Social construction

  • 文章类型: Journal Article
    本文从医学角度看待老年人身体知识的历史建构,该角度关注身体的重要性和相关损失。它回忆道,提出并分析了损失的范式,主导护理方式的衰退和失败,并研究与这种统治有关的问题。通过将老年表现为由语言产生的社会建构,并受制于与身体的某种表现有关的价值观,作者邀请我们改变我们的观点,更复杂和更广泛的身体和老的经验。
    This article looks at the historical construction of knowledge about the elderly body from a medical perspective that is concerned with the materiality of the body and associated losses. It recalls, presents and analyses the paradigm of loss, decline and failure that dominates the way care is provided, and examines the issues associated with this domination. By presenting old age as a social construct produced by language and subject to values relating to a certain performance of the body, the author invites us to shift our perspective and take a finer, more complex and broader view of the body and the experience of being old.
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    2023年,Martinez等人。检查了包容的趋势,概念化,在美国流行病学期刊上发表的研究中,种族和民族的可操作性和分析。基于1995-2018年发表的随机样本论文(N=1,050),作者描述了种族的治疗,种族,随着时间的推移,分析样品(N=414,基线样品的39%)中的盐酸和盐酸。每次研究中,有32%至19%的研究缺乏种族数据;61%至34%缺乏种族数据。该评论提供了流行病学研究中种族和种族测量的常规遗漏和变异性的明显证据。由公共卫生关键种族实践(PHCRP)告知,这篇评论讨论了流行病学研究结果表明的四个问题的含义:1)对什么是种族和族裔普遍缺乏明确性;2)对关键种族或其他理论的有限使用;3)在衡量种族和族裔时缺乏严格性;以及,4)流行病学中种族主义和白人至上的普遍性。确定的做法既不反映当前的出版指南,也不反映种族知识的状态,种族和种族主义;因此,最后,我们提出了建议,以在日益多样化的社会中将流行病学推向更严格的研究。
    In 2023, Martinez et al. examined trends in the inclusion, conceptualization, operationalization and analysis of race and ethnicity among studies published in US epidemiology journals. Based on a random sample of papers (N=1,050) published from 1995-2018, the authors describe the treatment of race, ethnicity, and ethnorace in the analytic sample (N=414, 39% of baseline sample) over time. Between 32% and 19% of studies in each time stratum lacked race data; 61% to 34% lacked ethnicity data. The review supplies stark evidence of the routine omission and variability of measures of race and ethnicity in epidemiologic research. Informed by public health critical race praxis (PHCRP), this commentary discusses the implications of four problems the findings suggest pervade epidemiology: 1) a general lack of clarity about what race and ethnicity are; 2) the limited use of critical race or other theory; 3) an ironic lack of rigor in measuring race and ethnicity; and, 4) the ordinariness of racism and white supremacy in epidemiology. The identified practices reflect neither current publication guidelines nor the state of the knowledge on race, ethnicity and racism; therefore, we conclude by offering recommendations to move epidemiology toward more rigorous research in an increasingly diverse society.
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  • 文章类型: Journal Article
    这项研究调查了社会人口统计学因素之间的复杂关系,社会优势取向(SDO),以及对法国葡萄酒的看法。强调葡萄酒在法国文化中的象征作用,并采用基于调查的方法,该研究探讨了这些结构中的社会等级制度和个人定位如何影响对玫瑰葡萄酒的评价。研究结果表明,社会人口统计学因素,特别是教育水平,显著影响葡萄酒评价,而社会主导取向是一个中介因素。这项研究有助于了解影响法国葡萄酒消费的文化和社会动态,突出了葡萄酒评估深深植根于社会结构的事实。
    This study investigates the intricate relationship between sociodemographic factors, social dominance orientation (SDO), and perceptions of wine in France. Emphasizing the symbolic role of wine in French culture, and employing a survey-based approach, the research explores how societal hierarchies and individual positioning within these structures influence the appraisal of rosé wine. The findings revealed that sociodemographic factors, particularly education level, significantly influence wine appraisal, while social dominance orientation serves as a mediating factor. This research contributes to the understanding of the cultural and social dynamics shaping wine consumption in France, highlighting the fact that wine appraisal is deeply embedded in societal structures.
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  • 文章类型: Journal Article
    关于精神障碍的形而上学现实主义是精神障碍独立存在的论点。有两种方法可以挑战关于精神障碍的形而上学现实主义。首先是否认存在精神障碍。第二种是否认精神障碍独立存在。或者,换句话说,认为精神障碍是精神依赖的。本文的目的有三方面:(a)研究可以说精神障碍是精神依赖的三种方式(即,通过在因果关系上依赖人类的思想,通过对人类态度的弱依赖,并强烈依赖人类的态度),(b)澄清他们的分歧,和(c)讨论它们对精神障碍的形而上学现实主义的影响。我认为,在前两种意义上,精神障碍是精神依赖性的,与关于精神障碍的形而上学现实主义是相容的,而精神障碍在第三种意义上是精神依赖的。
    Metaphysical realism about mental disorder is the thesis that mental disorder exists mind-independently. There are two ways to challenge metaphysical realism about mental disorder. The first is by denying that mental disorder exists. The second is by denying that mental disorder exists mind-independently. Or, differently put, by arguing that mental disorder is mind-dependent. The aim of this paper is three-fold: (a) to examine three ways in which mental disorder can be said to be mind-dependent (namely, by being causally dependent on the human mind, by being weakly dependent on human attitudes, and by being strongly dependent on human attitudes), (b) to clarify their differences, and (c) to discuss their implications regarding metaphysical realism about mental disorder. I argue that mental disorder being mind-dependent in the first two senses is compatible with metaphysical realism about mental disorder, whereas mental disorder being mind-dependent in the third sense is not.
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  • 文章类型: Journal Article
    这项研究旨在分析在Resik实施大规模社会限制(LSSR)期间Covid-19大流行期间社区的灾难应对意识。自我意识是通过内化的辩证过程,使用彼得·伯杰和托马斯·勒曼的社会建构理论观察到的,客观化,和外部化。结果表明,在防止新冠肺炎在Gresik传播的努力中,没有很好的意识。社会上,社区没有认真对待新冠肺炎的危险。与救灾有关的知识和现实之间也存在不一致。在应对辩证过程中,社区没有通过遵守现有法规来实施灾难意识文化。至少,社会文化环境决定了一个人自我认同的建构,互动,并适应发生的社会变革。因此,社区的社会文化建设从未使疾病爆发成为一个严重的问题,并认为它以及上帝的提醒,即使感染病例继续增加。工作队在大规模社会限制(LSSR)对社区活动限制执行(CARE)的情况下确实很难成功,抑制了Gresik新冠肺炎阳性病例的增加,印度尼西亚。这项研究发现,政府在处理新冠肺炎方面的政策还不够,它需要社区和宗教领袖更优化的参与,提供关于维护健康协议和建立对科维德危险的自我意识的重要性的教育。
    This study aimed to analyze the community\'s disaster response awareness during the Covid-19 pandemic during the implementation of The Large-Scale Social Restrictions (LSSR) in Gresik. Self-awareness was observed using Peter L. Berger and Thomas Luck man\'s Social Construction Theory through a dialectical process of internalization, objectification, and externalization. The results showed that there had been no good awareness in efforts to prevent the spread of Covid-19 in Gresik. Socially, the community had not taken the dangers of Covid-19 seriously. There was also an inconsistency between knowledge and reality related to disaster response. In coping with the dialectical process, the community had not implemented a disaster-aware culture by obeying the existing regulations. At least, the sociocultural environment determined a person\'s construction for self-identification, interaction, and adjustment to the social changes that occurred. Hence, the sociocultural construction of the community had never made the disease outbreak a serious problem and considered it as well as God\'s reminder even though infected cases continued to increase. A situation was indeed difficult for the Task Force to succeed in the Large-Scale Social Restrictions (LSSR) to Community Activities Restrictions Enforcement (CARE) suppressed the increase of Covid-19 positive cases in Gresik, Indonesia. This research sees that the government\'s policies in handling Covid- 19 are not enough, it needs more optimal involvement of community and religious leaders, to provide education on the importance of maintaining health protocols and building self-awareness of the dangers of Covid.
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  • 文章类型: Journal Article
    头部和颈部的癌症是一个面临的条件,因为这种疾病及其治疗改变了与身体外观和身份相关的身体器官的外观和功能。许多头颈癌的危险因素,包括烟草,酒精,和人乳头瘤病毒,也可能有显著的负面社会和道德排列。语言和行动(话语)在构建疾病和疾病以及塑造其管理方式中起着重要作用,在制度上和社会上。这项研究使用了一个关键的建构主义镜头来研究如何在医疗保健背景下构建围绕头颈癌的常见话语,以及这如何影响患者和医疗保健专业人员对疾病的反应。数据是通过半结构化访谈收集的,字段注释,日记和文献评论。分析是由三维方法指导的批判性语篇分析,调查文本,话语的做法,和社会背景。最重要的发现是,偏差主导了常见的话语,并塑造了头颈癌及其反应。偏差是通过隐喻传递的,形容词,描述符,和集体名词,并通过标签公开,回避,责备,羞耻,和分类。话语是通过一种社会文化理解来语境化的,即当某人偏离被认为正常的事物时,他们贬值了。关于头颈部癌症的公开对话和反思可以更好地了解人们如何体验他们的病情,并提供更多的支持性反应。
    Cancer of the head and neck is a confronting condition, as the disease and its treatments alter the appearance and function of body organs associated with physical appearance and identity. Many of the risk factors for head and neck cancers, including tobacco, alcohol, and human papilloma virus, can also have significant negative social and moral permutations. Language and action (discourse) plays an important role in constructing disease and illness and shape the way it is managed, both institutionally and socially. This research used a critical constructionist lens to investigate how the common discourses surrounding head and neck cancer are constructed within the healthcare context and how this influences patients and healthcare professionals\' responses to the illness. Data were collected through semi-structured interviews, field noting, journaling and literature reviews. Analysis was guided by a three-dimensional approach to critical discourse analysis that investigated text, discursive practices, and social context. The overarching finding was that deviance dominates the common discourse and shapes head and neck cancer and responses to it. Deviance is channelled through metaphors, adjectives, descriptors, and collective nouns and is made overt through labelling, avoidance, blaming, shame, and categorization. Discourse is contextualized by a sociocultural understanding that when someone deviates from what is perceived as normal, they are devalued. Open dialogue and reflection on head and neck cancer discourse could enable better understanding of how people experience their condition and inform more supportive responses.
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  • 文章类型: Journal Article
    根深蒂固的文化信仰和与男女地位和责任有关的规范在传播亲密伴侣暴力(IPV)方面发挥着重要作用。人们还不清楚,IPV的经历以何种方式有助于人们如何在社会上构建他们的健康和福祉,因为他们在普遍存在的社会文化系统所造成的紧张关系中渡过难关。为了解决这个知识差距,我们采用社会建构主义观点和生态社会模型,探讨25-49岁的肯尼亚人如何在社会上构建与IPV经历相关的健康和福祉.2017年1月至4月,我们在肯尼亚的四个县进行了9次深度访谈和10次焦点小组讨论。对叙述的文本分析表明,尽管男人通常被认为是暴力的肇事者,她们也可能是女性相互侵略的受害者,正如最近在妇女通过帮派袭击进行报复的案例中所看到的那样,切除男性生殖器,用水烫伤。然而,由于父权制社会中根深蒂固的性别不平衡,妇女仍然受到基于性别的暴力的不成比例的影响。妇女遭受与这种暴力有关的社会耻辱,在不安全的关系中分居或离婚时,他们被视为社会不称职。因此,大多数女性选择保持不健康的关系,以避免社会孤立。这些经历不仅对他们的心理健康是不健康的,而且对他们的身体健康和社会经济地位以及他们的后代也是不健康的。
    Deeply rooted cultural beliefs and norms relating to the position and the responsibilities assigned to men and women play a significant role in propagating intimate partner violence (IPV). It is yet to be understood in what ways experiences of IPV contribute to how people socially construct their health and wellbeing as they navigate the tensions created by the prevailing sociocultural systems. To address this knowledge gap, we employed a social constructionist perspective and the eco-social model to explore how Kenyans aged 25-49 years socially construct their health and wellbeing in relation to their experiences of IPV. We conducted nine in-depth interviews and ten focus group discussions in four counties in Kenya between January and April of 2017. Textual analysis of the narratives reveals that although men are usually framed as perpetrators of violence, they may also be victims of reciprocal aggression by women, as recently witnessed in cases where women retaliate through gang attacks, chopping of male genitalia, and scalding with water. However, women are still disproportionately affected by gender-based violence because of the deeply rooted gender imbalances in patriarchal societies. Women experience social stigma associated with such violence and when separated or divorced in situations of unsafe relationships, they are viewed as social misfits. As such, most women opt to stay in unhealthy relationships to avoid social isolation. These experiences are not only unhealthy for their psychological wellbeing but also for their physical health and socioeconomic status and that of their offspring.
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  • 文章类型: Journal Article
    新冠肺炎大流行增加了集体的担忧,使健康风险尤其是老年人口。卫生紧急情况加剧了已经广泛存在的老龄化负面表现,以及年龄歧视等现象。通过目前的定性调查,收集了21次情景访谈,目的是了解老年人在住宅护理设施中的经历,探索他们对衰老的想法以及帮助他们成功应对大流行的观点。使用NudIst软件进行主题分析。结果表明,参与者描述了他们用来应对大流行的多种个人和关系资源,他们能够表达与衰老相吻合的观点的反叙事,而封锁仅仅是痛苦的根源。本文最后对研究的相关性进行了反思,该研究能够挑战无益的主导话语并避免其变成负面预言的风险。
    The Covid-19 pandemic added to collective concerns, making health risks salient especially for the older population. The health emergency exacerbated an already widespread negative representation of aging, and phenomena such as ageism. With the present qualitative inquiry, 21 episodic interviews were collected with the aim of understanding the experience of older adults in residential care facilities, exploring their ideas of aging and the viewpoints that helped them to respond to the pandemic successfully. A thematic analysis was conducted using NudIst software. The results show that participants described multiple personal and relational resources they used to cope with the pandemic, and they were able to express counter-narratives to the ideas of aging as coinciding with decline, and of lockdown as a source of distress alone. The paper concludes with reflections on the relevance of research capable of challenging unhelpful dominant discourses and averting the risk of them turning into negative prophecies.
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  • 文章类型: Journal Article
    在《实验室生活》和《伍尔加》一书中,介绍了科学的“事实”是如何通过个人之间的微观社会互动过程形成的,而实验室中的“铭文设备”最初被描述为社会建构。该过程经历了一系列步骤,在此期间,对象的细节和性质变得越来越确定,直到所有资格都被删除,“事实”作为安全的科学知识出现。基于到达相同终点的贝叶斯概率框架来描述该帐户的替代方案。建构主义方法的动力似乎涉及说服同事的社会过程,而贝叶斯方法则依赖于参与者判断的理论和证据的一致性。社会过程的作用用贝叶斯术语讨论,信息的获取和不对称,以及它与解谜的类比。特别是在信息理论方面,贝叶斯和建构主义帐户之间存在一些相似之处。
    In the book Laboratory Life Latour and Woolgar present an account of how scientific \"facts\" are formed through a process of microsocial interactions among individuals and \"inscription devices\" in the lab initially described as social construction. The process moves through a series of steps during which the details and nature of the object become more and more certain until all qualifications are dropped, and the \"fact\" emerges as secure scientific knowledge. An alternative to this account is described based on a Bayesian probabilistic framework which arrives at the same end point. The motive force for the constructivist approach appears to involve social processes of convincing colleagues while the Bayesian approach relies on the consistency of theory and evidence as judged by the participants. The role of social processes is discussed in Bayesian terms, the acquisition and asymmetry of information, and its analogy to puzzle solving. Some parallels between the Bayesian and constructivist accounts are noted especially in relation to information theory.
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  • 文章类型: Journal Article
    有一种普遍的做法是交替使用“性别”和“性别”。世界卫生组织认为他们不是。它将性别定义为一组依赖于染色体的生物变量,这些变量显示出独特的激素谱和解剖结构。相反,性别是指具有不同角色的社会建构性归因,行为表达,身份,等。研究人员和机构提出了指导方针,以确保良好的科学不受意识形态的影响,媒体或社会压力,道德,宗教或经济利益。性别差异不受任何意识形态或社会文化利益的影响,因为它们受生物学决定的遗传参数支配。从道德或社会的角度来看,认为男人和女人相似是非常有价值的,但是从生物医学的角度来看,忽视差异可能是错误的和不可接受的。不考虑不同发病率的健康和/或研究系统的组织,取决于性别的进化或治疗反应会产生偏见和错误。以性别观点开展医疗创新工作应该需要考虑性别差异并适当整合它们,承认多样性。争议不仅仅是性别或性别,而是关于性和性别以及它们如何相互影响。保持科学和学术方法将有助于推进科学和丰富法律和/或意识形态。
    There is a widespread practice of using \'sex\' and \'gender\' interchangeably. The World Health Organization considers that they are not. It defines sex as a set of chromosome-dependent biological variables that show unique hormone profiles and anatomy. Conversely, gender refers to socially constructed sex attributions with differential roles, behavioral expressions, identity, etc. Researchers and institutions have proposed guidelines to ensure that good science is not compromised by ideologies, media or social pressures, morality, religion or economic interests. Sex differences are immune to any ideology or socio-cultural interest, because they are governed by biologically determined genetic parameters. Considering men and women to be alike is very valuable from a moral or social perspective, but ignoring differences could be wrong and unacceptable from a biomedical perspective. The organization of health and/or research systems that does not consider the different morbidity, evolution or treatment response depending on sex would generate biases and mistakes. To work on medical innovation with a gender perspective should need to take sex differences into account and integrate them properly, recognizing diversity. The controversy is not just about sex or gender, but about sex and gender and how they may influence each other. Maintaining a scientific and academic approach will help both to advance science and enrich laws and/or ideologies.
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