The Sociality of the Pill: Biomedicalization of HIV in a South African Township

Julkaisun otsikon käännös: Pillerin sosiaalisuus: HIV:n biomedikalisaatio etelä-afrikkalaisessa slummissa

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu

Kuvaus

The (bio)medicalization thesis is here studied through interviews with a voluntary HIV treatment counsellors in an urban township in South Africa. The counsellors are patients themselves, but are formally engaged in treatment programs as volunteer counsellors for other patients. They form a vocal support and advocacy group within the clinic where they volunteer, as well as in the community and society at large. I will examine how they talk about their own views on expertise and knowledge, health care, authority and involvement. The paper will suggest that these patients represent their own position, their work and knowledge about the illness and its treatment in a way that does not fit well into dichotomies like the demanding consumer patient versus the passive recipient of treatment; the autonomous patient living with a disease versus the patient defined by medical authority; expert versus lay knowledge. These patients, rather, describe their lives, care and survival as an entangled net of different relations that sustain them, a net of relations that produces healthier embodiment including both human and non-human actors: for example, food, laboratory results, transport to the clinic, and last but not least, the pills. The pills are there only through political decisions and funding, therefore adding the dimension of rights and global injustice to the spectrum of questions that the biomedicalization thesis should consider.
Alkuperäiskielienglanti
Lehti Journal of the Finnish Anthropological Society
Vuosikerta37
Numero3
Sivut57-74
Sivumäärä18
ISSN0355-3930
TilaJulkaistu - 2012
OKM-julkaisutyyppiA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä, vertaisarvioitu

Tieteenalat

  • 5143 Sosiaali- ja kulttuuriantropologia

Lainaa tätä

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title = "The Sociality of the Pill: Biomedicalization of HIV in a South African Township",
abstract = "The (bio)medicalization thesis is here studied through interviews with a voluntary HIV treatment counsellors in an urban township in South Africa. The counsellors are patients themselves, but are formally engaged in treatment programs as volunteer counsellors for other patients. They form a vocal support and advocacy group within the clinic where they volunteer, as well as in the community and society at large. I will examine how they talk about their own views on expertise and knowledge, health care, authority and involvement. The paper will suggest that these patients represent their own position, their work and knowledge about the illness and its treatment in a way that does not fit well into dichotomies like the demanding consumer patient versus the passive recipient of treatment; the autonomous patient living with a disease versus the patient defined by medical authority; expert versus lay knowledge. These patients, rather, describe their lives, care and survival as an entangled net of different relations that sustain them, a net of relations that produces healthier embodiment including both human and non-human actors: for example, food, laboratory results, transport to the clinic, and last but not least, the pills. The pills are there only through political decisions and funding, therefore adding the dimension of rights and global injustice to the spectrum of questions that the biomedicalization thesis should consider.",
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The Sociality of the Pill : Biomedicalization of HIV in a South African Township. / Oinas, Elina.

julkaisussa: Journal of the Finnish Anthropological Society, Vuosikerta 37, Nro 3, 2012, s. 57-74.

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu

TY - JOUR

T1 - The Sociality of the Pill

T2 - Biomedicalization of HIV in a South African Township

AU - Oinas, Elina

PY - 2012

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N2 - The (bio)medicalization thesis is here studied through interviews with a voluntary HIV treatment counsellors in an urban township in South Africa. The counsellors are patients themselves, but are formally engaged in treatment programs as volunteer counsellors for other patients. They form a vocal support and advocacy group within the clinic where they volunteer, as well as in the community and society at large. I will examine how they talk about their own views on expertise and knowledge, health care, authority and involvement. The paper will suggest that these patients represent their own position, their work and knowledge about the illness and its treatment in a way that does not fit well into dichotomies like the demanding consumer patient versus the passive recipient of treatment; the autonomous patient living with a disease versus the patient defined by medical authority; expert versus lay knowledge. These patients, rather, describe their lives, care and survival as an entangled net of different relations that sustain them, a net of relations that produces healthier embodiment including both human and non-human actors: for example, food, laboratory results, transport to the clinic, and last but not least, the pills. The pills are there only through political decisions and funding, therefore adding the dimension of rights and global injustice to the spectrum of questions that the biomedicalization thesis should consider.

AB - The (bio)medicalization thesis is here studied through interviews with a voluntary HIV treatment counsellors in an urban township in South Africa. The counsellors are patients themselves, but are formally engaged in treatment programs as volunteer counsellors for other patients. They form a vocal support and advocacy group within the clinic where they volunteer, as well as in the community and society at large. I will examine how they talk about their own views on expertise and knowledge, health care, authority and involvement. The paper will suggest that these patients represent their own position, their work and knowledge about the illness and its treatment in a way that does not fit well into dichotomies like the demanding consumer patient versus the passive recipient of treatment; the autonomous patient living with a disease versus the patient defined by medical authority; expert versus lay knowledge. These patients, rather, describe their lives, care and survival as an entangled net of different relations that sustain them, a net of relations that produces healthier embodiment including both human and non-human actors: for example, food, laboratory results, transport to the clinic, and last but not least, the pills. The pills are there only through political decisions and funding, therefore adding the dimension of rights and global injustice to the spectrum of questions that the biomedicalization thesis should consider.

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