| 1. |
- Brüggemann, Jelmer, 1981-, et al.
(författare)
-
On difficult patients and informal complaints
- 2023
-
Annan publikation (populärvet., debatt m.m.)abstract
- Thinking critically about the role of complaint in patient care, Jelmer Brüggemann, Lisa Guntram and Ann-Charlotte Nedlund explore the ’difficult patient’ as a medical humanities concept.
|
|
| 2. |
- Brüggemann, Jelmer, 1981-
(författare)
-
Redefining masculinity – Men’s repair work in the aftermath of prostate cancer treatment
- 2021
-
Ingår i: Health Sociology Review. - : Taylor & Francis. - 1446-1242 .- 1839-3551. ; 30:2, s. 143-156
-
Tidskriftsartikel (refereegranskat)abstract
- Treatments for prostate cancer have many potential side effects such as a loss of erection, weaker orgasms, and incontinence. These are all bodily changes that may challenge dominant masculine ideals. In this article, I use Persson’s repair work to describe how men tackle these side effects, and I describe the trouble their repair work elicits in terms of masculinity. I analyse interviews with eleven Swedish men, all treated for prostate cancer, and show that such work is done in three ways. Bodily repair work elicits the work men do to restore bodily functions, often through medical technologies. Relational repair work describes how relations with (potential) others shape men's bodily and sexual concerns, and the ways relations redefine such concerns. Age marking as repair emphasises how age is used in the redefinitions of norms about masculinities and aging bodies, both in relation to oneself and others. The analysis highlights how men's repair work is multifaceted, and is performed against the backdrop of dominant discourses on masculinity, medicine and old age. The analysis of such repair work is valuable to research on how masculinity is constructed in the light of treatment side effects and older age.
|
|
| 3. |
- Brüggemann, Jelmer, 1981-, et al.
(författare)
-
The “Difficult Patient” : Dominant Logics and Misfits in Medicine
- 2023
-
Ingår i: Handbook of Social Sciences and Global Public Health. - Cham : Springer. - 9783030967789 ; , s. 1-14
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Medicine is organized around specific kinds of patients. In the cross-section of overarching biomedical narratives, international and national regulations and guidelines, and local practices, a particular kind of “ideal” patient is produced. The ideal patient embraces the larger biomedical paradigm, fits standardized diagnostic or treatment protocols, and behaves in expected and respectful ways. At the same time, its downside is created. Modern medicine’s narrow pathways create all sorts of “difficult patients.” Rather than focusing on the “difficult patient” as a psychological or relational struggle for individual care professionals or patients – a common focus in medical literature and debate – this chapter approaches the “difficult patient” as a phenomenon inherent in the ways in which medicine is organized. It shows how the difficult patient can provide an analytic lens through which individuals can see health care norms and logics in play. In particular, the chapter discusses how the difficult patient comes into being in “misfits” between dominant logics in medicine and individual patient lives and needs.
|
|
| 4. |
- Kapeller, Alexandra, 1992-
(författare)
-
Towards feminist health empowerment for self-testing apps : testing for dementia
- 2023
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Health empowerment, the idea to enable people to assume more control over their health decisions, has been a buzzword in health care organisation and has recently received even more attention through the popularisation of mobile health (mHealth) apps. One form of mHealth are self-testing apps, which offer users to test themselves for medical conditions as severe as dementia and Parkinson’s disease. Providing users with the possibility to take such a test independent of healthcare professionals has been advertised as empowering. Yet, it is not clear how the information supplied by self-testing apps empowers their users exactly. This problem alludes to the conceptual ambiguity around the term empowerment, which can raise false expectations. In this dissertation, I use a combination of theoretical analysis and qualitative methods to critically investigate self-testing apps in relation to current health empowerment narratives. For that, I use the example of CogniCheck, a self-testing app for changes in cognition indicative of mild neurocognitive disorder or dementia. Theory in philosophy of technology and feminist science and technology studies explains how CogniCheck mediates empowerment narratives, cultural images of dementia, and medical imperatives to test early. I investigate these mediations in their relation to empowerment from the starting point of a feminist conceptualisation of subjectivity and show how its key dimensions, i.e. relationality, embodiment, affect and intersectionality, structure the experience of the self-test and the kind of empowerment it affords. Building on these insights on subjectivity and technology, I suggest a feminist, phenomenological take on health empowerment in the context of self-testing apps.
|
|
| 5. |
- Zbikowski, Anke, et al.
(författare)
-
Counteracting Abuse in Health Care : Evaluating a One-Year Drama Intervention with Staff in Sweden
- 2020
-
Ingår i: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 17:16, s. 1-12
-
Tidskriftsartikel (refereegranskat)abstract
- In Northern European countries 13-28% of female patients seeking gynecological health care have reported abuse by health care staff (AHC). We conducted workshops with health care staff using the improvised role-play method Forum Play (FP), based on techniques developed by Boal. The study explores to what extent the intervention increased the staff's awareness of AHC and their ability to take action against it. A total of 16 half-day FP workshops were conducted with staff from a Swedish women's clinic over one year. Self-reported questionnaires were distributed to all staff before, during, and after the intervention. Primary outcome measures were the number of reported occasions of AHC and FP participants' ability to act in AHC-situations. We found an increase in the participants' self-reported ability to act in AHC-related situations. However, no change could be observed in the number of reported occasions of AHC between baseline and one year after the intervention. Health care staff's participation in workshops using improvised role-play can increase staff's perceived ability to take action in AHC situations. The voluntary nature of the intervention may have attracted those who were already aware of the topic, and likely explains the unchanged awareness of AHC.
|
|
