Turning Therapies: Placing Medical Diversity

Krause, Kristine; Parkin, David; Alex, Gabriele

doi:10.1080/01459740.2013.829056

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…The concurrent use of CAM and biomedicine has been well documented in many cultures [ 17 , 80 ] and in pregnancy and lactation around the world [ 45 , 47 , 81 – 83 ]. This synthesis also highlights that many women used CMPs within a context of medical pluralism , defined as the co-occurrence of different medical or therapeutic systems and traditions in one local setting [ 1 , 11 ]. Medical pluralism can also be seen as a patient centred model where individual consumers chose the level of integration between co-occurring health systems, which in turn facilitates a recognition of paradigm differences between biomedicine and complementary or traditional medical systems [ 84 ].…”

Section: Discussionmentioning

confidence: 99%

“…Medical pluralism, or the co-existence of different medical or therapeutic systems and traditions in one local setting has been recognised in most societies around the world [ 1 ]. Studies in both low and high income countries show that women routinely seek pre and postnatal health care from both traditional and allopathic providers, even when access to care from biomedically trained midwives and doctors is available [ 2 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Complementary medicine products used in pregnancy and lactation and an examination of the information sources accessed pertaining to maternal health literacy: a systematic review of qualitative studies

Barnes

Barclay

McCaffery

et al. 2018

BMC Complement Altern Med

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BackgroundThe prevalence of complementary medicine use in pregnancy and lactation has been increasingly noted internationally. This systematic review aimed to determine the complementary medicine products (CMPs) used in pregnancy and/or lactation for the benefit of the mother, the pregnancy, child and/or the breastfeeding process. Additionally, it aimed to explore the resources women used, and to examine the role of maternal health literacy in this process.MethodsSeven databases were comprehensively searched to identify studies published in peer-reviewed journals (1995–2017). Relevant data were extracted and thematic analysis undertaken to identify key themes related to the review objectives.ResultsA total of 4574 articles were identified; 28 qualitative studies met the inclusion criteria. Quantitative studies were removed for a separate, concurrent review. Herbal medicines were the main CMPs identified (n = 21 papers) in the qualitative studies, with a smaller number examining vitamin and mineral supplements together with herbal medicines (n = 3), and micronutrient supplements (n = 3). Shared cultural knowledge and traditions, followed by women elders and health care professionals were the information sources most accessed by women when choosing to use CMPs. Women used CMPs for perceived physical, mental-emotional, spiritual and cultural benefits for their pregnancies, their own health, the health of their unborn or breastfeeding babies, and/or the breastfeeding process. Two over-arching motives were identified: 1) to protect themselves or their babies from adverse events; 2) to facilitate the normal physiological processes of pregnancy, birth and lactation. Decisions to use CMPs were made within the context of their own cultures, reflected in the locus of control regarding decision-making in pregnancy and lactation, and in the health literacy environment. Medical pluralism was very common and women navigated through and between different health care services and systems throughout their pregnancies and breastfeeding journeys.ConclusionsPregnant and breastfeeding women use herbal medicines and micronutrient supplements for a variety of perceived benefits to their babies’ and their own holistic health. Women access a range of CMP-related information sources with shared cultural knowledge and women elders the most frequently accessed sources, followed by HCPs. Culture influences maternal health literacy and thus women’s health care choices including CMP use.Electronic supplementary materialThe online version of this article (10.1186/s12906-018-2283-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Complementary medicine products used in pregnancy and lactation and an examination of the information sources accessed pertaining to maternal health literacy: a systematic review of qualitative studies

Barnes

Barclay

McCaffery

et al. 2018

BMC Complement Altern Med

View full text Add to dashboard Cite

show abstract

“…Despite its usefulness for some anthropologists in the 1970s and early 1980s, the concept of medical pluralism has been criticised since its inception (for an overview see for instance Hsu 2008). In order to remedy shortcomings of the notion of 'medical pluralism', several alternatives have been proposed such as 'medical diversity' (Parkin 2013;Krause, Parkin and Alex 2014) and 'medicoscapes' (H€ orbst and Wolf 2014). By underlining diversity, the first argues that medical traditions do not coexist 'relatively insulated from each other within a region' as the notion of 'medical pluralism' has it (Parkin 2013, 125).…”

Section: Introductionmentioning

confidence: 97%

Jehovah's Witness patients within the German medical landscape

Rajtar

2016

Anthropology & Medicine

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Blood transfusions belong to standard and commonly utilised biomedical procedures. Jehovah's Witnesses' transfusion refusals are often referred to in bioethical and medical textbooks. Members of this globally active religious organisation do not, however, challenge biomedical diagnosis and treatment as such. A result of both their trust in and their interpretation of the Bible, they question only this medical treatment. In spite of the global presence of this religious community and its uniformly practised teachings, including those pertaining to blood, experiences and choices of Jehovah's Witness patients have been understudied. Drawing on a nine-month fieldwork with Jehovah's Witnesses and physicians in Germany (mainly in Berlin) between 2010 and 2012, the paper addresses treatment choices made by Witness patients and their relationship with physicians. In light of the long tradition of 'medical heterodoxy' established in German culture and society, Germany constitutes an ideal point of departure for such a study. By utilising the concept of 'medical landscape' it is argued that Jehovah's Witnesses in my field site find themselves at the intersection of different medical landscapes: in the 'immediate' surroundings of the German healthcare system that is open to different 'treatment modalities', and that of the United States, which favours biomedicine. The paper also argues that Jehovah's Witnesses' position towards blood transfusions can further be used as a lens to shed light on the German (bio)medical landscape itself.

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“…Questions of space and (mental) healthcare are addressed in the literature on human geography (Krause, Parkin and Alex 2014 ). To indicate the importance of place in health care, both physical as cultural, Gesler ( 1992 ) coined the term ‘therapeutic landscape’.…”

Section: Notions Of Spacementioning

confidence: 99%

Working on and with Relationships: Relational Work and Spatial Understandings of Good Care in Community Mental Healthcare in Trieste

Muusse

Kroon

Mulder

et al. 2020

Cult Med Psychiatry

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Deinstitutionalization is often described as an organizational shift of moving care from the psychiatric hospital towards the community. This paper analyses deinstitutionalization as a daily care practice by adopting an empirical ethics approach instead. Deinstitutionalization of mental healthcare is seen as an important way of improving the quality of lives of people suffering from severe mental illness. But how is this done in practice and which different goods are strived for by those involved? We examine these questions by giving an ethnographic description of community mental health care in Trieste, a city that underwent a radical process of deinstitutionalization in the 1970s. We show that paying attention to the spatial metaphors used in daily care direct us to different notions of good care & Christien Muusse

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Turning Therapies: Placing Medical Diversity

Cited by 9 publications

References 7 publications

Complementary medicine products used in pregnancy and lactation and an examination of the information sources accessed pertaining to maternal health literacy: a systematic review of qualitative studies

Complementary medicine products used in pregnancy and lactation and an examination of the information sources accessed pertaining to maternal health literacy: a systematic review of qualitative studies

Jehovah's Witness patients within the German medical landscape

Working on and with Relationships: Relational Work and Spatial Understandings of Good Care in Community Mental Healthcare in Trieste

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