scholarly journals The construction of incompetency: moving beyond embedded paternalism toward the practice of respect

2018 ◽  
Author(s):  
Supriya Subramani

This paper illustrates the less-acknowledged social construction of the concept of “incompetency” and draws attention to the moral concerns it raises in healthcare encounters in the south Indian city of Chennai. Based on in-depth interviews with 16 surgeons, drawn from qualitative research, this study reveals that surgeons subjectively construct the idea of incompetency through their understanding of the perceived circumstantial characteristics of the patients and family members. The findings largely suggest that surgeons dismiss their capacity based on constructed assessments, which leads to paternalistic practice. The findings illustrate how these assessments structure the surgeons’ practices and provide the moral and practical justifications for their actions. The constructed knowledge becomes a source for drawing normative justification for surgeons’ actions and, in conjunction with socially enforced relationships, leads patients and family members to be on the receiving end of disrespectful attitudes. By employing the ethical framework, this paper argues for physicians to pursue “respect for persons,” beyond the framework of “capacity/autonomy,” and to practice respect in hospital settings.

2018 ◽  
Author(s):  
Supriya Subramani

This paper illustrates and reflects on subtle micro-level events and practices that sustain and reproduce unequal relationships in healthcare encounters, and draws attention to their moral significance in two hospitals in the south Indian city of Chennai. Based on observational data and in-depth interviews with 16 surgeons, 11 nurses, and 36 patients and their family members between February 2016 and July 2017, it reveals how both victims and perpetrators normalize instances of micro-inequities, often failing to recognize or acknowledge them. The findings illustrate how the prevalence of micro-inequities varies between different medical institutions, and suggest that while subtle in nature, their effect raises concerns regarding dignity and respect for patients and family members. Drawing on existing philosophical analyses of micro-inequities, the study concludes that their production in hospital settings creates an institutional ethos that disdains and marginalizes patients and their family members. Further, it negatively influences the patient/family-doctor relationship and functions as a barrier to reflective patient-centered care.


2019 ◽  
Vol 10 (1) ◽  
pp. 23-40
Author(s):  
Aileen Blaney

Abstract The algorithmic turn in photography raises the question of whether an algorithmically generated image is even a photograph at all. This paradox is abundant on India's urban streets, where the pedestrian or road user is met with giant photo saturated flex hoardings printed with political and community messages and photo-shopped portraits of gods, chief ministers and party workers. In this article, attention to photo-based political posters alongside art practices sharing common elements of digital capture and postproduction contextualizes a reading of technologically produced visual landscapes in the South Indian city of Bangalore. Informed by Vilèm Flusser, the techno-materiality of hoardings are interpreted as visual practices whose reliance on Microsoft and Adobe softwares reveal more than the semiotic information that is ostensibly transmitted; in so doing the extent to which photography is a useful entry point for assessing the visuality in which we're currently living and how this gets locally inflected in the case of India is explored.


1985 ◽  
Vol 48 (1) ◽  
pp. 79-105 ◽  
Author(s):  
C. J. Fuller ◽  
Penny Logan

Navarātri (Tam. Navarāttiri) is one of the most popular and important annual festivals in the south Indian city of Madurai. The same is true elsewhere in the state and, in somewhat different forms, the festival is also popular in many other regions of India, notably Bengal (where it is known as Durgā Pūjā) and Karnataka (where it is called Dasarā). Navarātri means ‘nine nights’ and throughout India the festival is celebrated on the first nine lunar days (tithi) of the bright fortnight (i.e. the fortnight ending on full moon) of the lunar month of āśvina. In the Tamil calendar, however, the year is divided into twelve solar months and Navarātri is said to occupy the nine lunar days beginning with the day after new moon in the solar month of puraṭṭāci (September-October). Very occasionally, the Tamil formula may supply the wrong date. In many years, the festival only lasts eight weekdays, as two lunar days may fall within one weekday. (In some parts of India, a Navarātri festival is celebrated in the spring, but that is not discussed here.)


Nadwa ◽  
2020 ◽  
Vol 13 (2) ◽  
pp. 315
Author(s):  
Ahmad Salim

<p>The background of this article is based on madrasa resistance to radicalism. The purpose of this study is to see how madrasa resistance to face radicalism. The type of this research is qualitative research and data collection methods with observation and in-depth interviews with selected respondents. This study uses Peter L Berger's theory of the fundamental dialectics of society-externalization, objectification, and internalization. The results showed that madrasa resistance to radicalism with social empowerment through the process of social construction (externalization, objectification, and internalization). The tolerant attitude of the community which is manifested in social humanitarian activities such as <em>genduri, sambatan</em> and <em>kerja bakti</em> is contracted by the madrasa as a subjective reality into objective reality, so that the anti-radicalism attitude in this society can become the norm for the madrasas to be deprived and implemented in the daily life of the madrasa.</p><p> </p><p><strong>Abstrak </strong></p><p>Latar belakang artikel ini didasarkan pada resistensi madrasah terhadap radikalisme. Tujuan dari penelitian ini adalah untuk melihat bagaimana cara madrasah menghadapi radikalisme. Jenis penelitian ini adalah penelitian kualitatif dan metode pengumpulan data dengan observasi dan wawancara mendalam kepada responden terpilih. Penelitian ini menggunakan teori Peter L.Berger tentang dialektika fundamental masyarakat-eksternalisasi, objektifikasi dan internalisasi. Hasil penelitian menunjukkan bahwa madrasah menolak radikalisme dengan pemberdayaan sosial melalui proses konstruksi sosial (eksternalisasi, objektifikasi dan internalisasi). Sikap toleran dari masyarakat yang dimanifestasikan dalam kegiatan sosial kemanusiaan seperti <em>genduri, sambatan</em> dan <em>kerja bakti</em> dikontrak oleh madrasah sebagai realitas subjektif ke dalam realitas objektif, sehingga sikap anti-radikalisme dalam masyarakat ini dapat menjadi norma bagi madrasah untuk dicabut dan diimplementasikan di kehidupan sehari-hari madrasah.</p><p><strong></strong><br /><em></em></p>


2021 ◽  
Vol 37 (4) ◽  
pp. 254-272
Author(s):  
Azian Muhamad Adzmi ◽  
◽  
Liyana Mohd Ramly ◽  
Syahida Mohd Nazri ◽  
Nik Fatinah N. Mohd Farid ◽  
...  

WhatsApp has become a major necessity in modern communication both individually and as a group. During an unprecedented time like COVID-19 pandemic, it increased the utilization of social media among society and has developed new norms among its users, especially grandparents. This study emphasises the various real-life activities undertaken by grandparents in social media and detailed research regarding the various WhatsApp administrators in a group chat. A qualitative research approach consisting of in-depth interviews have been carried out among family members in order to gather all the information-involving informants. In addition, it aims to gain a broader perspective of the informants' view regarding their grandparents becoming the administrator of a family WhatsApp group. Results of this study revealed that family relationships became strengthened between grandparents and other family members, especially with their grandchildren. Secondly, grandparents started being obsessed with WhatsApp, they are keen to learn more and are even able to keep up with the latest technology. Finally, the topics discussed in the family WhatsApp group covers current issues such as politics, religious advice, and sometimes entertainment. Generally, this study is expected to contribute to the communication studies and social media field, specifically understanding the use of social media between two different generations that are keen to keep up to date with the current technology especially during the unprecedented time. Keywords: WhatsApp, grandparents, pandemic, new norms, social media.


2004 ◽  
Vol 67 (1) ◽  
pp. 40-63 ◽  
Author(s):  
C. J. FULLER

This article is a description and analysis of the twelve-day renovation ritual or kumbha¯bhiseka (‘water-pot bathing ritual’) celebrated in the Mi¯na¯ksi¯ Temple in the south Indian city of Madurai in 1995. After briefly discussing the historical background, the article describes the priests' division of labour at the kumbha¯bhiseka, the preliminary rituals—including the transfer of the deities' power from their images into water-pots—and the most crucial rituals: the series of ya¯gapu¯ja¯ (‘sacrifice-worship’) rituals, which mainly consisted of fire-sacrifices to enhance the power in the water-pots, and the culmination of the entire event, when the pots were emptied over the Temple's towers and images, so that the power flowed back in. The article concludes that despite its extreme elaborateness, the kumbha¯bhiseka's symbolic logic and purpose, especially as displayed in the spectacular destruction of the fire-sacrifices and then the final water-pouring, are unusually transparent compared to many other temple rituals.


2018 ◽  
Vol 13 (1) ◽  
pp. 81-102
Author(s):  
Santiago Boira ◽  
Anita Nudelman

The ways in which care professionals’ support is provided to survivors of femicide, as well as to victims’ families (children, parents and siblings), may be crucial for their process of rehabilitation and integration into society, thereby increasing their chances to live a relatively satisfying life in the future. The objective of this article is to analyse the characteristics of this professional response, and suggest recommendations to enhance the care provided to femicide survivors and their families, in order to make it more significant and context-sensitive. Thus, a qualitative research, including 12 in-depth interviews, was conducted among femicide survivors and family members of femicide victims from the provinces of Imbabura and Carchi in the Ecuadorian highlands. Notwithstanding the governmental efforts, both through legislative changes and the development of care plans for the victims, the findings indicate an ambivalent professional response, as well as a significant lack of support networks for survivors and families of femicide victims.


2020 ◽  
Vol 4 (1) ◽  
pp. 199
Author(s):  
Oksiana Jatiningsih ◽  
Sarmini Sarmini ◽  
Siti Maizul Habibah

Single mothers face problems not only because of their own status so they have to struggle hard to meet their needs, but also because of patriarchal social construction that presents many challenges to women. This qualitative research is aimed at revealing: the form of glass-ceiling for single mother and their   strategies taken to deal with that. This research was conducted in Sidoarjo on five single mothers. Data were collected using in-depth interviews. The theory used is symbolic interaction because it allows researchers to identify research subjects. The results of this study reveal that the glass-ceiling faced by women are domestic responsibilities, sosial control, and underestimation of women. Strategies for dealing with it are sharing work and ignorant of negative responses. The response to the glass-ceiling depends very much on the way of thinking (mind) of women in seeing themselves. When women put themselves away as objects (me) that are powerless against the values that apply, then the choice of action to face the challenges of their lives (glass-ceiling) tends to be compromising and accommodating, whereas if the means adopted are based more on how to see themselves as subjects (I), then the method adopted tends to be uncompromising.


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