Department of Anthropology, University of Kentucky, Lexington, Kentucky 40506, USA.
Med Anthropol. 2013;32(4):309-24. doi: 10.1080/01459740.2012.751384.
In this article I use Margaret Lock's concept of local biology as a standpoint to view tuberculosis as a threshold where distinctions between social and biological aspects of disease are negotiated. I conceptualize tuberculosis as a threshold in two ways: first as a passageway, and second as a space for navigating the limits of tolerance to therapeutics. The article is based on ethnographic research about responses to tuberculosis in post-Soviet Georgia. I focus on how health professionals and patients make claims to social aspects of illness by recuperating historical examples for tuberculosis treatment as a moral commitment to society, and in the context of emergent patient-centered treatment services.
在本文中,我使用玛格丽特·洛克(Margaret Lock)的局部生物学概念,将结核病视为一个临界点,在这个点上,疾病的社会和生物方面的区别需要协商。我从两个方面将结核病概念化为一个临界点:首先是一个通道,其次是一个空间,用于在治疗的容忍极限范围内进行导航。本文基于对后苏联格鲁吉亚对结核病反应的民族志研究。我专注于卫生专业人员和患者如何通过将结核病治疗的历史实例作为对社会的道德承诺来主张疾病的社会方面,并在新兴的以患者为中心的治疗服务的背景下进行主张。