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Giving Birth in Silence 在沉默中分娩
Pub Date : 2023-09-27 DOI: 10.17157/mat.10.3.7943
Fu-Yu Chang, Jacinta Aguirre
Jacinta, deaf from birth, chose to give birth to her own baby at home without her hearing aids. Fu-Yu assisted and took photos of the process. This is a Photo Essay about alternative possibilities to biomedical childbirth. We share our experience through this medium, as the ‘visual’ was our shared sensory perception at the time. Besides acknowledging the intersubjectivities that surfaced, we see the importance of recognising that ‘images are representations of the world filtered by the positionalities of the makers themselves, influenced by unique experiences that brought them to that point in time … Images become an extension of a way of thinking, visually connecting maker with participant along lines of thought’ (Cartwright and Crowder 2017, 515). Although Fu-Yu is the one operating the camera, Jacinta, her partner, her mother, her cat and her home ‘make the image’. Whilst Jacinta was in labour, Fu-Yu was assisting Carmen Susana (the midwife) and recording the event at the same time with a camera hanging around her neck. We want to offer the audience this shared ‘visual’ experience as an invitation to think and ‘visualise’ care and childbirth from a disability-studies perspective.
雅辛塔天生失聪,她选择在没有助听器的情况下在家里生下自己的孩子。付玉协助并拍摄了这一过程。这是一篇关于生物医学分娩的其他可能性的摄影文章。我们通过这种媒介分享我们的经验,因为“视觉”是我们当时共同的感官知觉。除了承认出现的主体间性之外,我们还看到了认识到“图像是由制作者自身的位置过滤的世界的表征,受到将他们带到那个时间点的独特经历的影响……图像成为一种思维方式的延伸,沿着思想路线将制作者与参与者在视觉上联系起来”的重要性(Cartwright和Crowder 2017, 515)。虽然伏玉是操作相机的人,但杰辛塔、她的伴侣、她的母亲、她的猫和她的家“构成了这张照片”。当杰辛塔临产时,富玉在一旁帮助助产士卡门·苏珊娜(Carmen Susana),同时用挂在脖子上的相机记录下了整个过程。我们希望为观众提供这种共享的“视觉”体验,邀请他们从残疾研究的角度思考和“可视化”护理和分娩。
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引用次数: 0
The Plantation as Hotspot: Capital, Science, Labour, and the Earthly Limits of Global Health 种植园是热点:资本、科学、劳动力和全球健康的地球极限
Pub Date : 2023-06-30 DOI: 10.17157/mat.10.2.6928
Alex M Nading
Central American sugarcane plantations have become ‘hotspots’ of chronic kidney disease (CKD). Although CKD is frequently caused by diabetes or hypertension, most sugarcane plantation workers who have it have no history of either condition. They are among a growing number of people worldwide afflicted by chronic kidney disease of nontraditional causes (CKDnt). The ‘hotspot’ concept resonates with those who study CKDnt in part because work-related heat stress has been the factor most strongly associated with the disease. Drawn from ethnographic research on CKDnt in Nicaragua and a close reading of scientific and policy documents, this research article frames the plantation as a health hotspot in three ways. First, plantations are sites of intensive, environment-altering capital investment. Second, public health research on the connection between heat stress and CKDnt remakes plantations as sites of intensive experimental scrutiny. Third, plantations produce innovative genres of political action. Nicaragua’s epidemic has given rise to a form of health activism, or ‘hotspotting’, in which workers and their allies use digital media to circulate evidence of environmental harm. This tripartite view of plantations as hotspots highlights what I suggest are some of the ‘Earthly limits’ of global health.
中美洲的甘蔗种植园已经成为慢性肾脏疾病(CKD)的“热点”。虽然慢性肾病通常是由糖尿病或高血压引起的,但大多数患有慢性肾病的甘蔗种植园工人并没有这两种疾病的病史。他们是世界上越来越多的受非传统原因慢性肾病(CKDnt)折磨的人之一。“热点”概念与那些研究CKDnt的人产生共鸣,部分原因是与工作有关的热应激是与该疾病最密切相关的因素。基于对尼加拉瓜CKDnt的民族志研究以及对科学和政策文件的仔细阅读,本文从三个方面将该种植园定义为健康热点。首先,种植园是大量改变环境的资本投资场所。其次,关于热应激和CKDnt之间联系的公共卫生研究使种植园成为强化实验审查的场所。第三,种植园产生创新的政治行动类型。尼加拉瓜的疫情引发了一种形式的卫生行动主义,即“热点事件”,工人及其盟友利用数字媒体传播环境危害的证据。这种将种植园视为热点的三方观点凸显了我所提出的全球健康的一些“地球极限”。
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引用次数: 1
Wixárika Practices of Medical Syncretism: An Ontological Proposal for Health in the Anthropocene 医学融合的Wixárika实践:人类世健康的本体论建议
Pub Date : 2023-06-30 DOI: 10.17157/mat.10.2.6912
J. Gamlin
By understanding a community’s medical system, we are able to see its body ontology and how the people within it live in relation to the world, a historically constructed ideological position. Modernisation and development have restructured Indigenous communities and devalued traditional ontologies, including medical systems. This is a global pattern, where historical power relationships defined the coloniality of being and from this, organised healthcare, governance, and education in relation to patriarchal and capitalist universals. These social structures underlie the Anthropocene geological epoch and planetary crisis. Wixárika Indigenous communities live a polytheistic sociality; their medical system treats the spiritual origins of illness, attending to social cohesion in a society of humans, the supernatural, flora and fauna. This system is subalternised by dominant universals of biomedicine, which treat the body as separate from the environment and society. I refer to this epistemological inequality as the ontological Anthropocene. Wixaritari use both allopathic and traditional medical systems, following a non-hierarchical syncretic understanding of wellbeing. Giving equal importance to both systems may be a framework with implications for wellbeing beyond human health. This Research Article proposes that by centring Indigenous sociality that is more-than-human we can reconceive our planetary relationships in the broadest sense.
通过了解一个社区的医疗体系,我们可以看到它的身体本体,以及其中的人们如何与世界生活,这是一种历史建构的意识形态立场。现代化和发展重构了土著社区,并贬低了包括医疗系统在内的传统本体。这是一种全球模式,历史权力关系定义了存在的殖民性,并由此定义了与父权和资本主义普遍相关的有组织的医疗、治理和教育。这些社会结构构成了人类世地质时代和地球危机的基础。Wixárika土著社区生活在一个多神社会;他们的医疗系统治疗疾病的精神根源,关注人类、超自然、动植物社会的社会凝聚力。这一体系被占主导地位的生物医学普遍观点所取代,后者将身体与环境和社会分开对待。我把这种认识论上的不平等称为本体论上的人类世。Wixaritari使用对抗疗法和传统医疗系统,遵循对健康的非分层综合理解。对这两个系统给予同等重视,可能是一个对人类健康以外的福祉产生影响的框架。这篇研究文章提出,通过以超越人类的土著社会为中心,我们可以从最广泛的意义上重新认识我们的地球关系。
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引用次数: 0
Sustaining (Dis)Embodied Inequalities in the(ir) Eurocene: Ancient Microbes, Racial Anthropometry, and Life Choices 维持(非)欧洲世的具体不平等:古代微生物,种族人体测量学和生命选择
Pub Date : 2023-06-30 DOI: 10.17157/mat.10.2.7105
Coll de Lima Hutchison, Andrea Núñez Casal
Racialisation and colonialism are central to sustaining (dis)embodied inequalities. We bring together our distinct ethnographic projects to explore this. The first project accompanied a microbiome expedition involving Amazonian Indigenous non/human communities, whereas the second project focussed on medical professional’ encounters with Mbya Guarani communities in the Atlantic Forest region. Both projects explore racialised assumptions of human difference and colonial extractive practices. In the case of medical intervention with the Mbya, and their forms of life, this is perpetuated through the imposition of anthropometric growth standards. With the human microbiome initiatives, identifying Indigenous Peoples as potential reservoirs for novel probiotics also ultimately amplifies racialised (dis)embodied inequalities. Rather than these interventions addressing such disembodied equalities, we draw parallels between the two, to show that they perpetuate them. Finally, we propose that part of ceasing to reproduce these (dis)embodied inequalities requires ‘us’ to challenge the racialised and colonial histories of the life and geological sciences, to recognise their embodied consequences in the present, as well as how they are implicated in emergent proposals for new geological ‘-cenes’.
种族化和殖民主义是维持(不)具体不平等的核心。我们将不同的人种学项目结合在一起来探索这个问题。第一个项目伴随着一个涉及亚马逊土著非/人类社区的微生物组考察,而第二个项目侧重于医疗专业人员在大西洋森林地区与Mbya Guarani社区的接触。这两个项目都探讨了人类差异的种族化假设和殖民采掘实践。在对Mbya及其生活方式进行医疗干预的情况下,这是通过强加人体测量生长标准而得以延续的。在人类微生物组计划中,将土著居民确定为新型益生菌的潜在储存库也最终放大了种族化(非)体现的不平等。我们不是通过这些干预措施来解决这种无形的不平等,而是将两者相提并论,以表明它们使不平等永久化。最后,我们提出,停止再现这些(非)具体化的不平等的部分要求“我们”挑战生命和地质科学的种族化和殖民历史,认识到它们在当前的具体化后果,以及它们如何与新地质“第三纪”的新兴提议相关联。
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引用次数: 0
Toxic Legacies and Health Inequalities of the Anthropocene: Perspectives from the Margins 人类世的有毒遗产和健康不平等:来自边缘的观点
Pub Date : 2023-06-30 DOI: 10.17157/mat.10.2.6914
Melania Calestani
Based on research in Matamoros (Mexico) and Naples (Italy), this article critically deconstructs embodiments and social histories of toxicity, addressing uneven power relations and health inequalities generated through late capitalism of the Anthropocene. By focusing on food and water consumption in regions at the margins of borders and defined as toxic wastelands, it sheds light on the multidimensional power structures of the global economy. Whether through reference to the illegal dumping of toxic waste by mafia-structured organised crime groups, or the contamination caused by foreign-owned assembly plants, the article illustrates how mechanisms taking place in the individual realm are ‘subsumed’ (Breihl 2019, 33) within more complex historical, economic, and environmental processes. These two case studies are the point of departure to reflect upon the undisclosed but powerful impact that commercial determinants of health have on individuals’ wellbeing, feeding profound north–south inequalities.
基于在马塔莫罗斯(墨西哥)和那不勒斯(意大利)的研究,本文批判性地解构了毒性的体现和社会历史,解决了人类世晚期资本主义产生的不平衡的权力关系和健康不平等。通过关注边界边缘地区和被定义为有毒荒地的粮食和水消费,它揭示了全球经济的多维权力结构。无论是通过黑手党组织的有组织犯罪集团非法倾倒有毒废物,还是外资装配厂造成的污染,这篇文章都说明了在个别领域发生的机制如何被“纳入”(Breihl 2019, 33)更复杂的历史、经济和环境过程中。这两个案例研究是反思健康的商业决定因素对个人福祉的未公开但强大的影响的出发点,助长了深刻的南北不平等。
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引用次数: 0
Embodied Inequalities of the Anthropocene 人类世体现的不平等
Pub Date : 2023-06-30 DOI: 10.17157/mat.10.2.8887
Jean Segata, C. Víctora, P. Sesia, Laura Montesi, J. Gamlin, S. Gibbon
Introduction to the special issue 'Embodied Inequalities of the Anthropocene', guest edited by Jennie Gamlin, Laura Montesi, Sahra Gibbon, Paola Sesia, Jean Segata, and Ceres Victora.
《人类世的不平等现象》特刊简介,由Jennie Gamlin、Laura Montesi、Sahra Gibbon、Paola Sesia、Jean Segata和Ceres Victora客座编辑。
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引用次数: 0
Situating Latin American Critical Epidemiology in the Anthropocene: The Case of COVID-19 Vaccines and Indigenous Collectives in Brazil and Mexico 人类世中的拉丁美洲关键流行病学:巴西和墨西哥新冠肺炎疫苗和土著群体的案例
Pub Date : 2023-06-30 DOI: 10.17157/mat.10.2.6910
Laura Montesi, Maria Paula Prates, S. Gibbon, Lina R. Berrio
Diverse histories and traditions of critical epidemiology in Latin America provide an important, although underutilised, alternative framework for engaging with the embodied health inequalities of the Anthropocene. Taking COVID-19 as ‘a paradigmatic example of an Anthropocene disease’ (O’Callaghan-Gordo and Antó 2020) and drawing on ethnographic research in Brazil and Mexico on vaccination campaigns among Indigenous Peoples, we review and analyse the scope and limits of Latin American critical epidemiology in addressing Anthropocene health. While there are intersecting and parallel dynamics between diverse national and regional histories of epidemiology, we argue that the relatively differential focus on political economy, political ecology, and colonialism/coloniality in Latin American critical epidemiology, alongside the attention to non-western disease experiences and understandings, constitute a counterpoint to biomedical and specific ‘Euro-American’ epidemiological approaches. At the same time, Indigenous understandings of health/disease processes are intimately connected with territory protection, diplomacy with non-human entities, and embodied memories of violence. We examine how this presents new and challenging questions for critical epidemiology, particularly in how the ‘social’ is defined and how to address both social justice and social difference whilst also navigating the biopolitical challenges of state intervention in the era of Anthropocene health.
拉丁美洲批判性流行病学的不同历史和传统为解决人类世具体存在的健康不平等问题提供了一个重要但未充分利用的替代框架。以新冠肺炎为“人类世疾病的典型例子”(O’Callaghan-Gordo和Antó2020),并借鉴巴西和墨西哥关于土著人民疫苗接种运动的人种学研究,我们回顾和分析了拉丁美洲关键流行病学在应对人类世健康方面的范围和局限性。虽然不同的国家和地区流行病学史之间存在交叉和平行的动态,但我们认为,拉丁美洲批判性流行病学对政治经济、政治生态学和殖民主义/殖民主义的关注相对不同,同时对非西方疾病经验和理解的关注,与生物医学和特定的“欧美”流行病学方法形成对比。与此同时,土著人对健康/疾病过程的理解与领土保护、与非人类实体的外交以及对暴力的具体记忆密切相关。我们研究了这如何为批判性流行病学提出新的、具有挑战性的问题,特别是如何定义“社会”,以及如何解决社会正义和社会差异,同时应对人类世健康时代国家干预的生物政治挑战。
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引用次数: 0
Toward a Broader View of Health in the Anthropocene: The COVID-19 Syndemic and the Clash of Cosmographies in Mato Grosso do Sul, Brazil 走向人类世更广泛的健康观:新冠肺炎综合征与巴西南马托格罗索岛的宇宙学冲突
Pub Date : 2023-06-30 DOI: 10.17157/mat.10.2.6909
R. Dias-Scopel, D. Scopel, E. J. Langdon
The continual expansion of developmental frontiers has impacted dramatically upon Indigenous health in Brazil. When the COVID-19 pandemic struck in Mato Grosso do Sul, its Indigenous populations were already living in circumstances of environmental degradation, food insecurity, racism, and structural violence. The synergistic interaction between the SARS-CoV-2 virus, other pathogens, and biosocial factors resulted in what Singer (2010) terms as ‘syndemics’. In the case of Mato Grosso do Sul, it brought about a substantial increase in the disease burden of Indigenous Peoples, where child malnutrition, obesity, hypertension, respiratory and parasitic diseases, and maternal mortality appear at higher rates than in the non-Indigenous population. This Research Article discusses the coping and participatory strategies that were employed by Indigenous Peoples early in the pandemic. Efforts by Indigenous Peoples to address the pandemic reveal ‘a clash’ between Indigenous and Colonial cosmographies with regard to notions of the body and health. Considering the Indigenous perspective on the relation between territoriality and health, the analysis highlights asymmetries of power and embodied vulnerabilities and the limits of the Anthropocene as a global perspective.
发展边界的不断扩大对巴西土著人的健康产生了巨大影响。当新冠肺炎疫情在南马托格罗索州爆发时,其土著居民已经生活在环境退化、粮食不安全、种族主义和结构性暴力的环境中。严重急性呼吸系统综合征冠状病毒2型病毒、其他病原体和生物社会因素之间的协同作用导致了Singer(2010)所说的“综合征”。在南马托格罗索州,它大大增加了土著人民的疾病负担,那里的儿童营养不良、肥胖、高血压、呼吸道和寄生虫病以及孕产妇死亡率似乎高于非土著人口。这篇研究文章讨论了土著人民在疫情早期采用的应对和参与策略。土著人民应对疫情的努力揭示了土著和殖民地在身体和健康概念方面的宇宙观之间的“冲突”。考虑到土著人对领土和健康之间关系的看法,该分析强调了权力的不对称性和具体的脆弱性,以及人类世作为一个全球视角的局限性。
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引用次数: 0
Unruly Waters, Unsanitary Bodies Abject Terrains, Rehabilitation, and Infrastructures of Dispossession on the U.S.–Mexico Border 不受控制的水域,不卫生的尸体,恶劣的地形,重建和美国-墨西哥边境的剥夺基础设施
Pub Date : 2023-06-30 DOI: 10.17157/mat.10.2.6907
C. Martínez
Drawing on ethnographic fieldwork among homeless deportees living in the Tijuana River canal, I examine how the ‘rehabilitation’ of toxic terrains can have corporeal and social consequences for those inhabiting such spaces. For decades, the Tijuana River basin traversing the U.S.–Mexico border has been perceived by officials from both countries as an unruly body of water. Prone to persistent flooding, the canal also experiences flows of toxic sewage from Tijuana’s maquiladora industry. In recent years, the riverbed in Tijuana has been inhabited by homeless and drug using communities, many of whom have been deported from the U.S. In response, rehabilitation of the canal and forced drug rehabilitation have been conjoined and promoted by the state as solutions for managing this unruly terrain and its residents. I take the deployment of the term ‘rehabilitation’ targeting both homeless deportees and the canal as an opportunity to consider how the concurrent disciplining of landscapes and human populations has been a central and evolving feature of the Anthropocene. I examine how my homeless interlocutors have experienced ‘rehabilitation’ as a violent process of abjection, dispossession, and captivity, which has converted this transborder landscape structure into a carceral zone under the guise of urban sanitation and health promotion.
根据生活在蒂华纳河运河中的无家可归的被驱逐者的民族志实地调查,我研究了有毒地形的“修复”如何对居住在这些空间的人产生物质和社会后果。几十年来,穿越美墨边境的蒂华纳河流域一直被两国官员视为一片难以控制的水域。由于容易持续发生洪水,该运河还经历了蒂华纳加工厂的有毒污水流。近年来,蒂华纳的河床上居住着无家可归和吸毒的社区,其中许多人已被美国驱逐出境。作为回应,该州将运河修复和强制戒毒结合起来,并将其作为管理这片难以控制的地形及其居民的解决方案。我把针对无家可归的被驱逐者和运河的“康复”一词的使用作为一个机会,来思考景观和人口的同时调节是人类世的一个核心和不断演变的特征。我研究了我的无家可归者对话者是如何经历“康复”的,这是一个被抛弃、剥夺和囚禁的暴力过程,它以城市卫生和健康促进为幌子,将这种跨界景观结构变成了一个尸体区。
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引用次数: 0
"Just Graphite": Corporate Representations of Particular Matter in Santa Cruz, Rio de Janeiro “只是石墨”:在圣克鲁兹,巴西里约热内卢特定事项的企业代表
Pub Date : 2023-06-30 DOI: 10.17157/mat.10.2.6900
D. R. Hollowell
The unevenly distributed environmental burdens of the Anthropocene become evident in conflicts surrounding the extractive industries. ThyssenKrupp’s steel mill (TKCSA) in Rio de Janeiro is an illustrative example. The factory transformed its surrounding landscape and emitted a fine metallic dust over its human and non-human neighbours. This article focuses on some of the less tangible elements of Anthropocene transformations around the mill. I examine ThyssenKrupp’s communication strategies to reveal the underlying meanings of corporate rhetorical devices, uncover the violence of public relations language and understand the intensity of feeling that surrounded it. I trace the affective registers that emerged around the steel mill as a result of its polluting activities, its approach to corporate communications, and its ‘corporate social responsibility’ (CSR) activities. Everyday life involved minimal corporeal expressions of emotion that encapsulated feeling and allowed for perseverance in the face of toxic suffering. The ‘Stop TKCSA’ campaign involved affective labour; emotions were the agentic contribution campaigners were able to make in the context of unequal power structures. I centre these less visible dynamics of power to examine how emotions can shape experiences of environmental conflict, form coalitional politics, and contribute to the very landscapes of the Anthropocene.
人类世的环境负担分布不均在围绕采掘业的冲突中表现得很明显。蒂森克虏伯在里约热内卢的钢铁厂就是一个例证。这家工厂改变了周围的景观,在人类和非人类的邻居身上散发出细小的金属粉尘。这篇文章关注的是人类世转变中一些不太明显的元素。我研究了蒂森克虏伯的沟通策略,以揭示企业修辞手段的潜在含义,揭示公共关系语言的暴力性,并理解围绕它的情感强度,以及其“企业社会责任”(CSR)活动。日常生活包含了最起码的情感表达,这些情感包含了情感,并允许在面对有毒痛苦时保持毅力。“停止TKCSA”运动涉及情感劳动;在权力结构不平等的背景下,情绪是活动家能够做出的能动贡献。我以这些不太明显的权力动态为中心,研究情绪如何塑造环境冲突的体验,形成联盟政治,并对人类世的景观做出贡献。
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引用次数: 0
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Medicine anthropology theory
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