Discipline in Chaos: Foucault, Dementia and Aging in India

Discipline in Chaos: Foucault, Dementia and Aging in India
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DOI:
10.1007/s11013-008-9111-5
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发表时间:
2008-12-01
影响因子:
1.7
通讯作者:
Manderson, Lenore
Manderson, Lenore
中科院分区:
医学3区
文献类型:
--
作者:
Brijnath, Bianca;Manderson, Lenore

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在印度,晚期痴呆症患者的护理工作主要在家中进行。使用源材料从印度城市和绘制福柯理论,我们说明了三个权力/知识脚本在这种情况下的意义:社会和文化观念的可接受的,公共机构;医疗形式的照顾;和文化背景的个人照顾者。照顾者是这些话语的化身,肩负着将纪律映射到本质上不可纪律的身体上的任务。照顾者既要努力控制痴呆症患者的任性,同时又要充当被照顾者的世界和社会世界之间的中间人,两者之间存在着紧张关系。我们的结论是,虽然照顾者是纪律的行使的起点,告知护理工作的三个权力/知识脚本是尽可能多的调查,激励和动员照顾者的身体,因为他们是关于纪律的人与痴呆症的身体。
In India, care work for people in late-stage dementia is primarily conducted in the home. Using source material from urban India and drawing on Foucauldian theory, we illustrate the significance of three power/knowledge scripts in this context: social and cultural notions of acceptable, public bodies; medicalized forms of care; and the cultural contexts of the individual caregivers. The caregiver is the embodiment of these discourses and is charged with the task of mapping discipline onto inherently undisciplinable bodies. A tension exists between the caregiver's struggle to contain the unruliness of the person with dementia and, simultaneously, to act as a broker between the world of the care-recipient and the social world. We conclude that although the caregiver is the starting point for the exercise of discipline, the three power/knowledge scripts that inform care work are as much about surveying, routinizing and mobilizing caregivers' bodies as they are about disciplining the bodies of people with dementia.