Brijnath Bianca, Manderson Lenore
Social Sciences and Health Research Unit, School of Psychology, Psychiatry and Psychological Medicine, Monash University (Caulfield Campus), Melbourne, VIC, Australia.
Cult Med Psychiatry. 2008 Dec;32(4):607-26. doi: 10.1007/s11013-008-9111-5.
In India, care work for people in late-stage dementia is primarily conducted in the home. Using source material from urban India and drawing on Foucauldian theory, we illustrate the significance of three power/knowledge scripts in this context: social and cultural notions of acceptable, public bodies; medicalized forms of care; and the cultural contexts of the individual caregivers. The caregiver is the embodiment of these discourses and is charged with the task of mapping discipline onto inherently undisciplinable bodies. A tension exists between the caregiver's struggle to contain the unruliness of the person with dementia and, simultaneously, to act as a broker between the world of the care-recipient and the social world. We conclude that although the caregiver is the starting point for the exercise of discipline, the three power/knowledge scripts that inform care work are as much about surveying, routinizing and mobilizing caregivers' bodies as they are about disciplining the bodies of people with dementia.
在印度,为晚期痴呆症患者提供护理工作主要是在家庭中进行。利用来自印度城市的原始资料并借鉴福柯理论,我们阐述了在此背景下三种权力/知识脚本的重要性:可接受的社会和文化观念、公共机构;医疗化的护理形式;以及个体护理人员的文化背景。护理人员是这些话语的体现,并负责将纪律映射到本质上难以管束的身体上。护理人员在努力控制痴呆症患者的不羁行为与同时充当护理接受者世界和社会世界之间的中介这两者之间存在着矛盾。我们得出结论,虽然护理人员是实施纪律的起点,但指导护理工作的三种权力/知识脚本,在规范痴呆症患者身体的同时,也同样涉及对护理人员身体的审视、常规化和调动。