'Culture' is a key concept in the social sciences. It also figures prominently in health science discourses. Yet, it is an imprecise and politically charged term. Due to a variety of factors, health care professionals may tend to use notions of culture that can be easily applied. Dangers are posed when using simplified culture concepts, however, because they act as 'interpretive lenses' - lenses that may generate cultural stereotypes, lead health professionals to miss key interactions and processes in the provision of care, and simplify the cultural complexities surrounding the position(s) of both the health care providers and their clients. Two cases of eldercare are analysed to demonstrate the multi-layered intricacies of the concept of culture. The overall point is that 'culture' is a highly complex and dynamic term; the way in which it is conceptualized and used has enormous consequences for health care.
The concept of "nerves" is an integral component of the language of distress found in a number of societies. Individuals, however, often extend its meaning well beyond the realm of suffering. In this article, I examine some Sicilian-Canadian uses of "nerves" from a Pirandellian perspective. This, I believe, gives us an insight into how people (1) make use of illness narratives to give meaning to their life experiences, and (2) attempt to influence the thought and behavior of significant others. In the process, I address the question how do we move away from anthropological definitions and explanations that tend to simplify or mask some of the rich complexities surrounding the meaning(s) of "folk" concepts?
Researchers identify "nerves" as an idiom of distress, an illness category, a metaphorical device capable of communicating social distress, and a technique for impression management. Much of the literature, however, links "nerves" to women. In this paper, I address two aspects of the phenomenon which have received limited attention. First, I discuss "nerves" within the context of Sicilian-Canadian conceptions of anatomy and physiology. Sicilian-Canadians regard "nerves" as essential components of the human anatomy which, in some cases, may be linked to both physical and psychic distress. Second, I build on this discussion to examine how Sicilian-Canadian males make use of the "nerves" idiom. The implications of my work include the need to: (1) modify our definition of "nerves" to recognize formally that we are dealing with a dynamic complex consisting of multiple, variable, and ambiguous meanings--meanings that enable people to confront or cope with a variety of situations; (2) direct greater attention to "nerves" as an idiom of physical distress; and, (3) examine further the role of physical "nerves" in the social construction of gender.
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