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Hospitals
Published in Roger Cooter, John Pickstone, Medicine in the Twentieth Century, 2020
It is easy to be nostalgic for a less technical past, for hospitals that were part of the community rather than “repair shops.” Hospitals have always involved alienation, as patients moved into a strange environment where they had little control. But from about 1950, the alien nature of hospital wards became a frequent cause of complaint. As services grew more technical and more kinds of workers were involved, and as the economic gap between doctors and patients grew wider, patients worried that they were becoming anonymous. ‘Mr Smith’ too often became ‘the fracture in (room) 304.’
Domestic conflict and violence
Published in Laeth Sari Nasir, Arwa K Abdul-Haq, Caring for Arab Patients, 2018
The group or family may provide the individual with protection and security, as well as emotional and practical support during times of crises. Family members may be involved in the resolution of issues as well as in the actual process of helping.22 They should be educated about the incidence of abuse and violence and the physical and mental health consequences of such behaviors as well as the importance of supporting and protecting abused women.13 Care must be taken throughout the process to avoid challenging the hierarchies or role patterns within the family since this may lead to alienation.22
Introduction: The Healing Bond
Published in Cecil Helman, Doctors and Patients, 2018
Doctors can contribute to this sense of alienation. Standing at the bedside, they often speak among themselves in a private dialect, a technical jargon incomprehensible to their patients (like the ‘facel-vega’ in Sinclair’s My Life as a Pig). Unlike in the days of Drs Chekhov, Cronin and Maugham, the language of modern medicine has diverged widely from that of patients. In the 1880s, for example, most of the articles in a medical journal like The Lancet could be read – and understood – by the educated public. They were anecdotal and subjective, using words and concepts familiar to most non-medical people of the time. By the 1980s, though, they had become opaque, dense, so packed with technical terms that they were virtually incomprehensible to all but the initiated. A situation reflected in some doctor-patient consultations.
Communication services for First Nations peoples after stroke and traumatic brain injury: Alignment of Sustainable Development Goals 3, 16 and 17
Published in International Journal of Speech-Language Pathology, 2023
Elizabeth Armstrong, Meaghan Mcallister, Juli Coffin, Melanie Robinson, Sandra Thompson, Judith Katzenellenbogen, Kerri Colegate, Lenny Papertalk, Deborah Hersh, Natalie Ciccone, Jane White
Aboriginal and Torres Strait Islander peoples are the First Nations peoples of Australia, culturally diverse and constitute 3.2% of the total population (Australian Bureau of Statistics, 2021), with over 167 languages spoken (240 at the time of colonisation) (Department of Communications, Information Technology and the Arts, 2005). Respectfully, we hereafter refer to Aboriginal peoples, the preferred term by First Nations peoples in Western Australia where the research described in this paper was undertaken. Colonisation with ongoing discrimination has significantly affected the human rights of First Nations peoples across the world through loss of lands, autonomy, and social participation (Bastos et al., 2018). Alienation, discrimination and racism severely impact on health, social and emotional wellbeing and have generated significant inequities. Suppression of traditional languages accompanied this disenfranchisement. In Australia, despite the colonial legacy, Aboriginal people have resisted, enabling their cultures to thrive although barriers to health care remain. When health conditions impact negatively on communication, as occurs for people with aphasia following stroke, it exacerbates experiences of exclusion, disadvantage and social withdrawal (Hersh, 2018). Communication is a fundamental human right, enabling people to express their needs, wants, relationships, cultures, and identities (McLeod, 2018).
Immigrant women’s perspectives on contraceptive counselling provided by midwives in Sweden – a qualitative study
Published in Sexual and Reproductive Health Matters, 2022
Mia Kolak, Charlotta Löfgren, Stefan R. Hansson, Christine Rubertsson, Anette Agardh
Globally, cultural and religious norms are factors that are affecting women’s abilities to use contraceptives, as also shown in our findings.83 Recent Swedish research reports regarding SRHR and immigrants49,84,85 found that non-European immigrant men and women in Sweden had generally different attitudes and norms for when and what kind of contraceptives to use compared to their Swedish counterparts, which is in line with our findings in this sample of non-European immigrants. The countries represented and the age of participants are in line with the young, diverse population in Malmö. Distance between the individual’s and society’s norms and values can lead to a feeling of alienation, unequal treatment and unequal access to health care.49,77 The participants in the current study felt that midwives needed to be aware of the potentially serious social consequences for young, unmarried women visiting midwives for contraceptive counselling. This is in line with previous research studies where Alizadeh et al.86 and Kolak et al.63 found that a trustful relation with the midwife could play a key role in preventing the repercussions caused by honour-related problems that are still present in Swedish society. Midwives working in immigrant-dense areas develop their own strategies for how to meet women with honour-related questions.63 Furthermore, to combat misogynist practices such as virginity control and hymen “reconstructions”, these issues need to be raised at micro and macro levels to uphold women’s rights and empower women.38
Mobile application recovery support for patients with an alcohol use disorder. Acceptance, usability, and perceived helpfulness
Published in Journal of Addictive Diseases, 2022
Justyna Klingemann, Łukasz Wieczorek
The results of the study also clearly show that this is not a tool for everyone. Only four out of ten patients installed mWSPARCIE, despite the initial interest in the study and in the application. Some did not use the application despite installing it. First of all, mWSPARCIE was designed as a tool for sustaining change—if there is no change, it is no longer useful. However, for some people, self-observation is not a sufficiently attractive or useful tool—in the recovery process they needed to interact with other patients and with the therapist. Similarly, in a study by Kornfield et al.14 the researchers indicated that because of the feeling of alienation and isolation they experienced, contact with another person—the therapist, the patient, and not with the application—was important and needed.