Suchergebnisse

At blive forældre ved hjælp af medicinsk teknologi og ekspertise er en belastende proces, der gør tilblivelsen anderledes og sætter spor i den efterfølgende graviditet.

The article addresses the theme of "masculinities" from the perspective of infertile men and their partners. It argues that experiences of infertility should be understood as disruption in relation to the body and in relation to the narrative of life that is informed by cultural notions of kinship and gender. These notions are closely connected to a culturally specific story of coming-into-being, which gives symbolic priority to biological procreation and genetic connectedness. Being a real father and a real man depends on procreative abilities. In order to come to terms with infertility, infertile men try to redefine such ideologies of authenticity. The article illustrates how infertile men are confronted by strong cultural associations between fertility, sexuality and masculinity, and how these notions are related to other ideas of masculinity such as independence of the individual, ability to be a provider and a conception of the "intact" body. Finally, the article demonstrates how men and women differ in coping with infertility, childlessness and fertility treatment, and their longings for parenthood. However, gender is not the only difference, which makes a difference in the world of infertile and childless people. The ideas of masculinities unfold through men's relations with other men and through generational differences and similarities.

Flere undersøgelser viser, at en kræftdiagnose kan afstedkomme en eksistentiel chokbølge med angst, fremtidsbekymringer og revidering af livsplaner som følge. Håb er en vigtig komponent af livet med en kræftsygdom, men der mangler viden om, hvordan håb udspiller sig konkret i hverdagslivet med kræft, og hvordan håb påvirker og påvirkes af sociale relationer. En indsigt heri vil kunne bane vej for, at rehabilitering tilrettelægges, således at håb, livsplaner og livsorienteringer bliver en integreret del heraf. Artiklen bygger på etnografisk materiale fra forfatternes antropologiske studier blandt mennesker med kræft i Danmark. Cheryl Mattinglys begreb håbsarbejde og Barbara Adams begreber om tid benyttes til at sætte fokus på nogle overordnede tidsorienteringer eller temporaliteter. Vi viser, at et liv med kræft analytisk kan anskues som et ophold i en lobby, hvor fremtiden er usikker og forbundet med konkrete ny-orienteringer, handlinger og praksis.

Extensive social science research, particularly by anthropologists, has explored women's reproductive lives, their use of reproductive technologies, and their experiences as mothers and nurturers of children. Meanwhile, few if any volumes have explored men's reproductive concerns or contributions to women's reproductive health: Men are clearly viewed as the "second sex" in reproduction. This volume argues that the marginalization of men is an oversight of considerable proportions. It sheds new light on male reproduction from a cross-cultural, global perspective, focusing not only upon men i

BACKGROUND: Many veterans suffer from Post-Traumatic Stress Disorder (PTSD) after returning from military missions. This implies complex physical and psychosocial problems for veterans and their families. Treatment options today are primarily medically and psychologically founded but treatment response is incomplete. Body therapy for PTSD is scarcely researched though subject of increased attention. In 2015, a Danish pilot study was conducted exploring body therapy for PTSD. The study showed positive results and formed basis for a randomised controlled trial. This paper outlines the protocol for this trial. METHODS: The intervention will be evaluated in a two-arm randomised controlled trial (1:1). The trial will include 42 veterans with PTSD recruited by the Danish Military Psychiatric Centre. The intervention group receives treatment as usual and weekly body therapy treatment as add-on. The control group receives treatment as usual (TAU). Participants will complete four questionnaires assessing PTSD, depression, quality of life, function level and body awareness: at baseline, and at 3 months, 6 months and 12 months post baseline. Linear regression models and mixed effects models will be used to assess intervention effects. Furthermore, an ethnographic study will examine how the participants experience the treatment and changes in their everyday life. The ethnographic study is based on in-depth interviews, participant observations and focus groups. A mixed method, convergent parallel design will be applied. DISCUSSION: This study examines the efficacy of body therapy for veterans with PTSD and how the treatment is experienced and affects daily life. The study will contribute with important knowledge on an alternative treatment for PTSD. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03777800.

Early diagnosis and rapid treatment are deemed essential in relation to cancer. In 2007, Denmark implemented accelerated cancer patient pathways with predetermined time frames to reduce waiting time. In this article, based on fieldwork with observations at two hospitals and ethnographic interviews, we examine temporal experiences of the cancer patient pathway for endometrial cancer of the uterus at stage I. Results show that while the cancer patient pathway helps suspend thoughts of death it also brings a sense of timely confusion and concerns about whether disease has spread. This ambivalence is linked to a political discourse of cancer in general as acute and a clinical, biomedical framing of endometrial cancer in particular as "good" due to its slow growth. We demonstrate how women customize their temporal experiences to accelerate or decelerate time and argue that waiting is not necessarily a passive state. We emphasize the need for professionals to be aware that the cancer patient pathway time and subjective patient time are not always synchronized.

Background: Many veterans suffer from Post-Traumatic Stress Disorder (PTSD) after returning from military missions. This implies complex physical and psychosocial problems for veterans and their families. Treatment options today are primarily medically and psychologically founded but treatment response is incomplete. Body therapy for PTSD is scarcely researched though subject of increased attention. In 2015, a Danish pilot study was conducted exploring body therapy for PTSD. The study showed positive results and formed basis for a randomised controlled trial. This paper outlines the protocol for this trial. Methods: The intervention will be evaluated in a two-arm randomised controlled trial (1:1). The trial will include 42 veterans with PTSD recruited by the Danish Military Psychiatric Centre. The intervention group receives treatment as usual and weekly body therapy treatment as add-on. The control group receives treatment as usual (TAU). Participants will complete four questionnaires assessing PTSD, depression, quality of life, function level and body awareness: at baseline, and at 3 months, 6 months and 12 months post baseline. Linear regression models and mixed effects models will be used to assess intervention effects. Furthermore, an ethnographic study will examine how the participants experience the treatment and changes in their everyday life. The ethnographic study is based on in-depth interviews, participant observations and focus groups. A mixed method, convergent parallel design will be applied. Discussion: This study examines the efficacy of body therapy for veterans with PTSD and how the treatment is experienced and affects daily life. The study will contribute with important knowledge on an alternative treatment for PTSD. Trial registration: ClinicalTrials.gov Identifier: NCT03777800.

Background: For more than 30 years policy action across sectors has been celebrated as a necessary and viable way to affect the social factors impacting on health. In particular intersectoral action on the social determinants of health is considered necessary to address social inequalities in health. However, despite growing support for intersectoral policymaking, implementation remains a challenge. Critics argue that public health has remained naïve about the policy process and a better understanding is needed. Based on ethnographic data, this paper conducts an in-depth analysis of a local process of intersectoral policymaking in order to gain a better understanding of the challenges posed by implementation. To help conceptualize the process, we apply the theoretical perspective of organizational neo-institutionalism, in particular the concepts of rationalized myth and decoupling. Methods: On the basis of an explorative study among ten Danish municipalities, we conducted an ethnographic study of the development of a municipal-wide implementation strategy for the intersectoral health policy of a medium-sized municipality. The main data sources consist of ethnographic field notes from participant observation and interview transcripts. Results: By providing detailed contextual description, we show how an apparent failure to move from policy to action is played out by the ongoing production of abstract rhetoric and vague plans. We find that idealization of universal intersectoralism, inconsistent demands, and doubts about economic outcomes challenge the notion of implementation as moving from rhetoric to action. Conclusion: We argue that the 'myth' of intersectoralism may be instrumental in avoiding the specification of action to implement the policy, and that the policy instead serves as a way to display and support good intentions and hereby continue the process. On this basis we expand the discussion on implementation challenges regarding intersectoral policymaking for health.

Ideas about intersectoral action and policy-making for health (ISA) are prominent among public health professionals. They are often presented as effective ways to address root causes of poor health and health inequality, and as such the best way to promote population health. The implementation of such ideas has proven difficult though. In this paper we argue that neoinstitutional theory can help us conceptualize implementation challenges by pointing to implicit expectations and contradictions associated with the ISA idea itself. With Denmark as empirical case, we conducted a document analysis of recommendations for municipal ISA. The analysis shows how the recommendations provide a very abstract conceptualization of ISA that does not give much practical guidance for action. We show how ISA is discursively constructed with buzzword qualities as the natural way to organize health promotion, by being presented as a means to produce better quality services, more cost-effective operations and ensure the future of the welfare state, while at the same time hardly changing much at all. By applying the lens of institutional logics we show how ISA, although being vaguely defined, offer ambiguous normative and symbolic repertoires for action. We discuss the implementation challenges associated with this advocacy rhetoric and suggest that the domination of the corporation logic may appear to reduce the political character of ISA and potentially conflict with the ideals of health as a matter of social justice and human rights.