Clinical Social Science

Eisenberg, Leon; Kleinman, Arthur

doi:10.1007/978-94-009-8379-3_1

Cited by 51 publications

(5 citation statements)

References 41 publications

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“…The work of a number of theorists has been instrumental in making culture a central concept in health discourse and in illustrating the ways culture shapes conceptions of health and illness management (Eisenberg and Kleinman 1980; Good and Good 1980; Helman 2000). This work has also drawn attention to culture and associated systems of meaning to make visible the nature of roles different people in families or communities play in assuming responsibility for ensuring the health of family members or managing illness events.…”

Section: Theoretical and Analytic Challenges Of Research On Culture Amentioning

confidence: 99%

Re‐thinking the complexities of ‘culture’: what might we learn from Bourdieu?

et al. 2007

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In this paper we continue an ongoing dialogue that has as its goal the critical appraisal of theoretical perspectives on culture and health, in an effort to move forward scholarship on culture and health. We draw upon a programme of scholarship to explicate theoretical tensions and challenges that are manifest in the discourses on culture and health and to explore the possibilities Bourdieu's theoretical perspective offers for reconciling them. That is, we hope to demonstrate the need to move beyond descriptions 'of' culture to an understanding of cultures as dynamic, and to show ways cultural practices create contexts that have the potential to foster or impede health. In our early research, largely undertaken in Canada's multicultural context, we sought to make visible the ways in which culture shaped conceptions of health and influenced health practices of immigrant groups. In recent years this focus has expanded to include populations that reflect the cultural and social diversity of our region. From the outset we attempted to move towards a conception of culture as negotiated, unifying, transformative and dynamic. While this position continues to hold appeal we are continually reminded that, despite our leanings towards constructivism, there is salience to the notion of culture as having enduring elements. It is this tension between the view of culture as embodied and enduring and culture as constructed and dynamic that we seek to examine. We explore whether Bourdieu's theoretical perspective offers promise for reconciling these apparently competing views. Using exemplars from our research we share insights that Bourdieu's work has offered to our analyses, thereby enabling us to move towards a view of culture that holds in tension these apparently contradictory positions of culture as both essence (albeit unstable, negotiated) and constructed.

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Section: Theoretical and Analytic Challenges Of Research On Culture Amentioning

confidence: 99%

Re‐thinking the complexities of ‘culture’: what might we learn from Bourdieu?

et al. 2007

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“…As with other areas of clinical research, health service training emphasizes the relevance of a range of social science disciplines to clinical investigation and practice (Eisenberg & Kleinman, 1981). This perspective is operationalized in many health service fellowships by including PhD-level social and behavioral science consultants (e.g., anthropologists, health economists, psychologists) as core faculty.…”

Section: Perspectives That Have Informed the Development Of The Healt...mentioning

confidence: 99%

Developing and Implementing Randomized Effectiveness Trials in General Medical Settings.

Zatzick

Simon

Wagner

2006

Clinical Psychology: Science and Practice

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This article discusses the development of two mental health services research programs: one targeting depression treatment in primary care and the other early intervention for posttraumatic stress disorders in acute care. Both programs have used the randomized effectiveness trial to assess the delivery of empirically supported psychotherapeutic and psychopharmacologic interventions in these general medical settings. This article explores the fellowship training, clinical experiences, and conceptual frameworks that have informed the progression of the two research programs. Specific modifications to the traditional randomized clinical trial design employed in the effectiveness trials are discussed. This article concludes with reflection on intervention development trajectories and interdisciplinary team compositions that may facilitate the development of mental health interventions that both derive from the best scientific evidence and can be feasibly delivered in real-world treatment settings.

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“…Apparently, the reluctance to integrate affective behaviour in the medical treatment reflects the dominance of the biomedical model in medical practice, which may lead to oblivion of the eventual aetiological role of stress. 30 Consequently, the patient's emotional disturbance, if recognized at all, is often regarded as an obvious accompaniment of the somatic disturbance which will be 'naturally' resolved upon the resolution of that disturbance.31-33 Such an approach, however, would be inconsistent with the earlier mentioned accumulating evidence regarding the contributory role of psychosocial stress in the onset and severity of a disease.…”

Section: Stress Disease and The Doctor's Affective Behaviourmentioning

confidence: 99%

The stress‐resolving component in primary medical care

Ben‐Sira

1986

Stress Med.

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A study among Israeli primary care practitioners was aimed at elucidating the factors underlying a doctor's reluctance to demonstrate affective (humane, emotional, supportive) behaviour. Although there is awareness of the eventual aetiological role of psychosocial stress, such awareness does not imply recognition of the necessity for affective behaviour. Oblivion of such behaviour is justified by its insignificance for coping with stress and its alleged contradiction with the necessity for compliance with the doctor's regimen–compliance being identified as the most important factor in recovery. The importance of the data should be understood in the light of the accumulating evidence on the aetiological role of stress and its implications for incorporating stress‐alleviating behaviour as an inherent component of the medical intervention.

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Clinical Social Science

Cited by 51 publications

References 41 publications

Re‐thinking the complexities of ‘culture’: what might we learn from Bourdieu?

Re‐thinking the complexities of ‘culture’: what might we learn from Bourdieu?

Developing and Implementing Randomized Effectiveness Trials in General Medical Settings.

The stress‐resolving component in primary medical care

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