1.
2.
Pasquini, Mirko, 1991
(author)
The Negotiation of Urgency: Economies of Attention in an Italian Emergency Room
2021
Doctoral thesis (other academic/artistic) abstract
Urgency in a hospital Emergency Room (ER) is not a self-evident state. Urgency is made, by establishing priorities, distributing attention and material resources, and deciding who and what needs to be attended to first – and, simultaneously, who and what has to wait. The process of determining urgency is known as “triage” (from the French verb, trier, “to choose”). This thesis is about the vicissitudes of triage in an Italian ER. Based on one year of ethnographic fieldwork, the thesis explores what happens when urgency is at stake; when it is contested and caught up between different, and frequently conflicting, perspectives. It explores how urgency is determined in practice, and shows how triage always is a vulnerable process of negotiation guided by economies of attention. How is urgency actually shaped in interactions between patients, their families and friends, and the ER staff? The different chapters explore how time in the ER is created through shifting registers of attention, and how attention in the ER is affected by widespread economic and social precarity, and neoliberal national policies of governance. It discusses how triage increasingly is structured by attitudes of mistrust; and also by potential or real outbreaks of violence. Addressing the particular positioning of the ER as a thick space of conjunction between neoliberal state politics and people's increasing need for care and recognition, the thesis aims to contribute to medical anthropology literature by analyzing triage not as a neutral medical way of sorting, but as a practice that actively creates difference. It explores both the limits of triage, and how those limits can spark improvisation and creative reinvention.
3.
4.
Moksnes, Heidi
(author)
Mayan suffering, Mayan rights: Faith and citizenship among Catholic Tzotziles in Highland Chiapas, Mexico
2003
Doctoral thesis (other academic/artistic) abstract
The aim of this dissertation is to investigate the construction of citizenship by a group of highland Mayas in Mexico. The ethnographic focus is on liberation theological Catholics in the Tzotzil-speaking municipality of San Pedro Chenalhó in highland Chiapas. Through their religious affiliation and their political association Las Abejas, the Pedrano Catholics form one of the important blocs of what is today a deeply factionalized municipality. Fieldwork was carried out in two periods for a total of fourteen months in 1995 and 1996. Complementary work was conducted during a month-long visit in 1998. The fieldwork focused on the daily life, Sunday services and meetings of Pedrano Catholics. Informal interviews were also made with church members, catechists and other leaders. The study shows how Pedrano Catholics are reinterpreting the signification of the poverty and suffering that all Pedranos hold is characteristic of their lives as indigenous peasants. The converts are creating a collective identity that transcends the ethnic group and defines them as part of a universal humanity. Simultaneously, through a "moral theology of suffering," their poverty is defined as a distinguishing experience that is contrary to the will of God, and which brings them and other indigenous peasants closer to God and his grace. Evoking Christian ethics and international human rights regulations, the converts denounce their predicament and demand rights in a discourse directed at Mexican authorities as well as national and internatonal civil society. Thereby, Pedrano Catholics have developed a form for exercising active citizenship in the Mexican nation-state. This endeavor is found to be shaped by an ongoing concern among Pedranos: the construction of cohesive social collectivities that uphold alliances with patron deities for protection. The Catholic church groups and their confederate-like coordination on municipal level are structured similarly to the earlier calpul community in Chenalhó. Both levels of the Catholic community are also constituted as the entities by which the converts uphold an alliance with God that assres his guardian protection. Thus, while the Pedrano Catholic community is part onf an escalating factionalization and disintergration of Chenalhó, it provides a space where Pedrano society can be reconstituted, offering a sense of coherence and unity. At the same time, the Catholic group is constituted as part of a broader community of Catholics, and recognizes clergy of the Catholic Church as religious and political authorities. Thus, it is argued that the Catholic group exemplifies a broad change in the Maya highlands, from "closed" corporate communities to translocal, moral communities.
5.
Sjölander-Lindqvist, Annelie
(author)
Local Environment at Stake : The Hallandsås Railway Tunnel in a Social and Cultural Context
2004
Doctoral thesis (other academic/artistic) abstract
A major trend in facility siting research focuses on economic and psychological aspects of land-use regarding the location of potentially hazardous technological facilities including storage for high-level radioactive waste, landfills, chemical plants, large-scale dams, or waste incinerators. Such facilities frequently have profound environmental impact and are often understood by local citizens as intrusions on their environment that threaten landscape, place, and community. This investigation of local responses to facility siting is grounded in social anthropological theories of landscape and place. The study addresses the social and cultural impacts of the building of a railway tunnel through the Hallandsås ridge in an agricultural area in the southwest of Sweden. This tunnel project has met with technological difficulties and environmental problems such as a lowered groundwater table and toxic contamination of groundwater, soil, and surface water. A principal concern in this dissertation is how homeowners’ perceptions and views of the landscape, place, and locality—that is, their local environment—has been affected by the building of a tunnel beneath their farms and homesteads. The four articles on which the thesis build are derived from anthropological fieldwork carried out among local residents affected by the Hallandsås tunnel project. Data were collected through in-depth interviews, collaborative photography, nature walks, and participant observation at public meetings, between the years 1999 and 2003. The main findings of the study suggest that the construction of the tunnel and the subsequent environmental consequences have given rise to an increased sense among affected residents of the fragility and uncertainty of life systems and people’s livelihoods. Feelings of uncertainty regarding the future of the community and the landscape have stimulated a discourse about local history and collective memories bearing on the local environment. Shared responsibility for nature and the local environment is another theme. The building of the Hallandsås railway tunnel has both reinforced local identity within the rural community of affected residents and incited conflict as to how the natural resources of the area should be understood and interpreted. Groundwater issues play a central role in land-use disputes generated by the tunnel project. Groundwater serves as a ‘boundary object’ bordering the domains of the concerned parties: the local community and the Swedish National Rail Administration.
6.
Wickford, Jenny, 1979
(author)
Physiotherapists in Afghanistan. Exploring, encouraging and experiencing professional development in the Afghan development context
2010
Doctoral thesis (other academic/artistic) abstract
Aim: The aim of the thesis is to analyze the matter of supporting professional development of physiotherapists in Afghanistan, and the issues involved in expatriate physiotherapists working with professional development cross-culturally and in development contexts. The thesis is based on two field studies, aspects of which are reported on in four papers. The first field study aimed at analyzing and describing the physiotherapy component of a disability programme. The aim of the second field study was to explore the process of a development project, in order to gain understanding of how such work can be done in a better way. Participant observation was used for the data production of both studies. The adult learning theories of transformative learning and situated learning were used as a theoretical framework in the thesis. Paper I describes the situation, needs and challenges for developing physiotherapy in Afghanistan. The therapists worked in isolation with little opportunity for further education or professional development. Their approach was mainly medical, where the work was dictated by the patients’ expectations and doctors’ recommendations. They used primarily passive methods of treatment, and their work was affected by cultural, religious and situational factors and they demonstrated a basic capacity of clinical reasoning. Paper II explores factors that impacted learning and professional development of the Afghan physiotherapists in the development project. Examples of these factors were: a pattern approach to treatment, linear thinking, and socially oriented decision-making that affected how new things learned were put into practice; concrete representations and an instrumental view of knowledge characterized learning approaches; language barriers, different interpretations of meaning and cultural codes challenged communication; and a prescriptive, encouraging approach of the expatriate physiotherapy development worker affected teaching and learning. Paper III explores professional ethics for Afghan physiotherapists and identifies two ethical tensions for the professional practice of Afghan physiotherapists: between individualistic and communitarian ethical perspectives, and between normative ethics and local morals. Paper IV is a critical reflection over the expatriate development worker’s development process through, and impact on, the development project. The perspective of the development worker is transformed from an idealistic helper to an enterprising learner as a consequence of active participation in and a self-critical reflection of the process. Conclusion: Working with and researching professional development cross-culturally and in development contexts is complex and requires consideration of many different factors. Cultural competency is essential, where to understand others one needs to first understand oneself, and oneself in relation to others. This requires support when in the field. Physiotherapy theory and practice must be adapted to the local context. Actions taken towards promoting learning and professional development must be firmly rooted in the Afghan context, and investigated, planned and implemented together with Afghan physiotherapists. The professional development of Afghan supervisors and teachers should be a priority. To encourage reflection of both Afghan and expatriate physiotherapists a communicative learning approach could be taken, where ethical challenges and disorienting dilemmas can form the basis of a reflective discourse and lead to increased understanding.
7.
Philipson Isaac, Sarah, 1990
(author)
Temporal Dispossession: The Politics of Asylum and the Remaking of Racial Capitalism in and Beyond the Borders of the Swedish Welfare State
2024
Doctoral thesis (other academic/artistic) abstract
This thesis sets out from the post-2015 Swedish asylum legislation, which made Sweden’s asylum policy among the most restrictive in the EU. The most decisive changes were the shift from permanent to temporary residence permits as the standard protection provided, along with the increasingly blurred lines between migration regimes and labour market policies. With temporary residence permits as the new norm, time and labour market productivity are central to the distribution of vulnerability and life chances, as labour market participation functions as the only means of qualifying for permanent residence. The policy shift can be seen as an institutionalization of temporality and deportability, as it carries the inherent risk of deportation if residence permits are not reissued upon renewal. Against this background, this thesis draws on temporal enactments of dispossession and racial capitalism as a theoretical framework to analyse how the control of time results in different forms of dispossession – a feature that is closely tied to the selection logics of late racial capitalism, namely: differentiation, devaluation, and competition. Although dispossession has been conceptualized as a mechanism of authoritative control over the spatial, emotional, and relational aspects of (neo)colonized subjects’ lives, research often fails to recognize the significance of time and temporality in understanding this process. Here, I seek to bridge this gap. Furthermore, where migration studies have been critiqued for perpetuating methodological nationalism, temporal dispossession foregrounds time as central to the distribution of rights to make visible how the control of time is an experience shared across multiple positions – citizens and non-citizens alike. While this directs our attention to the continuum of temporal control, those positioned as migrants are often experiencing the most acute effects of the temporal restrictions that affect access to rights. The thesis builds on four years of ethnographical engagements with interlocutors who sought asylum between 2015 and 2017, and interviews with street-level bureaucrats, from the Swedish Migration Agency, NGOs, asylum lawyers, to the Swedish Public Employment Service. Consequently, engaging with the interlocutors’ experiences through the theoretical lens of temporal dispossession is a means of centring time not only within the workings of racial capitalism, but also on how border regimes work to sustain racial capitalism and how labour market exploitation is exacerbated by the legal liminality the interlocutors inhabit. Chapter 5, on temporal dispossession through migration bureaucracy, examines the temporal dimensions of the Migration Agency’s New Public Management (NPM) procedures as they assess asylum applications. It traces the enforced deceleration, interrupted by pockets of acceleration, that obscures the interlocutors from frames of intelligibility in the asylum process. Here, temporal dispossession consists of preventing those seeking asylum from making progress in their cases, using temporal means of discarding their need for protection and relegating them to a different pace of time as compared to the surrounding society, effectively positioning them as untrustworthy and thus as undeserving asylum subjects. Chapter 6 investigates ‘islands of dispossession’ where time and space merge in the analysis of the body as the most intimate scale of such islands, asylum camps and make-shift camps as the national scale, and enforcement archipelagos as the global scale. Together, these tease out the role of temporal dispossession in carceral geographies and the role of border regimes in sustaining racial capitalism. The chapter also engages with how interlocutors redefine and resist the spaces of the camp through community formations. The final analytical chapter on the workings of temporal dispossession in the labour market (Chapter 7) examines the productivity of time in the production of surplus, cheap, and disposable labour forces, where labour market participation constitutes the only means of securing permanent protection. This is examined through the interlocutors’ experiences navigating the informal labour market, ‘fast track’ labour market programmes, and their attempts to ‘switch’ tracks from asylum to labour market migration to secure their futures and reduce the pervasive threat of deportability. Taken together, the thesis seeks to contribute to research on how dispossession operates in and through the border regime, specifically through its temporal configurations, and how the latter is weaponised to dispossess people of their life chances. The thesis further seeks to contribute to research on the political economy of borders in the Nordic context by examining the operation of racial capitalism through the welfare state, where labour market exploitation is exacerbated by the precarity produced through its migration bureaucracies.
8.
Calvo, Dolores, 1975
(author)
What Is the Problem of Gender? Mainstreaming Gender in Migration and Development Policies in the European Union
2013
Doctoral thesis (other academic/artistic) abstract
This dissertation deals with the analysis of representations and discourses of gender (in)equality contained in policy texts at the EU level. The period under examination is 2005–2010. Following the academic debate, I show that there is certainly agreement on the fact that gender mainstreaming at the EU level has not fulfilled its promise of being a transformative strategy. In this context, my main aim is to contribute to an understanding of why a gender perspective has failed to be introduced into mainstream policy by showing how gender is constructed in policy discourse. I examine how the ‘problem’ of gender (in)equality is represented in policy documents and interviews in the context of the strategy of gender mainstreaming at the EU level in general and within the policy areas of development cooperation and migration in particular. The representation of the ‘problem’ of gender (in)equality as a problem of women’s lack of participation (in the labour market, in political life, and in education) includes two arguments: the usefulness of women as resources for the economy and the right of women to participation. In this representation, the argument of gender equality as an instrument is important, but at the same time, the argument of gender equality as a value or human right is also central. In the same vein, the argument of gender inequality as both a problem for the economy and a moral problem also has an important role to play. Thus, tensions between efficiency or utilitarian arguments and human rights arguments can be identified across all policy texts. By looking at arguments, understandings, and representations of the ‘problem’ of gender inequality, I identify discourses of gender equality at the EU level: efficiency, economic independence–labour market, human rights, and feminist discourses of gender equality. In policy texts at the EU general level as well as at the level of development cooperation and migration policy areas, gender is understood as a fixed category, in terms of the binary male/female. This understanding contributes in part to undermining the conceptualisation and practice of gender mainstreaming itself. To understand gender as an essential characteristic or a fixed trait is unproductive, rather, in terms of any transformation of the gender structure. The process of (re)producing gender hierarchies and understandings entails relations of power and conflict, and its result is never final in that gender as a process is never ending; in policy texts, all of this dynamic is replaced by a dichotomy.
9.
Hultmann, Ole
(author)
Child Psychiatric Patients Affected by Intimate Partner Violence and Child Abuse – Disclosure, Prevalence and Consequences
2015
Doctoral thesis (other academic/artistic) abstract
The overall aims of this thesis were (1) to document the prevalence of child abuse and exposure to intimate partner violence (IPV) among child and adolescent mental health care (CAM) patients, (2) to study the clinicians’ attitudes towards asking routinely about IPV, (3) to compare psychiatric symptoms between patients with (a) experience of family violence (child abuse and/or exposure to IPV) (b) experience of violence outside the family and (c) patients with no such experiences, and (4) compare psychiatric symptoms between patients who had both witnessed IPV and been subjected to child abuse with those either subjected to child abuse or those who had witnessed IPV, but not both. An additional aim in study IV was to explore the importance of concordance/discordance between children’s and parents’ reports of occurrence of IPV. Data for the studies were collected among 9- to 17-year-old patients, their parents, and clinicians (psychologists, social workers and nurses) in an outpatient CAM unit. Study I showed that routine questions identified many more IPV cases than expected from the known prevalence rate on the unit. Routine questions about IPV were difficult to implement, however. In study II clinicians were interviewed about their difficulties in asking routine questions about IPV using a written questionnaire. Their responses showed that they were anxious about damaging their relationship with the parent, anxious about putting the mother in danger of recurrent IPV and self-critical about their performance in this area. The questionnaire facilitates gathering information through asking routine questions about IPV as a matter of routine, but its implementation requires management support and family intakes complemented by meetings in private. In study III almost half of the consecutively enrolled patients reported exposure to family violence. Patients exposed to family violence in combination with exposure to violence outside the family had more general self-reported symptoms and more peer-problems and were more often assigned a PTSD diagnosis than those not exposed to violence either in or outside the family. Family violence was rated more negatively than exposure to violence outside the family. Patients affected by violence both in and outside the family rated the impact of violence more negatively than those affected by family violence only. The results indicate that experiences of violence outside the family are important to consider when assessing patients exposed to family violence. In study IV 14% of the patients reported abuse only, 14% reported exposure to IPV only, and 22% reported both (were doubly exposed). Patients exposed to IPV only or to child abuse only did not differ on psychiatric symptoms or diagnoses, with each other, or with patients with no such violent experiences. The doubly exposed patients, in contrast, had more self-reported general problems and conduct symptoms and rated the impact of those events as more negative than patients who were exposed only to IPV or to child abuse and patients with no experiences of violence. Doubly exposed patients were also more often assigned a diagnosis of PTSD compared to those abused only or exposed to IPV only. The negative impact of the events post trauma was rated as more severe when children and parents agreed on IPV. Children who reported IPV when their parent did not were more often assigned a mood disorder diagnosis. The results are discussed and implications for clinicians in CAM are offered.
10.
Sunnerfjell, Jon, 1986
(author)
Un-learning to labour? Activating the unemployed in a former industrial community
2023
Doctoral thesis (other academic/artistic) abstract
In the aftermath of automation and globalisation of production, the Western welfare states have come to leave industrial society behind in favour of an increasingly competitive and service-oriented economy. Nevertheless, there are many environments whose inhabitants still identify with the culture that developed in typical industrial communities. In addition to high unemployment rates, these environments are often burdened by a situated lack of study tradition whereby unemployed people still aspire to occupy manual labour despite a lack of such jobs. This thesis examines the attempts to break with the reproduction of a manual working-class culture in a former industrial community in Sweden. Using ethnographic methods, it explores how so-called activation policy intending to reduce public expenditures on economic benefits in favour of fostering responsible and employable individuals, is translated locally given the community’s situated rationality. With theoretical inspiration from the governmentality perspective, literature on social class, as well as Boltanski and Thévenot’s economicsociological pragmatism, the analysis shows how the municipality’s translation of activation policy tended to incorporate rather than transform a manual working-class culture in the activation of unemployed. The thesis argues that this hindered the market imperatives and logic of self-realisation pervading activation policy to take root in the activation schemes. Furthermore, the thesis points to how concepts such as inclusion and exclusion, which are central to the active society orientation, appeared ambiguous in light of unemployed who already nurtured a sense of belonging and social attachment. By deepening our understanding of situated rationalities and how they may compete with the logic imbuing supranational policy recommendations on activation and active inclusion, these are conclusions of interest to both policy makers and actors involved in the activation of unemployed locally.
