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乌克兰中部医疗领域中患者的关系网。

Patients' webs of relations in the medical landscapes of Central Ukraine.

作者信息

Kołodziejska-Degórska Iwona

机构信息

a University of Warsaw , Warsaw , Poland.

出版信息

Anthropol Med. 2016 Aug;23(2):155-71. doi: 10.1080/13648470.2016.1180583. Epub 2016 Jun 30.

DOI:10.1080/13648470.2016.1180583
PMID:27362484
Abstract

Village dwellers in Central Ukraine have access to various types of therapy that comprise diverse medical landscapes. Patients' movements within these landscapes are possible thanks to each person's web of relations. Medical landscapes are not fixed, but vary and dynamically change for each person, depending on their fluid and interchanging, hierarchical webs of mutual relations with other people, personal bodies, institutions, discourses, political powers, other non-human organisms, or objects such as medicines. This paper was inspired by the medicoscape concept (Hörbst and Krause 2004 ) as well as Ingold's idea of meshwork analyses of relations between various actors: in this case, patients, healers, a weak state, official healthcare providers, pharmacists and medicinal plants, in the context of patients' therapeutic choices. Self-medication based on herbal remedies is a very important feature of people's medical landscapes in Central Ukraine and usually the first therapy choice for most interlocutors. That is why this paper is focused on the presentation of the means through which people acquire knowledge about medicinal plants, and the ways they interact with plants and plants interact with them. In this way, showing the complexity of villagers' webs of relations is possible. The analysis is based on ethnographic research conducted between 2009 and 2013 in the Vinnytsia region (Central Ukraine).

摘要

乌克兰中部的村民可以获得各种类型的治疗,这些治疗构成了多样的医疗格局。由于每个人的关系网络,患者在这些格局中的流动成为可能。医疗格局并非固定不变,而是因人而异,动态变化,这取决于他们与他人、自身身体、机构、话语、政治权力、其他非人类有机体或药物等物体之间流动且相互转换的等级关系网络。本文的灵感来源于医疗格局概念(赫布斯特和克劳斯,2004年)以及英戈尔德对各种行为者之间关系进行网络分析的观点:在本文中,是在患者治疗选择的背景下,分析患者、治疗师、弱势国家、官方医疗服务提供者、药剂师和药用植物之间的关系。基于草药的自我用药是乌克兰中部人们医疗格局的一个非常重要的特征,通常也是大多数受访者的首选治疗方式。正因如此,本文着重介绍人们获取药用植物知识的途径,以及他们与植物相互作用和植物与他们相互作用的方式。通过这种方式,展现村民关系网络的复杂性成为可能。该分析基于2009年至2013年在文尼察地区(乌克兰中部)进行的民族志研究。

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