By Carolyn Smith-Morris
This assortment is devoted to the diagnostic second and its unmatched impression on encompassment and exclusion in healthiness care. analysis is visible as either an expression and a motor vehicle of biomedical hegemony, but it's also an important and speculative software for the identity of and reaction to pain in any therapeutic procedure. Social medical reports of medicalization and the creation of clinical wisdom have printed great controversy inside, and factitiousness on the outer parameters of, diagnosable stipulations. but the ethnographically wealthy and theoretically complicated historical past of such stories has no longer but congealed right into a coherent structural critique of the method and broader implications of analysis. This quantity meets that problem, directing cognizance to 3 targeted geographical regions of diagnostic clash: within the function of analysis to provide entry to care, in approaches of medicalization and resistance, and within the remodeling and transformative place of prognosis for 21st-century worldwide health and wellbeing. Smith-Morris’s framework repositions prognosis as vital to severe worldwide well-being inquiry. The amassed authors query particular diagnoses (e.g., Lyme illness, Parkinson's, andropause, psychosis) in addition to the structural and epistemological components at the back of a disease’s naming and adventure.
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Additional info for Diagnostic Controversy: Cultural Perspectives on Competing Knowledge in Healthcare
Culture advocates, and medical anthropologists specifically, share the goal of effective healing, although they work from different points on the stream bank. Indeed, diagnostic consensus may be the one shared purpose that unites social, laboratory, and clinical scientists. We vary in our tolerance for chaos and uncertainty, and in our interest in and willingness to take up the social, political, and capitalist variables that create and influence bodily suffering. But we agree that our efforts hinge on a common language for diagnosis and on the fact that, to be effective, diagnosis must be the gateway to an organized system of treatment.
Most stated that it was not. When asked why, their responses reflected prior experience with testing (nearly half of our informants had previously been tested) and confidence in a likely negative result due to their awareness of HIV transmission routes. ” Some respondents said it was important for the woman to have “made up her mind” about being tested beforehand. ” Two out of three pregnant women who tested positive for HIV in antenatal care said they were glad to know their status and that good things had happened to them since.
4 percent) were confirmed as HIV positive. It is unclear to what extent women who considered themselves at risk avoided the YPI services. Because attendance is voluntary at YPI clinics, women had to be encouraged to visit community health clinics when the mobile counseling and testing units were present. For this, YPI relied on the cadres of the Family Welfare Movement, which in previous decades had been active in the implementation of the family planning program. Participant observation, however, revealed that the neighborhood housewives of the Family Welfare Movement felt uncomfortable even mentioning HIV.
Diagnostic Controversy: Cultural Perspectives on Competing Knowledge in Healthcare by Carolyn Smith-Morris