Search

This paper examines health worker experiences in two areas of post-epidemic preparedness in Sierra Leone – vaccine trials and laboratory strengthening – to reflect on the place of people in current models of epidemic response. Drawing on ethnographic research and interviews with health workers in the aftermath of Ebola, it explores the hopes and expectations that interventions foster for frontline workers in under-resourced health systems, and describes the unseen work involved in sustaining robust response infrastructures. Our analysis focuses on what it means for the people who sustain health systems in an emergency to be 'prepared' for an epidemic. Human preparedness entails more than the presence of a labour force; it involves building and maintaining 'relational infrastructures', often fragile social and moral relationships between health workers, publics, governments, and international organisations. The COVID-19 pandemic has underscored the value of rethinking human resources from an anthropological perspective, and investing in the safety and support of people at the forefront of response. In describing the labour, personal losses, and social risks undertaken by frontline workers for protocols and practicality to meet in an emergency context, we describe the social process of preparedness; that is, the contextual engineering and investment that make response systems work. [ABSTRACT FROM AUTHOR]

Thailand's antimicrobial stewardship strategy has focussed on promoting 'rational drug use' in the public sector, to reduce the threat of drug resistance and control healthcare expenditure. The strategy's next ambition is to attend to the private sector, where antibiotics are widely available over the counter without prescription. Using ethnographic and survey data, this paper follows antibiotics through community pharmacies, to explore drug distribution and access, and identify potential challenges for stewardship. We extend the analytical frame beyond 'irrational' dispenser-customer transactions, to explore the logics of practice of a multiplicity of actors in the context of a highly competitive pharmaceutical market. Highlighting the role of the pharmaceutical industry in mystifying medicines, we show how antibiotics are collapsed into a category of 'strong medicines' and requested by customers using 'prescriptions by proxy'. We further examine how Thailand's drug regulation and classificatory systems, historically orientated around access to medicines, enable the proliferation of antibiotics in the context of contemporary efforts to control distribution. Recognising the negotiations involved in dispensing antibiotics in a pluralistic health system, we attempt to reconfigure allocations of responsibility, advocating for stewardship approaches that take into account local ecologies of care, as well as implications for access, equity, and accountability. [ABSTRACT FROM AUTHOR]

Copyright of Tapuya: Latin American Science, Technology & Society is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper explores how Catholic women in Argentina use assisted reproduction technologies (ARTs), and particularly the way in which they resort to biomedicine and religion as complementary sources of knowledge, support and assistance during reproductive treatments. It is concerned about the role of the Catholic religion in local reproductive itineraries, seeing that Catholicism has such significant social, political and cultural influence in the country. Drawing on a qualitative and ethnographic study of Catholic spaces of worship, a maternity hospital and in-depth interviews with former users from three metropolitan areas in Argentina, we examine how reproductive itineraries involve the users' agency in building health resources from religion, with reference to biomedicine. The data reveal that women address religion as an affective, social and therapeutic recourse intertwined with biomedical power. These findings highlight the multiple and complex forms reproduction acquires in specific social, cultural and normative contexts, and contribute to discussing the complementarity between religion and biomedicine in health experiences. [ABSTRACT FROM AUTHOR]

Schoolchildren's embodied subjectivity has often been understood as a bio-political tool to 'clean up' and modernize poor and marginalized communities. In many post-colonial contexts, school uniforms frequently appear as visual symbols of a child's clean, schooled body and democratic access to education. Through ethnographic research with 10–14-year-old schoolchildren in urbanizing areas in northern Tamil Nadu, my paper asks how children inhabit and co-construct the school uniform code's cleanliness discourse in their everyday lives. Studying plural school uniforms through a spatial lens, I explore schoolchildren's embodied and relational work in negotiating with the equalizing school uniform codes within the schools and the circulation of multiple school uniforms in the community outside. Engaging with a shifting visual aesthetic of embodied cleanliness in a context of class segregated schooling. I argue that school uniforms are discursive sites where exclusions of class and gender, with undertones of caste and age, are simultaneously reinforced and negotiated. [ABSTRACT FROM AUTHOR]

This article examines how children draw on local sources of morality and moral worth to forge connections, build friendship and enforce distinctions across difference in a rural multicultural city of settler Australia. Children's friendship-making practices across ethnic and class differences have been widely explored in urban Australia. Far less is known about how children connect and distance in regional and rural places, notably those experiencing profound social change. This paper examines friendship work among children from humanitarian refugee backgrounds in one rural city of south-eastern Australia through the lens of morality and moral worth. Drawing on long-term ethnographic research, it shows how deeply classed and racialised ideas about morality and moral worth scaffold children's social worlds, delineate which behaviours are valorised, and can exclude children whose actions do not meet the necessary moral criteria of belonging. A focus on morality provides rich insight into how children shore up familiarity and build affinities with one another while simultaneously policing and enforcing boundaries. This has important implications for understanding how children from refugee backgrounds build relationships and friendships in rural settler Australia, and the implications of such work for children's everyday geographies of belonging. [ABSTRACT FROM AUTHOR]

Drawing on ethnographic research conducted in 2019 with secondary school students in Kigali, Rwanda, this paper aims to shed light on the stance of Rwandan youth on recent policies and discussions about post-genocide reconciliation and peacebuilding. This article discusses the narratives articulated by Rwandan youth on three levels: positioning in relation to the Rwandan government, positioning the self and others in their communities and positioning the self in relation to 'Ndi Umunyarwanda' (I am Rwandan). The discussion of these narratives is based on the concepts of participatory spaces and positioning theory. The findings show that the legacy of the genocide, as well as the reconciliation process, is being performed through everyday actions by the youth. However, the limitations of participatory spaces prevent Rwandan youth from having their positions communicated, negotiated and diversified. [ABSTRACT FROM AUTHOR]

Research and practice in the area of mental health has been conventionally predominated by the deficit-based approach, which attempts to improve lives by fixing symptoms. However, the growing impact of the positive psychology movement in the last two decades has resulted in incorporation of the strength-based approach into mental health work. The objective of this article is to (i) emphasize the efficacy of strength-based approach in the area of mental health (ii) identify shortcomings in the Indian Mental Health System (MHS) (iii) recognize micro-level initiatives in the MHS and (iv) provide recommendations for the future. These objectives are accomplished via reflections obtained from an ethnographic research with participants reporting mental health symptoms. Additionally, opinions gathered from mental health professionals, and government and non-government organizations working in the area were also considered. This work has shed light on the recent micro-level transformations in the system including contextualization of mental illness and treatment, valuing patient's input in the treatment process, and the creation and effective functioning of mental health task-forces. This paper concludes with a four-point recommendation that can help to incorporate the strength-based approach in MHSs for better outcomes. [ABSTRACT FROM AUTHOR]

This ethnographic study explores an old age home in a former township in Walvis Bay, Namibia as an institution to investigate its potential to be interwoven in community care services for older adults. Interviews with older adults from the community revealed highly negative opinions about the residence that equated it to an institution. These opinions are compared with conditions in the OAH and the residents' views. The old age home was much more heterogenous as regards the composition of residents than what was perceived by older adults who lived in the community, who considered the home an option only for people who were childless or had been abandoned. Older adults who voluntarily lived alone in the home represented a new lifestyle that challenged the traditional family care practice that is the norm in later life. There was however some truth to the interviewees' perceptions of coercive elements, both in terms of practices and architectural design. The paper argues that it is necessary to reduce the stigma that prevents residential care from being an accepted part of community care and a housing option in the future. The study result shows a number of potentialities that can contribute to this. [ABSTRACT FROM AUTHOR]

Copyright of Tourism Geographies is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper presents an ethnography study that explores the formulation of interculturality from the unique experiences of sail trainees who were bound by space and time during a sailing voyage across the North Sea. The author immersed herself as a mentor-researcher into a 107-year-old tall ship's expedition, sailing across 1000 nautical miles. Empirical data were collected and analysed, ranging from interviews, observations, fieldnotes, to the participants' diaries and logbooks. The study reveals that situated in a confined space largely shaped by the unpredictable conditions at sea, both the researcher and the participants confront challenges due to various factors, driving them out of their comfort zones and prompting them to co-create fluid communicative approaches in the sailing ethnography. Given the uniqueness of the research site, this study provides methodological insights for intercultural or adventure ethnographic research design. [ABSTRACT FROM AUTHOR]

This paper explores how wellbeing is cultivated inside of domestic bomb shelters on Israel's contested and heavily militarised northern borders with Lebanon and Syria. It draws from ethnographic research conducted during what is locally referred to as being a time between wars, or a 'period of quiet', in the ongoing regional conflicts affecting these borders. Contrasting the upkeep and organisation of shelters situated in two private homes on the same street, the paper explores how shelters are used to foster a localised sense of wellbeing in a time of 'quiet', as well as who is seen to demonstrate wellbeing in this context. Each shelter is a place where the temporal position of being between past and future war is visceral. Memories of past wars, present uncertainty and the anticipated threats of future war are easily encountered in each shelter, although in varied ways. Yet, the arrangement of each shelter reflects how their owners make sense of the time they understand themselves to inhabit, while allowing them to re-organise and edit out what is problematic, uncomfortable or threatening about dwelling in a present between wars. A sense of wellbeing comes from the thoughtful, creative and aspirational ordering of past, present and future inside of each shelter, and through an ordering of one's position in time. These observations contribute to the broader conceptualisation and pragmatic study of wellbeing, a term that is often illusive and abstract. [ABSTRACT FROM AUTHOR]

This paper develops the theoretical position proposed by Zygmunt Bauman that one of the greatest contemporary 'social evils' or injustices we face in society, is the total marketisation and individualisation of our lived experience. Bauman with Harvey, argues that the last forty years of social, political, and economic reform under the zeitgeist of neoliberalism have transferred the burden of care from the state to the individual. This paper will explore the position that the dominant neoliberal culture within social work, in the form of 'new managerialism' has reconstituted social work institutionally as one where interventions now focus on minimum statutory interventions emphasising; risk management, resource allocation, and audit culture. Despite the current landscape the research highlights the importance of the personal reframed as the political, and the nuanced ways in which acts of defiance and resistance against the prevailing orthodoxies have been adopted by social workers on the front line. [ABSTRACT FROM AUTHOR]

Existing literature demonstrates agro-chemicals result in physical toxicity and damages human health, flora and fauna. However, little is known about how such ‘toxicity’ relates to mental well-being and social suffering. This paper aims to demonstrate how local, national and international vectors are interlinked to shape social distress among cotton farmers in India. Ethnographic interviews and focus group discussions were conducted in a cotton-growing village of the Warangal district, Telangana state, India. The results advance the concept of counter therapeutic spaces and hypothesise that toxic landscapes emerge through a dynamic interaction between dispersed agencies that interact and reconfigure agricultural spaces into socially toxic places. The paper argues that the disciplines of public health and agriculture suffer from a failure of imagination to forge vital interdisciplinary links that could address farmer suffering. Unpacking local ecologies of farmer suffering offer innovative ways for enhancing mental health policy and interventions in India. [ABSTRACT FROM AUTHOR]

This paper addresses a gap in the literature on art therapy identity by providing an arts-based autoethnographic account of the author's identity and growth-related experiences while training as an art therapist and developing a private practice. The data analyzed included personal journaling (written and art-based), course papers, and art made over a six-year period. Using organic inquiry, narrative presentation, and qualitative thematic coding, analyses of the writing and art revealed evidence for the macrolevel themes of liminality (feeling between identities) and transformation (experiencing transformative growth and self/identity integration). Within those macrolevel themes, the art and writing were related to expressive metaphors. For the period of liminality, the metaphors included: (a) hanging between worlds; (b) seeing without sight; (c) shapeshifting; and (d) dark night of the soul. Within the period of transformation, they included moving from: (a) darkness to light; (b) dismemberment to "rememberment"; and (c) death to rebirth. Throughout the narrative, the roles of identity processes (e.g., contemplation), myths, metaphors, and art-making, especially self-portraiture, are discussed as important tools for self-identity development during and after art therapy training. [ABSTRACT FROM AUTHOR]

The past two decades have seen an increasing role for the UK community and voluntary sector (CVS) in health promotion in disadvantaged areas, largely based on assumptions on the part of funders that CVS providers are better able to engage ‘hard-to-reach’ population groups in services than statutory providers. However, there is limited empirical research exploring CVS provider practices in this field. Using ethnographic data, this paper examines the experiences of a network of CVS providers seeking to engage residents in health-promoting community services in a disadvantaged region in the North of England. The paper shows how CVS providers engaged in apparently contradictory practices, fluctuating between an empathically informed response to complex resident circumstances and (in the context of meeting externally set targets) behavioural lifestyle approaches to health promotion. Drawing on concepts from figurational sociology, the paper explains how lifestyle drift occurs in health promotion as a result of the complex web of relations (with funders, commissioners and residents) in which CVS providers are embedded. Despite the fact that research has revealed the impact of targets on the work of the CVS before, this paper demonstrates more specifically the way in which monitoring processes within CVS contracts can draw providers into the neoliberal lifestyle discourse so prevalent in health promotion. [ABSTRACT FROM PUBLISHER]

Migrant access to sexual and reproductive health (SRH) services has been highlighted as an urgent priority for the 800,000+ Venezuelans who have arrived in Peru in recent years due to political and economic crisis. Venezuelan migrants in Peru, however, negotiate their access to SRH services in what anthropologists term a 'geography of blame', and are accused and stigmatised for having imported sexually transmitted infections to the local population. Alongside this blame, female migrants are highly sexualised and face stigma, resulting in real and perceived threats to their safety, wellbeing, and integration. By juxtaposing ethnographic research and 50 interviews conducted with female migrants living in Lima, their Limeño neighbours, and with local NGOs, the paper argues how stigma is itself a neglected public health issue. Addressing SRH needs for Venezuelan migrants is not only a question of rolling out health campaigns or providing pills, but that underlying social issues such as sexualisation and stigma need to also be recognised and incorporated into policy. [ABSTRACT FROM AUTHOR]

Growing numbers of women are showing interest in clitoral reconstructive surgery after 'Female Genital Mutilation'. The safety and success of reconstructive surgery, however, has not clearly been established and due to lack of evidence the World Health Organization does not recommend it. Based on anthropological research among patients who requested surgery at the Brussels specialist clinic between 2017 and 2020, this paper looks at two cases of women who actually enjoy sex and experience pleasure but request the procedure to become 'whole again' after stigmatising experiences with health-care professionals, sexual partners or gossip among African migrant communities. An ethnographic approach was used including indepth interviews and participant observation during reception appointments, gynecological consultations, sexology and psychotherapy sessions. Despite limited evidence on the safety of the surgical intervention, surgery is often perceived as the ultimate remedy for the 'missing' clitoris. Such beliefs are nourished by predominant discourses of cut women as 'sexually mutilated'. Following Butler, this article elicits how discursive practices on the physiological sex of a woman can shape her gender identity as a complete or incomplete person. We also examine what it was that changed the patients' mind about the surgery in the process of re-building their confidence through sexology therapy and psychotherapy. [ABSTRACT FROM AUTHOR]

Studying digitally mediated play presents challenges in terms of how to view and record both the on-screen action and player's bodies in physical space. Carrying out this research in a socially and technologically diverse range of family households poses further challenges, common to ethnographic media research in general. In this paper, we describe a method for generating richly detailed views of 6–8 year old children's digital play with the game Minecraft, on a range of devices and in a range of household configurations. We explain the process undertaken in our own research, highlighting the need for flexibility and a collaborative approach between participants and researchers. We argue that collecting multi-perspectival recordings of digital play provides data that has the potential to greatly aid understanding of digital playworlds. [ABSTRACT FROM AUTHOR]

This paper draws upon the notion of slow emergency as a framework to interpret ethnographic and qualitative findings on the challenges faced by Puerto Ricans with chronic conditions and health-sector representatives throughout the island during and after Hurricane María. We conducted participant observation and qualitative interviews with chronic disease patients (n = 20) health care providers and administrators (n = 42), and policy makers (n = 5) from across the island of Puerto Rico in 2018 and 2019. Many Puerto Ricans coping with chronic diseases during and after María experienced bureaucratic red tape as a manifestation of the colonial legacies of disaster management and health care. They describe a precarious existence in perpetual 'application pending' status, waiting for services that were not forthcoming. Drawing on ethnographically informed case examples, we discuss the effects of these bureaucratic barriers on persons with three chronic conditions: renal disease, opioid dependency, and HIV/AIDS. We argue that while emergency management approaches often presume a citizen-subject with autonomous capacity to prepare for presumably transient disasters and envision a 'post-disaster future' beyond the immediate crisis, Puerto Rican voices draw attention to the longer, sustained, slow emergency of colonial governance. [ABSTRACT FROM AUTHOR]

To explore how the information-sharing context influences how speech and language therapy (SLT) and nursing staff interact on stroke units and what they discuss. Ethnographic methodology was used, with data collected during 40 weeks of fieldwork across three inner city stroke units in the UK. Data comprised field notes collected during 357 h of participant observation and 43 interviews. Interviews were conducted with 14 SLTs, 1 SLT assistant, 24 registered nurses and 4 nursing assistants. This paper is focused on informal information-sharing. SLTs and nurses had different experiences of time and space (the temporal-spatial context) with respect to ward presence and proximity to patients, influencing how they interacted, the content of their talk and their relationships. Most interactions had the quality of interruptions, in which SLTs seized moments in between nursing tasks. Conditions were less suited to sharing information about communication than swallowing and SLTs felt more allied to other therapists than nurses. The temporal-spatial context impeded information-sharing, particularly about patients' communication needs. Consideration should be given to developing relationships between SLTs and nurses as key partners for patient care and raising the profile of communication information in ways that are relevant and useful to nursing work. Strategic waiting for opportunities to interrupt nurses and gain their attention is central to how speech and language therapists manage their need to share information informally with nurses. The small "windows in time" available for interaction influence information-sharing, with a limiting effect on information about patients' communication. There is potential to improve information-sharing between speech and language therapists and nurses by considering how the relevance of information for patient care could be made clearer. [ABSTRACT FROM AUTHOR]

A popular notion refers to laughter as “the best medicine,” and a stream of psychological research encourages treatment providers to use humour as a therapeutic tool. However, remarkably few studies have investigated client perspectives on professionals' use of humour in everyday practice. Drawing on ethnographic data from fieldwork in two Danish drug treatment institutions for young people, this paper begins to fill this gap in the existing research. Analyzing the use of humour in naturally occurring, informal situations wherein professionals joke, use irony and tell funny stories, this paper suggests that the use of humour by professionals – despite their allegedly good intentions – may at times be problematic, even offensive for clients. Furthermore, as the young people who turn to drug treatment are socially vulnerable and dependent on the professionals, the paper illuminates how they find their opportunities for objecting to the professionals' use of humour limited. The paper concludes that professionals should handle humour with care, rather than viewing it as a benign, risk-free addition to treatment, and that future research must tackle the methodological challenges of exploring client perspectives with respect to how professionals use humour in institutional settings characterized by asymmetrical power relations. [ABSTRACT FROM PUBLISHER]

This paper discusses a history of funeral infrastructure development in Russia from the end of nineteenth century to the present day. Following Tony Walter's approach to the diversity of the corpse management systems, the authors state that the Russian case does not fit any of the models suggested by Walter. Authors trace changes in Russian funeral management over the past century to show that the peculiarity of contemporary funeral culture has its roots in Soviet ideology and command economy with a specific frame of infrastructure (dys)functionality. The paper is based both on archival materials on Soviet funeral management and an ethnographic study, conducted in eight regions of Russia from 2016 to 2018. [ABSTRACT FROM AUTHOR]

This paper describes how a study using institutional ethnography (IE) was used as a decolonizing method of inquiry in a rural Indigenous community in Canada. IE honors lived experience, reveals institutional and colonial practices, provides clear empirical evidence, and can offer clear recommendations that can benefit Indigenous communities. At the heart of decolonizing research is the task of shifting whose knowledge is privileged – from those with power (often researchers) to those who are being researched (those subject to the effects of colonization). To highlight how IE can be used as a decolonizing method of inquiry, the authors of this paper (a) point out common pitfalls of academic research and knowledge translation (KT) practices in Indigenous health; (b) highlight decolonizing research principles and how IE can be a decolonizing method of inquiry; and (c) share an example to illustrate how IE was used in a decolonizing health study in a First Nations community context. This paper also outlines critiques of mainstream research and KT practices, highlights principles for conducting research with Indigenous people in Canada, and further discusses how IE is well positioned to facilitate both decolonizing research and strategic KT. [ABSTRACT FROM AUTHOR]

Contemporary Chinese feminism has drawn much attention in academe and popular media, yet its ontological roots and the politics of naming has largely escaped scrutiny. This paper first demonstrates that China's post-socialist transition has given rise to a new gendered structure of power, in response to which urban young women have assembled various discursive and material practices in their struggles. Second, the social rupture and shock caused by these practices have led to the popular perception that an undifferentiated "feminism" has been proliferating in contemporary China. Combining historiographical and ethnographic research, this paper maps out the overall landscape of women's agitations and identifies two latent strands of "made-in-China feminism" – with varied sociopolitical significance – that engage with cultural norms at the grassroots level. In grasping China's ongoing gender antagonism with its full complexity, this paper discusses the limitations of existing scholarly approaches to contemporary Chinese feminism. This analysis contributes to the ongoing conversation on imagining a feminist politics in non-Western societies that disrupts the political, economic, and cultural orders all at once. [ABSTRACT FROM AUTHOR]

The objective of this paper is to expose those socio-structural contexts revealing the social injustice and human rights violations that sub-Saharan women face every day when forced into sex work by unemployment or sickness. Results of a qualitative study highlighting some key structural determinants of sex work and HIV infection among FSWs will be presented and examined through the lens of the WHO conceptual framework for action on the social determinants of health. The results showed that most FSWs had lacked the necessary financial support at some point in their lives. Also, both the socioeconomic and political context failed to provide proper support to prevent involvement in sex work and the consequent risks of HIV. The cultural and societal values placed on the health and well-being of FSWs in Benin appear to depend on the degree to which sexual violence and adultery are perceived as a collective social concern. This portrait of FSWs calls for both long-term interventions through a structural determinant approach to HIV prevention, targeting all the women who could face such a financial situation well before their entry into sex work, while maintaining short and medium-term interventions on the intermediary determinants. [ABSTRACT FROM AUTHOR]

Previous research on the stigma associated with cutaneous leishmaniasis, a vector-transmitted parasitic disease, focuses on aesthetic appearance affectation as the leading cause of stigmatisation. However, Indigenous populations in the hinterland of Amazonian Ecuador trigger stigma expressions by recognising (muco)cutaneous leishmaniasis, primarily through atypical smell, followed by the odd voice sound, appearance and taste. This empirical way of recognising symptoms relies on embodied forms of identifying a disease, contrasting the Western supremacy of visuality and demanding to be understood via multi-sensorial anthropology. Through ethnographic research and data retrieved from eighty-three semistructured interviews and fifteen focus groups in seven Ecuadorian ethnic groups – including six Indigenous groups in the Amazon region – this paper analyses how the sensorium is a health thermometer. Findings reveal that differentiated cultural responses to a sense of peril, contagion and social (self)rejection, understood as stigma expressions, are linked to the holistic approach to health (or well-being) shared by Indigenous populations. In forest societies, well-being is explained through successful (non-)human relationships, and disease permeates through bodies that lack balanced relations. [ABSTRACT FROM AUTHOR]

Migration and mobility tend to be used interchangeably in migration studies. This runs the risk of oversimplifying migrants' (im)mobility aspirations and capability, taking for granted their agency and control of their own migration trajectory. Drawing on ethnographic research on Vietnamese migrants trading at Moscow markets, this paper offers original insights into migrant immobilities, highlighting the social technologies and social imaginaries that arise from their gendered, raced, and classed experiences of immobilisation. Migrants' immobilities, whether voluntary or involuntary, have a profound impact on their sense making of self and aspirations for the future. The study enriches our understanding of the complex relationship between migration and mobility and the various ways in which it shapes social practice, identity and belonging. [ABSTRACT FROM AUTHOR]

Since the 1990s, researchers have used community-based participatory approaches to achieve outcomes relevant to local communities, to build collaborative and sustainable research infrastructures, and to address disparities in knowledge production. Notwithstanding these strengths, communities and researchers have questioned its success in addressing power imbalances inherent in collaborative research encounters. In this methodological paper, we describe a novel community-based program science approach to guide an interdisciplinary research project on HIV self-testing among men who have sex with men in three Kenyan counties. Drawing on ethnographic field notes, we detail how community researchers and their academic and programmatic partners collaborated through all phases of the research process, including research design and data collection. Importantly, community researchers also played an integral role in data analysis and dissemination, going well beyond the conventional role of 'community engagement' in global health research. We also present findings from qualitative interviews conducted by community researchers with their peers to inform the rollout of HIV self-testing kits in their respective county-contexts. Our approach highlights that engaging community directly in evidence production allows research findings – owned and generated by communities on their own behalf – to be fed more swiftly and effectively into community-led program delivery. [ABSTRACT FROM AUTHOR]

This paper illuminates a method of representation of research methodologies and philosophical positioning expressed through the use of poetics, allowing for a more playful space for critical reflection in qualitative research. Methodologies and ontological and epistemological positioning can take on many forms within the research process and can pose a conundrum for the novice researcher. During my exploration for a suitable methodology whilst I undertook a Professional Doctorate in Health and Wellbeing there emerged a selection of poems debating the merits, in addition to the limitations, of the potential options available; all dependent on the philosophical stance I chose to embrace. Within this process, I was encouraged to use this art-based method of poetic expression within the doctoral trajectory which continued throughout the journey to facilitate reflexivity. [ABSTRACT FROM AUTHOR]

HIV and emotional distress often co-occur and interact in syndemic clusters with social, political, and economic factors that amplify the 'syndemic suffering' of individuals. In this paper, I describe how HIV+ women seeking antiretroviral therapy (ART) at a hospital in northern Tanzania engaged with plural methods of healing to ease suffering and address the multiple dimensions of illness. I explain the case of a famous faith healer at the time of research from 2011–12, 'Babu wa Loliondo,' from whom a third of the women interviewed – 25 of 75 – sought care in addition to their ART. These women experienced significantly fewer symptoms of emotional distress compared with those women who did not, suggesting that either those who sought his care were already healthier, or one strategy for coping – engagement with medical pluralism – played a role in buffering against syndemic HIV and emotional distress. [ABSTRACT FROM AUTHOR]

This paper analyses the lived experiences of people living with HIV in South Africa through the use of body mapping as a visual research method, by focusing on the physical and symbolic use of the body within the broader context of anthropology and medical anthropology. The study consists of an empirical analysis of the body maps themselves and the accompanied narratives of seven participants, six female and one male participant living with HIV in South Africa. Drawing upon theories and literature on theorising the body in medical anthropology and visual research, this study explores the significance of this practice as a visual research method in understanding the nuanced lived experiences of people living with HIV by highlighting the individuality of the body and emotions; embodied experiences: a bio-cultural approach; and the body politic: social injustice. The results of this study illustrate that body mapping is a unique visual research method, that explores the body as the vehicle in which we exist within the world, while containing a vast amount of layered interpretive and cultural meanings, which are key to understanding the lived experience of people from marginalised groups. [ABSTRACT FROM AUTHOR]

This paper explores Donna Haraway's manifesto writing, focusing on the ethical prescription of how to relate with human and nonhuman others. Haraway prescribes a compass, however broad, about how the human species should connect with nonhumans, foregrounding unexpected kinships, multispecies flourishing, mutuality and the ability to respond to significant others. I call this an ethics of 'plural relating', a relating that regards potential partnerships with all existence on earth, irrespectively of their biological and cognitive status, from insects to dogs and bacteria to pigeons. I argue that while useful for opening affective bridges with nonhuman others, plural relating may end up advancing a loose and problematic figure of bonding that mirrors neoliberal 'fluid' relationalities. By discussing my own ethnographic research on an 'invasive species' and paying attention to the intensity of bonding and the agency of bonding parts, I hold that plural relating runs the danger of obscuring processes of social antagonism and reproducing structures of domination. I argue that the question should not just be how we relate with beneficial or harmful animal others but a more overall one: how do we relate with those others who share the same desire for changing or abolishing repressive institutions in a socio-economic context that favours partial relating? For this end, stronger figures of bonding, such as the comrade, have to be embraced. [ABSTRACT FROM AUTHOR]

The parenting of children with autism has traditionally been explored through its negative aspects, but researchers have started to look for different parental experiences focusing on the positive experiences, family resilience and strengths of children with autism. A cross-cultural analysis considers that cultural understanding of autism reflects the way different societies and parents understand it, the variation in meanings of health, illness and disability and not simply the amount of information about autism. In a small-scale exploratory study in Spain, 8 parents from different families were interviewed to explore how they experienced their children's autism and their perception of society's response to it. Findings suggested a general lack of information about autism, parents' trouble finding strengths of autism and a division of roles and responsibilities that seems to place a disproportionate load on the mothers. The way that a society understands autism affects how parents experience their sons' and daughters' autism. This paper examines the experiences of parents of children and young people with autism in Spain through semi-structured interviews. The participants of our study did not feel included in Spanish society since many people have misconceptions about autism, do not know how to help and stare at them and their children. The parents of our study seemed to share a medical view of their sons and daughters and only one of them could think of a positive trait of his son, besides being loving. Both fathers and mothers who took part in the study agreed that mothers bear all the responsibility for caring and deciding the therapeutic and educational measures adopted. [ABSTRACT FROM AUTHOR]

This paper explores public health policy implementation through partnership working at the local level by examining how local actors from public health, and the wider workforce make sense of and work on social inequalities in health. An ethnographic case study was used to examine policy implementation in one local strategic partnership in north-west England during a period of significant resource constraint. Semi-structured interviews were the primary method of data generation. Sensitising concepts from figurational sociology were used to develop a theoretical account of how local policy implementation directed at narrowing social inequalities in health tended to give rise to relatively fragmented and short-term services, projects and practices, which focused on lifestyle factors and behaviour change. Theorising partnership work as figurations goes some way to explaining the apparent paradox among participants who expressed a relatively detached appreciation of wider social influences, alongside emotional involvement in their work. This process of individualisation explains how local professionals tended to conceptualise health inequality and the social determinants of health as personal troubles. Individualisation meant that the social reality of working in partnerships on difficult issues was simplified. Thus, any scope for working on the social determinants of health tended to be overlooked. The extent to which this was intentional or a matter of struggling to see opportunities, or a mixture of the two, was difficult to discern. Although the policy landscape has changed, the findings give some insight into understanding how local collaborative processes reproduce local public health work underpinned by lifestyle choices. [ABSTRACT FROM AUTHOR]

Sexuality and humour share a fraught relationship at school, so that how humour might be productively employed in sexuality education constitutes a ‘risky’ consideration. This paper explores the role of humour in sexuality education as observed in a Year 9 New Zealand health class. Adding to existing literature emphasising students' use of humour at school, it also considers how teachers might productively mobilise humour in the classroom. Findings reveal that while humour serves established purposes for students such as consolidating heterosexual masculinities, securing peer group hierarchies and disrupting learning agendas, it may hold other pedagogically productive possibilities. Potential uses include the relief of monotony, engaging with the needs of particular cultural groups of students, reinforcing taught information and reducing apprehension around potentially uncomfortable topics. Via this empirical exploration of the mobilisation of humour, the paper endeavours to open its potential as a conceptual site of possibility in sexuality education. [ABSTRACT FROM PUBLISHER]

This paper explores miscarriage in a variety of Qatari contexts to reveal the multiple realities of the unborn. During 18 months of ethnographic research, a range of settings in which fetuses emerged were explored. The unborn are represented and imagined differently, particularly in relation to the ways they are located, with multiple beings emerging according to the context and position of the stakeholder. This paper considers fetuses produced within these contexts and considers how they can be different beings simultaneously. The paper reveals how categories meant to define these beings are in flux and are constantly negotiated; it reflects moments of ambiguity. The paper serves as an illustration of the way in which value-afforded pregnancy materials affects the contexts in which they emerge; this then loops back as context dictates the significance of the material, hence multiple realities of these beings. [ABSTRACT FROM PUBLISHER]

The author examines how the rise of evidence-based techniques are affecting the interventions designed to respond to current global health problems. Topics discussed include several research on the production, negotiation and valuation of the different forms of evidence across a range of health contexts, the processes that guide the new practice of global health, and information on the Millennium Development Goals.

Background:Interprofessional facilitators and teachers are regarded as central to the effective delivery of interprofessional education (IPE). As the IPE literature continues to expand, most studies have focused on reporting learner outcomes, with little attention paid to IPE facilitation. However, a number of studies have recently emerged reporting on this phenomenon. Aim:To present a synthesis of qualitative evidence on the facilitation of IPE, using a meta-ethnographic approach. Methods:Electronic databases and journals were searched for the past 10 years. Of the 2164 abstracts initially found, 94 full papers were reviewed and subsequently 12 papers were included. Teams of two reviewers independently completed each step in the review process. The quality of these papers was assessed using a modified critical appraisal checklist. Results:Seven key concepts embedded in the included studies were synthesized into three main factors which provided an insight into the nature of IPE facilitation. Specifically, the synthesis found that IPE facilitation is influenced by “contextual characteristics”; “facilitator experiences”; and the “use of different facilitation strategies”. Conclusions:IPE facilitation is a complex activity affected by contextual, experiential and pedagogical factors. Further research is needed to explore the effects of these factors on the delivery of IPE. [ABSTRACT FROM PUBLISHER]

Commercialised voice user interface devices for the home, like Amazon Echo, Google Home, and Apple HomePod, with integrated digital personal assistants have rapidly grown in popularity. These devices embody intelligent software agents that support users in their everyday life through easy and intuitive conversational interactions. While their use in everyday activities is largely unexplored, the proliferation in home use presents a valuable opportunity to add to understanding around the use of in-home digital personal assistants. In this paper, we investigate their home use in a broad context to learn more about people's experiences, attitudes, interactions and expectations with these devices contributing new insights to current knowledge around this use. Applying the digital ethnography method, we collected 3542 reviews and comments about Amazon Echo, Google Home, and Apple HomePod on Amazon, eBay, and Reddit. Six main themes and 29 categories were derived through filtering, thematic analysis and affinity diagramming. These findings constitute a conceptual framework characterising the current landscape of home use of digital personal assistants. Additionally, we identify and discuss unique issues discovered around the invisible interface, interactive freedom, and creative appropriation. We use our findings to propose implications for interaction design of DPAs for home use. [ABSTRACT FROM AUTHOR]

This paper shows how in the past quackery was seen as a problem of remoteness and isolation while today it is global connects which provide the nourishing grounds for it. It looks at 'Dr Elsie' from rural Bushbuckridge, South Africa who uses a Quantum Resonance Magnetic Analysis Machine as a diagnostic tool to prescribe Chinese supplements. The paper describes how the practicing 'doctor' draws approval and a sense of legitimate professionalism from the economic success of her newly established business. Here, pseudo medical business becomes a conduit for social aspirations while she places the 'burden of proof' about the legitimacy of what she does with the very same people who the technology she uses deceives. The paper is framed by how the author's own sense of faithfulness as researcher is challenged by the difficulty to draw a clear line between authentic and pseudo health care. [ABSTRACT FROM AUTHOR]

This paper explores the moral implications of treatment of young people with functional somatic symptoms. Based on an ethnographic field study at a Danish pain clinic for youngsters (age 8 to 18), the paper seeks to unearth the cultural, moral values that clinical practice steers by and upholds, and the implications this has for the assessment and management of ill body-selves. Through an exposition of the general practice of the clinic and an investigation of two specific cases of youngsters, it is found that the assessment of symptoms and selves and the goals of treatment are informed by cultural ideals of 'the good self' and 'the good life' in which agency and work ethic – both pertaining to the notion of individual responsibility – figure as prevalent virtues. The study underpins the findings of other researchers who have found that ideals of individual autonomy and responsibility for own life and health permeate the Western health care system and the discourses of ill individuals. The contribution of this article is to portray in ethnographic detail how such a cultural ethics manifests in practice and what implications this have for the treatment of young people with functional symptoms at a specific location and in specific cases. The two cases illustrate that the underlying norms and values can give rise to very different moral assessments of symptoms and selves within the same diagnostic category. [ABSTRACT FROM AUTHOR]

This paper aims at describing the eating experience of people diagnosed with and treated for laryngeal cancer. Going beyond the mere conceptualization of "after-effect" or the quantification of the disease's impact on the basis of standardized questionnaires, we present a qualitative analysis of the narratives of such experiences. Ethnographic study. Data is obtained from conversations, semi-structured interviews, participant observation, and written documents. A discourse analysis of the narrative information was conducted, with process coding and using the constant comparative method, inductive content analysis, category analysis, units of meaning associated with each other, and triangulation. The impact of cancer on eating processes is not limited to nutrition, but also affects the social and cultural value of food, which is put into question. The symbolic and social values which accompany the traditional way of eating are modified, which is connected with impaired quality of life. The impact on the eating process and its relationship with quality-of-life impairment are clear and connect with the importance of eating ways in culture and social organization. Greater attention should be paid to these contexts in clinical practice, which can affect even more than the impact on communicative processes. [ABSTRACT FROM AUTHOR]

Living in an ecovillage requires that people reinvent everyday practices. It involves new forms of production, consumption, social organization, and subjective constitution, aiming toward the normative goal of achieving greater "sustainability." Based on ethnographic research in Western Switzerland, this paper focuses on uncovering the nexus of power relations, social practices, and empowerment in daily life in an ecovillage. We find that power relations and social practices are intertwined, leading to different outcomes regarding empowerment. Procedures, understandings, and forms of engagement constitute social practices; however, power relations can either cause or constrain the rearrangement of practices toward different forms of individual and community empowerment, whereby some practices "orchestrate" others. [ABSTRACT FROM AUTHOR]

There is a growing effort from a range of professionals and institutions to develop comprehensive integrated prison-to-community healthcare, discharge planning, and community re-entry support for inmates living with HIV. This paper draws from ethnographic data to explore the 'lived experience' of HIV-positive inmates in a US State prison system offering an integrated case management support programme. In the US, incarceration is critical for connecting socially marginalised people and those with health needs to certain rights and resources. We present the ways in which imprisonment enables a claims-making process against the state by allowing this group access to resources and rights connected to imprisonment, healthcare, and associated social welfare support. Offenders identified incentives underpinning their expressed desire or 'intention' to return to prison over time. Our findings suggest that this group of inmates has increased opportunity to access material, medical, and welfare resources when compared to the general inmate population and those outside the prison system. Multiple gaps remain in this group's sense of security in the community, ability to cope with the stress of everyday life, sustained support with substance dependency and, most importantly, consistent access to medical and welfare resources that enable them to live independently. Ironically, for many inmates living with HIV, incarceration offers a better chance of accessing public health services than living in the community. [ABSTRACT FROM AUTHOR]

This paper examines the multiple tensions arising in an Australian university and public sector collaboration that aimed to investigate an obesity intervention. A key site of conflict with the external collaborators emerged when we, the researchers, focusing on the experiences of marginalized local people, presented research findings that were at odds with the dominant understanding of obesity that framed the public health intervention. From those with a range of roles in the public sector, we received claims of misrepresentation and requests to change or not publicly release certain research findings. Drawing on the 'policy learning framework' of Dunlop and Radaelli, we examine these epistemic conflicts and point to the Achilles' heels of the 'engagement and impact' agenda. From the perspective of government, the inherent weakness stems from the lack of control in a partnership, and from the perspective of academics, it is the danger of undermining trust in universities and the knowledge academics produce, through the process of engaging with government and being party to research that is designed to shore up a position that government has already decided upon. This case study has implications for academic and government collaborators who may benefit from explicit planning about how to negotiate discord around the processes of learning that occur in and across research, policy, and practice. [ABSTRACT FROM AUTHOR]

Refugees and asylum seekers often experience violent conflict, profound loss, and exposure to physical, sexual, and relational traumas. Psychotherapy approaches that involve the body and movement can address embodied trauma and other mental health concerns with culturally and linguistically adaptable interventions. This meta-synthesis examines 11 qualitative and case studies published since 2014 on the use of body-based interventions with refugees. The synthesis employs meta-ethnographic methodology and identifies themes related to three categories: considerations for clinicians and treatment, intervention elements, and reported therapeutic outcomes. Themes for clinicians and treatment included: cultural competence, language barriers, attending and attunement, and barriers to treatment. Intervention elements emphasised in the studies were safety, ritual, metaphor, and embodiment, while reported therapeutic outcomes consisted of here and now presence, freedom of expression, increased bodily awareness, improved physical health, and improved emotional experiencing. Suggestions for future research and clinical practice conclude the paper. [ABSTRACT FROM AUTHOR]

This paper is an inquiry into preservice teacher learning insights by tracing transformative experiences of becoming a teacher. To do this, the article includes 4th year preservice teachers' stories in an attempt to highlight the positioning of transformative mindshift learning encounters. Here, preservice teachers describe learning from life experiences that underpin the path to teach. During the quest to become a teacher, preservice teachers often approach their future with confidence but at times with trepidation. Reflections derived from interviews capture and present some significant moments and strategic factors contributing to preservice teachers experiences and identity: (1) the nature of students' teaching and learning, content knowledge and approaches; (2) moral positioning and social commitment toward education and public good; (3) personal lifeworld experiences, (4) connections to family and habitus, and (5) notions of selfhood. Interviews are undertaken using an ethnographic and artful experimental method, foregrounding embedded reflection. Artful interplay assists the reflections to indicate the complexity of learning and elements of social, historical, political and cultural links traced as preservice teachers' journey through initial teacher education. [ABSTRACT FROM AUTHOR]

The prison incarceration rate in the United States is the highest in the world with 650 people incarcerated per 100,000. Unfortunately, marriage and family therapists (MFTs) are rarely employed in incarcerated settings in which prior research has shown the need for their unique services. The purpose of this paper is to discuss the experiences of three MFTs that have worked in incarcerated settings. Through autoethnographical methodology, MFTs highlight issues of mistrust, family engagement, stigma, hireability, lack of training, and cultural competencies. Strategies for overcoming barriers and future directions for training and research are provided. [ABSTRACT FROM AUTHOR]

Cities within Western democratic societies have long been regarded as sites where secular visions of modernity and citizenship are enacted. Today, however, ethno-religious diversity has emerged as a deep and vibrant part of urban social life and public culture, shaping place-making practices that nourish ‘post-secular’ belonging and practices of citizenship. Place-making and citizenship practices that are shaped by ethno-religious diversity have the potential to transform public spaces highlighting common humanity and ‘shared vulnerability’ (J. Butler,Precarious Life: The Powersof Mourning and Violence(London and New York: Verso, 2004)). The visibility and embodiment of Islamic religious beliefs, ritual observances, and cultural expressions often circulate feelings of suspicion and unease for non-Muslim co-citizens. In this paper we deviate from this dominant narrative to argue that ‘everyday’ forms of religiosity that underpin and shape social and political actions performed in public space make an important contribution to the multicultural milieu of the nominally ‘Western’ city, shaping public spaces that resonate with hope and shared responsibility. The paper draws on participant observation, photo-ethnography and interviews with Melbourne residents, of Muslim faith, and predominantly of Egyptian, Turkish and Afghani (Hazara) cultural heritage. [ABSTRACT FROM PUBLISHER]