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Lectures

Doing and Seeing: Cultivating a “Fractured Habitus” through Reflexive Clinician Ethnography

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This article is part of the series:

Introduction

The tension between critical theoretical innovation and on-the-ground, practical application has animated intense debate in medical anthropology (Scheper-Hughes 1990). Epistemological and methodological conflicts cropping up at the intersection of medicine and anthropology, though central considerations for all medical anthropologists, represent an inescapable source of tension for MD/PhD clinician-ethnographers. While innovative manuscripts produced by such scholars (Wendland 2019) have illustrated …

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Restoring the balance: Living well with pain

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Like dementia, persistent pain comes with irreparable losses: physical restrictions, strained relationships, financial problems, perished dreams and ambitions. Both conditions require ethnographers and care professionals to shift focus from cure to care, from treating illnesses to learning how to live with restrictions. The question thus emerges: how do we learn to live with such ‘diseases that do not go away’ …

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Gramps and the Gangster visit the memory clinic

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“Are you free tomorrow?”

“Sure, what’s going on?”

“It’s a big day for Gramps! I’m taking him to the doctor. I guess someone from the ward office said he ought to be checked for dementia.”

I could tell Ken was trying to make a joke about this ‘big day,’ but as he started slowly walking past me, he leaned his …

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Thinking pain

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Care worker Annika announces that she does not want to go to Mr Moran. “He always complains.” “I’ll go”, says her colleague Robin, and turning to me he says, “I don’t have the intern today so you can come along if you want to see for yourself how it goes”. We head off to assemble the materials for the morning …

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Taking part in and being part of giving birth: Enacting participation in a midwife-led birth situation

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According to her midwife Jana, Mira’s was a textbook birth: it was quite fast, even for a second birth, and proceeded without any complications. In reflecting on her attendance at Mira’s birth, which I had witnessed the day before, Jana emphasised that her task during birth is only to observe: “Observing, keeping an objective view, and recognising what the situation …

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Opening up shrinking life-worlds

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Lives change dramatically as dementia progresses. Using observations of people suffering from obsessions and compulsions, I will analyse this change along three dimensions.

Obsessive-Compulsive Disorder (OCD) is characterised by intrusive anxiety-provoking thoughts (obsessions) and rituals aimed at reducing anxiety, which then paradoxically come to exacerbate it (compulsions). I have been studying clinicians working with people who suffer from a severe, …

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