The strongest connection in the PGD-anxiety network is between avoidance and shock, and the edge between meaninglessness and weakness strongly links the two communities. Shidu parents who experience unnatural loss have a stronger edge between inability to trust others and bitterness/anger. Highlighting these symptoms may help interventions address the comorbidities associated with PGD and anxiety among Shidu parents.

失去独生子女、不能或不愿收养或再生孩子的父母被称为 "师徒父母"。网络分析用于研究精神障碍症状层面的相互作用。本研究旨在调查师徒父母中长期悲伤障碍(PGD)和焦虑症状的共病网络结构,并比较自然和非自然原因造成的丧子之间的网络差异。主要研究结果显示,昏厥、恐惧、恐慌和无意义感是中心症状,而无意义感、无法信任他人和噩梦则是桥接症状。在 PGD-焦虑网络中,回避和惊吓之间的联系最为紧密,而无意义感和虚弱之间的边缘则将两个群体紧密联系在一起。经历过非正常损失的师徒家长在无法信任他人和痛苦/愤怒之间有更强的边缘。强调这些症状可能有助于干预措施解决与 PGD 和师徒家长焦虑相关的合并症。
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引用次数: 0
Altruistic kidney donation following the death of a loved one-a coincidence or a post-traumatic growth? 亲人去世后的利他捐肾--巧合还是创伤后的成长?
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-23 DOI: 10.1080/07481187.2024.2432283
Rivi Frei-Landau, Jonathan Guez, Lifshitz Etty

The aim of this study was to examine the case of altruistic kidney donation (AKD) following loss, in light of PTG theory. Loss may facilitate trauma alongside post-traumatic growth (PTG). Although much is known about the motivation for AKD in general, less is known about the motives of bereaved individuals who chose to altruistically donate their kidney post-loss. Employing a narrative approach, 10 bereaved individuals who altruistically donated a kidney were interviewed about their perceptions of the connection between the loss and their decision to donate a kidney post-loss. Content analysis revealed three types of bereaved AKD's perceived connection between the loss and the donation: explicitly direct, indirect, and implicit. Donation post-loss was characterized by aspects of PTG in three domains: self, other and worldviews. The findings are discussed in light of PTG theory and highlight the possible role of AKD in processes of coping and growth following grief.

本研究的目的是根据创伤后成长(PTG)理论,研究失去亲人后的利他主义肾脏捐赠(AKD)案例。在创伤后成长(PTG)的同时,失去可能会促进创伤。尽管人们对捐肾的一般动机有很多了解,但对失去亲人后选择利他捐肾的人的动机却知之甚少。我们采用叙事方法,采访了 10 名利他捐肾的丧亲者,了解他们对丧亲与丧亲后捐肾决定之间关系的看法。内容分析表明,失去亲人的 AKD 认为失去亲人与捐肾之间存在三种类型的联系:明确的直接联系、间接联系和隐含联系。丧亲后捐肾的特点表现在三个方面:自我、他人和世界观。研究结果根据PTG理论进行了讨论,并强调了AKD在悲伤后的应对和成长过程中可能扮演的角色。
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引用次数: 0
In the wake of a boat: The politics of mourning the 18th of April 2015 shipwreck. 在一艘船之后:悼念 2015 年 4 月 18 日沉船事故的政治。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-12 DOI: 10.1080/07481187.2024.2424027
Giorgia Mirto

On April 18, 2015, a fishing vessel was shipwrecked between Libya and Italy. The tragedy was the result of Italian and European border policies. More than 1,100 people (from across Africa and the Indian subcontinent) lost their lives in the vessel, making it the largest recorded civilian massacre to have occurred in the Mediterranean Sea. Beyond the huge number of dead, what distinguishes the shipwreck are the processes of the "translation" of its human and material remains, involving their displacement, material transformation and re-signification. In this paper, I summarize these processes in four stages, intertwining the vessel and the bodies of those who died inside it: their exhumation, naming, wake (whether artistic or forensic) and, finally, burial. By analyzing the work of translating the boat and bodies, and exploring what can be expressed through their different materialities, I show their intense social and political life, which led various actors involved to claim ownership over mourning. By delineating the mirrored relationship between the bodies and the boat, this article demonstrates the contribution death studies can make to the analysis of migration debris on the one hand, and, on the other, how tracing the social life of boats in the aftermath of migrant shipwrecks can enrich an analysis of the political life of border deaths.

2015 年 4 月 18 日,一艘渔船在利比亚和意大利之间遇难。这场悲剧是意大利和欧洲边境政策造成的。船上有 1100 多人(来自非洲和印度次大陆)丧生,成为地中海有记录以来最大的平民屠杀事件。除了巨大的死亡人数,沉船的与众不同之处还在于其人类和物质遗骸的 "翻译 "过程,包括遗骸的迁移、物质转化和重新标识。在本文中,我将这些过程概括为四个阶段,将沉船和船中死者的遗体交织在一起:挖掘、命名、守灵(无论是艺术守灵还是法医守灵)以及最后的埋葬。通过分析翻译船只和尸体的工作,以及探索通过其不同的物质性所能表达的内容,我展示了其紧张的社会和政治生活,这导致参与其中的不同参与者要求对哀悼的所有权。通过描绘尸体与船只之间的镜像关系,本文一方面展示了死亡研究对移民残骸分析的贡献,另一方面也展示了在移民沉船事故后追踪船只的社会生活如何丰富对边境死亡政治生活的分析。
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引用次数: 0
Boxing up death: The use of symbolic-material devices to address gestational and perinatal mourning in hospitals and families in Catalonia (Spain). 将死亡装箱:在加泰罗尼亚(西班牙)的医院和家庭中使用象征性物质装置来解决妊娠和围产期哀悼问题。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1080/07481187.2024.2423732
María Esther Fernández-Mostaza, Wilson Muñoz-Henríquez

One of the strategies used by Spanish hospitals to address gestational and perinatal mourning is the "memory box." This box contains various elements that refer to the child who has died and seeks to help parents to move through the mourning process. This secular strategy has its historical roots in a popular ritual practice that has fallen into disuse called the "velorio del angelito" (the angel's wake). The purpose of this article is to analyze the role that the memory box plays in addressing mourning associated with perinatal or gestational death for affected families, highlighting how it aligns with and represents a departure from the angel's wake. Using a qualitative methodology that includes the analysis of hospital protocols-guidelines, interviews with key informants and a literature review, the authors demonstrate the similarities and differences that each one of these practices configures at the symbolic, material and social levels.

西班牙医院在处理妊娠和围产期哀悼问题时使用的策略之一是 "记忆盒"。记忆盒内装有与逝去孩子有关的各种元素,旨在帮助父母度过哀悼过程。这种世俗策略的历史渊源来自于一种已被废弃的流行仪式--"velorio del angelito"(天使守灵)。本文旨在分析记忆盒在解决受影响家庭与围产期或妊娠期死亡相关的哀悼问题方面所起的作用,强调记忆盒如何与天使守灵相一致,又如何与天使守灵相区别。作者采用定性方法,包括分析医院规程指南、采访主要信息提供者和文献综述,展示了这些做法在象征、物质和社会层面的异同。
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引用次数: 0
The evidentiary potential of art after genocide. 种族灭绝后艺术的证据潜力。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1080/07481187.2024.2424029
Caroline Bennett

Documentary archives, human remains, and witness testimony are often critical to transitional justice court proceedings and peace-building projects after mass violence. But what happens when those forms of evidence are missing? Can art stand in for the dead? Considering the use of art in Vann Nath's testimony in the trial of Kaing Guek Eav (Duch) in the Extraordinary Chambers in the Courts of Cambodia, in this paper, I argue that in the first case for the ECCC, Vann Nath's art performed a similar role to that of human remains in other trials, providing evidence and proof of human rights violations including torture, cruel and inhuman treatment, arbitrary detention, and mass killing, while also activating affect (drawing on Hughes). As such, it provided a form of social proof, in a way similar to the human remains retained from the genocide and displayed across Cambodia. Both human remains and art draw on materiality and emotion as a means of proving violence. Positioning it as such prompts a reconsideration of the role of art in transitional justice: as well as being needed in cases where other visual evidence does not exist, art, with its ability to mobilize and communicate linguistically incommunicable affect, can be part of the evidentiary infrastructure in and of itself. Considering the place of art in trials after mass violence makes us rethink what evidence is and does. Ultimately, my argument is that to those who survive genocide or other mass violence social proof of atrocities, as provided by art, is as important as evidence deemed legally admissible to court.

文件档案、遗骸和证人证词往往是大规模暴力事件后过渡时期司法法庭诉讼和和平建设项目的关键。但是,当这些证据缺失时会发生什么?艺术可以代替死者吗?考虑到在柬埔寨法院特别法庭审判Kaing Guek Eav (Duch)一案中,Vann Nath的证词中使用了艺术,在本文中,我认为在柬埔寨法院特别法庭的第一个案件中,Vann Nath的艺术发挥了与其他审判中遗骸类似的作用,提供了侵犯人权行为的证据和证明,包括酷刑、残忍和不人道的待遇、任意拘留和大规模屠杀,同时也激活了情感(借鉴休斯的观点)。因此,它提供了一种社会证明,其方式与保留下来并在柬埔寨各地展示的种族灭绝遗骸类似。遗骸和艺术都利用物质和情感作为证明暴力的手段。这样的定位促使我们重新考虑艺术在过渡时期司法中的作用:在没有其他视觉证据的情况下,艺术不仅是必要的,而且由于其能够调动和传达语言上无法沟通的情感,其本身就可以成为证据基础设施的一部分。考虑到艺术在大规模暴力事件后的审判中的地位,我们需要重新思考证据的含义和作用。归根结底,我的论点是,对于那些在种族灭绝或其他大规模暴力事件中幸存下来的人来说,艺术所提供的暴行的社会证明,与法庭依法采信的证据同样重要。
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引用次数: 0
Proof of life: Human remains and memory in the Philippine Drug War. 生命的证明:菲律宾毒品战争中的遗骸与记忆。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1080/07481187.2024.2424026
Kar-Yen Leong

This paper examines the aftermath of the Philippine government's anti-drug campaign under President Rodrigo Duterte, focusing on the impact on families of victims of extrajudicial killings (EJKs). Drawing on fieldwork conducted in Manila, the research explores how these families navigate loss and attempt to reclaim dignity and humanity for their loved ones. The study reveals the formation of a community of "necro-activists" comprising journalists, religious figures, and medical professionals who support victims' families in seeking justice and remembrance. Through interviews with photojournalists and victims' families. This paper highlights the transformative role of human remains in asserting the victims' agency beyond death. The research shows how forensic processes and religious rituals contribute to the reclamation of individual identities and challenge the state's dehumanizing narratives. By examining the evolving meanings of EJK victims' remains, this study sheds light on the broader socio-political implications of state violence and memory-making in the Philippines. The analysis situates this research within a global context of human rights and memory studies, drawing parallels with other regions affected by state-sponsored violence. Ultimately, this paper argues that the remains of EJK victims serve as powerful symbols that challenge state impunity and embody the resilience of communities seeking accountability and dignity amid pervasive violence.

本文探讨了菲律宾政府在罗德里戈-杜特尔特总统领导下开展的反毒品运动的后果,重点关注法外处决(EJKs)受害者家属受到的影响。本研究利用在马尼拉进行的实地调查,探讨了这些家庭如何应对失去亲人的痛苦,并试图为亲人找回尊严和人性。研究揭示了一个由记者、宗教人士和医疗专业人士组成的 "亡灵活动家 "社区的形成,他们支持受害者家属寻求正义和纪念。通过对摄影记者和受害者家属的采访。本文强调了遗骸在维护受害者超越死亡的能动性方面的变革作用。研究表明,法医鉴定过程和宗教仪式如何有助于恢复个人身份,并挑战国家的非人化叙事。通过研究东瀛受害者遗骸不断演变的意义,本研究揭示了菲律宾国家暴力和记忆制造的广泛社会政治影响。分析将本研究置于人权和记忆研究的全球背景下,与其他受国家暴力影响的地区进行比较。最后,本文认为,菲律宾东正教受害者的遗骸是一种强有力的象征,它挑战了国家的有罪不罚现象,体现了在普遍暴力中寻求问责和尊严的社区的韧性。
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引用次数: 0
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