在COVID-19大流行的第一年,美国中部的信任、个人主义和护理逻辑。

IF 2.5 3区 医学 Q1 ANTHROPOLOGY Transcultural Psychiatry Pub Date : 2024-10-01 Epub Date: 2023-12-06 DOI:10.1177/13634615231213839
Emily Mendenhall
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引用次数: 0

摘要

两极分化和地盘争夺战是美国应对新冠肺炎疫情的特点。虽然关于COVID-19的叙述可能是二元和分裂的,但人们在大流行的第一年如何相互关心则更加微妙。这篇文章描述了恐惧、个人主义、幸福和个人冒险的概念如何以及为什么会渗透到阻止集体风险的行为中。这项工作是基于2020年夏天在爱荷华州西北部一个旅游小镇的非正式对话、公共论坛和86次深度采访。一些人认为参与公共卫生预防不是他们的责任,相反,他们把自己的个人享受、财务或心理健康置于他人之上,不强调个人风险,并声称上帝会保护他们。其他人则通过呆在家里、戴口罩和保持社交距离等方式,坚定地致力于公共卫生预防。在这两种情况下,人们都利用羞耻来宣传他们的观点(例如,你掩盖/揭露了!)以及恐惧(例如,我害怕/不害怕冠状病毒,因为我是善良的)。然而,大多数人从事护理逻辑,指导遵循哪些公共卫生预防措施来保护自己和他们最爱的人。然而,这些决定是在个人主义和个人责任理想的文化背景下做出的,这种文化培养了对公共卫生的不信任。理解这种个人主义是如何以及为什么在美国公众中扎根的,是政策制定的关键转折点,也是对人们为什么以及如何构建风险和责任的文化解释的关键转折点。
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Trust, individualism, and the logics of care in middle America during the first year of the COVID-19 pandemic.

Polarization and turf-wars have characterized the COVID-19 response in the United States. While COVID-19 narratives can be binary and divisive, how people cared for each other throughout the first year of the pandemic is more nuanced. This article describes how and why constructs of fear, individualism, wellbeing, and personal risk-taking became imbued in behaviors that thwarted the risk of the collective. This work is based on informal conversations, public forums, and 86 in-depth interviews during the 2020 summer in a small tourist town in northwest Iowa. Some believed engaging in public health prevention was not their responsibility and instead privileged their personal enjoyment, finances, or mental health over others, de-emphasizing personal risk and stating God will protect them. Others were deeply committed to public health prevention, by staying home, masking, and social distancing. In both cases, people used shame to promote their views (e.g., shame on you for masking/unmasking!) as well as fear (e.g., I do/don't fear coronavirus because I am virtuous). However, most engaged in logics of care, navigating what public health precautions to follow to protect themselves and those they loved most. Yet, such decisions were navigated through a culture of individualism and ideals of personal responsibility that cultivated a mistrust in public health. Understanding how and why such individualism took hold in American publics is a crucial inflection point for policy-making as well as cultural interpretation of why and how people construct risk and responsibility.

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来源期刊
CiteScore
5.10
自引率
12.00%
发文量
93
期刊介绍: Transcultural Psychiatry is a fully peer reviewed international journal that publishes original research and review articles on cultural psychiatry and mental health. Cultural psychiatry is concerned with the social and cultural determinants of psychopathology and psychosocial treatments of the range of mental and behavioural problems in individuals, families and human groups. In addition to the clinical research methods of psychiatry, it draws from the disciplines of psychiatric epidemiology, medical anthropology and cross-cultural psychology.
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