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Всего публикаций в данном разделе: 2



Опубликовано на портале: 28-11-2006
Meira Weiss
Westport, Conn.: Bergin & Garvey, 1994
Questioning the myth of unconditional love between parents and children, this study examines the strength of the parental bond when children are born with physical defects. The author studied parents' behavior toward 1,450 children born with defects in three hospitals in Israel, and then conducted follow-up studies over a period of six years with 200 families in their homes. One of the major recurring patterns of parental behavior was a massive tendency toward rejection of deformed children. Rejection was manifested by parents' wishes for drastic separation from their children through abandonment, institutionalization, or giving up for adoption. If brought home, the children were isolated and hidden from view. Weiss found that half of the newborns with physically observable defects were abandoned by their parents in the hospital. Even when the parents were assured by doctors that their children would develop intellectually or would not require special care, the tendency to abandon remained strong. Normal children who suffered physical deformity due to burns or other accidents were similarly rejected by their parents. This study will take a major place in the literature on human behavior because through exhaustive and long-term observation of actual behavior in thousands of individual situations, it exposes the extreme importance of physical appearance in interpersonal relations. The author describes how the deformity causes confusion in the parents' cognitive system, labelling the child with a name such as monster or devil or creature, or another non-human category. Parents' reactions to their children's body image are discussed and the concept of body boundaries is analyzed. Children connected to medical apparatus or sickly children are the cause of much parental rejection. Also, territorial restrictions are placed on the deformed child in the home. These range from closeting or imprisoning in unfurnished surroundings separate from the family to demotion to servant status within the family. This study refutes most assumptions in the literature and shows that forming bonds with one's biological child is not necessarily spontaneous, automatic, or natural, and that every child undergoes a process of adoption or rejection based on external appearance and whether or not that appearance matches the parents' image of a "person." Hospital personnel, social workers, sociologists and anthropologists will be profoundly influenced by this work, as will be all others who read it.
ресурс содержит графическое изображение (иллюстрацию)

Опубликовано на портале: 08-09-2006
The author through discussions of her own experiences, shows how cultural heritage can affect delivery and acceptance of health care and how professionals, when interacting with their clients, need to be aware of these issues in order to deliver safe and professional care. Traditional and alternative health care beliefs and practices from Asian American, African American, Hispanic, and American Indian perspectives are represented.

First of all the author focuses on the background knowledge one must recognize as the foundation for developing cultural competency. In chapter 1 she explores the concept of cultural heritage and history and the roles they play in one's perception of health and illness. This exploration is first outlined in general terms: What is culture? How is it transmitted? What is ethnicity? What is religion? How do they affect a given person's health? What major sociocultural events occurred during the life trajectory of a given person that may influence their personal health beliefs and practices? Chapter 2 presents a discussion of the diversity—demographic, immigration, and poverty—that impacts on the delivery of and access to health care. The backgrounds of each of the U.S. Census Bureau's categories of the population, an overview of immigration, and an overview of issues relevant to poverty are presented. Chapter 3 reviews the provider's knowledge of his or her own perceptions, needs, and understanding of health and illness. After that R. Spector explores the domains of health, blends them with one's personal heritage, and contrasts them with allopathic philosophy. In chapter 4 she introduces the concept of health and develops the concept in broad and general terms. The Health Traditions Model is presented, as are natural methods of health restoration. Chapter 5 is devoted to the concept of healing and the role that faith plays in the context of healing, or magico-religious, traditions. This is an increasingly important issue, which is evolving to a point where the health care provider must have some understanding of this phenomenon. Chapter 6 discusses family heritage and explores personal and familial health traditions. It includes an array of familial health beliefs and practices shared by people from many different heritages. And chapter 7 focuses on the allopathic health care delivery system and the health care provider culture. Once the study of each of these components has been completed, the author moves on to explore selected population groups in more detail, to portray a panorama of traditional health and illness beliefs and practices, and present relevant health care issues.
ресурс содержит графическое изображение (иллюстрацию)