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Hierarchies of Care

Hierarchies of Care
Author: Krista E Van Vleet
Publisher: University of Illinois Press
Total Pages: 304
Release: 2019-10-30
Genre: Social Science
ISBN: 0252051645
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Palomitáy is an orphanage in highland Peru that provides a home for unmarried mothers as young as twelve years old. In their ordinary lives, these young women encounter diverse social expectations and face moral dilemmas. They endeavor to create a ‘good life’ for themselves and their children in a context complicated by competing demands, economic uncertainties, and structured relations of power. Drawing on a year of qualitative on-site research, Krista E. Van Vleet offers a rich ethnography of Palomitáy's young women. She pays particular attention to the moral entanglements that emerge via people's efforts to provide care amid the inequalities and insecurities of today's Peru. State and nonstate participants involved in the women's intimate lives influence how the women see themselves as mothers, students, and citizens. Both deserving of care and responsible for caring for others, the young women must navigate practices interwoven with a range of a racial, gendered, and class hierarchies. Groundbreaking and original, Hierarchies of Care highlights the moral engagement of young women seeking to understand themselves and their place in society in the presence of circumstances that are both precarious and full of hope.

The Hierarchies

The Hierarchies
Author: Ros Anderson
Publisher: Penguin
Total Pages: 353
Release: 2021-09-07
Genre: Fiction
ISBN: 059318291X
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In this stunningly original debut novel that will appeal to readers of The Power or Never Let Me Go, a synthetic woman—created solely to serve her human “Husband”—slowly comes to the realization that her Husband is far less invested in her well-being than she is in his . . . sending her on a harrowing emotional journey of self-realization as she asks herself: WHAT IS LOVE—OR CONSENT—IF YOU'RE PROGRAMMED TO OBEY? Sylv.ie is a fully sentient robot, designed to cater to her Husband's every whim. She lives alone on the top floor of his luxurious home, her existence barely tolerated by his human wife and concealed from their child. Between her Husband's visits, deeply curious about the world beyond her room, Sylv.ie watches the family in the garden—hears them laugh, cry, and argue. Longing to experience more of life, she confides her hopes and fears only to her diary. But are such thoughts allowed? And if not, what might the punishment be? As Sylv.ie learns more about the world and becomes more aware of her place within it, something shifts inside her. Is she malfunctioning, as her Husband thinks, or coming into her own? As their interactions become increasingly fraught, she fears he might send her back to the factory for reprogramming. If that happens, her hidden diary could be her only link to everything that came before. And the only clue that she is in grave danger. Set in a recognizable near future and laced with dark, sly humor, Ros Anderson's deeply observant debut novel is less about the fear of new technology than about humans' age-old talent for exploitation. In a world where there are now two classes of women—“born” and “created”—the growing friction between them may have far-reaching consequences no one could have predicted.

The Routledge International Handbook of Disability Human Rights Hierarchies

The Routledge International Handbook of Disability Human Rights Hierarchies
Author: Stephen J. Meyers
Publisher: Taylor & Francis
Total Pages: 552
Release: 2023-10-31
Genre: Social Science
ISBN: 1000959732
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Disability is defined by hierarchy. Regardless of culture or context, persons with disabilities are almost always pushed to the bottom of the social hierarchy. With the advent of the Convention on the Rights of Persons with Disabilities (2006), disability human rights seemingly provided a path forward for tearing down ableist social hierarchies and ensuring that all persons with disabilities everywhere were treated equally. Despite important progress, the disability human rights project not only remains incomplete, but has often created new hierarchies among persons with disabilities themselves or across the human rights it promotes. Certain groups of persons with disabilities have gained new voices while others remain silenced and certain rights are prioritized over others depending on what states, international organizations, or advocates want rather than what those on the ground need most. This volume was inspired both by the continued need to expose human rights violations against persons with disabilities, but to also explore the nuanced role that hierarchies play in the spread, implementation, and protection of disability human rights. The enjoyment of human rights is not equal nor is the recognition of specific individuals and groups’ rights. In order to change this situation, inequalities across the disability human rights movement must be explored. Divided into five parts: Who counts as disabled? Political, social, and cultural context Which rights on top, whose rights on bottom? Pushed to the periphery in the disability rights movement Representations of disability and comprised of 34 newly-written chapters including case-studies from the Anglophone Caribbean, Bangladesh, Bosnia-Herzegovina, China, Ghana, Haiti, Hungary, India, Israel, Kenya, Latin America, Poland, Russia, Scotland, Serbia and South Africa, and other countries, this book will be of interest to all scholars and students of disability studies, sociology, human rights law and social policy.

Just Hierarchy

Just Hierarchy
Author: Daniel A. Bell
Publisher: Princeton University Press
Total Pages: 284
Release: 2020-03-03
Genre: Philosophy
ISBN: 0691200890
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A trenchant defense of hierarchy in different spheres of our lives, from the personal to the political All complex and large-scale societies are organized along certain hierarchies, but the concept of hierarchy has become almost taboo in the modern world. Just Hierarchy contends that this stigma is a mistake. In fact, as Daniel Bell and Wang Pei show, it is neither possible nor advisable to do away with social hierarchies. Drawing their arguments from Chinese thought and culture as well as other philosophies and traditions, Bell and Wang ask which forms of hierarchy are justified and how these can serve morally desirable goals. They look at ways of promoting just forms of hierarchy while minimizing the influence of unjust ones, such as those based on race, sex, or caste. Which hierarchical relations are morally justified and why? Bell and Wang argue that it depends on the nature of the social relation and context. Different hierarchical principles ought to govern different kinds of social relations: what justifies hierarchy among intimates is different from what justifies hierarchy among citizens, countries, humans and animals, and humans and intelligent machines. Morally justified hierarchies can and should govern different spheres of our social lives, though these will be very different from the unjust hierarchies that have governed us in the past. A vigorous, systematic defense of hierarchy in the modern world, Just Hierarchy examines how hierarchical social relations can have a useful purpose, not only in personal domains but also in larger political realms.

Performing Kinship

Performing Kinship
Author: Krista E. Van Vleet
Publisher: University of Texas Press
Total Pages: 288
Release: 2009-01-27
Genre: Social Science
ISBN: 0292773773
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In the highland region of Sullk'ata, located in the rural Bolivian Andes, habitual activities such as sharing food, work, and stories create a sense of relatedness among people. Through these day-to-day interactions—as well as more unusual events—individuals negotiate the affective bonds and hierarchies of their relationships. In Performing Kinship, Krista E. Van Vleet reveals the ways in which relatedness is evoked, performed, and recast among the women of Sullk'ata. Portraying relationships of camaraderie and conflict, Van Vleet argues that narrative illuminates power relationships, which structure differences among women as well as between women and men. She also contends that in the Andes gender cannot be understood without attention to kinship. Stories such as that of the young woman who migrates to the city to do domestic work and later returns to the highlands voicing a deep ambivalence about the traditional authority of her in-laws provide enlightening examples of the ways in which storytelling enables residents of Sullk'ata to make sense of events and link themselves to one another in a variety of relationships. A vibrant ethnography, Performing Kinship offers a rare glimpse into an compelling world.

Humanising Psychiatry and Mental Health Care

Humanising Psychiatry and Mental Health Care
Author: Rachel Freeth
Publisher: Radcliffe Publishing
Total Pages: 198
Release: 2007
Genre: Client-centered psychotherapy
ISBN: 1857756193
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This book explores, in depth, the link between modern psychiatric practice and the person-centred approach. It promotes an open dialogue between traditional rivals - counsellors and psychiatrists within the NHS - to assist greater understanding and improve practice. Easy to read and comprehend, it explains complex issues in a clear and accessible manner. The author is a full-time psychiatrist and qualified counsellor who offers a unique perspective drawing on personal experience. Humanising Psychiatry and Mental Health Care will be of significant interest and help to all mental health professionals including psychiatrists and psychiatric nurses, social care workers, occupational therapists, psychologists, person-centred counsellors and therapists. Health and social care policy makers and shapers, including patient groups, will also find it helpful and informative.

Doctors' Orders

Doctors' Orders
Author: Tania M. Jenkins
Publisher: Columbia University Press
Total Pages: 531
Release: 2020-07-21
Genre: Social Science
ISBN: 023154829X
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The United States does not have enough doctors. Every year since the 1950s, internationally trained and osteopathic medical graduates have been needed to fill residency positions because there are too few American-trained MDs. However, these international and osteopathic graduates have to significantly outperform their American MD counterparts to have the same likelihood of getting a residency position. And when they do, they often end up in lower-prestige training programs, while American-trained MDs tend to occupy elite training positions. Some programs are even fully segregated, accepting exclusively U.S. medical graduates or non-U.S. medical graduates, depending on the program’s prestige. How do international and osteopathic medical graduates end up so marginalized, and what allows U.S.-trained MDs to remain elite? Doctors’ Orders offers a groundbreaking examination of the construction and consequences of status distinctions between physicians before, during, and after residency training. Tania M. Jenkins spent years observing and interviewing American, international, and osteopathic medical residents in two hospitals to reveal the unspoken mechanisms that are taken for granted and that lead to hierarchies among supposed equals. She finds that the United States does not need formal policies to prioritize American-trained MDs. By relying on a system of informal beliefs and practices that equate status with merit and eclipse structural disadvantages, the profession convinces international and osteopathic graduates to participate in a system that subordinates them to American-trained MDs. Offering a rare ethnographic look at the inner workings of an elite profession, Doctors’ Orders sheds new light on the formation of informal status hierarchies and their significance for both doctors and patients.

Injecting Creative Thinking into Healthcare

Injecting Creative Thinking into Healthcare
Author: Barry P. McMahon
Publisher: CRC Press
Total Pages: 102
Release: 2023-07-19
Genre: Medical
ISBN: 1000899365
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The book sets out to inform a broad range of professionals working in medicine and healthcare about how creative thinking and design concepts can be used to innovate in providing an enhanced patient experience. It outlines these concepts as a primary means to identify, clarify and resolve some of the process improvement and enhancement challenges in healthcare delivery. It demonstrates by example how such challenges can be addressed, drawing on case examples from healthcare and other industries, and from the authors’ own experiences as innovators and educators. It emphasizes the value of learning in action. For the reader who already has a leaning towards novel approaches to addressing healthcare delivery challenges, it provides guidance on harnessing team inputs and engaging with a network of contributors. It is an ideal resource for all working in medicine and healthcare, from managers, nurses, doctors, administrators, executives, and allied health professionals to medical engineers, medical physicists, medical scientists and medical product developers. Features Provides a unique framework to conceptualise innovation in healthcare and medicine. Authored by an award-winning medical scientist and an established business school Professor who have proven track-records with innovation, in education settings and as entrepreneurs. Presents a clear interdisciplinary approach, complemented with practical case studies set in the context of the challenges facing healthcare delivery in the 21st century. Dr. Barry McMahon has a national and international reputation as an Academic Medical Physicist in the fields of novel physiological measurement and medical device innovation and design. He is the co- inventor of the Functional Lumen Imaging Probe (FLIP) technique later commercialised as EndoFLIPTM. He was the Director of the Innovation Academy at Trinity College Dublin from 2012 to 2017. Since 2020 he is advising Children’s Health Ireland on innovation practice. In 2021, he retired as Chief Physicist/Clinical Engineer at Tallaght Hospital, Ireland and currently runs his own innovation-consulting group Electric Mindset Ltd. Dr. Paul Coughlan is Professor in Operations Management and Co-Director of Faculty at Trinity Business School, Trinity College Dublin. His research explores collaborative strategic improvement of operations through network action learning. He was the Director of the Innovation Academy at Trinity College Dublin from 2010 to 2012. He is a founding director of a research-based spin-out venture, Easy Hydro Ltd.

What Comes after Entanglement?

What Comes after Entanglement?
Author: Eva Haifa Giraud
Publisher: Duke University Press
Total Pages: 152
Release: 2019-10-18
Genre: Social Science
ISBN: 147800715X
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By foregrounding the ways that human existence is bound together with the lives of other entities, contemporary cultural theorists have sought to move beyond an anthropocentric worldview. Yet as Eva Haifa Giraud contends in What Comes after Entanglement?, for all their conceptual power in implicating humans in ecologically damaging practices, these theories can undermine scope for political action. Drawing inspiration from activist projects between the 1980s and the present that range from anticapitalist media experiments and vegan food activism to social media campaigns against animal research, Giraud explores possibilities for action while fleshing out the tensions between theory and practice. Rather than an activist ethics based solely on relationality and entanglement, Giraud calls for what she describes as an ethics of exclusion, which would attend to the entities, practices, and ways of being that are foreclosed when other entangled realities are realized. Such an ethics of exclusion emphasizes foreclosures in the context of human entanglement in order to foster the conditions for people to create meaningful political change.