Reimagining Social Medicine from the South

2021 ◽  
Author(s):  
Abigail H. Neely

In Reimagining Social Medicine from the South, Abigail H. Neely explores social medicine's possibilities and limitations at one of its most important origin sites: the Pholela Community Health Centre (PCHC) in South Africa. The PCHC's focus on medical and social factors of health yielded remarkable success. And yet South Africa's systemic racial inequality hindered health center work, and witchcraft illnesses challenged a program rooted in the sciences. To understand Pholela's successes and failures, Neely interrogates the “social” in social medicine. She makes clear that the social sciences the PCHC used failed to account for the roles that Pholela's residents and their environment played in the development and success of its program. At the same time, the PCHC's reliance on biomedicine prevented it from recognizing the impact on health of witchcraft illnesses and the social relationships from which they emerged. By rewriting the story of social medicine from Pholela, Neely challenges global health practitioners to recognize the multiple worlds and actors that shape health and healing in Africa and beyond.

2014 ◽  
Vol 51 (1) ◽  
pp. 12-20 ◽  
Author(s):  
J. Scott Carter ◽  
Mamadi Corra ◽  
Shannon K. Carter ◽  
Rachael McCrosky

2020 ◽  
Vol 45 (2) ◽  
pp. 101-108
Author(s):  
Rachael Sanders

AbstractOne of the most important social relationships in any community is that of parent and child. Parents and primary caregivers are typically tasked with raising their children; however, they are but one of many social agents and structures that contribute to childrens’ overall socialisation. Children’s beliefs, values and behaviours are influenced by the broader social systems in which they are raised, including social and economic ideologies. This commentary aims to build an argument based on a broad collection of literature and research, that Australia’s current variegated form of neoliberalism has the potential to create friction within the parent–child relationship, and questions about the social morality of this position are raised.


2008 ◽  
Vol 7 (2) ◽  
pp. 19 ◽  
Author(s):  
Steven Elliott, PhD ◽  
Janet A. Funderburk, PhD, LRT/CTRS ◽  
James M. Holland

Therapeutic horseback riding is an intervention utilizing horses in the treatment of individuals with emotional, cognitive, and/or physical disabilities. The purpose of this study was to investigate the perceived impact of a therapeutic riding program on children with mild to moderate physical and mental disabilities. Two groups of participants including five children (with a variety of physical and cognitive disabilities) and at least one parent of each of the five children were interviewed to investigate the impact of the Stirrup Some Fun Therapeutic Riding Program (SSF TRP). Qualitative data analysis procedures were used to explore participants’ views and opinions of the SSF TRP. Several themes emerged from the interviews with the participants and their parents, including (a) enjoyment, (b) the child/animal connection, (c) social relationships with volunteers, (d) perceived physical benefits, and (e) the social and mental benefits of the program.


2016 ◽  
pp. 1-17
Author(s):  
Sándor Varga

This essay examines the impact of fieldwork on the life of the rural villages in Transylvania that have been the site of significant ethnochoreological and revival-movement research since the 1960s. It challenges well-established norms in methodology, calling for a more reflexive awareness on the part of fieldworkers.Originally published in Hungarian as “A táncházas turizmus hatása egy erdélyi falu társadalmi kapcsolataira és hagyományaihoz való viszonyára,” in Az erdélyi magyar táncművészet és tánctudomány az ezredfordulón II, ed. Könczei Csongor (Kolozsvár: Nemzeti Kisebbségkutató Intézet, 2014), 105-128.


2017 ◽  
Vol 37 (3) ◽  
pp. 145-162 ◽  
Author(s):  
Jared Eutsler ◽  
Anne E. Norris ◽  
Gregory M. Trompeter

SUMMARY Threats to professional skepticism are embedded in the social relationships and interactions between auditors and management. These can affect auditor skepticism and the extent of audit procedures performed. In this study, we conduct an experiment using live simulation to create a realistic audit setting to investigate the effect of these interactions on professional skepticism. Each participant (n = 49) completed a measure of trait skepticism and conducted an audit interview with a professional actor trained to play the role of a client controller. Findings indicate that, in general, participants who interview a friendly controller (rather than an intimidating controller) are less likely to determine questionable cash disbursements to be control exceptions and less likely to recommend more intensive follow-up. However, consistent with social psychology research on construct accessibility, planned contrasts indicate that participants who score low on trait skepticism are least likely to identify control exceptions and recommend more intensive follow-up when interviewing a friendly controller. This study advances research on professional skepticism by examining the impact that type of social interaction (friendly, intimidating) has on professional skepticism using a methodology (live simulation) that allows us to simulate a realistic audit environment. Use of this methodology increases external validity and generalizability of our findings. As a result, this study corroborates concerns that the social relationships/interactions between management and the auditor can be a threat to professional skepticism, and allows us to understand better how, when, and where these threats occur.


Author(s):  
Joia S. Mukherjee

This chapter focuses on the social determinants of health. The phrase—the social determinants of health—is used to describe the factors and forces in society that cause ill health and premature death. To achieve health equity, it is important to understand the impact of social determinants and work to mitigate their adverse health effects. The practice of social medicine uses a biosocial approach that merges biomedical science with social analysis to design programs that strive for health equity. Because of the historical and geopolitical forces that have shaped global inequities, social medicine and a biosocial approach are important in global health and health equity and are addressed in this chapter.


2020 ◽  
Vol 7 ◽  
pp. 238212052097321
Author(s):  
Jennifer Daccache ◽  
Michel Khoury ◽  
Charlene Habibi ◽  
Susan Bennett

Introduction: The need to educate medical students on the social forces shaping disease and health patterns is paramount in preparing incoming physicians with the aptitudes to address health inequities. Despite its well-documented merit as a model of practice, social medicine remains underrepresented at the undergraduate medical education level. We hypothesize that the success of this student-led COVID-19 initiative proposes a tangible and innovative solution to address the lack of social medicine exposure in undergraduate medical education. Methodology: We sought to evaluate the impact of sustaining clinical learning during the pandemic using the social pediatrics model as a didactic vector for clerkship students. We extracted learning objectives relevant to the teaching of social medicine from the Royal College of Physicians and Surgeons of Canada’s CanMEDS framework and developed a survey aimed at evaluating the attainability of each of those objectives. The survey was distributed to students enrolled in the social pediatrics COVID-19 initiative after 6 weeks (April-May), as well as a control group. Results: Completing the survey were 19 students from the University of Ottawa Faculty of Medicine, 7 in the intervention group and 12 in the control group. Students that participated in the social pediatrics initiative yielded significantly higher values for the achievement of 6 out of 9 social medicine learning objectives when compared to the control group. Although the values followed a similar trend for the remaining 3 objectives, favoring the intervention group, they were not statistically significant. Conclusion: The positive results from this study and the COVID-19 student-led initiative template can serve as a catalyst for curricular change so as to ensure graduates are adequately trained to contend with the realities of the social landscape in which they will practice. Future plans include the incorporation of interactive social medicine experiences throughout all 4 years of medical school.


2020 ◽  
Vol 1 (1) ◽  
pp. 27-36
Author(s):  
Vanessa Ambtman-Smith ◽  
Chantelle Richmond

Among the global Indigenous population, concepts of health and healthy living are wholistically intertwined within social, physical, natural, and spiritual systems. On-going processes of colonization and experiences of environmental dispossession have had the effect of removing Indigenous peoples from the lands, people and knowledge systems that have traditionally promoted their health. In 2014, Big-Canoe and Richmond introduced the idea of environmental repossession. This concept refers to the social, economic, and cultural processes Indigenous people are engaging in to reconnect with their traditional lands and territories, the wider goal being to assert their rights as Indigenous people and to improve their health and well-being. As Indigenous mothers, both who live in urban centres “away” from our families and traditional lands and knowledge systems, we engage with this conceptual model as a hopeful way to reimagine relationships to land, family, and knowledge. We embrace the concept of environmental repossession, and its key elements – land, social relationships, Indigenous knowledge – as a framework for promoting health and healing spaces among those who live “away” from their traditional territory. Drawing on three examples, an urban hospital, a university food and medicine garden, and a men’s prison, we suggest that these spaces do indeed offer important structural proxies for land, social relationships, and Indigenous knowledge, and can be important healing spaces. With increasingly urbanizing Indigenous populations in Canada, and around the world, these findings are important for the development of healing places for Indigenous peoples, regardless of where they live.


2021 ◽  
Author(s):  
Jean-Francois Mathiot ◽  
Laurent Gerbaud ◽  
Vincent J Breton

We develop a site-bond percolation model, called PERCOVID, in order to describe the time evolution of COVID epidemics and more generally all epidemics propagating through respiratory tract in human populations. This model is based on a network of social relationships representing interconnected households experiencing governmental non-pharmaceutical interventions. The model successfully accounts for the COVID-19 epidemiological data in metropolitan France from December 2019 up to July 2021. Our model shows the impact of lockdowns and curfews, as well as the influence of the progressive vaccination campaign in order to keep COVID-19 pandemic under the percolation threshold. We illustrate the role played by the social interactions by comparing a typical scenario for the epidemic evolution in France, Germany and Italy during the first wave from January to May 2020. We investigate finally the role played by the alpha and delta variants in the evolution of the epidemic in France till autumn 2021, paying particular attention to the essential role played by the vaccination. Our model predicts that the rise of the epidemic observed in July 2021 will not result in a fourth major epidemic wave in France.


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