Pub Date : 2018-05-04DOI: 10.25071/2564-4033.40246
Elelwani L. Ramugondo, R. LePere, Warren Nebe
In order to disrupt dominant understandings of health and well-being, and to confront systemic injustices that result in ongoing health inequities, stigma must be addressed from both within and beyond the realm of medical diagnosis. The individualistic nature of diagnosis, that is characteristic of Western medical approaches, often perpetuates stigma. The role of diagnosis in biomedicine, as well as the historicity of professions and disciplines in Westernized health-care, intersect with different hierarchies of power, identities, and knowledges through mechanisms that operate across local and global contexts. This paper argues that a decolonial approach to health research, practice and education offers an important lens through which to critically analyse these intersections of power, identities, and knowledges. Such an approach can help disrupt dominant understandings of health and well-being. To advance the argument, examples of decolonial thinking approaches and pedagogical methods from South Africa are provided.
{"title":"Decolonizing Stigma and Diagnosis as Healing Work","authors":"Elelwani L. Ramugondo, R. LePere, Warren Nebe","doi":"10.25071/2564-4033.40246","DOIUrl":"https://doi.org/10.25071/2564-4033.40246","url":null,"abstract":"In order to disrupt dominant understandings of health and well-being, and to confront systemic injustices that result in ongoing health inequities, stigma must be addressed from both within and beyond the realm of medical diagnosis. The individualistic nature of diagnosis, that is characteristic of Western medical approaches, often perpetuates stigma. The role of diagnosis in biomedicine, as well as the historicity of professions and disciplines in Westernized health-care, intersect with different hierarchies of power, identities, and knowledges through mechanisms that operate across local and global contexts. This paper argues that a decolonial approach to health research, practice and education offers an important lens through which to critically analyse these intersections of power, identities, and knowledges. Such an approach can help disrupt dominant understandings of health and well-being. To advance the argument, examples of decolonial thinking approaches and pedagogical methods from South Africa are provided.","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132288577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-04DOI: 10.25071/2564-4033.40220
S. Lurie
{"title":"Brian King, States of Disease: Political Environments and Human Health (Oakland: University of California Press, 2017)","authors":"S. Lurie","doi":"10.25071/2564-4033.40220","DOIUrl":"https://doi.org/10.25071/2564-4033.40220","url":null,"abstract":"","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123361458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-11DOI: 10.25071/2564-4033.40199
S. S. Yañez
This paper aims to uncover the ways in which institutional regulations of maternal care services offered by the public health system in Argentina generate various forms of fragmentation and hierarchical organization that create barriers to access, continuity, and comprehensiveness of care. The conceptual and methodological tools of institutional ethnography are used as a guide for analysis of interviews with women and health agents from a province of the country’s Western region, as well as participant observation at regional hospitals and local health centers. The barriers identified and analyzed are related to regulations of time(s), space(s), and hierarchies among the health professions involved in service provision related to maternal health.Keywords: maternal health; institutional ethnography; institutional time; institutional space; hierarchies; pregnancy; Argentina; public healthcare
{"title":"Fragmentation and hierarchies in Argentina’s maternal health services as barriers to access, continuity and comprehensiveness of care","authors":"S. S. Yañez","doi":"10.25071/2564-4033.40199","DOIUrl":"https://doi.org/10.25071/2564-4033.40199","url":null,"abstract":"This paper aims to uncover the ways in which institutional regulations of maternal care services offered by the public health system in Argentina generate various forms of fragmentation and hierarchical organization that create barriers to access, continuity, and comprehensiveness of care. The conceptual and methodological tools of institutional ethnography are used as a guide for analysis of interviews with women and health agents from a province of the country’s Western region, as well as participant observation at regional hospitals and local health centers. The barriers identified and analyzed are related to regulations of time(s), space(s), and hierarchies among the health professions involved in service provision related to maternal health.Keywords: maternal health; institutional ethnography; institutional time; institutional space; hierarchies; pregnancy; Argentina; public healthcare","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129083421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-11DOI: 10.25071/2564-4033.40218
H. Martin
{"title":"Jasmine Gideon, Gender, Globalization, and Health in a Latin American Context (New York: Palgrave Macmillan, 2014)","authors":"H. Martin","doi":"10.25071/2564-4033.40218","DOIUrl":"https://doi.org/10.25071/2564-4033.40218","url":null,"abstract":"","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"349 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122336238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-11DOI: 10.25071/2564-4033.40219
Twena Grinberg
{"title":"Eds. Pat Armstrong and Ann Pederson, Women's Health: Intersections of Policy, Research, and Practice 2nd Ed (Toronto, ON.: Women’s Press, 2015)","authors":"Twena Grinberg","doi":"10.25071/2564-4033.40219","DOIUrl":"https://doi.org/10.25071/2564-4033.40219","url":null,"abstract":"","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116855813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-11DOI: 10.25071/2564-4033.40229
- -
{"title":"About the Journal","authors":"- -","doi":"10.25071/2564-4033.40229","DOIUrl":"https://doi.org/10.25071/2564-4033.40229","url":null,"abstract":"","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115646022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-11DOI: 10.25071/2564-4033.40217
J. Knight
{"title":"Miriam Gross, Farewell to the God of Plague: Chairman Mao’s Campaign to Deworm China (Oakland: University of California Press, 2016)","authors":"J. Knight","doi":"10.25071/2564-4033.40217","DOIUrl":"https://doi.org/10.25071/2564-4033.40217","url":null,"abstract":"","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125356380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-11DOI: 10.25071/2564-4033.40201
L. Spring
The psychiatric system, in large part due to its reliance on the Diagnostic and Statistical Manual (DSM), has a tendency to pathologize ordinary human reactions to difficult life events, and to individualize treatments for “mental illness.” This article builds on existing literature that is critical of psychiatry and proposes that art and stories that ‘make strange’ and elude easy interpretation may serve as a powerful counterpoint or complement to the ‘standard way of doing things’ when it comes to mental health care. Using military trauma as an example, this article highlights the inadequacies of Post Traumatic Stress Disorder (PTSD) as a diagnostic category; and, drawing from critical literature in the field and the author’s own experiences working with groups of traumatized veterans, it illustrates how and why ancient mythology and modern art especially may serve as useful tools for those who are having problems with living. The ‘disorienting dilemmas’ and consciousness-raising discussions such works evoke have the potential to touch on vital, nuanced, and philosophical aspects of trauma and suffering that are too often overlooked by the psychiatric profession.Keywords: military trauma; mental health; modern art; theatre; ancient mythology; transformative learning; museums; PTSD.
{"title":"Beyond “PTSD”: How stories and artworks that “make strange” can serve as signposts on new maps toward the communalization of military trauma","authors":"L. Spring","doi":"10.25071/2564-4033.40201","DOIUrl":"https://doi.org/10.25071/2564-4033.40201","url":null,"abstract":"The psychiatric system, in large part due to its reliance on the Diagnostic and Statistical Manual (DSM), has a tendency to pathologize ordinary human reactions to difficult life events, and to individualize treatments for “mental illness.” This article builds on existing literature that is critical of psychiatry and proposes that art and stories that ‘make strange’ and elude easy interpretation may serve as a powerful counterpoint or complement to the ‘standard way of doing things’ when it comes to mental health care. Using military trauma as an example, this article highlights the inadequacies of Post Traumatic Stress Disorder (PTSD) as a diagnostic category; and, drawing from critical literature in the field and the author’s own experiences working with groups of traumatized veterans, it illustrates how and why ancient mythology and modern art especially may serve as useful tools for those who are having problems with living. The ‘disorienting dilemmas’ and consciousness-raising discussions such works evoke have the potential to touch on vital, nuanced, and philosophical aspects of trauma and suffering that are too often overlooked by the psychiatric profession.Keywords: military trauma; mental health; modern art; theatre; ancient mythology; transformative learning; museums; PTSD.","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124104101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper uses ethnographic data on reproductive experiences of indigenous Andean migrant women in the lowland eastern Bolivian city of Santa Cruz de la Sierra as a starting point for discussion of different perspectives on the efforts of the Bolivian state to biomedicalise the processes of pregnancy and childbirth. Pregnant women and babies up to six months of age are covered by the state-funded Universal Mother-Infant Insurance (SUMI) that favours the use of biomedical facilities over the services of traditional midwives that are not covered by the insurance. Unlike in the western Andean highlands of Bolivia, most women in Santa Cruz give birth in hospitals while actively negotiating their options. They are not motivated by strictly medical factors as social or economic circumstances also come into play. Simultaneously, the increased levels of hospital deliveries in Bolivia translate into decreased levels of maternal and perinatal mortality, which in turn help Bolivian statistics to fare better from the point of view of the government and international bodies, such as the WHO. However, the restrictions on qualifying for SUMI are such that women in Santa Cruz are often forced to meet the costs of medical services themselves. I argue that the initial socio-biomedical intention of SUMI has become obscured by its political impact. Keywords: biomedicalization; traditional medicine; migration; childbirth; Santa Cruz de la Sierra; indigenous peoples.
{"title":"Who benefits from hospital birth? Perceptions of medicalised pregnancy and childbirth among Andean migrants in Santa Cruz de la Sierra, Bolivia","authors":"Karolina Kuberska","doi":"10.17863/CAM.47947","DOIUrl":"https://doi.org/10.17863/CAM.47947","url":null,"abstract":"This paper uses ethnographic data on reproductive experiences of indigenous Andean migrant women in the lowland eastern Bolivian city of Santa Cruz de la Sierra as a starting point for discussion of different perspectives on the efforts of the Bolivian state to biomedicalise the processes of pregnancy and childbirth. Pregnant women and babies up to six months of age are covered by the state-funded Universal Mother-Infant Insurance (SUMI) that favours the use of biomedical facilities over the services of traditional midwives that are not covered by the insurance. Unlike in the western Andean highlands of Bolivia, most women in Santa Cruz give birth in hospitals while actively negotiating their options. They are not motivated by strictly medical factors as social or economic circumstances also come into play. Simultaneously, the increased levels of hospital deliveries in Bolivia translate into decreased levels of maternal and perinatal mortality, which in turn help Bolivian statistics to fare better from the point of view of the government and international bodies, such as the WHO. However, the restrictions on qualifying for SUMI are such that women in Santa Cruz are often forced to meet the costs of medical services themselves. I argue that the initial socio-biomedical intention of SUMI has become obscured by its political impact. Keywords: biomedicalization; traditional medicine; migration; childbirth; Santa Cruz de la Sierra; indigenous peoples.","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"86 21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126288528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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