Présentation

Fortin, Sylvie; Knotova, Michaela

doi:10.7202/1024076ar

Cited by 6 publications

(1 citation statement)

References 66 publications

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“…Basically, ethnologists use their previously acquired knowledge and observations of the environment to adapt their words, actions, and attitudes to the key players in their research environment. A clinical environment must be seen as a place of care, expertise, and organizational and professional cultures [66], with its own rules, logics, and social structure. Despite this complex environment, this systemic analysis focuses on the two main categories of actors encountered by the researcher in the field: the clinic's therapists, and the immigrant patients.…”

Section: Structural Aspectmentioning

confidence: 99%

Ethnologist as Foreign Body: A Systemic Explanation

Arsenault

2023

Humans

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During an ethnographic experience, which took place in a rehabilitation clinic, I had to deal with situations that required me to make a series of adjustments to my role in the clinic, so as to reduce my involvement with both patients and therapists. Although I expected to feel more at ease as the field progressed, instead, I felt as if my presence were more and more disruptive, and gradually becoming problematic. The systemic approach thus seemed the most relevant for clarifying the complexity of the interactions that were at play, and that shaped my experience, as I had to venture beyond reflexivity. The aim of this methodological article is to shed light on the need for constant adaptation in the ethnologist, in order to maintain their presence in the field, and obtain information to carry out research. In order to do so, a systemic triangulation has been performed based on the Donnadieu and Karsky method, leading to an analysis of some of the difficulties encountered, as highlighted via systemic thinking.

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Section: Structural Aspectmentioning

confidence: 99%

Ethnologist as Foreign Body: A Systemic Explanation

Arsenault

2023

Humans

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Community-Based Care in the ANRS-IPERGAY Trial: The Challenges of Combination Prevention

Puppo

Mabire

Cotte

et al. 2019

AIDS Education and Prevention

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ANRS-IPERGAY was a community-based randomized trial investigating the efficacy of sexual activity-based HIV pre-exposure prophylaxis (PrEP) in a population of males and transgender females who had sex with men and were at high risk of HIV infection. We qualitatively analyzed the support provided to participants by community-based health workers (CBHW) throughout the trial's double-blind and open-label extension phases. In particular, we showed that the relationship between participants and CBHW strongly influenced self-managed pill intake. The delicate construction of this relationship, balanced between trust and dependence, played an important role in PrEP adherence. CBHW had to deal with various issues surrounding participants' feelings of empowerment regarding their role in the trial, as well as related tensions between various logics and rationalities. They were essential to participants' continued involvement.

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