Singer M
Hispanic Health Council, Hartford, Connecticut.
Med Anthropol Q. 1995 Mar;9(1):80-106; discussion 107-12 passim. doi: 10.1525/maq.1995.9.1.02a00060.
Recent discussion in critical medical anthropology has turned to the issue of application beyond the academy. Building on Gorz's notion of "non-reformist reform," that is, applied work that unmasks rather than mystifies the sources of social inequality and ill health, this article argues for the possibility of an applied critical medical anthropology, suggests concrete opportunities for such work in health settings, and identifies problems and social conditions that affect the development of a critical health praxis. These points are illustrated by reviewing case studies of anthropological work with the Farm Labor Organizing Committee in Indiana, the United Farm Workers Union in California, and the Hispanic Health Council in Connecticut. The article concludes with an examination of the skills and resources critical medical anthropology has to offer system-challenging movements in health care.
近期，批判性医学人类学领域的讨论已转向学术之外的应用问题。基于高兹的“非改良主义的改良”概念，即开展能揭示而非掩盖社会不平等和健康问题根源的应用工作，本文论证了应用批判性医学人类学的可能性，提出了在健康领域开展此类工作的具体机会，并指出了影响批判性健康实践发展的问题和社会状况。通过回顾印第安纳州农场劳工组织委员会、加利福尼亚州联合农场工人工会以及康涅狄格州西班牙裔健康委员会的人类学工作案例研究，对这些观点进行了阐释。文章最后审视了批判性医学人类学能够为医疗保健领域挑战现有体系的运动提供的技能和资源。
