Fuelled by agribusiness, transgenic soybean crops, genetically modified to withstand pesticide use, have increased in use during the last 20 years in the Southern Cone of Latin America. Plantations are understood as examples of ‘modular simplifications’ in ‘patchy Anthropocene’ landscapes (Tsing et al. 2019), where the attempt to reduce diversity may have social and ecological feral effects as diseases and toxins spread. In Uruguay, as an agro-exporter country, soybean expansionist processes correlate with an increased use of pesticides. Based on an ethnographic study (2016–2018) carried out in the main Uruguayan agricultural region, this Research Article seeks to analyse the experiences of toxicity among agricultural workers and rural inhabitants in the soybeanisation context. I propose that pesticide effects transcend biomedical diagnoses of ‘intoxication’. I also contend that the experience of toxicity can be understood as occurring along a continuum in the daily life of sufferers, which encompasses chemical and biological processes, their affects, intersectional conflicts, lay concepts of illnesses, informal self-care networks, and unequal access to health services. This ethnography demonstrates that the experience of toxic suffering embodies inequalities in environmental health in the time of the Anthropocene and is shaped by structural vulnerabilities and politics of exposure.
在农业综合企业的推动下，在过去20年里，在拉丁美洲南锥体地区，转基因大豆作物的使用量有所增加。种植园被理解为“斑块人类世”景观中“模块化简化”的例子(Tsing et al. 2019)，其中减少多样性的尝试可能会随着疾病和毒素的传播而产生社会和生态影响。在乌拉圭，作为一个农业出口国，大豆扩张过程与农药使用的增加有关。基于在乌拉圭主要农业区进行的人种学研究(2016-2018)，本研究文章旨在分析大豆化背景下农业工人和农村居民的毒性经历。我认为农药的影响超越了“中毒”的生物医学诊断。我还认为，中毒的经历可以被理解为在患者的日常生活中连续不断地发生，其中包括化学和生物过程、它们的影响、交叉冲突、疾病的基本概念、非正式的自我保健网络以及获得卫生服务的不平等机会。这一人种志表明，有毒苦难的经历体现了人类世时期环境卫生方面的不平等，并受到结构性脆弱性和接触政治的影响。
{"title":"Structural Vulnerability and Toxicity Experiences in the Uruguayan Soybeanisation Process","authors":"Victoria Evia","doi":"10.17157/mat.10.2.6891","DOIUrl":"https://doi.org/10.17157/mat.10.2.6891","url":null,"abstract":"Fuelled by agribusiness, transgenic soybean crops, genetically modified to withstand pesticide use, have increased in use during the last 20 years in the Southern Cone of Latin America. Plantations are understood as examples of ‘modular simplifications’ in ‘patchy Anthropocene’ landscapes (Tsing et al. 2019), where the attempt to reduce diversity may have social and ecological feral effects as diseases and toxins spread. In Uruguay, as an agro-exporter country, soybean expansionist processes correlate with an increased use of pesticides. Based on an ethnographic study (2016–2018) carried out in the main Uruguayan agricultural region, this Research Article seeks to analyse the experiences of toxicity among agricultural workers and rural inhabitants in the soybeanisation context. I propose that pesticide effects transcend biomedical diagnoses of ‘intoxication’. I also contend that the experience of toxicity can be understood as occurring along a continuum in the daily life of sufferers, which encompasses chemical and biological processes, their affects, intersectional conflicts, lay concepts of illnesses, informal self-care networks, and unequal access to health services. This ethnography demonstrates that the experience of toxic suffering embodies inequalities in environmental health in the time of the Anthropocene and is shaped by structural vulnerabilities and politics of exposure.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48253529","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}
Subject to constant and pervasive suspicion, asylum seekers in the global north often must expend great energy to assert their moral agency and be perceived as ‘good’ refugees who are not only worthy of being granted asylum but also capable of becoming ‘good’ citizens in the future. Navigating these difficult waters requires a keen awareness of what makes an individual ‘deserving’ of asylum in the local context as well as a distinct ability to balance different modes of presentation as required. Specifically, asylum seekers must be vulnerable enough to meet the requirements of refugee status, and yet also capable enough not to be perceived as a burden on society. In this Field Notes piece, I examine these negotiations within an international NGO that operates an official refugee and asylum seeker reception site in Madrid, Spain. Drawing upon ethnographic research conducted at this site, I argue that asylum seekers assert moral agency by demonstrating that they are ‘deserving’ of asylum within the local moral economy of deservingness.
{"title":"Deserving Asylum and Becoming ‘Good’ Refugees in Madrid","authors":"J. Wagner","doi":"10.17157/mat.10.1.6870","DOIUrl":"https://doi.org/10.17157/mat.10.1.6870","url":null,"abstract":"Subject to constant and pervasive suspicion, asylum seekers in the global north often must expend great energy to assert their moral agency and be perceived as ‘good’ refugees who are not only worthy of being granted asylum but also capable of becoming ‘good’ citizens in the future. Navigating these difficult waters requires a keen awareness of what makes an individual ‘deserving’ of asylum in the local context as well as a distinct ability to balance different modes of presentation as required. Specifically, asylum seekers must be vulnerable enough to meet the requirements of refugee status, and yet also capable enough not to be perceived as a burden on society. In this Field Notes piece, I examine these negotiations within an international NGO that operates an official refugee and asylum seeker reception site in Madrid, Spain. Drawing upon ethnographic research conducted at this site, I argue that asylum seekers assert moral agency by demonstrating that they are ‘deserving’ of asylum within the local moral economy of deservingness.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43100465","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}
Encouraging women to adopt a position of their choice during birth has long been among the calls of scholars and activists challenging medicalised models of childbirth rooted in patriarchy to allow women to own their birthing experiences rather than accept the passivity of a lithotomy position. The encouragement of women to adopt a position of their choosing is now integrated within global health policy. Based on fieldwork conducted in Dhaka and Kushtia district, Bangladesh, this article examines the promotion of non-supine birth positions promoted through international development entities in Bangladesh. It argues that despite its emancipatory appeal, when subsumed by international development logics, the birth position operates as a site of political contestation in which women are rendered peripheral within a broader constellation of development imaginaries and ends. Within this constellation, the birth position is circumscribed as a technical intervention amenable to metricisation. Rather than a ‘return’ to more ‘natural’ forms of birth, ‘non-supine’ birth positions when instrumentalised in this context, are broadly conceived of as ‘foreign’, and serve to expand the medicalisation of childbirth.
{"title":"Fleshy Entanglements in Development Aspirations: Birth Position as a Site of Contestation in Bangladesh","authors":"Janet Elaine Perkins","doi":"10.17157/mat.10.1.7303","DOIUrl":"https://doi.org/10.17157/mat.10.1.7303","url":null,"abstract":"Encouraging women to adopt a position of their choice during birth has long been among the calls of scholars and activists challenging medicalised models of childbirth rooted in patriarchy to allow women to own their birthing experiences rather than accept the passivity of a lithotomy position. The encouragement of women to adopt a position of their choosing is now integrated within global health policy. Based on fieldwork conducted in Dhaka and Kushtia district, Bangladesh, this article examines the promotion of non-supine birth positions promoted through international development entities in Bangladesh. It argues that despite its emancipatory appeal, when subsumed by international development logics, the birth position operates as a site of political contestation in which women are rendered peripheral within a broader constellation of development imaginaries and ends. Within this constellation, the birth position is circumscribed as a technical intervention amenable to metricisation. Rather than a ‘return’ to more ‘natural’ forms of birth, ‘non-supine’ birth positions when instrumentalised in this context, are broadly conceived of as ‘foreign’, and serve to expand the medicalisation of childbirth.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136381016","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 research article investigates moral agency in the spaces between the methadone clinic and the inpatient psychiatric ward by exploring the ways dually-diagnosed service users move though ever-more labyrinthine networks of care. I ask: how are patients’ own engagements with the ethical stakes of such care both made possible and delimited by virtue of their proximity to substances that are understood to affect their subjectivities, wills, and capacities for self-governance? Drawing on fieldwork in the community mental health network of Dublin, Ireland, and following my interlocutors’ own reflections, I analyse the moral dimensions of polypharmaceutical treatment for substance use disorder in the context of psychiatric dual diagnosis. I illustrate how various apparatuses of coercion and care apprehend and govern patients who are thought to be both addicted and mad, simultaneously enthralled by one form of the pharmakon and dangerously unreasonable when other medications are absent or neglected. In the space of such medicated subjectivities, a curious but ultimately revelatory claim to authority about the intended and unintended effects of polypharmaceutical treatment takes shape.
{"title":"\"Swallow Them All, and It's Just Like Smack\": Comorbidity, Polypharmacy, and Imagining Moral Agency alongside Methadone and Antipsychotics","authors":"Michael d'Arcy","doi":"10.17157/mat.10.1.6917","DOIUrl":"https://doi.org/10.17157/mat.10.1.6917","url":null,"abstract":"This research article investigates moral agency in the spaces between the methadone clinic and the inpatient psychiatric ward by exploring the ways dually-diagnosed service users move though ever-more labyrinthine networks of care. I ask: how are patients’ own engagements with the ethical stakes of such care both made possible and delimited by virtue of their proximity to substances that are understood to affect their subjectivities, wills, and capacities for self-governance? Drawing on fieldwork in the community mental health network of Dublin, Ireland, and following my interlocutors’ own reflections, I analyse the moral dimensions of polypharmaceutical treatment for substance use disorder in the context of psychiatric dual diagnosis. I illustrate how various apparatuses of coercion and care apprehend and govern patients who are thought to be both addicted and mad, simultaneously enthralled by one form of the pharmakon and dangerously unreasonable when other medications are absent or neglected. In the space of such medicated subjectivities, a curious but ultimately revelatory claim to authority about the intended and unintended effects of polypharmaceutical treatment takes shape. ","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47553850","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}
{"title":"An Ethical Question: Acknowledging Contentious Ethics in Medical Anthropology and Allied Fields","authors":"Mat Editorial Collective","doi":"10.17157/mat.10.1.8165","DOIUrl":"https://doi.org/10.17157/mat.10.1.8165","url":null,"abstract":"\u0000Editorial to the April issue of 2023. \u0000 \u0000","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46771027","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}
Anthropologists studying mental healthcare tend to do so through observational and analytic attention to how individuals experience specific clinical and cultural contexts. While narrating lived experience may serve to humanise conditions like mental illness, those of us observing from a White, colonist-descended position can overlook the structural and racialised forces that determine entrance into particular treatment spaces. In doing so, we inadvertently obscure structural racism. This Position Piece critiques my approach as a student-in-training in anthropology, who conducted an ethnography of outpatient, government-funded clozapine clinics in the United Kingdom and Australia. In documenting how these clinics unexpectedly became a central source of moral agency for its clients, I stopped short of examining the demographic dynamics that helped to cultivate moral agency. Focused on other questions of health disparity, I missed the role of race and racism in treatment access pathways, trustworthiness, and experiences of moral agency. Engaging now with disciplinary legacies that shaped my inattention, I reflect on my silencing of racism at an interpersonal, institutional and structural level in my early analysis. I encourage similarly positioned anthropologists studying psychiatric treatment spaces and moral experience to confront how racism can be filtered through the stories we tell.
{"title":"The Stories We Tell or Omit: How Ethnographic (In)Attention can Obscure Structural Racism in the Anthropology of Mental Healthcare","authors":"Julia EH Brown","doi":"10.17157/mat.10.1.6890","DOIUrl":"https://doi.org/10.17157/mat.10.1.6890","url":null,"abstract":"Anthropologists studying mental healthcare tend to do so through observational and analytic attention to how individuals experience specific clinical and cultural contexts. While narrating lived experience may serve to humanise conditions like mental illness, those of us observing from a White, colonist-descended position can overlook the structural and racialised forces that determine entrance into particular treatment spaces. In doing so, we inadvertently obscure structural racism. This Position Piece critiques my approach as a student-in-training in anthropology, who conducted an ethnography of outpatient, government-funded clozapine clinics in the United Kingdom and Australia. In documenting how these clinics unexpectedly became a central source of moral agency for its clients, I stopped short of examining the demographic dynamics that helped to cultivate moral agency. Focused on other questions of health disparity, I missed the role of race and racism in treatment access pathways, trustworthiness, and experiences of moral agency. Engaging now with disciplinary legacies that shaped my inattention, I reflect on my silencing of racism at an interpersonal, institutional and structural level in my early analysis. I encourage similarly positioned anthropologists studying psychiatric treatment spaces and moral experience to confront how racism can be filtered through the stories we tell.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136380206","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}
Although the Khmer Rouge regime was responsible for the deaths of roughly 2.2 million Cambodians—and the persecution and abuse of millions more—only a handful of survivors have been able to testify at the tribunal established to prosecute former leaders of the regime. Partly to address this gap, an NGO affiliated with the tribunal has been offering ‘Testimonial Therapy’ for the past decade as a form of reparation for survivors with symptoms of psychological distress. For 16 months, I followed survivors undergoing this therapy, during which they developed a testimonial narrative of their life story in collaboration with a local mental health worker. In this Position Piece, I consider Myers’ conception of ‘moral agency’ (2015) in relation to this process of personal narrative creation, and the critical importance of audience engagement. I then reflect on my own positionality as both ethnographer and active listener, tracing how this affective posture has been formed not only through fieldwork, but also through engagement with family narratives of loss in the context of war-torn Ukraine.
{"title":"The Anthropologist as Audience: Engaged Listening among Khmer Rouge Survivors and Ukrainian War Refugees","authors":"Elena Lesley","doi":"10.17157/mat.10.1.6888","DOIUrl":"https://doi.org/10.17157/mat.10.1.6888","url":null,"abstract":"Although the Khmer Rouge regime was responsible for the deaths of roughly 2.2 million Cambodians—and the persecution and abuse of millions more—only a handful of survivors have been able to testify at the tribunal established to prosecute former leaders of the regime. Partly to address this gap, an NGO affiliated with the tribunal has been offering ‘Testimonial Therapy’ for the past decade as a form of reparation for survivors with symptoms of psychological distress. For 16 months, I followed survivors undergoing this therapy, during which they developed a testimonial narrative of their life story in collaboration with a local mental health worker. In this Position Piece, I consider Myers’ conception of ‘moral agency’ (2015) in relation to this process of personal narrative creation, and the critical importance of audience engagement. I then reflect on my own positionality as both ethnographer and active listener, tracing how this affective posture has been formed not only through fieldwork, but also through engagement with family narratives of loss in the context of war-torn Ukraine.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42755894","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}
Julia E. H. Brown, Michael d'Arcy, Neely Myers, Tali Ziv
This Special Section explores questions of method and positionality attached to moral agency in mental healthcare, which give rise to novel methodological and theoretical approaches to everyday life in the clinical and non-clinical spaces where such ‘care’ occurs. Moral agency is the ability to be perceived as a ‘good enough’ person, which makes possible intimate relationships with others that are needed to thrive in many social contexts (Myers 2015). In this introduction, we draw on Mattingly’s (2014) notion of everyday moral laboratories: an exploratory attention to moral life as innovative method, episteme, and interpersonal collaboration. Exploring the everyday moral laboratories where people struggle to replenish or protect their moral agency and so create meaning and relationships in their lives is a key focus of this Special Section. For interdisciplinary ethnographers working in spaces intended for care, such experimentation yields opportunities to more creatively and proactively inform that care—the everyday, the ordinary, and the extraordinary—that centres on helping our interlocutors replenish moral agency and thrive.
{"title":"Experimental Engagements with Ethnography, Moral Agency and Care","authors":"Julia E. H. Brown, Michael d'Arcy, Neely Myers, Tali Ziv","doi":"10.17157/mat.10.1.8166","DOIUrl":"https://doi.org/10.17157/mat.10.1.8166","url":null,"abstract":"This Special Section explores questions of method and positionality attached to moral agency in mental healthcare, which give rise to novel methodological and theoretical approaches to everyday life in the clinical and non-clinical spaces where such ‘care’ occurs. Moral agency is the ability to be perceived as a ‘good enough’ person, which makes possible intimate relationships with others that are needed to thrive in many social contexts (Myers 2015). In this introduction, we draw on Mattingly’s (2014) notion of everyday moral laboratories: an exploratory attention to moral life as innovative method, episteme, and interpersonal collaboration. Exploring the everyday moral laboratories where people struggle to replenish or protect their moral agency and so create meaning and relationships in their lives is a key focus of this Special Section. For interdisciplinary ethnographers working in spaces intended for care, such experimentation yields opportunities to more creatively and proactively inform that care—the everyday, the ordinary, and the extraordinary—that centres on helping our interlocutors replenish moral agency and thrive. ","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46259152","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}
Child welfare is a challenging space for professionals, parents, and most of all children. The labour of care within this space is an intersection of personal histories and ongoing narratives that synthesise self, family, medicine, and the state. I explore how encounters with children in care brought me into this nexus and redefined my position as a researcher. Competing perspectives on the role of experience in shaping affinity reveal a contentious discourse about what it means to be a foster child. In this Position Piece I find that sharing vulnerability through the traumatic experience of family estrangement is one path to mutual understanding that may transcend cultural boundaries. Further, mobilising and reflecting on the vulnerability of estrangement demonstrates the social embeddedness of mental health and healing.
{"title":"Affinity through Vulnerability: The Politics of Positionality in Child Welfare","authors":"Christopher R Chapman","doi":"10.17157/mat.10.1.6892","DOIUrl":"https://doi.org/10.17157/mat.10.1.6892","url":null,"abstract":"Child welfare is a challenging space for professionals, parents, and most of all children. The labour of care within this space is an intersection of personal histories and ongoing narratives that synthesise self, family, medicine, and the state. I explore how encounters with children in care brought me into this nexus and redefined my position as a researcher. Competing perspectives on the role of experience in shaping affinity reveal a contentious discourse about what it means to be a foster child. In this Position Piece I find that sharing vulnerability through the traumatic experience of family estrangement is one path to mutual understanding that may transcend cultural boundaries. Further, mobilising and reflecting on the vulnerability of estrangement demonstrates the social embeddedness of mental health and healing. ","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47589030","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}
In scenes of deep poverty and precarity, intimate relationships are shaped by the moral aftermath of a life of surviving scarcity. These moral histories are riddled with interpersonal harm, experiences of harming others and being seriously harmed oneself. As intimacy deepens, so does the prospect of harm, mistrust, and humiliation. These relational experiences can erode moral agency, or the sense that one is deserving of love and has the capacity to be seen as a ‘good’ person (Myers 2019; Blacksher 2002). Within the hermeneutic of moral injury—a concept largely defined by and elaborated in clinical settings—this Position Piece explores the messy relational life of scarcity in the context of conducting ethnography. Further, it examines the ethnographer’s responsibility to respond to such lives with an attention to moral injury and moral agency (Carpenter-Song 2019). This journey, guided by personal commitment, can lead to engagements that do not feel like care, yet are. This essay explores this reformulation of care as moral labour while concluding with the political stakes of this mode of intimate work.
在极度贫困和不稳定的场景中，亲密关系是由匮乏生活的道德后果塑造的。这些道德史充斥着人际伤害、伤害他人和严重伤害自己的经历。随着亲密关系的加深，伤害、不信任和羞辱的可能性也会增加。这些关系经历可能会削弱道德能动性，或一个人值得爱并有能力被视为“好人”的感觉（Myers 2019；Blacksher 2002）。在道德伤害的解释学中——这一概念在很大程度上由临床环境定义和阐述——这篇立场文章探讨了在进行民族志的背景下稀缺性的混乱关系生活。此外，它考察了民族志学家对这种生活的回应责任，并关注道德伤害和道德能动性（Carpenter Song 2019）。在个人承诺的指导下，这段旅程可能会导致一些感觉不上是关怀的约会。本文探讨了护理作为道德劳动的重新表述，同时总结了这种亲密工作模式的政治利害关系。
{"title":"“I’m Trapped Here”: Ethnography, Structural Violence, and Moral Injury","authors":"Tali R Ziv","doi":"10.17157/mat.10.1.6871","DOIUrl":"https://doi.org/10.17157/mat.10.1.6871","url":null,"abstract":"In scenes of deep poverty and precarity, intimate relationships are shaped by the moral aftermath of a life of surviving scarcity. These moral histories are riddled with interpersonal harm, experiences of harming others and being seriously harmed oneself. As intimacy deepens, so does the prospect of harm, mistrust, and humiliation. These relational experiences can erode moral agency, or the sense that one is deserving of love and has the capacity to be seen as a ‘good’ person (Myers 2019; Blacksher 2002). Within the hermeneutic of moral injury—a concept largely defined by and elaborated in clinical settings—this Position Piece explores the messy relational life of scarcity in the context of conducting ethnography. Further, it examines the ethnographer’s responsibility to respond to such lives with an attention to moral injury and moral agency (Carpenter-Song 2019). This journey, guided by personal commitment, can lead to engagements that do not feel like care, yet are. This essay explores this reformulation of care as moral labour while concluding with the political stakes of this mode of intimate work.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43892717","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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