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1.
Nurs Inq ; : e12649, 2024 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-38923128

RESUMO

The performance of home care globally is significantly impacted by the political reforms in the public and private sectors. This research investigated the Australian contexts of home care quality and the use of "brokerage" during times of change. The research utilised a qualitative post-structural approach to gather data about home care service provision through conducting semi-structured interviews of 10 Australian home care business leaders. What emerged in the discourse was how central to everyday practices was the need for business leaders to network and 'dance a political tango' to ensure quality in service provision. Illuminated was how the leaders pushed back against governmental and economic structures by using models of brokerage to compensate for economic and staffing deficiencies. This is essential for the ongoing improvement and performance of home care in the Australian social arena of caring for our most vulnerable consumers.

2.
Crit Soc Policy ; 44(2): 263-284, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38510262

RESUMO

This article considers how distanciation, understood as the active production of different forms of distance as a method of control, is used to manage people racialised and criminalised as migrants within the UK's hostile environment. Analysing different policies introduced under the hostile environment agenda, as well as the more recent New Plan for Immigration, we argue distanciation is a key tactic that shapes these policies and their implementation as well as offers us insight into changing forms of governing migration. Drawing on the analysis of a wide range of policy documents, the paper attends to different forms of distanciation used as a method of control within the UK's wider hostile environment and then presents the results of a case-study of how distanciation is mobilised within the English National Health Service, under the Migrant and Visitor Cost Recovery Programme in particular, which was introduced in 2014 to ensure the NHS receives 'a fair contribution' from people racialised as migrants. Addressing different forms of distanciation such as - spatial, legal and emotional - we argue that the lens of distance can offer insights into how detachment - increasing distance between different agents in immigration law and border enforcement is an intentional design to control empathy, solidarity and resistance. Tracing ways these forms of distanciation are designed into legislative and administrative measures helps us better understand how hostile environment policies work as well as locating agencies and possibilities of resistance within different spaces, agents and subjects of bordering.

3.
J Homosex ; 71(6): 1465-1486, 2024 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-36730845

RESUMO

This article explores how gay men in Iceland were constructed as good responsible citizens through neoliberal discourses from 1990 to 2010. Drawing on interviews with gay men in Icelandic magazines, we focus on three discursive formations of responsibilization that reveal the technologies of agency at play in transforming the men into good, responsible gay citizens capable of self-management. The discursive formations focus on the good gay citizen who (a) has a positive mind-set, (b) transforms himself, and (c) displaces responsibility for personal harm. They reveal how gay men are constituted as neoliberal subjects through discursive practices linked to responsibility, happiness, and national progress. These practices enable a normalization process devoid of confrontation, anger, or blame where gay men are not only made responsible for their own lives but also the marginalization they experienced in the past.


Assuntos
Homossexualidade Masculina , Minorias Sexuais e de Gênero , Masculino , Humanos , Islândia , Comportamento Social
4.
Artigo em Inglês | MEDLINE | ID: mdl-38105446

RESUMO

Over the past two decades, depression has become a prominent global public health concern, especially in low- and middle-income countries (LMICs). The World Health Organization (WHO) and the Movement for Global Mental Health have developed international guidelines to improve mental health services globally, prioritizing LMICs. These efforts hold promise for advancing care and treatment for depression and other mental, neurological, and substance abuse disorders in LMICs. The intervention guides, such as the WHO's mhGAP-Intervention Guides, are evidence-based tools and guidelines to help detect, diagnose, and manage the most common mental disorders. Using the Global South as an empirical site, this article draws on Foucauldian critical discourse and document analysis methods to explore how these international intervention guides operate as part of knowledge-power processes that inscribe and materialize in the world in some forms rather than others. It is proposed that these international guidelines shape the global discourse about depression through their (re)production of biopolitical assumptions and impacts, governmentality, and "conditions of possibility." The article uses empirical data to show nuance, complexity, and multi-dimensionality where binary thinking sometimes dominates, and to make links across arguments for and against global mental health. The article concludes by identifying several resistive discourses and suggesting reconceptualizing the treatment gap for common mental disorders.


Assuntos
Serviços de Saúde Mental , Transtornos Relacionados ao Uso de Substâncias , Humanos , Saúde Mental , Depressão/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/terapia , Políticas
5.
Artigo em Inglês | MEDLINE | ID: mdl-38063549

RESUMO

OBJECTIVES: COVID-19 vaccine mandates increased vaccination rates globally. Implemented as a one-size-fits-all policy, these mandates have unintended harmful consequences for many, including Black Canadians. This article reports findings on the interconnectedness of vaccine mandates and vaccine hesitancy by describing a range of responses to mandatory COVID-19 vaccination policies among Black people in Canada. METHODS: Using qualitative research methods, semi-structured interviews with 36 Black people living in Canada aged 18 years and over across 6 provinces in Canada were conducted. Participants were selected across intersectional categories including migration status, income, religion, education, sex, and Black ethnicity. Thematic analysis informed the identification of key themes using Foucauldian notions of biopower and governmentality. RESULTS: Our results show how the power relations present in the ways many Black people actualize vaccine intentions. Two main themes were identified: acceptance of the COVID-19 vaccine in the context of governmentality and resistance to vaccine mandates driven by oppression, mistrust, and religion. CONCLUSION: COVID-19 vaccine mandates may have reinforced mistrust of the government and decreased confidence in the COVID-19 vaccine. Policy makers need to consider non-discriminatory public health policies and monitor how these policies are implemented over time and across multiple sectors to better understand vaccine hesitancy.


Assuntos
COVID-19 , Vacinação Compulsória , Hesitação Vacinal , Adulto , Humanos , População Negra/psicologia , Canadá , COVID-19/prevenção & controle , Vacinas contra COVID-19 , Hesitação Vacinal/psicologia
6.
Anthropol Med ; : 1-18, 2023 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-37781783

RESUMO

Using examples from the National Health Service in England, this paper illustrates key features of contemporary healthcare governance: the way decisions are hidden in places that are 'in between' and 'out of reach'; the enrolment of doctors in governing; and the important role played by 'boring things', such as power point slides, flow charts, and forms. The essay shows how anthropological proximity and perspectives can extend and deepen understanding of contemporary political power. It does this firstly by showing the importance of agency in the operation of governmentality, and secondly by illuminating the limits of governmentality. The different elements of governing assemblages, such as global management experts, medical leaders, forms of knowledge and analytical technologies, are brought together through the strategic act of framing. Frames are contested and resisted, requiring more visible forms of control.

7.
Risk Anal ; 2023 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-37660243

RESUMO

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.

8.
Psicol. conoc. Soc ; 13(2)ago. 2023.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1507108

RESUMO

Dada la emergencia de políticas transnacionales que establecen diseños programáticos, metas y objetivos para guiar a los contextos locales en la construcción políticas nacionales orientadas a la disminución de las brechas sociales para fomentar el desarrollo económico, se hace necesario analizar cómo se construye discursivamente la sexualidad juvenil como un objeto a ser gestionado en el marco de las políticas transnacionales. Para ello se realizó un estudio cualitativo empleando un Análisis Crítico del Discurso de un corpus de documentos que establecen directrices y orientaciones técnicas para el desarrollo de una problematización e intervención sobre la sexualidad juvenil desde la educación chilena. Los resultados abordan la configuración de una superficie textual como continuo material por el cual transcurre un modo de acción; una dimensión discursiva que expone tres problematizaciones; a) bienestar para el fomento económico, b) población estratégica para le potencial humano y c) temática estratégica para le potencial humano; y finalmente, el anudamiento de dichos componentes en un dispositivo identificado como Educación Integral de la Sexualidad. Se discuten las implicancias políticas y sociales de la perspectiva desde la cual se establen lineamientos de focalización sobre la sexualidad juvenil, así como el establecimiento de políticas neoliberales que apelan a la capacitación temprana como una forma de gobierno de las poblaciones en base al desarrollo de habilidades, conocimientos y hábitos para una prevención individual de los riesgos contextuales como modelo para evitar barreras al desarrollo económico de los países.


Considering the emergence of transnational policies that establish programmatic designs, goals and objectives to guide local contexts in the construction of national policies aimed at reducing social gaps in order to promote economic development, it is necessary to analyze how youth sexuality is discursively constructed as an object to be managed within the framework of transnational policies. A qualitative study was carried out using a Critical Discourse Analysis of a corpus of documents that establish guidelines and technical orientations for the development of a problematization and intervention on youth sexuality from Chilean education. The results address the configuration of a textual surface as a material continuum through which a mode of action takes place; a discursive dimension that exposes three problematizations; a) welfare for economic development, b) strategic population for human potential and c) strategic thematic for human potential; and finally, the knotting of these components in a device identified as Comprehensive Sexuality Education. The political and social implications of the perspective from which focalization guidelines on youth sexuality are established are discussed, as well as the establishment of neoliberal policies that appeal to early training as a way of governing populations based on the development of skills, knowledge and habits for individual prevention of contextual risks as a model to avoid barriers to the economic development of countries.


Dado o surgimento de políticas transnacionais que estabelecem desenhos programáticos, metas e objetivos para orientar os contextos locais na construção de políticas nacionais destinadas a reduzir as brechas sociais a fim de promover o desenvolvimento econômico, é necessário analisar como a sexualidade juvenil é construída de forma discursiva como um objeto a ser administrado no âmbito das políticas transnacionais. Para isso, foi realizado um estudo qualitativo utilizando uma Análise do Discurso Crítico de um corpus de documentos que estabelecem diretrizes e orientações técnicas para o desenvolvimento de uma problematização e intervenção sobre a sexualidade juvenil na educação chilena. Os resultados abordam a configuração de uma superfície textual como um continuum material através do qual ocorre um modo de ação; uma dimensão discursiva que expõe três problemáticas; a) bem-estar para a promoção econômica, b) população estratégica para o potencial humano e c) temática estratégica para o potencial humano; e finalmente, o nó desses componentes em um dispositivo identificado como Educação Sexual Integral para a Sexualidade. São discutidas as implicações políticas e sociais da perspectiva a partir da qual são estabelecidas diretrizes de focalização da sexualidade juvenil, bem como o estabelecimento de políticas neoliberais que apelam ao treinamento precoce como forma de governar populações com base no desenvolvimento de habilidades, conhecimentos e hábitos para a prevenção individual de riscos contextuais como um modelo para evitar barreiras ao desenvolvimento econômico dos países.

9.
Chin Geogr Sci ; 33(3): 531-548, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37260453

RESUMO

The continuous development of agricultural technologies and produces trade and updated state reforms strongly shape the dominant organizing styles of local agriculture production. Since the end of the 1970s, rural China has witnessed a drastic agriculture transformation featured by de-collectivization, and recently in Taicang, a developed city in the eastern China, a kind of new cooperative farms have replaced the smallholders by pooling households' contracted farmland, signaling a new shift tendency towards agriculture recollectivization that is distinctive compared to other countries. Given the state governance's leadership in promoting this latest transformation, drawing on the theoretical concept of 'governmentality' that is powerful in understanding how to govern the society to meet certain objectives, this paper examines the accurate processes of agriculture re-collectivization in Taicang City based on the methods of semi-structured interview and participant observation. Our research shows that the China's tax-sharing and relevant reforms in the 1990s framed a new governance structure in line with the new mode of 'governmentality' closely linked to 'advanced liberalism', creating the responsibility shift from central to local governments and a set of evaluation technologies, and guiding various actors to engage in the agriculture re-collectivization practice in Taicang. Importantly, the considerable subsidies and the impressive extension services in terms of farming personnel training and agricultural techniques diffusion underpin the normal running of cooperative farms and contribute to the local implementation of national strategy of agriculture modernization. We argue that the combination of distinctive institutional arrangement of rural land owned by village collectives in China and the burgeoning local economy allows the developed areas to re-collectivizing the agriculture production for ensuring grain self-sufficiency rather than capturing more share in global agriculture products trade, and that the cooperative farms in our case have been deeply integrated into the 'modern procurement system' and become more sensitive to market fluctuation, requiring rural extension service to transform towards farms' capacity building for maintaining the long-term development momentum.

10.
Artigo em Inglês | MEDLINE | ID: mdl-37372681

RESUMO

The realisation of recovery as an overarching goal of mental health care services has proven difficult to achieve in practice. At present, concepts of recovery are contested and unclear, which affects their implementation in psychiatric practices. We examined social psychiatric policies about recovery with the aim to explore their underlying assumptions about recovery. Relevant texts from the policies' knowledge bases were subjected to reflexive thematic analysis. We developed a central theme: "A clinical standardisation of the concept of recovery". The theme involved meaning clusters that encompassed conflicting and commonly shared assumptions about recovery across the text corpus. We discussed the findings from discourse analytical and governmentality perspectives. In conclusion, the policies' aim of providing clarity about recovery was circumvented by the very knowledge bases used to support their endeavours.


Assuntos
Transtornos Mentais , Recuperação da Saúde Mental , Serviços de Saúde Mental , Humanos , Política Pública , Transtornos Mentais/terapia
11.
Healthcare (Basel) ; 11(9)2023 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-37174772

RESUMO

Participation in medical screening programs is presented as a voluntary decision that should be based on an informed choice. An informed choice is often emphasized to rely on three assumptions: (1) the decision-maker has available information about the benefits and harms, (2) the decision-maker can understand and interpret this information, and (3) the decision-maker can relate this information to personal values and preferences. In this article, we empirically challenge the concept of informed choice in the context of medical screening. We use document analysis to analyze and build upon findings and interpretations from previously published articles on participation in screening. We find that citizens do not receive neutral or balanced information about benefits and harms, yet are exposed to manipulative framing effects. The citizens have high expectations about the benefits of screening, and therefore experience cognitive strains when informed about the harm. We demonstrate that decisions about screening participation are informed by neoliberal arguments of personal responsibility and cultural healthism, and thus cannot be regarded as decisions based on individual values and preferences independently of context. We argue that the concept of informed choice serves as a power technology for people to govern themselves and can be considered an implicit verification of biopower.

12.
J Hist Behav Sci ; 59(3): 301-321, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-36735926

RESUMO

This article examines the introduction of "sensitivity training" to 1970s Swedish work life. Drawing upon a range of empirical materials, I explore the politics that were involved in the process of translating and adapting this group dynamic method to the Swedish context and consider how its proponents argued for its value. By approaching sensitivity training as an attempt to govern, shape, and regulate both human beings and the work organizations of which they were a part, I argue that sensitivity training presents an unexpectedly early example of a governing rationality that has elsewhere been described and theorized as "neoliberal." The fact that sensitivity training was established in Swedish work life already in the early 1970s thus challenges the historiography of neoliberal modes of government, which have elsewhere been associated with a neoliberal shift in state policies occurring in the 1980s and 1990s. The article demonstrates how emotionally liberating practices in the late 1960s and early 1970s were embraced by some of the most politically influential actors in contemporary Swedish society, such as the corporate sector and the trade unions. As blue-collar trade unions and social democrats voiced increasingly far-reaching demands concerning workplace democracy and improved workplace conditions, advocates of sensitivity training presented their method as crucial to the process of "democratizing" and "humanizing" Swedish work life. Intimately associated with the new therapies of humanistic psychology, sensitivity training was used within the corporate sector to foster a more emotional and authentic leadership style that would embrace the values of emotional awareness, self-expression, and self-actualization. The crying boss emerged in this context as a key figure in the project of creating a "democratic" and psychologically satisfying organization. Yet, sensitivity training was also described as a means for companies to make better use of what was now asserted as their most important economic asset: the human being. From the outset, the idealistic vision of an emotionally liberated, democratic workplace was thus entangled with a specific kind of economic rationality, in which the emotionally liberated, self-actualizing individual emerged as a capital or asset that would be better utilized if the organization allowed-even encouraged-employees to engage in their own well-being and self-optimization.


Assuntos
Choro , Local de Trabalho , Humanos , Suécia , Emoções , Recursos Humanos
13.
J Hist Behav Sci ; 59(3): 283-300, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35716365

RESUMO

This article examines a little-known chapter both in the history of socialist labor relations and the history of psychology: Social Psychological Training (SPT) for industrial leaders in the German Democratic Republic (GDR). Based on previously untapped archival sources, it uncovers the transnational genesis of SPT and its intricate relationships with Western "therapeutic culture" of the 1970s. Governmental perspectives are addressed, as well as the level of individual appropriation of SPT and possible unintended side effects of techniques that were drawn from the social psychological and therapeutical fields. This case study helps to explore the functions of psychological expertise in authoritarian political contexts, as well as the polyvalence of group methods of change, the effects of which could turn out repressive as well as liberating on both sides of the Iron Curtain. The history of SPT solicits a polycentric view on therapeutic culture, capturing its diverse manifestations and interconnections between different societies and political economies.


Assuntos
Governo , Psicologia Social , Humanos , Alemanha , Alemanha Oriental , História do Século XX
14.
Environ Sci Pollut Res Int ; 30(9): 24708-24717, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36344894

RESUMO

Businesses are becoming more conscious of operational risk management practices due to the COVID-19 pandemic. However, some firms practice risk management without fully comprehending how it might help them and their needs. As a result, companies that practice risk management without realizing it are being controlled by the discipline itself. The goal of this study is to look into the epistemic process of risk management practice in the workplace. This phenomenological study interviewed 39 risk management officers, executives, and employees. Data are thematically analyzed. This study discovered five epistemic processes of risk mapping using Foucault's governmentality paradigm. This phenomenological study, interestingly, revealed the black box of risk management practices, as well as the behavior of risk management officers, executives, and risk owners who preferred to monitor the compliance aspects of risk management practices rather than comprehend the capabilities of risk management that could be used within their strategic planning process. Unaware of this black box, organizational actors were blanketed by the organization's culture of fear, which created the impression that the authority was always watching every word said and every action taken. Practically, this study contributes an improved understanding of the real function of risk management that helps them justify the practice and reduce unnecessary fear. The paper concludes with limitations and research recommendations.


Assuntos
Gestão de Riscos , Local de Trabalho , Humanos , Comércio , COVID-19 , Pandemias
15.
J Rural Stud ; 97: 95-104, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36560979

RESUMO

Lameness is a significant health and welfare issue in farmed animals. This paper uses a governmentality approach, which focuses on how a problem is made governable, to examine an emerging 'ecology of devices' introduced to intervene in, and attempt to reduce, on-farm incidence of lameness. These devices are associated with advisers who work with farmers on-farm; they enact lameness as a governable entity, are tools to assess the existence of lameness against established norms, and prescribe actions to be taken in response to evidence of lameness. In doing this they subjectify farmers and advisers into seeing and responding to lameness in particular ways. Using concepts of governmentality alongside other perspectives on the power relations and the simplifications and complexities involved in interventions in animal health and farm practice, the paper draws on in-depth research with advisers including vets and other paraprofessionals who work with farmers, and their cows and sheep. It explores how this set of devices introduces particular techniques and practices in lameness management, and produces farmer and adviser subjectivities. It then explores some of the problematics of this mode of governing lameness, including analysis of the limitations and unintended consequences of attempts to simplify lameness management. The paper concludes by arguing that its approach is valuable in analysing ongoing intensification of interventions in farming practices and in understanding the limits of such interventions and the unanticipated divergences from expected conduct.

16.
GeoJournal ; 88(3): 3205-3221, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36531534

RESUMO

An estimated 3 million people died due to the Bengal famine of 1943. The purpose of this article is to theorize the Bengal famine through the lens of colonial biopolitics. The colonial strategies and utilitarian principles by the British authorities exacerbated the Bengal famine. Utilizing Foucault's concept of biopolitics, I point out how the British viewed Indian bodies discursively. To reaffirm their sense of superiority, they reduced their Indian subjects to animal-like beings' incapable of controlling their own reproduction. In order to fulfil British goals, Indian people were forced to participate in the war effort. This paper situates the local and global politics of the famine as they were wrapped up in the geopolitics of World War II, during which the British colonial authorities were far more concerned about a Japanese invasion of South Asia than they were with the lives of people dying of hunger. The article highlights how the implementation of racist policies worsened the famine since it was a product of wartime priorities and calculations. I argue that the Bengal famine of 1943 is a historic tragedy of the colonial past, which was transformed into a socially constructed catastrophe by the British colonizers.Geographers have never studied the Bengal famine of 1943, and one of the principal purposes of this paper is to fill this void.

17.
Sociol Health Illn ; 45(2): 279-297, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36284215

RESUMO

Link worker social prescribing has become a prominent part of NHS England's personalisation agenda. However, approaches to social prescribing vary, with multiple discourses emerging about the potential of social prescribing and different interpretations of personalisation. The transformational promise of social prescribing is the subject of ongoing debate, whilst the factors that shape the nature of front-line link working practices remain unclear. Based on 11 months of in-depth ethnographic research with link workers delivering social prescribing, we show how link workers' practices were shaped by the context of the intervention and how individual link workers navigated varied understandings of social prescribing. Following the work of Mol, we show how link workers drew differentially on the interacting logics of choice and care and trace a multiplicity in front-line link working practices within a single intervention. However, over time, it appeared that a logic of choice was becoming increasingly dominant, making it harder to deliver practices that aligned with a logic of care. We conclude that interpreting personalisation through a logic of choice could potentially undermine link working practices that privilege care whilst obscuring the need for wider investment in health care systems and the social determinants of health.


Assuntos
Prescrições , Serviço Social , Humanos , Programas Nacionais de Saúde , Inglaterra
18.
Soc Sci Med ; 319: 115385, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36175262

RESUMO

High-income countries (HICs) which are said to have "reached" universal health coverage (UHC) typically still have coverage gaps, due to both formal policies and informal barriers which result in "hypothetical access". In England, a user fee exemption has in principle made access to treatment for post-traumatic stress disorder (PTSD) and other mental health conditions thought to be caused by certain forms of violence universal, regardless of immigration status. This study explores the everyday governance of this mental health coverage for forced migrants in the English National Health Service (NHS) and NGO sector. Fieldwork was conducted in two waves, in 2015-2016 and 2019-2021, including six months of participant observation in an NGO and 21 semi-structured interviews with psy professionals across 16 NHS and NGO service providers. Further interviews were conducted with mental health commissioners and policymakers, as well as analysis of grey literature. Despite being formally covered for certain types of mental health care, in practice asylum seekers and undocumented migrants were often excluded by NHS providers. Undocumented migrants were also often excluded by NGO providers. Several rationalities linked discursive fields to practices developed by psy professionals and other street-level bureaucrats to govern coverage, in a process of "managing failure". These rationalities are presented under three paired themes which draw attention to tensions and resistance in the governance of coverage: medicalisation and biolegitimacy; austerity and ethico-politics; and differential racialisation and decolonisation. Rationalities were associated with strategies and tactics such as social triage, clinical advocacy, obfuscation, evidence-based advocacy and silencing critique. The concept of "health coverage assemblage" is introduced to explain the complex, unstable, contingent and fragmented nature of UHC policies and programmes. Misrecognition and underestimation of the everyday work of health professionals in promoting, resisting and reproducing diverse rationalities within the assemblage may lead to missed opportunities for reform.


Assuntos
Migrantes , Humanos , Acessibilidade aos Serviços de Saúde , Saúde Mental , Medicina Estatal , Inglaterra , Política de Saúde
19.
Child Geogr ; 21(6): 1201-1215, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38179418

RESUMO

Over the last two decades, research in children's geographies and governmentality studies have contributed significantly to the study of children's experiences in neoliberal educational contexts. This paper furthers this debate by examining the ways children govern and are governed within the neoliberal governmentality at the educational transition to Gymnasium: the only school that offers a direct path to university education within the state-funded school system in Switzerland. Drawing on an ethnography with eight students aged 13-15 during their preparation for the selective entrance examination to Gymnasium in Zurich, this article makes two points: Firstly, it demonstrates how Zurich's education system thrusts students into taking individual responsibility for their educational success at this transition. Secondly, the article draws on Foucault's later work to explore the particular 'technologies of the self' that children adopt coping with this individualized responsibility. This paper argues that these technologies reveal insights into the neoliberal governmentality of this educational transition. Finally, the article argues to critically examine children's technologies of the self to understand their relationships with the education systems they navigate. This line of inquiry serves as a pathway to answer and expand earlier calls to grant children an active voice in research on education.

20.
Psicol. ciênc. prof ; 43: e243813, 2023.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1431124

RESUMO

Este estudo propõe analisar as relações e os processos de subjetivação de mulheres quebradeiras de coco babaçu decorrentes das intervenções de políticas desenvolvimentistas em seus territórios de vida e reverberações no Movimento Interestadual de Quebradeiras de Coco Babaçu (MIQCB). Sob a perspectiva ético-estético-política da Cartografia, acompanhamos as narrativas das histórias de vida de 24 mulheres, suas atividades cotidianas e eventos do MIQCB, também analisamos os documentos das políticas. Entendemos que, ao passo que tais políticas de desenvolvimento rural contribuem para a melhoria das condições de vida, em termos materiais e simbólicos, elas também produzem ressonâncias relacionadas ao modo de subjetivação do tipo "empresário de si", que agenciam seus modos de viver, de produzir e de se relacionar consigo e com os outros na lógica capitalista neoliberal. A resistência às capturas neoliberais também estão presentes ao ampliarem as mobilizações coletivas do próprio movimento, articulando com outros na produção de um "comum".(AU)


This study proposes to analyze the relations and the processes of subjectivation of babassu coconut-breaker women arising from developmental policy interventions in their territories of life and reverberations in the Babassu Coconut-breaker Interstate Movement (MIQCB). From the ethical-aesthetic-political perspective of Cartography, we followed the narratives of the life stories of 24 women, their daily activities and promoted events by MIQCB, we also analyzed the policy documents. We understand that while these policies of rural development contribute to improve the living conditions, in material and symbolic terms, they also produce resonances related to the "self-entrepreneur" mode of subjectivation, which has been handling their ways of living, producing, and relating to themselves and others in the neoliberal capitalist logic. Resistance to neoliberal captures is also present as they expand the collective mobilizations of the movement itself, articulating with others, in the production of a "common."(AU)


Este estudio tiene como objetivo analizar los procesos de subjetivación de las mujeres que rompen coco babaçu que surgen de las intervenciones de las políticas de desarrollo en sus territorios de vida y las reverberaciones en el Movimiento Interestadual de las Mujeres que Rompen Coco Babaçu (MIQCB). Desde la perspectiva ético-estético-política de la Cartografía, seguimos las narraciones de las historias de vida de 24 mujeres, sus actividades diarias y eventos del MIQCB, y también analizamos los documentos de las políticas. Si bien estas políticas han contribuido a mejorar las condiciones de vida de las mujeres, en términos materiales y simbólicos, también han producido resonancias del modo de subjetivación "autoempresarial", que ha agenciado sus formas de vivir, producir y relacionarse consigo mismas y con los demás en la lógica capitalista neoliberal. La resistencia a las capturas neoliberales también está presente cuando amplían las movilizaciones colectivas del propio movimiento, articulándose con otros en la producción de un "común".(AU)


Assuntos
Humanos , Feminino , Crescimento e Desenvolvimento , Economia , Governo , Política , Pobreza , Psicologia , Psicologia Social , Política Pública , Aposentadoria , População Rural , Desejabilidade Social , Justiça Social , Problemas Sociais , Ciências Sociais , Solo , Direitos da Mulher , Madeira , Políticas, Planejamento e Administração em Saúde , Planejamento Socioeconômico , Políticas de Controle Social , Legislação Ambiental , Brasil , Água , Exercício Físico , Etnicidade , Desenvolvimento Econômico , Áreas de Pobreza , Usos do Solo , Zona Rural , Florestas , Organizações , Saúde Ambiental , Conflito de Interesses , Carga de Trabalho , Política de Planejamento Familiar , Empreendedorismo , Agroquímicos , Entrevista , Negociação Coletiva , Comércio , Produtos Agrícolas , Gestão Ambiental , Exploração de Recursos Naturais , Recursos Naturais , Recursos Renováveis , Reservas Naturais , Flora , Conservação dos Recursos Naturais , Diversidade Cultural , Natureza , Feminismo , Indústrias Extrativas e de Processamento , Gestão dos Recursos Naturais , Economia Rural , Capitalismo , Estado , Poder Público , Biodiversidade , Agricultura , Eficiência , Meio Ambiente , Meio Ambiente e Saúde Pública , Gestão de Ciência, Tecnologia e Inovação em Saúde , Projetos , Mercado de Trabalho , Vigilância Sanitária de Produtos , Controle e Fiscalização de Alimentos e Bebidas , Alimentos de Coco , Maquinaria , Agricultura Sustentável , Recursos não Renováveis , Agroindústria , Comunicação Ambiental , Feminilidade , Política Ambiental , Empresa de Pequeno Porte , Violência Étnica , Fatores Sociológicos , Alimentos , Equilíbrio Trabalho-Vida , Ativismo Político , Participação dos Interessados , Direitos Socioeconômicos , Território Ocupado , Desenvolvimento Sustentável , Programas Sociais , Povos Indígenas , Direito ao Trabalho , Empoderamento , Inclusão Social , Equidade de Gênero , Papel de Gênero , Vulnerabilidade Social , Responsabilidade Ambiental , Responsabilidade Socioambiental , Diversidade, Equidade, Inclusão , Condições de Trabalho , Comércio de Vida Silvestre , Necessidades e Demandas de Serviços de Saúde , Habitação , Atividades Humanas , Direitos Humanos , Sindicatos , Acontecimentos que Mudam a Vida , Antropologia , Mineração , Categorias de Trabalhadores
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