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This essay deals with a relevant and controversial topic – objectivity in ethnographic research. More specifically, I would like to examine how reflexive procedures, more precisely "reflexive account", can increase the robustness of results gained through an ethnographic research. The essay is organized in five parts. I will start by giving a preliminary definition of the two key concepts which are at the center of the analysis – objectivity and reflexivity. I will then give a brief description of the epistemological framework in which the proposed conceptions of objectivity and reflexivity are located. Thirdly, I move on to consider the epistemic status of ethnographic research, and will emphasize that ethnographies are not just "theory-laden", as many writers have stated, but also "praxis" or "procedure laden". In other words, I will stress that it is not only theories which are inevitably embedded in research, influencing how observations can be made; much the same can also be said of the concrete research practices which contribute to determine the experience of the ethnographer and its representation in a text. Fourthly, I will discuss why it is useful to employ reflexive practices, and then immediately afterwards will illustrate the ways in which reflexive descriptions can contribute to greater objectivity of ethnographic accounts. In conclusion, I will discuss a number of objections which have been raised against this use of reflexivity.

RESUMO O Diálogo Aberto é um método desenvolvido na década de 1980, na Finlândia, para o enfrentamento da crise psicótica. Este artigo é um ensaio teórico que tem como objetivo apresentar o Diálogo Aberto em seus princípios e enquanto prática de saúde mental desinstitucionalizante, enfatizando seu potencial terapêutico, seus resultados e suas contribuições para outros países. Conclui-se que, para a implementação do Diálogo Aberto em outros contextos, é necessária uma mudança organizativa na estruturação dos serviços e uma substantiva mudança cultural no interior da equipe e da comunidade.

Health and illness in the Neoliberal Era in Europe discusses the impact of neoliberalism on public health and the social construction of health and illness in Europe, analysing case studies at a European and national level. The book focusses on three main topics: health inequity, self-responsibilisation and organisational reforms. Increasing inequity is one of the main outcomes of neoliberal policy in Europe and here the authors examine the impact of neoliberal policies on health inequality, providing a European comparative data analysis of healthy life expectancy and mental health issues in Spain. The book looks at self-responsibilisation, as part of neoliberal citizenship, through topics such as crowdsourcing medicine and citizen science. Finally, it analyses organizational reform in Europe using three case studies: Italian national health care reforms, mental health policy in Italy and maternal care in Russia. The book includes contributions from the Czech Republic, Italy, Russia and Spain and fosters the development of sociological debate in such countries within a European framework. It presents quantitative data analysis as well as ethnographic research and outlines a complex scenario affecting the everyday life of European citizens, their health and illness.