| 1. |
- Bergman, Karolin, 1979-, et al.
(författare)
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'Writing nutritionistically' : A critical discourse analysis of lay people´s digital correspondence with the Swedish Food Agency
- 2022
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Ingår i: Health. - : Sage Publications. - 1363-4593 .- 1461-7196. ; 26:5, s. 554-570
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Tidskriftsartikel (refereegranskat)abstract
- This article analyzes lay people’s use of nutritionistic discourse in written correspondence with the Swedish Food Agency, an authority responsible for dietary advice. Examining 60 food related written digital messages, we apply a critical discourse analysis to parse the terms and grammar people use when constructing “food” in scientific terms. Findings show that message writers place nutrients at the discursive center and frequently use terms that indicate preciseness, such as numbers and amounts, reinforced by modality (auxiliary verbs) and transitivity (nominalizations). Messages therefore emphasize the what, but not the how, of eating, implying a focus on food as subject to regulation and control. As such, eating is discursively reduced to an act of ingesting nutrients that can be decontextualized and managed in isolation – as entities to increase or avoid separately. These discursive features preclude the conceptualization of food choice and eating as subjective experiences of feelings, taste, and tradition.
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| 2. |
- Bredström, Anna, 1972-, et al.
(författare)
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Conceptual unclarity about COVID-19 ethnic disparities in Sweden: Implications for public health policy
- 2023
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Ingår i: Health. - : SAGE Publications. - 1363-4593 .- 1461-7196. ; 27:2, s. 186-200
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Tidskriftsartikel (refereegranskat)abstract
- The COVID-19 pandemic has shed light on abundant racial and ethnic health disparities in many countries around the world. In Sweden, statistics on COVID-19 mortality and morbidity from both the first and the second wave of the pandemic show that foreign-born individuals have been disproportionately affected as compared to Swedish-born individuals. However, as demonstrated in this article, key stakeholders including politicians and public authorities, mainstream media, and medical researchers do not draw on the same explanatory framework when conceptualizing the health disparity. Probing the different discourses that were articulated through oral and written accounts during the first wave, the article identifies three different frameworks of how ethnic health disparities in relation to COVID-19 were understood in Sweden: the socioeconomic framework, the cultural framework and the biological framework. In a concluding discussion, we discuss the importance of our findings for health policy and argue for continued interrogation of epidemiological knowledge production from a critical vantage point in order to successfully combat health inequalities.
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| 3. |
- Edenroth-Cato, Fanny, 1983-
(författare)
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Motherhood and highly sensitive children in an online discussion forum
- 2020
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Ingår i: Health. - : SAGE Publications. - 1363-4593 .- 1461-7196. ; 24:4, s. 442-458
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Tidskriftsartikel (refereegranskat)abstract
- Discourse on the highly sensitive child as a mode of individual coming-into-being is transforming notions of good motherhood. Mothering a child is weighted with practical challenges, normative expectations, and moral implications, all of which can be accentuated when parenting a child that appears to differ from the average. How mothers address themselves to a highly sensitive child can reveal much about contemporary currents in family life. Through analysis of the online discussions in a Swedish forum, I examine mothers’ discourse regarding categorization of highly sensitive children, elaboration on the behaviors that constitute this category of protean individuality, and the negotiation of motherhood norms. Three themes are identified: the way in which participants established entitlement to the application of the highly sensitive child label through a process of “enlightenment” based on observing their children and scrutinizing their own childrearing practices; discourse on the “allure” of the highly sensitive child since it depicts the children as super-normal and themselves as mothers called to the custodianship of a “different child”; and finally, how the highly sensitive child label deflects the guilt and frustration linked with handling challenging behaviors, in tension with permitting the sensitive child’s self-determined development. The article suggests that the mothers’ discourse reflects the intensive mothering norms of child-centered parenting that prevail in Western countries such as Sweden. Through the lens of the highly sensitive child, however, motherhood acquires new anticipatory, considerate and susceptible norms, and strategies that constitute a highly sensitive parenting style.
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| 4. |
- Garpenby, Peter, et al.
(författare)
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The patient as a policy problem: Ambiguous perceptions of a critical interface in healthcare
- 2022
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Ingår i: Health. - : Sage Publications. - 1363-4593 .- 1461-7196. ; 26:6, s. 681-701
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Tidskriftsartikel (refereegranskat)abstract
- The interface between the patient and the health service has changed, which constitutes a potential problem for various policy-makers. Using a critical policy perspective and drawing on the theory of problem framing, this paper explores how actor groups with different responsibilities perceive the patient as a constructed policy problem. This is a qualitative study where data consists of single episode interviews with healthcare politicians, senior administrators, service strategists, and unit mangers from one regional health authority in Sweden. A thematic content analysis of the interviews was carried out in accordance with "the framework approach". The study illustrates how the actors interpret their reality using diverse problem frames. This becomes more visible when the framing is disentangled with regard to what perspective they employ in relation to different accounts: society or the individual, or the (healthcare) system or the (healthcare) professional. The actor groups are part of the same institutional context, which explains certain tendencies of similarities in terms of the accounts being used, but still they approach the constructed problem differently which is visible as shifts-scaling up and down-between different accounts. By analyzing and structuring the various problem frames (including its policy styles) we can enhance our knowledge about how those responsible for the governance of healthcare approach the patient as a policy problem, as something that concerns only the patient and/or the provider, or as something that needs to be addressed in broader strategic terms.
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| 5. |
- Gleisner, Jenny, Fil. dr. 1982-, et al.
(författare)
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Caring for affective subjects produced in intimate healthcare examinations
- 2023
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Ingår i: Health. - : Sage Publications. - 1363-4593 .- 1461-7196. ; 27:3, s. 302-322
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Tidskriftsartikel (refereegranskat)abstract
- This article is about the feelings – affect – induced by the digital rectal exam of theprostate and the gynaecological bimanual pelvic exam, and the care doctors are orare not instructed to give. The exams are both invasive, intimate exams located ata part of the body often charged with norms and emotions related to gender andsexuality. By using the concept affective subject, we analyse how these examinations aretaught to medical students, bringing attention to how bodies and affect are cared foras patients are observed and touched. Our findings show both the role care practicesplay in generating and handling affect in the students’ learning and the importance ofthe affect that the exam is (or is not) imagined to produce in the patient. Ours is amaterial-discursive analysis that includes the material affordances of the patient anddoctor bodies in the affective work spaces observed.
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| 6. |
- Hydén, Lars-Christer, 1954-, et al.
(författare)
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Intercorporeal collaboration : Staging, parsing, and embodied directives in dementia care
- 2024
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Ingår i: Health. - : SAGE PUBLICATIONS LTD. - 1363-4593 .- 1461-7196. ; 28:3, s. 352-371
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Tidskriftsartikel (refereegranskat)abstract
- This study shows how concerted bodily movements and particularly intercorporeality play a central role in interaction, particularly in joint activities with people with late-stage dementia. Direct involvement of bodies in care situations makes intercorporeal collaboration the basic form for engaging with people with late-stage dementia. By detailed analysis of a videorecording of a joint activity involving a person with late-stage dementia as an example, we show that the process of concerted bodily movements includes not only an interactive bodywork but also a reconfiguration of the routine activities and actions in situ. Reconfigurations often require, and are the outcome of, particular practices for the systematic modification of the embodied conducts of the participants and their use of artifacts in the surrounding environment. These practices, that we highlight in our study, are (1) staging activities through organization and re-organization of body parts, as well as artifacts (rather than using verbal descriptions of activities); (2) decomposing (parsing) activities into smaller parts possible for the person with dementia to perform (rather than using verbal action descriptions); and (3) providing embodied directions and bodily demonstrations of actions (rather than using verbal directives). As a result, we point to these practices for their reflexive roles in the change of the use of modalities in interaction: from mainly using verbal language to the prominence of visual depiction and bodily demonstration as necessary methods to facilitate the participation of people with latestage dementia in joint activities
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| 7. |
- Hydén, Lars-Christer, 1954-, et al.
(författare)
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Intercorporeal collaboration: Staging, parsing, and embodied directives in dementia care
- 2023
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Ingår i: Health. - : SAGE PUBLICATIONS LTD. - 1363-4593 .- 1461-7196.
-
Tidskriftsartikel (refereegranskat)abstract
- This study shows how concerted bodily movements and particularly intercorporeality play a central role in interaction, particularly in joint activities with people with late-stage dementia. Direct involvement of bodies in care situations makes intercorporeal collaboration the basic form for engaging with people with late-stage dementia. By detailed analysis of a videorecording of a joint activity involving a person with late-stage dementia as an example, we show that the process of concerted bodily movements includes not only an interactive bodywork but also a reconfiguration of the routine activities and actions in situ. Reconfigurations often require, and are the outcome of, particular practices for the systematic modification of the embodied conducts of the participants and their use of artifacts in the surrounding environment. These practices, that we highlight in our study, are (1) staging activities through organization and re-organization of body parts, as well as artifacts (rather than using verbal descriptions of activities); (2) decomposing (parsing) activities into smaller parts possible for the person with dementia to perform (rather than using verbal action descriptions); and (3) providing embodied directions and bodily demonstrations of actions (rather than using verbal directives). As a result, we point to these practices for their reflexive roles in the change of the use of modalities in interaction: from mainly using verbal language to the prominence of visual depiction and bodily demonstration as necessary methods to facilitate the participation of people with latestage dementia in joint activities
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| 8. |
- Lydahl, Doris, 1986
(författare)
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Standard tools for non-standard care: The values and scripts of a person-centred assessment protocol.
- 2021
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Ingår i: Health. - : SAGE Publications. - 1461-7196. ; 25:1, s. 103-120
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Tidskriftsartikel (refereegranskat)abstract
- This article uses a material semiotic perspective to study a highly influential model of healthcare policy and practice today: person-centred care. While person-centred care is often regarded as implying a turn away from technology and standardization towards more humanistic values in care, this article shows that mundane standardization technologies, such as an assessment protocol, are integral components of person-centred care. Building on interviews and observational studies at a Swedish hospital introducing person-centred care, the article analyses the person-centred protocol in situ. The article teases out three core concerns inscribed in the protocol: a concern for the patient experience and perspective, a valuing of evidence-based knowledge and a managerial imperative. The article illustrates how these contrasting values were rendered compatible through the continuous tinkering of healthcare professionals. Finally, it shows how users modified the script of the protocol under analysis and how relations between the three core concerns were adjusted in the process. The article concludes that tinkering and user-technology relations are of significance for the fate of person-centred care at large.
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| 9. |
- Mankell, Anna, et al.
(författare)
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Federative patient organizations in a decentralized health-care system : A challenge for representation?
- 2020
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Ingår i: Health. - : Sage Publications. - 1363-4593 .- 1461-7196. ; 25:6, s. 722-738
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Tidskriftsartikel (refereegranskat)abstract
- Over the last two decades, the inclusion of patient voices and public values in the field of health care through deliberation has become increasingly emphasized, by patients as well as policy-makers. This is achieved not only through individual patient participation but also through patient interest organizations. Geographical representation within national interest organizations is especially important in a decentralized, multilevel policy field such as Swedish health care, allowing representation from all regions to be present in national advocacy. Using Pitkin’s conceptualization of political representation,this study aims to characterize the shaping of representation among Swedish federative patient organizations, in a time of professionalization and centralization of civil society.The results show that patient organization representation has functioning mechanisms for all studied aspects of representation; however, the nature of the substantive representation seems to contain a challenge from a democratic perspective. This leads us to a discussion about management, rooted in democratic ideals but simultaneously strongly characterized by more managerial ideals, and the contradiction of democracy and actionable management.
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| 10. |
- Qaderi, Josef, et al.
(författare)
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Media portrayals of psychotropic agents in AD/HD treatment : A social constructionist approach
- 2024
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Ingår i: Health. - : Sage Publications. - 1363-4593 .- 1461-7196. ; 28:3, s. 431-449
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Tidskriftsartikel (refereegranskat)abstract
- In recent decades there has been a significant increase in diagnosing children and adults with Attention-Deficit/Hyperactivity Disorder (AD/HD), and in the use of pharmacological treatment with Ritalin, Concerta and Strattera for AD/HD. This development has given rise to scientific criticism, claiming that the pharmaceuticals prescribed by doctors are, to a large extent, ineffective or harmful. This study discusses media's portrayal of treatment of AD/HD. The aim of the article is to develop a social constructionist perspective, highlighting how scientific critique of pharmaceuticals for AD/HD is handled in the mass media. The authors introduce the concept of "psychopharmacological extensibility," which demonstrates the importance of collective definitional processes in society. Psychopharmacological extensibility reflects the fact that the perception of AD/HD agents as beneficial medicines or harmful drugs is open to interpretation and dependent on social factors related to context, power, rhetoric, and marketization. The empirical data are based on 211 articles from eight of the largest newspapers in Sweden, published between 2002 and 2021. The result shows that Swedish mass media, in numerous ways, neglects or undermines the scientific criticism made, thereby facilitating an increased use of the diagnosis and of psychotropic agents in society.
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