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自我重新定位中的紧张经历:挪威北部的泰米尔难民寻求医疗建议

Experiences of Tensions in Re-orienting Selves: Tamil Refugees in Northern Norway Seeking Medical Advice.

作者信息

Grønseth Anne Sigfrid

出版信息

Anthropol Med. 2006 Apr;13(1):77-98. doi: 10.1080/13648470500516303.

Abstract

Research among refugee populations tends to focus on the dramas of war and trauma. This paper instead brings attention to the more mundane everyday aspects of Tamil refugee resettlement in a fishing village along the arctic coast of Norway. Here, many Tamils experience various diffuse aches and pains that the local health personnel find difficult to diagnose and treat. In response to the difficulties, this study aims to investigate health and sickness as embedded in social life and cultural values. Data were generated during two different fieldwork periods: between 1996 and 1999 the author did short field visits in the region and conducted in-depth interviews and participant observation amongst Tamils and local health care workers, including observing health care consultations; and between September 1999 and September 2000 intensive fieldwork was undertaken amongst Tamil refugees in a small fishing village. A sample of two case studies illustrates Tamils' experience of being misunderstood as individuals and overlooked as social persons. Rather than looking at illness as symptoms of physiological or psychological malfunctions, the article suggests an understanding that allows an active, perceptive body and views the self as an orienting point of 'being in the world'. The Tamils are seen to live in a tension in which the self and the body are forced to re-orient themselves in the new social world. Tamils' illnesses are thus proposed rather to express a challenge and collapse in habituated patterns for constituting meaning and social practices.

摘要

对难民群体的研究往往聚焦于战争的戏剧性事件和创伤。本文则将关注点转向挪威北极海岸一个渔村的泰米尔难民重新安置中更为平凡的日常方面。在这里,许多泰米尔人经历着各种难以名状的疼痛,当地医护人员难以对其进行诊断和治疗。针对这些困难,本研究旨在探究嵌入社会生活和文化价值观中的健康与疾病问题。数据收集于两个不同的田野调查阶段:1996年至1999年间,作者对该地区进行了短期实地考察,并对泰米尔人和当地医护人员进行了深入访谈及参与观察,包括观察医疗咨询过程;1999年9月至2000年9月,在一个小渔村中对泰米尔难民开展了密集的田野调查。两个案例研究样本说明了泰米尔人作为个体被误解以及作为社会人被忽视的经历。本文并非将疾病视为生理或心理机能故障的症状,而是提出一种理解方式,即承认身体具有主动性和感知力,并将自我视为“在世存在”的一个定向点。泰米尔人被视为生活在一种张力之中,在这个新的社会世界里,自我和身体被迫重新定位。因此,泰米尔人的疾病被认为更多地表达了在构成意义和社会实践的习惯模式方面所面临的挑战和崩溃。

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