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1.
Sociol Health Illn ; 2024 Aug 27.
Artículo en Inglés | MEDLINE | ID: mdl-39192635

RESUMEN

The health policies imposed by multiple national governments after the emergence of SARS-CoV-2 were publicly justified by official figures on the deaths that the new virus would have caused and could cause in the future. At the same time, however, groups of people from different countries expressed their scepticism about those figures. Although they were categorised as 'anti-science', 'spreaders of misinformation' or 'conspiracy theorists' in some media, many of those sceptics claimed to be based on scientific evidence. This article qualitatively analyses a sample of the content published by sceptics on their social media between 2020 and 2022. More specifically, it examines the shared documents supposedly coming from the scientific community. We find very diverse content ranging from unsubstantiated assumptions to documents produced by prestigious scientists inviting questions about the fatality rates, the mathematical models anticipating millions of deaths, and the real numbers of people who died from COVID-19. The disputes surrounding the official figures lead us to a reflection about the relationship between, epistemic diversity, the dissemination of science, censorship, and new forms of political opposition. We also touch upon the nature and ethics of scientific controversy in times of a 'war' against 'misinformation'.

2.
Nurs Inq ; : e12653, 2024 Aug 04.
Artículo en Inglés | MEDLINE | ID: mdl-39099253

RESUMEN

Social justice is widely advanced as a central nursing value, and yet conceptual understandings of social justice remain inconsistent and vague. Further, despite persistently articulated commitments to upholding social justice, the profession of nursing has been implicated in perpetuating inequities in health and health care. In this context, it is essential to establish both conceptual clarity and tangible guidance for nurses in enacting practices to advance social justice-particularly through regulatory, education and accreditation documents that shape the nursing profession. This Foucauldian discourse analysis examines how social justice is discursively positioned within nursing professional documents in Canada, and illustrates that social justice was largely discursively excluded from these texts. Where social justice discourses were invoked, we identified that four central discursive patterns obscured and de-centred this nursing value: (i) Vague language undermined professional commitments to social justice; (ii) Constructions of knowledge and awareness de-emphasized practice; (iii) Individualism discourses minimized institutional/professional responsibility; and (iv) Aspirational language obscured present action. Extending from this analysis, we contend that the nursing profession must re-examine how social justice is understood and articulated, and call for a re-conceptualization of social justice grounded in nursing practice toward remediating inequities in health and health care.

3.
Artículo en Inglés | MEDLINE | ID: mdl-39141256

RESUMEN

The article is a response to Kaldybekov and his colleague's, 2024 paper about Foucault's theory on power. I argue that it is difficult to understand Foucault's theory of power without looking into his intellectual life and experiences, especially his war experiences. The objective of my study is to show that there is a connection between Foucault's ideas about power and his own lived life, and that he always has been critical of totalitarian theories although he seems influenced by Marxist theories, early in his career. In the paper I show how he deals with this dilemma by incorporating some of Nietzsche's ideas into his thinking. To illustrate the connection between Foucault's lived life and his theories about power, I take a particular point of departure in Foucault's lecture series on psychiatric power in the 1970s and an interview conducted by the Italian journalist Trombadori.

4.
Soc Leg Stud ; 33(3): 375-391, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38726046

RESUMEN

This paper is concerned with exploring legal atmospheres during colonial expansionism and the early period of confederation of British Columbia. By describing the theatrical and performative aspects of legal colonialism, the archival documents from this time represent interesting, yet oft-overlooked, significances that attention to sensory and affective experiences captures. Examining "affective atmospheres" disclosed in such colonial settings reveals ways that the colonial regime promulgated its influence in non-rational, non-legal manners. As well, drawing out the material conditions of topography shows how the environment acts more than just a backdrop for the staging of legal expansionism, as it acts also as a constitutive force in the development of colonial legal arrangements. At the same time, the colonial regime was forgetful of these same contextual, topographical, and atmospheric origins of law insofar as it promulgated myths of the universality, objectivity, and superiority of English law.

5.
Commun Sport ; 12(2): 254-276, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38348285

RESUMEN

Media coverage of the Paralympic Games can affect how athletes with impairment and disability sport are perceived by the public. Researchers investigating media representations of disability sport have focused on how Paralympic athletes and disability sport are represented by the media. Limited research, however, has examined how Paralympic athletes perceive these representations of themselves and the meanings they attribute to such representations. The purpose of this study was to examine how Paralympic athletes make meaning of discourses of disability within Paralympic coverage. This involved semi-structured photo-elicitation interviews with eight Canadian Paralympic athletes. A reflexive thematic analysis (RTA) was used to analyze the data utilizing Foucault's notions of discourse, power, and technologies of the self. The findings demonstrate that Paralympic athletes made meaning of the discourses of disability within Paralympic media coverage by drawing on their lived and media experiences. Athletes with more media experience articulated problematizations of dominant discourses of disability in Paralympic media coverage and engagement in technologies of the self. Knowledge generated from this study offers media personnel an informed understanding of how Paralympic athletes understand representations of disability and disability sport. This knowledge may offer insight and inform future media approaches of disability sport and the Paralympic Games.

6.
Psicol. USP ; 35: e210071, 2024.
Artículo en Portugués | LILACS, Index Psicología - Revistas | ID: biblio-1564956

RESUMEN

Resumo: A fim de responder à distinta questão que Foucault endereça à psicanálise em seu curso de 1982 - seria ela correspondente às exigências do cuidado de si ( epiméleia heautoû )? -, procedemos por uma aproximação teórica entre as estruturas de concepção do sujeito expostas em seu discurso, A hermenêutica do sujeito , e no discurso de Lacan, A instância da letra no inconsciente ou a razão desde Freud . O propósito do manuscrito visa tanto continuar com uma problematização inacabada por parte do filósofo francês quanto fazer ressoar na psicanálise uma obra que ainda não conta com grande recepção no meio.


Abstract: To answer the distinct question that Foucault addresses to psychoanalysis in his 1982 course - would it correspond to the demands of the care of the self ( epiméleia heautoû )? -, we proceed by a logical approximation between the structures of the subject's conception exposed in his speech, in The Hermeneutics of the Subject , and in the discourse of Lacan, in The Instance of the Letter in the Unconscious or Reason Since Freud . The purpose of the manuscript aims to continue with an unfinished problematization on the part of the French philosopher and to resonate in psychoanalysis a work that still does not have a great reception in the medium.


Résumé : Pour répondre à la question distincte que Foucault adresse à la psychanalyse dans son cours de 1982 - correspondrait-elle aux exigences du souci de soi ( epiméleia heautoû )? -, nous procédons par une approximation logique entre les structures de la conception du sujet exposées dans son discours, dans L'herméneutique du sujet , et dans le discours de Lacan, dans L'instance de la lettre dans l'inconscient ou la raison depuis Freud . Le but du manuscrit vise à la fois à poursuivre une problématisation inachevée de la part du philosophe Français et à faire résonner en psychanalyse une œuvre qui n'a toujours pas un grand accueil dans le médium.


Resumen: Para responder a la pregunta que Foucault dirige al psicoanálisis en su curso de 1982 -¿correspondería a las exigencias del cuidado de sí mismo ( epiméleia heautoû )?-, procedemos con una aproximación teórica entre las estructuras de la concepción del sujeto que se exponen en su discurso La hermenéutica del sujeto y en el de Lacan, en La instancia de la letra en el inconsciente o la razón desde Freud . El propósito de este trabajo es seguir con la problematización inconclusa por parte del filósofo francés y resonar en el psicoanálisis una obra que todavía no tiene una gran acogida en este medio.


Asunto(s)
Psicoanálisis , Inconsciente en Psicología , Lingüística , Hermenéutica
7.
Subj. procesos cogn. ; 27(2): 127-142, dic. 12, 2023.
Artículo en Español | LILACS, UNISALUD, BINACIS | ID: biblio-1519644

RESUMEN

Este estudo se propõe a mostrar que o francês Michel Foucault, em todas as suas obras, oferece ferramentas para que sejam compreendidos, sob diferentes óticas, os problemas da sociedade por meio de interpretações sobre o viver humano. O objetivo dessa revisão de literatura é entender de que forma o discurso organiza as vozes dos sujeitos, como reelabora os discursos proferidos e os faz circular segundo Foucault. Apresenta-se conceitos básicos da Análise de Discurso iniciada na França por Michel Pêcheuxem 1969. O estudo percorre as obras em idas e vindas, com apoio em vários autores como Pêcheux e Mainguineauque ajudam na compreensãoe na aproximação entre método, teoria e prática.Conclui-se que a obra de Michel Foucault assinala que tudo o que é criado como saber oferece inúmeras possibilidades de recriação e está em permanente processo de transformação AU


Este estudio tiene como objetivo mostrar que el francés Michel Foucault, en todas sus obras, ofrece herramientas para comprender, desde diferentes perspectivas, los problemas de la sociedad a través de interpretaciones del vivir humano. El objetivo de esta revisión de la literatura comprender cómo el discurso organiza las voces de los sujetos, cómo reelabora los discursos pronunciados y los hace circular según Foucault. Presenta conceptos básicos del Análisis del Discurso iniciado en Francia por Michel Pêcheux en 1969. El estudio recorre las obras, con el apoyo de varios autores como Pêcheux y Mainguineau que ayudan a comprender y unir método, teoría y práctica. Se concluye que la obra de Michel Foucault destaca que todo lo creado como conocimiento ofrece innumerables posibilidades de recreación y se encuentra en un permanente proceso de transformación AU


This study aims to show that French Foucault, in all his works, offers tools to understand, from different perspectives, the problems of society, through interpretations of human living. The objective of this literature review is to understand how discourse organizes the subjects' voices, how it reworks the speeches given and makes them circulate according to Foucault. It presents basic concepts of Discourse Analysis initiated in France by Michel Pêcheux in 1969. The study goes back and forth through the works, with support from several authors such as Pêcheux and Mainguineau who help in understanding and bringing together method, theory and practice. It is concluded that Michel Foucault's work highlights that everything created as knowledge offers countless possibilities for recreation and is in a permanent process of transformation AU


Asunto(s)
Habla , Psicología Social , Lingüística
8.
J Hist Biol ; 56(4): 635-672, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37955748

RESUMEN

The growth of botany following European expansion and the consequent increase of plants necessitated significant development in classification methodology, during the key decades spanning the late 17th to the mid-18th century, leading to the emergence of a "natural method." Much of this development was driven by the need to accurately identify medicinal plants, and was founded on the principle of analogy, used particularly in relation to properties. Analogical reasoning established correlations (affinities) between plants, moreover between their external and internal characteristics (here, medicinal properties). The diversity of plants, names, and botanical information gathered worldwide amplified confusion. This triggered the systematisation of the collection and referencing of data, prioritizing the meticulous observation of plant characteristics and the recording of medicinal properties as established by tradition: it resulted in principled methods of natural classification and nomenclature, represented by the genus, to enhance reliability of plant knowledge, which was crucial in medical contexts. The scope of botany increased dramatically, with new methods broadening studies beyond traditional medicinal plants. The failure of chemical methods to predict properties, particularly of unknown flora, amplified the reliance on analogy and on natural affinities.


Asunto(s)
Botánica , Materia Medica , Plantas Medicinales , Humanos , Materia Medica/historia , Reproducibilidad de los Resultados , Hermanos , Botánica/historia
9.
J Perianesth Nurs ; 2023 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-37988034

RESUMEN

PURPOSE: The purpose of this inquiry is to explore how adult patients with limiting directives, their families, and clinicians make decisions about resuscitative status during anesthesia. Although current practice guidelines recommend mandatory reconsideration of do not resuscitate and other limiting directives before anesthesia, the automatic suspension of directives limiting care continues in the adult perianesthesia setting. How patients and clinicians talk about these limiting directives is underexplored in the literature. DESIGN: This qualitative inquiry used the Foucauldian Poststructural Case Study Design. METHODS: Data were collected through interviews and observation of patients with existing advance directives who underwent surgery, family members, and perianesthesia clinicians who participated in their care. Contextualizing analysis, a qualitative methodology that fits well with Foucauldian Poststructural Case Study Design, was used to rigorously examine the data. FINDINGS: Twenty-seven participants completed the observation and interview components of the study. Observation data were collected from an additional 18 participants. Four authoritative discourses that constructed choices available to patients and clinicians were identified. The "We'll just suspend" discourse permeates perianesthesia culture and produces a will to suspend the limiting directive among clinicians. Discourses about lack of time, a desire not to talk about advance directives unless it is essential to care, and confusion about who is responsible for addressing the limiting directive were also identified in the case. In addition, patients had difficulty translating advance directive choices into the perianesthesia context, and this difficulty may be misunderstood by clinicians as agreement with the plan of care. Finally, power networks may sequester knowledge about patients' choices, leading to tension among clinicians and creating barriers to honoring patients' advance directive choices. CONCLUSIONS: Results suggest that even where policies of mandatory advance directive reconsideration exist, patients may experience environments that constrain their choices and decision-making agency.

10.
Risk Anal ; 2023 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-37660243

RESUMEN

COVID-19 demonstrated the complex manner in which discourses from risk science are manipulated to legitimize government action. We use Foucault's theory of Governmentality to explore how a risk science discourse shaped national and local government action during COVID-19. We theorize how national government policymakers and local government risk managers were objectified by (and subjectified themselves to) risk science models, results, and discourses. From this theoretical position we analyze a dataset, including observations of risk science discourse and 22 qualitative interviews, to understand the challenges that national government policymakers, risk scientists, and local government risk managers faced during COVID-19. Findings from our Foucauldian discourse analysis show how, through power and knowledge, competing discourses emerge in a situation that was disturbed by uncertainty-which created disturbed senders (policymakers and risk scientists) and disturbed receivers (risk managers) of risk science. First, we explore the interaction between risk science and policymakers, including how the disturbed context enabled policymakers to select discourse from risk science to justify their policies. This showed government's sociopolitical leveraging of scientific power and knowledge by positioning itself as being submissive to "follow the science." Second, we discuss how risk managers (1) were objectified by the discourse from policymakers that required them to be obedient to risk science, and paradoxically (2) used the disturbed context to justify resisting government objectification through their human agency to subjectify themselves and take action. Using these concepts, we explore the foundation of risk science influence in COVID-19.

11.
Front Res Metr Anal ; 8: 1179376, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37705872

RESUMEN

The academic research assessment system, the academic reward system, and the academic publishing system are interrelated mechanisms that facilitate the scholarly production of knowledge. This article considers these systems using a Foucauldian lens to examine the power/knowledge relationships found within and through these systems. A brief description of the various systems is introduced followed by examples of instances where Foucault's power, knowledge, discourse, and power/knowledge concepts are useful to provide a broader understanding of the norms and rules associated with each system, how these systems form a network of power relationships that reinforce and shape one another.

12.
Med Health Care Philos ; 26(4): 539-548, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37747687

RESUMEN

Some of Michel Foucault's work focusses on an archeological and genealogical analysis of certain aspects of the medical episteme, such as 'Madness and Civilization' (1964/2001), 'The Birth of the Clinic' (1973) and 'The History of Sexuality' (1978/2020a). These and other Foucauldian works have often been invoked to characterize, but also to normatively interpret mechanisms of the currently existing medical episteme. Writers conclude that processes of patient objectification, power, medicalization, observation and discipline are widespread in various areas where the medical specialty operates and that these aspects have certain normative implications for how our society operates or should operate. The Foucauldian concepts used to describe the medical episteme and the normative statements surrounding these concepts will be critically analyzed in this paper.By using Foucault's work and several of his interpreters, I will focus on the balance between processes of subjectification and objectification and the normative implications of these processes by relating Foucault's work and the work of his interpreters to the current medical discipline. Additionally, by focusing on the discussion of death and biopower, the role of physicians in the negation and stigmatization of death is being discussed, mainly through the concept of biopower. Lastly, based on the discussion of panopticism in the medical discipline, this paper treats negative and positive forms power, and a focus will be laid upon forms of resistance against power. The discussed aspects will hopefully shed a different and critical light on the relationship between Foucault's work and medicine, something that eventually can also be deduced from Foucault's later work itself.


Asunto(s)
Medicina , Sexualidad , Humanos
13.
Int J Qual Stud Health Well-being ; 18(1): 2250084, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37615270

RESUMEN

OBJECTIVE: Based on the principle of the autonomy of the patient, shared decision-making (SDM) is the ideal approach in clinical encounters. In SDM, patients and healthcare professionals (HCPs) share knowledge and power when faced with the task of making decisions. However, patients are often not involved in the decision-making process. In this study, we explore medication decision-making during hospitalization and how power in the specific patient-HCP relationship is articulated, as analysed by Foucauldian theory. METHODS: A qualitative case study, comprising observations of patient-HCP encounters at an internal medicines ward at a university hospital in Norway, followed by semi-structured interviews. The narratives (n = 4 patients) were selected from a larger study (n = 15 patients). The rationale behind the choice of these patients was to include diverse and rich accounts. The four patients in their 40s-70s were included close to the day of presumed discharge. RESULTS: The narratives provide an insight into the patients as persons, their perspectives, including what mattered to them during their hospitalization, especially in relation to medications. Overall, SDM was not observed in this study. Even though all the participants actively tried to keep their autonomous capacity and to resist the HCPs' use of power, they were not able to change the established dynamics. Moreover, they were not allowed an equal voice to those of HCPs and thus not to escape the system's objectification and subjectification of them. CONCLUSION: There is a need for HCPs to get more familiarized with SDM. The healthcare system and the individual HCP need to make more room for dialogue with the patients about their preferences. A part of this is also how health care systems are structured and scheduled, thus, it is important to empower patients and HCPs alike.


Asunto(s)
Hospitalización , Alta del Paciente , Humanos , Hospitales , Personal de Salud , Conocimiento
14.
Cogn Emot ; 37(5): 990-996, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37310162

RESUMEN

ABSTRACTOur work draws upon Foucault's idea that the order of things, defined as the way we categorise our world, matters for how we think about the world and ourselves. Specifically, and drawing upon Pekrun's control-value theory, we focus on the question of whether the way we individually order our world into categories influences how we think about our typically experienced emotions related to these categories. To investigate this phenomenon, we used a globally accessible example, namely, the categorisation of knowledge based on school subjects. In a longitudinal sample of high school students (grades 9-11), we found that judging academic domains as similar led to judging typical emotions related to those domains as more similar than experienced in real life (assessed via real-time assessment of emotions). Our study thus shows that the order of things matters in how we think we feel with respect to those things.


Asunto(s)
Emociones , Estudiantes , Humanos
15.
Nurs Philos ; : e12448, 2023 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-37322615

RESUMEN

In this paper, I argue that critical posthumanism is a crucial tool in nursing philosophy and scholarship. Posthumanism entails a reconsideration of what 'human' is and a rejection of the whole tradition founding Western life in the 2500 years of our civilization as narrated in founding texts and embodied in governments, economic formations and everyday life. Through an overview of historical periods, texts and philosophy movements, I problematize humanism, showing how it centres white, heterosexual, able-bodied Man at the top of a hierarchy of beings, and runs counter to many current aspirations in nursing and other disciplines: decolonization, antiracism, anti-sexism and Indigenous resurgence. In nursing, the term humanism is often used colloquially to mean kind and humane; yet philosophically, humanism denotes a Western philosophical tradition whose tenets underpin much of nursing scholarship. These underpinnings of Western humanism have increasingly become problematic, especially since the 1960s motivating nurse scholars to engage with antihumanist and, recently, posthumanist theory. However, even current antihumanist nursing arguments manifest deep embeddedness in humanistic methodologies. I show both the problematic underside of humanism and critical posthumanism's usefulness as a tool to fight injustice and examine the materiality of nursing practice. In doing so, I hope to persuade readers not to be afraid of understanding and employing this critical tool in nursing research and scholarship.

16.
Front Sports Act Living ; 5: 1181414, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37284230

RESUMEN

This study provides a different understanding of the constraints imposed by the pandemic and the official and unofficial restrictions that accompanied it. It is an empirical effort demonstrating that the pandemic's effects are not purely negative, but rather, also helped to produce positive and productive practices that draw upon both the inhibiting and enabling features of the constraints it triggered. Engaging with "productive power" in Foucault by considering constraints as practices that both inhibit and enable, the empirical goal of this paper is to explore how pandemic-related constraints on sports and physical activity prohibit foreign worker participation in sports and physical activity. It also examines how the constraints encourage them to pursue an active life in new and unique ways. To achieve this goal, the paper examines the South Korean context, particularly unskilled foreign workers with E-9 visas for non-professional employment in the fishing, farming, and manufacturing industries and their involvement in sports and physical activity during the COVID-19 pandemic. The findings address three "inhibitors" that specifically prevented foreign workers from getting actively involved, then demonstrate that explicit restrictions on sports and physical activity can be transformed into four "enablers" that encouraged foreign workers to participate. The conclusion offers critical reflections on Foucault's "ethical subject," followed by the limitations and implications of the study.

17.
Sociol Rev ; 71(3): 624-641, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-37163189

RESUMEN

Pandemic modelling functions as a means of producing evidence of potential events and as an instrument of intervention that Tim Rhodes and colleagues describe as entangling science into social practices, calculations into materializations, abstracts into effects and models into society. This article seeks to show how a model society evinced through mathematical models produces a model not only for society but also for citizens, showing them how to act in a certain model manner that prevents an anticipated pandemic future. To this end, we analyse political speeches by various Norwegian ministers to elucidate how various model-based COVID-19 responses enact a 'model citizen'. Theoretically, we combine Rhodes et al.'s arguments with Foucault's concepts of law, discipline and security, thus showing what a model society might imply for the model citizen. Finally, we conclude that although the model society is largely informed by epidemiological models and liberal biopolitics that typically place responsibility on individual subjects, sovereign state power remains manifestly present in the speeches' rhetoric.

18.
Sociol Health Illn ; 45(5): 1008-1027, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-36915224

RESUMEN

Research on why people use complementary and alternative medicine (CAM) shows clients value the CAM consultation, where they feel listened to and empowered to control their own health. Such 'empowerment' through CAM use is often theorised as reflecting wider neoliberal imperatives of self-responsibility. CAM users' perspectives are well studied, but there has been little sociological analysis of interactions within the CAM consultation. Specifically, it is unclear how user empowerment/self-knowledge relates to the CAM practitioner's power and expert knowledge. We address this using audio-recorded consultations and interviews with CAM practitioners to explore knowledge use in client-practitioner interactions and its meaning for practitioners. Based on our analysis and drawing on Foucault (1973), The Birth of the Clinic: an archaeology of medical perception and Antonovsky (1979), Health, Stress and Coping, we theorise the operation of power/knowledge in the CAM practitioner-client dyad by introducing the concept of the 'salutogenic gaze'. This gaze operates in the CAM consultation with disciplining and productive effects that are oriented towards health promotion. Practitioners listen to and value clients' stories, but their gaze also incorporates surveillance and normalisation, aided by technologies that may or may not be shared with clients. Because the salutogenic gaze is ultimately transferred from practitioner to client, it empowers CAM users while simultaneously reinforcing the practitioner's power as a health expert.


Asunto(s)
Terapias Complementarias , Humanos , Autoimagen , Derivación y Consulta
19.
Nurs Inq ; 30(3): e12552, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-37000172

RESUMEN

Despite changes to research and practice, that, to some degree, acknowledge that people are shaped by their contexts, the treatment of mental illness remains largely focused on interventions that take place at the level of the individual. Conceptualizing mental illness as something that resides in individuals can lead to reliance on neurobiological and psychotherapeutic solutions, and away from conversations about not only contextual causes of mental distress, but also sociopolitical solutions to mental distress. Further, it can lead to the use of mental health interventions that focus on the biology of an individual without a consideration for how those interventions themselves may have psychological, social, or political consequences that act to shape an individual's identity, agency, and relationship to their community. This paper examines one medicolegal intervention, the community treatment order, using the philosophical work of Grosz and Foucault to consider how this intervention affects the experience and construction of identity, and the impact of this on an individual's sense of agential membership in a community. This discussion aims to increase understanding of the individual and social implications of interventions for mental illness, and provide a conceptualization of the relationship between identity, agency, and ethics which can inform critical research and nursing practice more broadly.


Asunto(s)
Trastornos Mentales , Salud Mental , Humanos , Trastornos Mentales/terapia
20.
Sociol Health Illn ; 45(4): 791-809, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-36738164

RESUMEN

From the outset of the COVID-19 pandemic, fears have been raised worldwide regarding the unique challenges facing socially marginalised people such as those who inject drugs. This article draws on in-depth interviews conducted during the first year of the pandemic with people who inject drugs living in urban and regional Australia. Perhaps the most surprising finding to emerge was the number of participants who reported minimal disruption to their everyday lives, even improved wellbeing in some instances. Attempting to make sense of this unanticipated finding, our analysis draws on the concept of 'care', not as a moral disposition or normative code but as something emergent, contingent and realised in practice. Working with Foucault's ethics and recent feminist insights on the politics of care from the field of Science and Technology Studies, we explore how care was enacted in the everyday lives of our participants. We examine how participants' daily routines became objects of care and changed practice in response to the pandemic; how their ongoing engagement with harm reduction services afforded not only clinical support but vital forms of social and affective connection; and how for some, care was realised through an ethos and practice of constrained sociality and solitude.


Asunto(s)
COVID-19 , Consumidores de Drogas , Abuso de Sustancias por Vía Intravenosa , Humanos , Pandemias , Abuso de Sustancias por Vía Intravenosa/psicología , Australia/epidemiología , Reducción del Daño
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