Suchergebnisse

Orienting to pharmaceuticalised governance -- The development pharmaceutical hegemony -- Expanding medicine -- Moral forces and medicine -- Medication practices in the home -- Sources of practices and their contestation -- Populations and medications -- Adverse reactions and the proliferation of risk -- Underreporting of side effects -- Pharmacovigilance lessons -- Different faces of governance -- Resisting pharmaceuticalised governance -- Drug entanglements and governance

In contemporary manifestations of public health rituals and events, people are being increasingly united around what they hold in common-their material being and humanity. As a cult of humanity, public health provides a moral force in society that replaces 'traditional' religions in times of great diversity or heterogeneity of peoples, activities and desires. This is in contrast to public health's foundation in science, particularly the science of epidemiology. The rigid rules of 'scientific evidence' used to determine the cause of illness and disease can work against the most vulnerable in s

This paper uses two case studies to examine the scope for medical practitioners to utilize alternative forms of diagnosis and treatment. The first is a specific study of a medical practitioner who was deemed to have transgressed the boundaries of orthodox medicine. The second is a general case study which examines the possible effects of a new medical practitioners bill and the New Zealand health reforms. It is suggested that when the medical profession is faced with external threats it attempts to strengthen itself at the cost of limiting the autonomy of its membership.

This book comprehensively explores social, political and cultural dimensions of health in contemporary society. It addresses many issues and pertinent questions, including the following: Are we over diagnosed and over medicated? How can patients participate in their own care? Do pharmaceutical companies coerce us into medication regimes? What drives inequalities in health outcomes? What is the experience of health care for indigenous communities? Why do different countries have such different health care systems? How do we respond to life-changing conditions? Can we achieve a 'good death'? How do new genetics shape our identities? Is public health a force of liberation or disempowerment? The book incorporates the range of levels of influence on health, covering individual patient experiences, the health professions, multinational corporations, the state, global organisations as well as examining trends in social organisation, cultural expression and technological developments. The volume provides an accessible, yet in-depth, overview and discussion of the sociology of health. The chapters include an illustrative case study and further readings relating to the topic

Using grounded theory methodology, members of nine families with 'young carers' were interviewed to explore their experiences of caring. A dynamic theory of change and adaptation emerged in relation to changes in who cares within families, in external support and in the attitudes of young carers towards caring. Adaptations included becoming used to the way life is, knowing how to care, balancing and trading off, rewarding care, and anticipating future adaptations. A model has been developed to offer an explanation of factors which influence young caring in families. These include family expectations about caring; who is available to care; the willingness and capability of young carers to help; and the degree of choice or obligation they experience. Formal and informal support services from outside the family, and environmental adaptations, can reduce the amount of family caregiving required, increase choice and contribute to balancing life for carers.

AbstractAlthough a diagnosis of a life‐limiting cancer is likely to evoke emotions, such as fear, panic and anxiety, for some people it can also provide an opportunity to live life differently. This article is based on research undertaken in Aotearoa New Zealand on the topic of exceptional cancer trajectories. Eighty‐one participants who had been identified as living with a cancer diagnosis longer than clinically expected were interviewed, along with 25 people identified by some of the participants as supporters in their journey. For some participants the diagnosis provided the opportunity to rethink their lives, to undertake lifestyle and consumption changes, to be culturally adventurous, to take up new skills, to quit work and to change relationships with others. The concepts of biographical disruption and posttraumatic growth are considered in relation to these accounts, and it is argued that the event of a cancer diagnosis can give license for people to breach social norms.

AbstractThis article presents research that explores how medications are understood and used by people in everyday life. An intensive process of data collection from 55 households was used in this research, which included photo‐elicitation and diary‐elicitation interviews. It is argued that households are at the very centre of complex networks of therapeutic advice and practice and can usefully be seen as hybrid centres of medication practice, where a plethora of available medications is assimilated and different forms of knowledge and expertise are made sense of. Dominant therapeutic frameworks are tactically manipulated in households in order for medication practices to align with the understandings, resources and practicalities of households. Understanding the home as a centre of medication practice decentralises the role of health advisors (whether mainstream or alternative) in wellness practices.

We aimed to gain an in-depth understanding of public views and ways of talking about antibiotics. Four focus groups were held with members of the public. In addition, 39 households were recruited and interviews, diaries of medicine taking, diaries of any contact with medication were used to explore understanding and use of medication. Discussions related to antibiotics were identified and analyzed. Participants in this study were worried about adverse effects of antibiotics, particularly for recurrent infections. Some were concerned that antibiotics upset the body's "balance", and many used strategies to try to prevent and treat infections without antibiotics. They rarely used military metaphors about infection (e.g., describing bacteria as invading armies) but instead spoke of clearing infections. They had little understanding of the concept of antibiotic resistance but they thought that over-using antibiotics was unwise because it would reduce their future effectiveness. Previous studies tend to focus on problems such as lack of knowledge, or belief in the curative powers of antibiotics for viral illness, and neglect the concerns that people have about antibiotics, and the fact that many people try to avoid them. We suggest that these concerns about antibiotics form a resource for educating patients, for health promotion and social marketing strategies.

Abstract Background Smoking in film is a risk factor for smoking uptake in adolescence. This study aimed to quantify exposure to smoking in film received by New Zealand audiences, and evaluate potential interventions to reduce the quantity and impact of this exposure. Methods The ten highest-grossing films in New Zealand for 2003 were each analysed independently by two viewers for smoking, smoking references and related imagery. Potential interventions were explored by reviewing relevant New Zealand legislation, and scientific literature. Results Seven of the ten films contained at least one tobacco reference, similar to larger film samples. The majority of the 38 tobacco references involved characters smoking, most of whom were male. Smoking was associated with positive character traits, notably rebellion (which may appeal to adolescents). There appeared to be a low threshold for including smoking in film. Legislative or censorship approaches to smoking in film are currently unlikely to succeed. Anti-smoking advertising before films has promise, but experimental research is required to demonstrate cost effectiveness. Conclusion Smoking in film warrants concern from public health advocates. In New Zealand, pre-film anti-smoking advertising appears to be the most promising immediate policy response.