Ethnography and the Making of Modern Health Professionals

Ethnography and the Making of Modern Health Professionals
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民族志与现代卫生专业人员的培养

DOI:
10.1007/s11013-011-9216-0
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发表时间:
2011
期刊:
Culture, Medicine, and Psychiatry
影响因子:
--
通讯作者:
S. Kaufman
S. Kaufman
中科院分区:
--
文献类型:
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作者:
Vincanne Adams;S. Kaufman

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查尔斯·罗森伯格呼吁将卫生专业人员培养成最理想的医疗公民——关注政治、社会正义和临床判断——这让人想起了社会科学参与医疗实践的社会经济和政治来源和背景的悠久历史(罗森伯格2007)。拥有民族志和分析见解的社会科学家多年来一直从“外部”提出批评,指出生物医学如何有意无意地参与医源性(Illich 1982)、资本主义剥削(Navarro 1976)、统治(Freidson 1970)和简化(Gordon 1988),它无视知识生产的社会条件(Young 1982),并将生命周期过程和行为转变为需要医疗干预的对象(Conrad 1992;左拉1972)为例。对医学作为一种再现社会不平等或不公正问题,而不是根除这些问题的社会和文化系统的审查,似乎从未放慢脚步。繁殖发生的途径,
Charles Rosenberg’s call to arms for the training of health professionals as optimal medical citizens—concerned with politics, social justice and clinical judgment—recalls a long history of social science engagement with the socioeconomic and political sources and contexts of medical practice (Rosenberg 2007). Social scientists equipped with ethnographic and analytical insights have offered critiques from ‘‘the outside’’ for years, noting how biomedicine engages, knowingly or not, in iatrogenesis (Illich 1982), capitalist exploitation (Navarro 1976), domination (Freidson 1970)and reductionism (Gordon 1988), that it disregards the social conditions of knowledge production (Young 1982) and that it turns life cycle processes and behaviors into objects requiring medical intervention (Conrad 1992; Zola 1972) for example. The examination of medicine as a social and cultural system that reproduces problems of social inequality or injustice, rather than eradicating them, never seems to slow. The route by which this reproduction occurs,