Justice, Respect, and Recognition in Mental Health Services

Author(s):  
Paul Brodwin

This chapter raises a key question for the interdisciplinary study of health and justice: is dialogue possible between theoretical models and first-person testimony about the harms caused by injustice? To consider this question, the chapter examines the claim that disrespect—the systematic devaluation of others in a way that excludes them from reciprocal social relations—is a form of injustice. The philosopher Stephen Darwall and social theorist Axel Honneth conceptually elucidate the links between justice, respect, and recognition. Their normative arguments offer a high-order conceptual framework for recognizing people’s equal worth as human beings (and the harmful effects of denying such recognition). This chapter compares their abstract frameworks with a landmark autobiography by a founder of the psychiatric survivor movement. The search for commensurability between these texts exposes the precise difference between experience-far and experience-near genres of ethical expression. This chapter adopts a similar approach as DeBruin et al. (this volume) in examining popular cultural discourses in light of formal theory. Both chapters take seriously the lay narratives and forms of ethical argumentation that circulate outside the academy. Both envision a plural ethics of justice and health that acknowledges how ordinary people interpret and respond to institutionalized oppression in health-care services.

2018 ◽  
Vol 2018 ◽  
pp. 1-10
Author(s):  
Sana Amanat ◽  
Muhammad Idrees ◽  
Muhammad Usman Ghani Khan ◽  
Zahoor Rehman ◽  
Hangbae Chang ◽  
...  

Meniscal surgery is considered the most general orthopedic process that deals with the treatment of meniscus tears for human health care. It leads to a communal contusion to the cartilage that stabilizes and cushions the knee joints of human beings. Such tears can be classified into different categories based on age group, region, and occupation. Further, a large number of sportsmen and heavy weightlifters even in developed countries are affected by meniscus injuries. These patients are subjected to arthroscopic surgery, and during surgical treatment, the perseverance of meniscus is a very crucial task. Current research provides a significant ratio of meniscal tear patients around the globe, the critical expanse is considered as having strikingly risen with a mean annual of 0.066% due to surgery failure. To decumbent this ratio, an innovative training mechanism is proposed through video retrieval system in this research. This research work is focussed on developing a corpus and video retrieval system for meniscus surgery. Using the proposed system, surgeons can access guidance by watching the videos of surgeries performed by an expert and their seniors. The proposed system is comprised of four approaches to the spatiotemporal methodology to improve health care services. It entails key point, statistical modeling, PCA-scale invariant feature transform (SIFT), and PCA-Gaussian mixture model (GMM) with a combination of sparse-optical flow. The real meniscal surgery dataset is used for testing purposes and evaluation. The results conclude that using PCA-SIFT approach improves the results with an average precision of 0.78.


1996 ◽  
Vol 14 (6) ◽  
pp. 737-753 ◽  
Author(s):  
Pamela Moss ◽  
Isabel Dyck

The recent call for the reorientation of analysis in medical geography to more critical approaches has been met with both enthusiasm and caution. Critical theories of health and health care services are emerging, which complement the well-developed focus on the spatial aspects of disease and service delivery. Yet in reconceptualising the links between place, space, and health, care must be taken in theorising in context experiences of health and illness. By context we mean the richly textured social formation wherein social relations are threads of a tapestry woven together. One topic which lends itself to such an inquiry is how material and discursive bodies combine to create identities for women with chronic illness around issues of gender and (dis)ability within the context of the wider social political economy. In this paper, we propose a feminist political economic analysis of environment and body as an addition to the critical frameworks emerging in medical geography. We first discuss what a radical body politics entails conceptually. Then we make suggestions with regard to undertaking such inquiry, using in illustration empirical work on women's reshaping of their environment in response to chronic illness. This type of investigation extends previous work on the formation of women's identities, experiences of chronic illness, and the materiality of everyday life. Last, we recast the concepts of environment, body, and identity formation while maintaining a commitment to the fluidity of conceptual and material boundaries.


Author(s):  
Angela Irvine ◽  
Aisha Canfield ◽  
Jessica Roa

LGBTQ youth’s involvement with the juvenile justice system occurs in the context of family conflict, parental rejection of homosexuality, trauma, and hostility at school and in the community. As they run away from abuse, LGBTQ youth are more likely to commit survival crimes and get arrested for offenses related to homelessness. This chapter focuses on the experiences of lesbian, bisexual, queer, and gender-nonconforming girls in juvenile justice settings and examines how biases about gender and sexual orientation affect court decisions and correctional practices. Lack of awareness and training about LGBTQ issues compounds the harmful effects of homophobia, transphobia, and racism and adversely impacts lesbian, queer, and gender-nonconforming girls’ rights to due process, as well as their access to appropriate health care services. This chapter makes recommendations for LGBTQ-affirming practices in juvenile justice settings.


2016 ◽  
Vol 8 (12) ◽  
pp. 20 ◽  
Author(s):  
Mohammad Sarani ◽  
Azizollah Arbabisarjou ◽  
Soleyman Saravani ◽  
Ali Miri ◽  
Aziz Shahrakivahed

<p>Equitable access to primary health care is an indispensable right and a basic need of all human beings. Currently, the development of any society is judged based on the level of public access to primary health care services. This comparative study attempted to examine the fairness accessibility of people in Sistan to health care services through Family Physician Program 2015.</p><p>This was a descriptive, analytical research focusing on the level of equitable public access to primary health care in Sistan. Samples were taken from all the service-providing centers. Data were collected through HNIS software, network management center to analyze the gathered data. The results showed that prior to the implementation of the family doctor plan (before 2005), there was a doctor for every 9545 people, a midwife for every 10,000 people and one paramedic for 1,111 people. After beginning the family doctor plan, the figures showed that there was one doctor or MD for every 3387 people and one midwife for every 2916 people, and one health worker for every 549 rural residents. The implementation of the family physician program was an opportunity for the health system in Sistan region, where the appropriate resources management and equitable distribution of health care services throughout the region could facilitate accessibility to identical services.</p>


2020 ◽  
Author(s):  
Aneela Sultana ◽  
Mahwish Zeeshan ◽  
Sohima Anzak

Women’s agency and reproductive control have direct bearing on the outcome of their pregnancy as well as their future childbearing experiences. The present study is mainly concerned with the process of knowledge construction with regards to decision-making, in the context of childbirth planning. The study drew on cultural discourses to understand the societal and familial context which reinforces traditional home birthing. The study used anthropological approach and mainly relied on in-depth and narrative interviews that were conducted with 60 married women of childbearing age who went through the process of childbirth. Phenomenological ethnography is the methodology that used in-depth face to face interviews to collect narratives of experiential knowledge of the pregnancies and agency. Field findings indicate that significant determinants for these childbearing women included the desire for a natural childbirth experience, apprehensions regarding obstetric interventions by medical doctors, provision of emotional support, comfort and assistance provided by female relatives and traditional birth attendants and also the influence of their husbands who prefer their partners giving birth at home. In addition, another prominent finding of this study is the role of authoritative knowledge and shared experiences of older women that may deprive many young women from accessing maternal care survives at hospitals. The study concludes to enable rural women to make well informed decisions about their babies and bodies to improve the utilization of reproductive health care services in Pakistan.


2001 ◽  
Vol 17 (2) ◽  
pp. 120-129 ◽  
Author(s):  
Ch. Van Audenhove ◽  
G. Van Humbeeck ◽  
N. Spruytte ◽  
G. Storms ◽  
M. De Hert ◽  
...  

Summary: Major changes have taken place over the last decade in the mental health care services in Belgium as well as in the rest of Europe. To track these developments, Shepherd and colleagues developed an instrument to assess the degree of perceived accomplishment of 11 key areas in such care. This instrument was translated and adapted as the Care Perception Questionnaire. In clinical settings the instrument can be a good tool for exploring the perspective of patients and professionals regarding the 11 key areas. However, for research purposes it is not practical to work with the 28 separate items or with the 11 key areas. The goal of this study is to reduce the 11 key areas to a smaller number of scales with good psychometric properties and with relevance to clinical practice. Using principal-component analysis by means of promax rotation and scale construction, we developed four statistically reliable and meaningful scales: (1) support in social relations and practical aid, (2) treatment and monitoring of the course of the illness, (3) information and insight, and (4) coordination and continuity of care. The relevance of the findings for clinical work and for research is discussed.


2020 ◽  
Author(s):  
Aneela Sultana ◽  
Mahwish Zeeshan ◽  
Sohima Anzak

Women’s agency and reproductive control have direct bearing on the outcome of their pregnancy as well as their future childbearing experiences. The present study is mainly concerned with the process of knowledge construction with regards to decision-making, in the context of childbirth planning. The study drew on cultural discourses to understand the societal and familial context which reinforces traditional home birthing. The study used anthropological approach and mainly relied on in-depth and narrative interviews that were conducted with 60 married women of childbearing age who went through the process of childbirth. Phenomenological ethnography is the methodology that used in-depth face to face interviews to collect narratives of experiential knowledge of the pregnancies and agency. Field findings indicate that significant determinants for these childbearing women included the desire for a natural childbirth experience, apprehensions regarding obstetric interventions by medical doctors, provision of emotional support, comfort and assistance provided by female relatives and traditional birth attendants and also the influence of their husbands who prefer their partners giving birth at home. In addition, another prominent finding of this study is the role of authoritative knowledge and shared experiences of older women that may deprive many young women from accessing maternal care survives at hospitals. The study concludes to enable rural women to make well informed decisions about their babies and bodies to improve the utilization of reproductive health care services in Pakistan.


2020 ◽  
Vol p4 (06) ◽  
pp. 2494-2497
Author(s):  
Meenakshi Shukla ◽  
Bipin Kumar Mishra

India is known for its traditional medicinal systems—Ayurveda, Siddha, and Unani. Medical systems are mentioned even in the ancient Vedas and other scriptures. The Ayurvedic concept appeared and developed between 2500 and 500 BC in India. The literal meaning of Ayurveda is “science of life,” because ancient Indian system of health care focused on views of man and his illness. It has been pointed out that the posi-tive health means metabolically well-balanced human beings. Ayurveda is also called the “science of lon-gevity” because it offers a holistic approach to live healthy and long life. It offers programs to rejuvenate the body through diet and nutrition. It offers treatment methods to cure many common diseases along with newer form of viral pandemics. Despite of worldwide efforts, trials of many drugs and in path of inventing vaccine. The COVID-19 requires an urgent harnessing of all knowledge/system of medicine which can bring proven prophylaxis & therapeutic strategy. Ayurveda can serve the humanity, but it requires a prag-matic plan for intervention in this time of crisis along with immediate implementation. It is pertinent to reit-erate that participation of Ayurveda in addressing COVID-19 challenge should be seen as extension of health care services and support to biomedical system.


2016 ◽  
Vol 6 (1/2) ◽  
pp. 1 ◽  
Author(s):  
Vinay Sharma

This paper highlights the levels of commitment, purposefulness, transparency, efficiency, effective administration and good governance in the delivery of Health Care Services observed and experienced at the largest ever gathering of humans (30 million people on 24th January 2001 on the occasion of MauniAmavasya) at one single place of a 3000 acre temporary township since the inception of Human race on our planet Earth. This occasion was KUMBH MELA in the year 2001 wherein 70 million people congregated over a period of few weeks. During thisAllahabad (the city where Kumbh was organized) turned into the most densely populated city in the world. (For detailed description of KUMBH and the legend behind please refer to supplementary notes at the end of the paper titled KUMBH MELAa story). The paper tries to analyse the factors behind the successful administration and management of the Health Care Services provided during this period. Though the author himself closely observed the situation by staying there at the location and throughout otherwise wherein he could find the methodology, but answers to few questions still remain to be debated and analysed and one of the major question is that what propels people to manage and execute tasks so precisely despite of the magnitude and high constraints associated with such tasks? The felt and understood answer is ‘Motivation absorbs Magnitude’ but the question is How one gets so much motivated? For example, Dr. G.R.Sharma, Additional Director of Medical and Health Care Services of the Allahabad Region who headed the team of Health Care Services at the time of this unheard congregation of Human Beings on this Earth had to retire from his services just after this occasion and serving the State Medical and Health Care Services for 30 odd years as a Medical Doctor and an Administrator, he very well understood the nuances of taking such a task at hand. Taking responsibilities and then accomplishing those has a passage of extreme concentration, commitment and conviction in between.


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