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Week 1 Intro to Global Health Notes

by: Sophomore Notetaker

Week 1 Intro to Global Health Notes Anthro 3283

Marketplace > Washington University in St. Louis > Anthropology > Anthro 3283 > Week 1 Intro to Global Health Notes
Sophomore Notetaker
Wash U
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About this Document

Health, Medicine, and Society Foucault
Intro to Global Health
Peter Benson
Class Notes
global, health




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This 4 page Class Notes was uploaded by Sophomore Notetaker on Saturday October 1, 2016. The Class Notes belongs to Anthro 3283 at Washington University in St. Louis taught by Peter Benson in Fall 2016. Since its upload, it has received 21 views. For similar materials see Intro to Global Health in Anthropology at Washington University in St. Louis.


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Date Created: 10/01/16
Health, Medicine and Society 8­31­16 Medicine  Medicine refers to technological Western practice  Refer to Powerpoint Biomedicine  Refers to dominant Western medicine that is taken for granted by developed countries,  but also rapidly globalizing  Monotheism – one cause  Science and technology  “hard” – bio, chem and “soft” – psych  individualized care  focus on disease pathogenesis and biomechanics  major advances and benefits in many areas  care as commodity The Doctor: Luke Fildes (1891)  Doctors are responsible for health and society  This is a Western tradition, popularized on tv The Role of Medicine (1891)  Increase in life expectancy   Decrease of the mortality rate  Decrease in getting an illness: better medication, sanitation, higher food quality, urban  planning  McKeown Hypothesis – population growth & increased life expectancy not due to  medical advancements . . .but rather improvements in the overall standard of living and  social infrastructure o what does this say about the allocation of resources in society? What/where/why is a disease?  located in body Arthritis and Anesthesia Analogy  anesthesiologist needs to know about a material condition (arthritis) to successfully  complete the treatment  needs to ask questions for treatment  o do they have a house, other problems that would affect the treatment?  there are different ways to help health conditions and not be a doctor o is a medical problem ever just a medical problem? o What counts as part of a medical or health condition? Structural Violence – Paul Farmer  “Social structures—economic, political, legal, religious, and cultural—that stop  individuals, groups, and societies from reaching their full potential  examples: access to resources, education, health care, and legal standing  Epidemics in US and other countries  Same virus affects lives differently depending on geography Reimagining Global Health “biosocial approach”  medicine and public health are fundamentally related to the delivery of care in diverse  settings (“global health delivery”)  the “resocializing” disciplines “10 Million Children Article”  distribution of infant mortality is not even around the world, clusters in 6 or 7 countries  main causes: malnutrition, diarrheal diseases  clusters, geographically specific, handful of infectious diseases Environmental and Social Causes of the Ongoing Epidemic in West Africa  Ebola Virus  People are venturing more and more into forest – closer to animals  Economy of mining  Migration, urbanization, labor migration (migrant flow)  Diet and consumption of different foods  Funerary rights – social and religious practices  Educate – not to do those things  Health workers and lack of preventative care  Slow response “The New World of Global Health” Article  Doesn’t really predate the zoo  Dramatic increase in research and development (mainly HIV)  Clinton and Gates Foundation – funding o Former president – deciding what is important Foucault 9­2­16 Sexuality  There was no identity for sexuality o Don’t have notion for category/identity of sexuality  Experience was different back then o Word “gay” came before experience  Labeling someone seemed insidious back then  His project was to analyze how certain sexual activates became problems –  PROBLEMITIZATION Paris (“Discipline and Punishment”)  Telling us that the society that was quartered was more free than society with schools,  prisons  What is range of freedom?  Argues that the subject’s visibility assures the hold of power that is exercised over them o Power of being seen (gazed) keeps individual disciplined  Panopticon­ (one­way mirror) every person in there has to assume they are being watched o Not even a need for a guard o Becomes a form of power; not good/bad; effective o Ex: passing out brochure for teaching how to wash hands is a form of power  (signs: bikes, wash hands) o Have to devolve responsibility throughout society  Can’t have someone at every bathroom to watch if you wash your hands “History of Sexuality” – by Foucault   Main claim of Foucault’s book was that Freud invented sexuality  Sexuality linked with the act  Sexual activities described things about you DSM­IV  DSM used to list homosexuality as disorder (late 1970s)  To be treated in a therapeutic setting  Some states need you to prove you had some gender dysmorphia Freud  Centered on you sitting on a chair and telling your problems to a psychiatrist  Freud’s Development Theory of Sexuality 1. Early infancy –   oral stage (breastfeeding, thumb sucking) – Freud said if got stuck here  you will have a certain sexuality  anal stage (potty­training) 2. Latency 3. Phallic Stage (masturbation)  If do something not normal/not in this theory, need to tell someone on a  couch  1. And 2. Are pre­oedipal, pre­genital (auto­erotic)  Problematized homosexuality   categories, abnormality, deviance, disorder    “problematization”  science, expertise, medicine  linking identity & pathology to sexual acts ... the act becomes synonymous with identity  – Foucault’s MAIN POINT IN BOOK  you can be straight and have sex with a man without having different identity in some  cultures      Ex: Brazilians  nose was extremely important in identification in criminology – profited by race and  ethnicity (20  century)  women identified as hysterics if deviated from normal (20  century)  too/little emotion, too sexual, overly passionate  talk therapy  hysterectomy  change their bodies  rise of medicine/healthcare understood in context of   diagnose problem  external person given right to make serious intervention Biopower   modern power th  “king’s power” shifted from 18  century  biopower  from the power to let live and make die ... to the goal of fostering, optimizing, and  improving life  not “good” or “bad”  population statistics and the rise of bureaucracies’ humanitarianism, welfare, and the  politics of “improvement”  humanitarianism, welfare and the politics of “improvement”  Ex: how can WashU make life better for students?  SHS, better food  Global health  globalized Biopower  Want to help others, developed helping underdeveloped


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