作为病人的医学人类学家:通过自动民族志研究日本医院食品的发展问题

Pamela L. Runestad
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引用次数: 5

摘要

2012年至2013年,我在日本一家小型产科诊所住院,发现我无法将我所经历的医疗护理和我作为医学人类学家的培训分开。当我被鼓励吃东西并监控自己的体重,这样我就能“长”出一个健康的婴儿时,我想起了我的艾滋病项目的受访者如何描述他们的身体营养,这样他们就能对抗疾病。由于我在日本医疗保健系统的经验,我最终重新构建了我的数据,加入了关于医院食品在病人护理中的作用的问题。与此同时,我开发了执行一个新项目所需的社交网络,这个项目后来由我承担。在这篇文章中,我认为从现象学的角度出发的医学人类学家可能会将自己的身体视为研究中的资产而不是障碍,并且由于身体是性别的,因此关注习惯的这一方面可能会特别有用。我还说明了对该领域个人经验的系统反思(自我民族志)如何有助于研究问题的发展和重构数据。最后,我讨论了如何在研究方法课程中突出这些步骤可以为学生揭开研究过程的神秘面纱。
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The Medical Anthropologist as the Patient: Developing Research Questions on Hospital Food in Japan through Auto-Ethnography
I was an inpatient at a small maternity clinic in Japan in 2012–13 and found it impossible to separate the way I experienced medical care and my training as a medical anthropologist. As I was encouraged to eat and monitor my weight so that I would “grow” a healthy baby, I recalled how interviewees from my HIV/AIDS project described nourishing their bodies so they could fight disease. Because of my experience in the healthcare system in Japan, I ended up reframing my data to add questions about the role of hospital food in patient care. Meanwhile, I developed the social networks necessary to execute a new project, which I would later undertake. In this essay I argue that medical anthropologists working from a phenomenological perspective may regard their own bodies as assets rather than hindrances in research, and that because bodies are gendered, focusing on this facet of habitus can be particularly informative. I also illustrate how systematic reflection on personal experience in the field (autoethnography) aids in the development of research questions and reframing data. Finally, I discuss how highlighting these steps in research methods courses can demystify the research process for students.
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2
审稿时长
14 weeks
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