- Docente: Ardigò Martino
- Credits: 2
- Language: Italian
- Teaching Mode: Traditional lectures
- Campus: Bologna
- Corso: Single cycle degree programme (LMCU) in Medicine and Surgery (cod. 8415)
Learning outcomes
At the end of the course, the student will acquire the theoretical and methodological tools to adequately consider the socio-cultural dynamics recorded in the experience of illness and forms of care. Starting from the consideration that the process of translating signs of malaise in disease symptoms is mediated by cultural frames of reference, taking no account of the patient's perspective involves the risk of not understanding the meaning of his experience and hampers his participation in the therapeutic process. These themes emerge as central not only in the case of foreign patients, whose cultural context may be very different from that of the medical staff, but in every experience of illness. Through long-established tools, a higher efficiency of the services provided (by reducing the drop out, the non-compliance and barriers to access) and a greater therapeutic effectiveness (thus promoting the health of the population) can be achieved on these issues.
In particular, the student advance her/his knowledge of:
- Cultural moulding of the illness experience;
- Doctor-patient communication;
- The impact of socio-economic processes on the production of risk factors and diseases;
- Implementation of models for operationalising these problems in the context of the doctor-patient encounter and the more general process of health promotion.
Course contents
Readings/Bibliography
Testo base:Problematizzando Epistemologie In Salute Colettiva Saperi dalla Cooperazione Brasile e Italia http://www.redeunida.org.br/editora/biblioteca-digital/serie-saude-coletiva-e-cooperacao-internacional
I testi di approfondimento sono:
SEZIONE CULTURA: 1) da “Elementi di antropologia culturale”,
Fabietti 2) “Identità etniche o politiche?”, Aime 3) “Gli equivoci
delle culture”, Zoletto 4) “Il contributo dell'antropologia medica
per una medicina interculturale”, Quaranta SEZIONE CORPO E
INCORPORAZIONE 5) “Un approccio critico interpretativo in
antropologia medica”, Scheper-Hughes, Lock in Quaranta
“Antropologia medica. I testi fondamentali” 6) “Introduzione”,
Mattalucci-Yilmaz, in “Corpi. Annuario di Antropologia” SEZIONE
SALUTE MALATTIA 7) Introduzione a “Antropologia medica. I testi
fondamentali”, Quaranta 8) “Alcuni concetti e un modello per la
comparazione dei sistemi medici intesi come sistemi culturali”,
Kleinman 9) “Antropologie della “ illness” e della “ sickness”,
Young in Quaranta “Antropologia medica. I testi fondamentali” 10)
”Dalla comunicazione dell'informazione alla produzione del
significato come strategia per la promozione del diritto di
salute”, Quaranta SEZIONE VIOLENZA STRUTTURALE E SOFFERENZA SOCIALE
11) “Introduzione”, Quaranta in “Sofferenza sociale. Annuario
Antropologia ” 12) “Sofferenza e violenza strutturale. Diritti
sociali ed economici nell'era globale”, Farmer in Quaranta
“Antropologia medica. I testi fondamentali” 13) “I determinanti di
salute”, Martino SEZIONE SCIENZA E MEDICINA 14) “Dipendenza
dell'osservazione dalla teoria”, Chalmers in “Che cos'è questa
scienza?” Chalmers 15) “Fare” i medici ”, Pizza in Antropologia
Medica. Saperi, pratiche e politiche del corpo
Per ulteriori approfondimenti: Ivo Quaranta (a cura di)-
Antropologia medica - I testi fondamentali. Raffaello Cortina
Editore Giovanni Pizza, Antropologia medica: saperi, pratiche e
politiche del corpo, Roma.
Carocci Byron J. Good. Narrare la malattia. Lo sguardo
antropologico sul rapporto medico-paziente, Einaudi
World Health Organization, Final report of the Measurement and
Evidence Knowledge Network - The social determinants of health:
developing an evidence base for political action, WHO 2007.
http://www.who.int/social_determinants/resources/mekn_final_report_102007.pdf
World Health Organization, Closing the gap in a generation: health
equity through action on the social determinants of health Geneva,
2008.
World Health Organization, The world health report 2008: primary
health care now more than ever, Geneva 2008.
Articoli in bibliografia:
Benzeval M., Judge K., Whitehead M., Tackling inequalities in
Health: An agenda for action, King's Fund, London,
1995.
Crawford R., Are you dangerous to your health: the ideology and
politics of victim blaming. Embodying Inequality Epidemiologic
Perspectives, in Krieger N. (a cura di), Baywood Publishing
Company, New York, 2005.
Csordas, T.J., Embodiment as a paradigm for anthropology, Ethos:
Journal of the society for Psychological anthropology, 18,
1990.
Farmer P., An anthropology of structural violence, Current
Anthropology, vol. 45, 2004. Fassin D., The Biopolitics of
Otherness: Undocumented Foreigners and Racial Discrimination in
French Public Debate. Anthropology Today Vol. 17, No. 1, Feb.,
2001.
Janes C.R., Corbett K.K., Anthropology and global health, Annual
Review of Anthropology, Vol. 38, 20 Kleinman A., Concepts and a
model for the comparison of medical systems, Social Science and
Medicine, Vol. 12, 1978.
Kleinman A., Patients and healers in the context of culture: An
exploration of the borderland between anthropology, medicine, and
psychiatry, University of California Press, England,
1980.
Krieger N., Epidemiology and the web of causation: has anyone seen
the spider?, Soc Sci Med, 1994, 39:887–903.
Krieger N., Theories for social epidemiology in the 21st century:
an ecosocial perspective. Int J Epidemiol, 2001, 30:668–677.
Labonté R., Mohindra K., Schrecker T., The Growing Impact of
Globalization for Health and Public Health Practice, Annual Review
of Public Health, 2011, Vol. 32.
Whitehead M., Dahlgren G., Evans T., Equity and health sector
reforms: can low-income countries escape the medical poverty trap?,
Lancet. 2001, 8, 358(9284): 833-6
sitografia:
UN Statistic Division.
http://unstats.un.org/unsd/default.htm WHO,
Social Determinants of health
http://www.who.int/social_determinants/en/
Ulteriori materiali verranno indicati durante lo svolgimento
delle lezioni, in base alle esigenze specifiche delgi
studenti.
Teaching methods
The teaching methods include the integration of lectures and interactive participation through group exercises.
Assessment methods
The course includes a final examination, an oral or written
exam.
Teaching tools
Teaching will take place through lectures, with the help of power point presentations (which will be made available to students). Priority will be given to interaction and active participation of students. Where possible and appropriate, use will be made of case studies taken from local, national and international contexts.
Links to further information
Office hours
See the website of Ardigò Martino