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Reconsidering the Declaration of ‘Crisis’ While Living through One 活在危机中反思“危机”宣言
Pub Date : 2022-09-23 DOI: 10.17157/mat.9.3.6531
S. Trnka
What counts as a ‘crisis’? How do we determine an ‘emergency’? Who gets to do so, and what exactly is at stake? Scholarly examinations of ‘crises’, including, most notably, seminal work by Janet Roitman (2013), frequently underscores how the ‘crisis imaginary’ is employed to rapidly and unjustifiably expand State power. Certainly, State responses to the COVID-19 pandemic have amply demonstrated this critique, as was noted early on by both Agamben (2020) and Chomsky (2020). Nonetheless, regardless of its political manipulations, crisis can also be understood as a phenomenological state, as there exist moments during which we collectively experience being plunged into a radically different time-space that is perhaps best conceptualised as a ‘collective critical event’. Such ‘extraordinary’ times have been denoted as events beyond the scope of narration (Briggs 2003); ‘failure[s] of the grammar of the ordinary’ (Das 2007); or moments of incredulity that surpass our capacities of narration. By focusing on the languaging of the COVID-19 pandemic in Aotearoa/New Zealand, this Position Piece grapples with how to reconcile the insights offered by critiques of the political deployment of claims of ‘crises’ with anthropological and other phenomenological accounts of experiences of moments of profound upheaval.
什么是“危机”?我们如何确定“紧急情况”?谁来做这件事,到底有什么利害关系?对“危机”的学术研究,包括最值得注意的珍妮特·罗伊特曼(Janet Roitman, 2013)的开创性研究,经常强调“危机想象”是如何被用来迅速和不合理地扩大国家权力的。当然,正如阿甘本(2020)和乔姆斯基(2020)早前指出的那样,国家对COVID-19大流行的反应充分证明了这一批评。尽管如此,无论其政治操纵如何,危机也可以被理解为一种现象学状态,因为存在这样的时刻,我们集体经历被卷入一个完全不同的时空,这可能是最好的概念化为“集体关键事件”。这种“非同寻常”的时代被标记为超出叙述范围的事件(Briggs 2003);“普通语法的失败”(Das 2007);或者是难以置信的时刻,超出了我们的叙述能力。通过关注新西兰奥特亚罗/奥特亚罗的COVID-19大流行的语言,这篇立场文章努力解决如何将对“危机”主张的政治部署的批评所提供的见解与对深刻动荡时刻经验的人类学和其他现象学描述相协调。
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引用次数: 1
Swan Song: An Account of Organ Donation after Circulatory Death 绝唱:循环性死亡后器官捐献的记述
Pub Date : 2022-09-23 DOI: 10.17157/mat.9.3.5693
L. Tessier
This is an account of a procedure of organ donation after circulatory death (DCD) that took place in July 2019 in a French hospital. Based on an ethnography in the neuro intensive care unit (neuro-ICU) of this hospital, I describe the impressions that DCD leaves on those taking part in it, the surprise effects it may produce, and the questions that it poses about what remains alive in a person on the brink of imminent death. This account is also that of a medical and technical complication, the advent of which makes it possible to document how organ donation protocols force doctors to clarify the dividing line between life and death. 
这是2019年7月在法国一家医院发生的循环系统死亡(DCD)后器官捐献程序的描述。根据这家医院神经重症监护室(neuroICU)的民族志,我描述了DCD给参与者留下的印象,它可能产生的意外影响,以及它对一个濒临死亡的人的生命提出的问题。这也是一种医学和技术并发症,它的出现使我们有可能记录器官捐献协议如何迫使医生澄清生与死的分界线。
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引用次数: 0
Anthropological Engagements with Global Health 人类学与全球健康的合作
Pub Date : 2022-09-23 DOI: 10.17157/mat.9.3.5628
P. Medeiros, Allyson Oliphant, Steven Farrow, Priyanka Gill
Epidemic infectious diseases like HIV/AIDS, tuberculosis, Ebola, and more recently COVID-19, have persistent and devastating impacts in human populations across the globe. In this Review essay, we consider together the monographs Epidemic Illusions (Richardson 2021) and Fevers, Feuds, and Diamonds (Farmer 2020), as well as the documentary film Bending the Arc (Davidson and Kos 2017), Together, they demonstrate the history of transnational colonialism, the significance of structural violence as a contributor to global health inequity, and the increasing presence of co-occurring epidemics worldwide, topics which are often absent from discussions of global health systems. These three works discuss epidemics as pathologies of history and sociocultural patterns of colonial dispossession in global health systems; the inclusion of patient narratives in two of them, the film Bending the Arc and the book Fevers, Feuds, and Diamonds, is pivotal in describing the intricacies of HIV infection and other infectious diseases, as well as the complexity of gaining control of syndemic diseases. Further, these three materials point to the importance of health education in communities and of access to healthcare by community members, and to the roles that health education and access play in health policy implementation.
艾滋病毒/艾滋病、结核病、埃博拉病毒以及最近的COVID-19等传染病对全球人口产生了持续和破坏性的影响。在这篇评论文章中,我们将专著《流行病幻觉》(理查森2021年)和《发烧、仇恨和钻石》(法默2020年)以及纪录片《弯曲弧线》(戴维森和科斯2017年)结合在一起,展示了跨国殖民主义的历史,结构性暴力作为全球健康不平等的一个因素的重要性,以及世界范围内共同发生的流行病的日益存在。全球卫生系统讨论中经常缺少的主题。这三部作品讨论了流行病作为全球卫生系统中殖民剥夺的历史病理学和社会文化模式;电影《弧线弯曲》和《发烧、世仇和钻石》这两部作品中包含了病人的叙述,这在描述艾滋病毒感染和其他传染病的复杂性以及控制流行病的复杂性方面起到了关键作用。此外,这三份材料指出了社区卫生教育和社区成员获得保健服务的重要性,以及卫生教育和获得保健服务在卫生政策执行中发挥的作用。
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引用次数: 0
Antibiotic Arrivals in Africa: A Case Study of Yaws and Syphilis in Malawi, Zimbabwe and Uganda 抗生素抵达非洲:马拉维、津巴布韦和乌干达的Yaws和梅毒病例研究
Pub Date : 2022-09-23 DOI: 10.17157/mat.9.3.5633
Paula Palanco Lopez, Salome Manyau, J. Dixon, E. MacPherson, Susan Nayiga, J. Manton, Claas Kirchhelle, Clare I. R. Chandler
The mass production of antibiotics in the 1940s enabled their travel beyond Europe and America, but to date the significance of the ways in which these medicines co-constituted colonial regimes at the time has not been systematically described. Through a case study of yaws and syphilis, this research article traces arrivals of antibiotics in three countries of Eastern Africa—Malawi, Zimbabwe, and Uganda. We draw attention to the emergent roles of antibiotics at the intersection of colonial governance and humanitarianism in these different settings. Through this analysis of archival and ethnographic materials, we explore how antibiotics became ‘infrastructural’ in material, affective, and political ways. Achieving a better understanding of the entanglement of antibiotics with human systems and lives is crucial to address the pressing issue of antimicrobial resistance (AMR). With this article we join in the global multidisciplinary efforts to tackle AMR, pointing out the often-overlooked role of colonial history in the circulation of antibiotic drugs, and opening a line of research that will provide valuable insights for the development of effective measures to prevent and reduce the spread of antibiotic resistance.
20世纪40年代抗生素的大规模生产使它们能够超越欧洲和美国,但迄今为止,这些药物在当时共同构成殖民政权的方式的重要性尚未得到系统的描述。通过对雅司病和梅毒的个案研究,这篇研究文章追踪了东非三个国家——马拉维、津巴布韦和乌干达——的抗生素到货情况。我们提请注意在这些不同的环境中,抗生素在殖民统治和人道主义的交叉点上所起的紧急作用。通过对档案和民族志材料的分析,我们探索了抗生素如何在物质、情感和政治方面成为“基础设施”。更好地理解抗生素与人类系统和生命的纠缠,对于解决抗生素耐药性(AMR)这一紧迫问题至关重要。通过这篇文章,我们加入了应对AMR的全球多学科努力,指出了殖民历史在抗生素药物流通中经常被忽视的作用,并开辟了一条研究路线,为制定有效措施预防和减少抗生素耐药性的传播提供了有价值的见解。
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引用次数: 0
Accounting for Complexity: Thinking With Idealisations, Models, and Data 核算复杂性:用理想化、模型和数据思考
Pub Date : 2022-09-23 DOI: 10.17157/mat.9.3.7290
Kathryne Metcalf
What does it mean to call something complex? This Review essay describes three recent books which take up complex problems and the problem of complexity: philosopher Angela Potochnik’s Idealization and the Aims of Science (2017); science and technology studies (STS) scholar Nicole Nelson’s Model Behavior: Animal Experiments, Complexity, and the Genetics of Psychiatric Disorders (2018); and historian of science Bruno Strasser’s Collecting Experiments: Making Big Data Biology (2019). Taken together, these works lay out a refreshed analytic vocabulary and set of guiding concerns for thinking about what complexity is and does in medical research, and how complexity mediates public participation in science and medicine.
什么叫复杂?这篇评论文章描述了最近三本探讨复杂问题和复杂性问题的书:哲学家安吉拉·波托奇尼克的《理想化和科学的目标》(2017);科学技术研究(STS)学者Nicole Nelson的《模式行为:动物实验、复杂性和精神疾病的遗传学》(2018);以及科学史学家布鲁诺·斯特拉塞的《收集实验:制作大数据生物学》(2019)。综合起来,这些作品为思考复杂性是什么以及在医学研究中做了什么,以及复杂性如何调解公众对科学和医学的参与,提供了一套全新的分析词汇和指导关注。
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引用次数: 0
Sticking with the Fat: Excess and Insignificance of Fat Tissue in Cadaver Dissection 粘着脂肪:尸体解剖中脂肪组织的过剩与不足
Pub Date : 2022-09-23 DOI: 10.17157/mat.9.3.6186
Helene Scott-Fordsmand
Fat, in the context of dissection, is a nuisance, an obstruction to anatomical order and orientation. Yet it makes up a large part of the human body, and in the practice of dissection becomes one of the most prominent materials in the room, as it sticks to gloves and spreads through the dissection hall, making chairs greasy and instruments slippery. In this article I explore the role and significance of fat tissue in anatomical dissection for medical students. In anatomy, fat remains largely an excess material; something superfluous, insignificant, left-over when the body is turned into an anatomical body consisting of muscles, nerves, blood vessels, and bones, cleaned and displayable. But fat is also something which appears in experience as excessive, omnipresent, proliferating, and resistant to attempts to keep it in order. Much anthropological work within dissection practices has described the process of ‘cleaning’ the bodies, but often—mirroring medicine—these accounts follow the becoming of the anatomical body and leave the fat behind. In this article, I try to ‘stick with’ the fat and suggest that fat tissue, as an embodiment or material manifestation of the more-than-anatomical-body, may tell us something about bodies, subjectivity, scientific order, and dissection.
脂肪,在解剖的背景下,是一个讨厌的,阻碍解剖秩序和方向。然而,它占人体的很大一部分,在解剖实践中,它成为房间里最突出的材料之一,因为它粘在手套上,扩散到解剖大厅,使椅子油腻,仪器滑。本文探讨了脂肪组织在医学生解剖中的作用和意义。在解剖学上,脂肪主要是一种多余的物质;多余的、不重要的东西,当身体变成由肌肉、神经、血管和骨骼组成的解剖体时剩下的东西,清理干净并可以展示但在经验中,脂肪也是一种过量的、无所不在的、增殖的、对控制它的尝试有抵抗力的东西。解剖实践中的许多人类学工作都描述了“清洁”身体的过程,但通常与医学相呼应,这些描述遵循解剖体的形成,而留下脂肪。在这篇文章中,我试图“坚持”脂肪,并提出脂肪组织作为非解剖性身体的体现或物质表现,可以告诉我们一些关于身体、主体性、科学秩序和解剖的东西。
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引用次数: 1
Ethics in Practice and Ethnography: Faux pas During Fieldwork with Structurally Vulnerable Groups 实践中的伦理与民族志:结构弱势群体实地调查中的浮夸
Pub Date : 2022-09-23 DOI: 10.17157/mat.9.3.5747
Natalia Luxardo
Ethical issues are an essential part of research and need to be considered throughout the process and in its aftermath, especially when including vulnerable groups. This Field Notes revisits some ethical tensions that emerged during fieldwork with a ‘vulnerable population’—a group of waste-pickers and their families—and links these to specific avenues for further thinking within ethical frameworks. I reflect on mistakes, omissions, and blunders committed over 5 years working with this social group affected by many different forms of injustices, part of my 25 years of wider research into social inequalities and health disparities within marginalised communities. I remark upon three emerging ethical tensions relating to: the exclusion of certain narratives; the layers of vulnerabilities and danger of harm; and the risk of stereotyping vulnerable groups. I conclude that, more than just considering ethical issues within the context of our own work as researchers on moral solipsism, decisions in applied ethics must be integrated into broader models that offer a connected rationale for the infinite situations that can emerge from research. Alternative ethical models—such as anti-racist, feminist, communitarian, and transformative approaches—provide chances for collective decision making and promote social justice, equity, and democracy. 
伦理问题是研究的重要组成部分,需要在整个过程及其后果中加以考虑,尤其是在包括弱势群体时。本《实地笔记》重新审视了在与“弱势群体”(一群拾荒者及其家人)的实地调查中出现的一些道德紧张关系,并将其与在道德框架内进一步思考的具体途径联系起来。我反思了在与这个受多种不同形式不公正影响的社会群体合作的5年中犯下的错误、疏漏和失误,这是我25年来对边缘化社区内的社会不平等和健康差距进行更广泛研究的一部分。我谈到了三种新出现的道德紧张关系:排斥某些叙述;脆弱性和伤害危险的层次;以及对弱势群体抱有成见的风险。我的结论是,不仅仅是在我们作为道德唯我论研究者的工作背景下考虑伦理问题,应用伦理学的决策必须融入更广泛的模型中,为研究中可能出现的无限情况提供相关的理论基础。另类伦理模式——如反种族主义、女权主义、社群主义和变革方法——为集体决策提供了机会,促进了社会正义、公平和民主。
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引用次数: 0
An Ethnographer’s Dilemma: Researching Birthing Practices in India 民族学家的困境:研究印度的生育实践
Pub Date : 2022-09-23 DOI: 10.17157/mat.9.3.5296
Sreya Majumdar
These field notes are based on my research study which aims to understand the recent changes and developments in childbirth practices in India that propagate natural birthing practices as a childbirth choice available to birthing women. Drawing from this multi-sited ethnographic study conducted in birth centres in India from November 2018 to October 2019, I reflect on my fieldwork engagements to show the dilemmas that emerged during my research. In these field notes, I examine my position as a researcher with a focus on the complex ways in which the relationship between the respondents (birth professionals and birthing couples) and the researcher is navigated in a field site. 
这些实地记录是基于我的研究,旨在了解印度分娩实践的最新变化和发展,将自然分娩实践作为分娩妇女可选择的分娩选择。从2018年11月至2019年10月在印度生育中心进行的这项多地点民族志研究中,我反思了我的实地工作,以展示我在研究过程中出现的困境。在这些现场记录中,我审视了我作为一名研究人员的立场,重点关注调查对象(生育专业人员和生育夫妇)与研究人员之间关系的复杂方式,这些关系是在现场网站中导航的。
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引用次数: 0
In the Shadows of COVID-19: From January 2020 to October 2021 新冠肺炎阴影下:2020年1月至2021年10月
Pub Date : 2022-09-23 DOI: 10.17157/mat.9.3.5632
S. Mylan
In this Field Note piece, I use my clinical and research experiences in the UK and Uganda during the COVID-19 pandemic to explore the contrasting ways it unravelled in each setting during the period between January 2020 and October 2021. In the UK, working as a clinician while also studying at a leading public health institution, my life became monopolised by COVID-19, particularly in relation to concerns around direct transmission of the virus and the illness it causes. Whilst conducting fieldwork and working in a health centre in Uganda, however, I was reminded to pay greater attention to the effects of COVID-19 restrictions and the burden of other causes of ill health. Bringing together these experiences, this piece explores how priorities and preparedness for fieldwork developed in one setting do not necessarily translate to another location, thereby underlining the challenges of planning adequately for fieldwork.
在这篇现场笔记文章中,我利用我在2019冠状病毒病大流行期间在英国和乌干达的临床和研究经验,探讨了在2020年1月至2021年10月期间,它在每种环境中展开的不同方式。在英国,作为一名临床医生,同时也在一家领先的公共卫生机构学习,我的生活被COVID-19所垄断,特别是在对病毒直接传播及其引起的疾病的担忧方面。然而,在乌干达的一家卫生中心进行实地调查和工作时,有人提醒我要更加关注COVID-19限制措施的影响和其他健康不佳原因的负担。结合这些经验,本文探讨了在一个环境中制定的实地工作优先级和准备工作如何不一定适用于另一个地方,从而强调了充分规划实地工作的挑战。
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引用次数: 0
Giving Care a Platform: The Use of Instagram by Mothers of Children with Chronic Illness 给护理一个平台:慢性病儿童母亲使用Instagram
Pub Date : 2022-08-05 DOI: 10.17157/mat.9.3.5768
Mikayla Gordon Wexler, Christopher Dole
In this article, we explore the ways that the social media platform Instagram shapes the intersubjective experience of caring for children with chronic illnesses. Based on long-term immersive social media research and in-depth interviews with women maintaining popular Instagram accounts dedicated to caring for children with chronic illnesses, we approach Instagram as a ‘moral laboratory’ (Mattingly 2010) in which caregivers negotiate the meaning of their present experiences and experiment with potential futures for themselves, their children, and their relationships together. Through a consideration of the role played by Instagram in mediating the forms of affective labour these mothers engaged in, we consider how the very features that make Instagram a resource—its ability to foster a sense of social connectedness, validate their invisible labour, and provide practical knowledge—both create new and intensify longstanding forms of pressure and anxiety in their lives. We regard these Instagram feeds as complex social settings that are playing an increasingly important role in the trajectory of lives of people with chronic illness and their caregivers.
在这篇文章中,我们探讨了社交媒体平台Instagram如何塑造照顾慢性病儿童的主体间体验。基于长期沉浸式社交媒体研究和对那些拥有专门照顾患有慢性病的儿童的流行Instagram账户的女性的深入采访,我们将Instagram视为一个“道德实验室”(Mattingly 2010),在这个实验室中,照顾者协商他们当前经历的意义,以及他们在一起的关系。通过考虑Instagram在调解这些母亲所从事的情感劳动形式方面所起的作用,我们考虑了使Instagram成为一种资源的功能——它培养社会联系感的能力,验证她们的无形劳动,并提供实用知识——这两者都会在他们的生活中产生新的并加剧长期存在的压力和焦虑。我们认为这些Instagram订阅源是复杂的社交环境,在慢性病患者及其护理人员的生活轨迹中发挥着越来越重要的作用。
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引用次数: 0
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Medicine anthropology theory
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