From dlong@fpm.eushc.org Sun Nov 1 08:03:30 1998 Received: from graf.cc.emory.edu (graf.cc.emory.edu [170.140.1.44]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA12075 for ; Sun, 1 Nov 1998 08:03:28 -0700 (MST) Received: from fpm.eushc.org (fpm.eushc.org [163.246.110.190]) by graf.cc.emory.edu (8.8.8/8.8.8) with ESMTP id KAA29765; Sun, 1 Nov 1998 10:03:21 -0500 (EST) Message-Id: <199811011503.KAA29765@graf.cc.emory.edu> Received: from FPM/SpoolDir by fpm.eushc.org (Mercury 1.31); 1 Nov 98 10:04:07 est5edt Received: from SpoolDir by FPM (Mercury 1.31); 1 Nov 98 10:03:43 est5edt From: "David Michael Long" To: kjrobert@ucla.edu Date: Sun, 1 Nov 1998 10:03:38 -0400 MIME-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Subject: Re: Soc. of Mental Illness CC: MedSoc@csf.colorado.edu, carboy@lamar.ColoState.EDU In-reply-to: <199810312148.NAA11324@theta2.ben2.ucla.edu> X-mailer: Pegasus Mail for Win32 (v2.54) Hi Kathleen, Will it be a undergraduate or graduate level course? I think it would make a difference in suggestions for the main text, but some obvious (well, to me at least) and necessary readings would include Goffman's "Stigma" and "Asylums," Szasz's "The Myth of Mental Illness," RD Laing's work, and all the stuff on Labeling Theory as related to deviance. I usually ask clients from a local community mental health center to come and address the class, most of them have designated "speaker" representatives. There was a nice PBS documentary about four years back about the history of St. Elizabeth's Hospital in Washington, DC (the massive federal psychiatric institute which served as the basis for both Goffman's "Asylums" and I think Kessey's "One Flew Over the Cuckoos Nest") and it also does a good job covering the deinstitutionalization movement in the US. I don't know if there has been any similar BBC production on the history of Bethlehem Hospital in London (from which we get the word "bedlam")? Since you are at UCLA, there are a few articles on the interaction of the socially constructed definition of mental illness and cultural scripts, i.e., the underutilization of mental health serviuces among Southwest Latino populations as an aspect of a strong familial network and a deemphasis on medically labeling deviance. For a graduate course I would definitely get into the psychiatric epi, especially the work of Dohrenwend and Dohrenwend (they had a nice article in Science back around 91 or 92). There is also an excellent article comparing diagnosis of schizophrenia versus bipolar disorder between French and British psychiatrists based on the DSM and the same medical charts, and how the same symptoms would often result in a different diagnosis depending on the country. Of course, while I would focus on chronic mental illnesses (e.g., schizophrenia, bipolar, borderline personality disorder, etc.) you mightb also want to cover topics that would inlcude addictions and learning disorders or even "diseases of the mind" such as Parkinsons, Alzheimers, and AIDS-related dementia. Parts of the book "Listening To Prozac" nicely describe the concept of cosmetic psychopharmacology, i.e., the use of medications to achieve a psychiatric "spa effect" to enhance emotional and mental wellbeing amongst individuals with no identifiable deficits. I'll try to track down some specific references, but I hope this helps. Dave Long > I will be teaching a Sociology of Mental Illness course for the first time > this summer. I would appreciate any suggestions list members may have > regarding textbooks and supplemental readings. What have you used > successfully in your Soc. of Mental Illness courses? Also, do you have any > suggestions regarding "active learning" classroom assignments and/or > activities that have worked well for this course? Thanks in advance. > David M. Long, MPH Department of Family and Preventive Medicine Emory University School of Medicine 69 Butler Street, SE Atlanta, Georgia 30303-3219 404-616-2389 (voice) 404-616-6847 (fax) dlong@fpm.eushc.org "Man makes himself... Life is nothing until it is lived." - Jean-Paul Sartre "God can be shaped. God is Change." - Octavia Butler "The tradition of all the dead generations weighs like a nightmare on the brain of the living." - Karl Marx "Resist or serve." - D. Long From ej1@axe.humboldt.edu Sun Nov 1 16:14:11 1998 Received: from axe.humboldt.edu (axe.humboldt.edu [137.150.148.10]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id QAA24857 for ; Sun, 1 Nov 1998 16:14:05 -0700 (MST) Received: by axe.humboldt.edu id PAA08930; Sun, 1 Nov 1998 15:14:02 -0800 (PST) Date: Sun, 1 Nov 1998 15:14:02 -0800 (PST) From: Schlafer Schwester To: MEDICAL SOCIOLOGY Subject: Re: Soc. of Mental Illness In-Reply-To: <199810312148.NAA11324@theta2.ben2.ucla.edu> Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII Sorry, I don't really have any information for you, but if you do find some resources, let me know. I've been down the mental health road myself and this particular topic interests me. If you feel you can, try also reading up information on how other cultures deal with mental illness and make some comparisons. Maybe also even finding some mental health patients and try interviewing them. Just some suggestions. You probably have plans of your own. :-) Elina Johari On Sat, 31 Oct 1998, Kathleen Johnston Roberts wrote: > I will be teaching a Sociology of Mental Illness course for the first time > this summer. I would appreciate any suggestions list members may have > regarding textbooks and supplemental readings. What have you used > successfully in your Soc. of Mental Illness courses? Also, do you have any > suggestions regarding "active learning" classroom assignments and/or > activities that have worked well for this course? Thanks in advance. > > Kathleen Johnston Roberts, Ph.D. > Postdoctoral Scholar > NIMH AIDS Training Program > Department of Sociology > University of California > Los Angeles, CA 90095-1551 > > From Bette_Ide@MAIL.UND.NODAK.EDU Sun Nov 1 16:32:02 1998 Received: from MAIL.UND.NODAK.EDU (garnet.und.NoDak.edu [134.129.201.26]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with SMTP id QAA25950 for ; Sun, 1 Nov 1998 16:32:00 -0700 (MST) Received: from UND1-Message_Server by MAIL.UND.NODAK.EDU with Novell_GroupWise; Sun, 01 Nov 1998 17:31:55 -0600 Message-Id: Date: Sun, 01 Nov 1998 17:31:43 -0600 From: Bette Ide To: MedSoc@csf.colorado.edu Subject: Re: Soc. of mental illness Mime-Version: 1.0 Content-Type: text/plain Content-Disposition: inline You may have to end up making up a book of readings. Also, how about having the students interview people from other cultures about how they treat the mentally ill along with delving into the literature? Could be a nice assignment. From Gaze77e@aol.com Sun Nov 1 20:33:51 1998 Received: from imo21.mx.aol.com (imo21.mx.aol.com [198.81.17.65]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id UAA04080 for ; Sun, 1 Nov 1998 20:33:49 -0700 (MST) From: Gaze77e@aol.com Received: from Gaze77e@aol.com by imo21.mx.aol.com (IMOv16.10) id DGBEa17823 for ; Sun, 1 Nov 1998 22:33:34 +1900 (EST) Message-ID: <3146d513.363d280e@aol.com> Date: Sun, 1 Nov 1998 22:33:34 EST To: MedSoc@csf.colorado.edu Mime-Version: 1.0 Subject: Re: Soc. of Mental Illness Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit In the interest of a creative solution, may I suggest a learning project : a set amount of hours of community service in a mental health capacity for each student. This seems to be a great source of information, as such I hope you will all allow me to tap into it by asking some totally unrelated questions. I want to do some overseas missionary work. I am studiing in the medical field. I also speak italian and spanish. Any suggestions? From Gaze77e@aol.com Sun Nov 1 20:48:41 1998 Received: from imo28.mx.aol.com (imo28.mx.aol.com [198.81.17.72]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id UAA04572 for ; Sun, 1 Nov 1998 20:48:39 -0700 (MST) From: Gaze77e@aol.com Received: from Gaze77e@aol.com by imo28.mx.aol.com (IMOv16.10) id DJNHa02083 for ; Sun, 1 Nov 1998 22:48:29 +1900 (EST) Message-ID: <8017605e.363d2b8d@aol.com> Date: Sun, 1 Nov 1998 22:48:29 EST To: medsoc@csf.colorado.edu Mime-Version: 1.0 Subject: Fwd: Soc. of Mental Illness Content-type: multipart/mixed; boundary="part0_909978510_boundary" This is a multi-part message in MIME format. --part0_909978510_boundary Content-ID: <0_909978510@inet_out.mail.aol.com.1> Content-type: text/plain; charset=US-ASCII --part0_909978510_boundary Content-ID: <0_909978510@inet_out.mail.aol.com.2> Content-type: message/rfc822 Content-transfer-encoding: 7bit Content-disposition: inline Return-Path: Received: from rly-zc05.mx.aol.com (rly-zc05.mail.aol.com [172.31.33.5]) by air-zc01.mail.aol.com (v51.9) with SMTP; Sun, 01 Nov 1998 22:37:53 1900 Received: from csf.Colorado.EDU (csf.Colorado.EDU [128.138.129.195]) by rly-zc05.mx.aol.com (8.8.8/8.8.5/AOL-4.0.0) with ESMTP id WAA26909; Sun, 1 Nov 1998 22:37:39 -0500 (EST) Received: from host (localhost [127.0.0.1]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with SMTP id UAA04181; Sun, 1 Nov 1998 20:35:12 -0700 (MST) Received: from imo21.mx.aol.com (imo21.mx.aol.com [198.81.17.65]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id UAA04080 for ; Sun, 1 Nov 1998 20:33:49 -0700 (MST) Received: from Gaze77e@aol.com by imo21.mx.aol.com (IMOv16.10) id DGBEa17823 for ; Sun, 1 Nov 1998 22:33:34 +1900 (EST) Message-Id: <3146d513.363d280e@aol.com> Date: Sun, 1 Nov 1998 22:33:34 EST Reply-To: MedSoc@csf.colorado.edu Sender: owner-MedSoc@csf.colorado.edu Precedence: bulk From: Gaze77e@aol.com To: MEDICAL SOCIOLOGY Subject: Re: Soc. of Mental Illness X-Listprocessor-Version: 8.0 -- ListProcessor(tm) by CREN Mime-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit In the interest of a creative solution, may I suggest a learning project : a set amount of hours of community service in a mental health capacity for each student. This seems to be a great source of information, as such I hope you will all allow me to tap into it by asking some totally unrelated questions. I want to do some overseas missionary work. I am studiing in the medical field. I also speak italian and spanish. Any suggestions? --part0_909978510_boundary-- From Gaze77e@aol.com Sun Nov 1 20:49:48 1998 Received: from imo24.mx.aol.com (imo24.mx.aol.com [198.81.17.68]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id UAA04633 for ; Sun, 1 Nov 1998 20:49:46 -0700 (MST) From: Gaze77e@aol.com Received: from Gaze77e@aol.com by imo24.mx.aol.com (IMOv16.10) id DYFWa02341 for ; Sun, 1 Nov 1998 22:49:41 +1900 (EST) Message-ID: <8a13a61c.363d2bd5@aol.com> Date: Sun, 1 Nov 1998 22:49:41 EST To: MedSoc@csf.colorado.edu Mime-Version: 1.0 Subject: Fwd: Soc. of Mental Illness Content-type: multipart/mixed; boundary="part0_909978582_boundary" This is a multi-part message in MIME format. --part0_909978582_boundary Content-ID: <0_909978582@inet_out.mail.aol.com.1> Content-type: text/plain; charset=US-ASCII --part0_909978582_boundary Content-ID: <0_909978582@inet_out.mail.aol.com.2> Content-type: message/rfc822 Content-transfer-encoding: 7bit Content-disposition: inline Return-Path: Received: from rly-zc05.mx.aol.com (rly-zc05.mail.aol.com [172.31.33.5]) by air-zc01.mail.aol.com (v51.9) with SMTP; Sun, 01 Nov 1998 22:37:53 1900 Received: from csf.Colorado.EDU (csf.Colorado.EDU [128.138.129.195]) by rly-zc05.mx.aol.com (8.8.8/8.8.5/AOL-4.0.0) with ESMTP id WAA26909; Sun, 1 Nov 1998 22:37:39 -0500 (EST) Received: from host (localhost [127.0.0.1]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with SMTP id UAA04181; Sun, 1 Nov 1998 20:35:12 -0700 (MST) Received: from imo21.mx.aol.com (imo21.mx.aol.com [198.81.17.65]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id UAA04080 for ; Sun, 1 Nov 1998 20:33:49 -0700 (MST) Received: from Gaze77e@aol.com by imo21.mx.aol.com (IMOv16.10) id DGBEa17823 for ; Sun, 1 Nov 1998 22:33:34 +1900 (EST) Message-Id: <3146d513.363d280e@aol.com> Date: Sun, 1 Nov 1998 22:33:34 EST Reply-To: MedSoc@csf.colorado.edu Sender: owner-MedSoc@csf.colorado.edu Precedence: bulk From: Gaze77e@aol.com To: MEDICAL SOCIOLOGY Subject: Re: Soc. of Mental Illness X-Listprocessor-Version: 8.0 -- ListProcessor(tm) by CREN Mime-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit In the interest of a creative solution, may I suggest a learning project : a set amount of hours of community service in a mental health capacity for each student. This seems to be a great source of information, as such I hope you will all allow me to tap into it by asking some totally unrelated questions. I want to do some overseas missionary work. I am studiing in the medical field. I also speak italian and spanish. Any suggestions? --part0_909978582_boundary-- From meramos@mailhost.tcs.tulane.edu Mon Nov 2 08:43:56 1998 Received: from spnode04.tcs.tulane.edu (spnode04.tcs.tulane.edu [129.81.224.13]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA26716 for ; Mon, 2 Nov 1998 08:43:51 -0700 (MST) Received: from localhost (meramos@localhost) by spnode04.tcs.tulane.edu (8.8.5/8.8.4) with SMTP id JAA63924 for ; Mon, 2 Nov 1998 09:43:49 -0600 X-Authentication-Warning: spnode04.tcs.tulane.edu: meramos owned process doing -bs Date: Mon, 2 Nov 1998 09:43:49 -0600 (CST) From: Maria Ramos-Tovar X-Sender: meramos@spnode04.tcs.tulane.edu To: MedSoc@csf.colorado.edu Subject: material suggestions Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII I am a professor at a Mexican university of Monterrey. Next spring I will teach a class on medical sociology and I would appreciate any suggestions on audio/video materials in Spanish or with English subtitles. Thank you for your help. Sincerely Maria Elena. =========================== Universidad de Monterrey Depto. de Ciencias Sociales Ave. Morones Prieto 4500 pte. Garza Garcia, N.L. C.P. 66238 (8) 338-5050 ext. 152 From haritos@email.unc.edu Mon Nov 2 16:04:45 1998 Received: from listserv.oit.unc.edu (listserv.oit.unc.edu [152.2.25.17]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id QAA14602 for ; Mon, 2 Nov 1998 16:04:42 -0700 (MST) Received: from root@login1.isis.unc.edu (port 1044 [152.2.25.131]) by listserv.oit.unc.edu with ESMTP id <223979-267>; Mon, 2 Nov 1998 18:02:29 -0500 Received: by email.unc.edu id <15378-39404>; Mon, 2 Nov 1998 18:03:38 -0500 Date: Mon, 2 Nov 1998 18:03:35 -0500 (EST) Sender: Rosa Haritos From: Rosa Haritos X-Sender: haritos@login1.isis.unc.edu To: Medical Sociology Listerver Subject: Impact of the Medical Record Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII Does anyone know of articles, authors, etc. who have examined the impact of the medical record for the profession of medicine? I have a nursing student who's interested in investigating this topic for my course in medical sociology. You can respond directly to me at haritos@email.unc.edu thanks rosa **************************** Rosa Haritos, Ph.D. Assistant Professor, Dept. Sociology University of North Carolina at Chapel Hill 269 Hamilton Hall, CB#3210 Chapel Hill, N.C. 27599-3210 Office: 919 962 6876 From ansar@showme.missouri.edu Tue Nov 3 14:13:03 1998 Received: from sp2n17.missouri.edu (sp2n17-t.missouri.edu [128.206.2.27]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id OAA05348 for ; Tue, 3 Nov 1998 14:13:01 -0700 (MST) Received: from sp2n23-t.missouri.edu (sp2n23.missouri.edu [128.206.2.84]) by sp2n17.missouri.edu (8.9.0/8.9.0) with ESMTP id PAA27710 for ; Tue, 3 Nov 1998 15:12:52 -0600 Received: from localhost (ansar@localhost) by sp2n23-t.missouri.edu (8.9.0/8.9.0) with SMTP id PAA268422 for ; Tue, 3 Nov 1998 15:12:52 -0600 X-Authentication-Warning: sp2n23-t.missouri.edu: ansar owned process doing -bs Date: Tue, 3 Nov 1998 15:12:50 -0600 (CST) From: "Andrew C. Twaddle" X-Sender: ansar@sp2n23-t.missouri.edu To: MEDICAL SOCIOLOGY Subject: Re: Impact of the Medical Record In-Reply-To: Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII I don't know of anything. Perhaps someone who has done some work on medical history (George Reeder, Paul Starr, Rosemary Stevens) could be of more help. I think the idea is interesting. If you come up with any references, please let me know. =============================================================================== Andrew C. Twaddle www.missouri.edu/~ansar Professor of Sociology University of Missouri Columbia, MO 65211 for non- MU related phone 573+882-7031 correspondence please use fax 573+884=6430 ansar@gwi.net ============================================================================== On Mon, 2 Nov 1998, Rosa Haritos wrote: > Does anyone know of articles, authors, etc. who have examined the impact > of the medical record for the profession of medicine? > > I have a nursing student who's interested in investigating this topic for > my course in medical sociology. You can respond directly to me at > > haritos@email.unc.edu > > > thanks > rosa > **************************** > Rosa Haritos, Ph.D. > Assistant Professor, Dept. Sociology > University of North Carolina at Chapel Hill > 269 Hamilton Hall, CB#3210 > Chapel Hill, N.C. 27599-3210 > Office: 919 962 6876 > From schandle@mail.sdsu.edu Tue Nov 3 17:07:50 1998 Received: from mail.sdsu.edu (mail.sdsu.edu [130.191.25.1]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id RAA12753 for ; Tue, 3 Nov 1998 17:07:47 -0700 (MST) Received: from oemcomputer ([130.191.9.18]) by mail.sdsu.edu (8.8.7/8.8.7) with SMTP id QAA19130 for ; Tue, 3 Nov 1998 16:07:40 -0800 (PST) Message-Id: <3.0.3.32.19981103160749.006c5270@mail.sdsu.edu> X-Sender: schandle@mail.sdsu.edu Date: Tue, 03 Nov 1998 16:07:49 -0800 To: MedSoc@csf.colorado.edu From: Shelly Chandler Subject: Re: Impact of the Medical Record In-Reply-To: References: Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" A > >=========================================================================== ==== > >p >=========================================================================== === > >On Mon, 2 Nov 1998, Rosa Haritos wrote: > >> Does anyone know of articles, authors, etc. who have examined the impact >> of the medical record for the profession of medicine? >> >> I have a nursing student who's interested in investigating this topic for >> my course in medical sociology. You can respond directly to me at >> >> haritos@email.unc.edu >> >> >> thanks >> rosa >> **************************** >> Rosa Haritos, Ph.D. >> Assistant Professor, Dept. Sociology >> University of North Carolina at Chapel Hill >> 269 Hamilton Hall, CB#3210 >> Chapel Hill, N.C. 27599-3210 >> Office: 919 962 6876 >> > >Rosa, A book on medical socialization published in 1970, Emily Mumford, Interns; >From Students to Physicians, has an interesting chapter entitled "The Medical Chart." Shelly Chandler From soa01cfs@gold.ac.uk Wed Nov 4 01:49:35 1998 Received: from gold.ac.uk (scorpio.gold.ac.uk [158.223.1.1]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id BAA26261 for ; Wed, 4 Nov 1998 01:49:32 -0700 (MST) Received: from localhost (soa01cfs@localhost) by gold.ac.uk (8.8.7/8.8.7) with SMTP id IAA22669 for ; Wed, 4 Nov 1998 08:49:26 GMT Date: Wed, 4 Nov 1998 08:49:26 +0000 (GMT) From: Clive Seale To: MEDICAL SOCIOLOGY Subject: Re: Impact of the Medical Record In-Reply-To: Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII There is a chapter in: Atkinson, P., Heath C., (eds) (1981) Medical Work: Realities & Routines, Gower (Farnborough). It is Chapter 4: Records and hospital routine. I forget the author. Yours, Clive Seale Department of Sociology Goldsmiths College Lewisham Way London SE14 6NW Phone: 0171 919 7729 (direct) 0171 919 7707 (office) Fax: 0171 919 7713 On Tue, 3 Nov 1998, Andrew C. Twaddle wrote: > I don't know of anything. Perhaps someone who has done some work on > medical history (George Reeder, Paul Starr, Rosemary Stevens) could be of > more help. I think the idea is interesting. If you come up with any > references, please let me know. > > =============================================================================== > Andrew C. Twaddle www.missouri.edu/~ansar > Professor of Sociology > University of Missouri > Columbia, MO 65211 for non- MU related > phone 573+882-7031 correspondence please use > fax 573+884=6430 ansar@gwi.net > ============================================================================== > > On Mon, 2 Nov 1998, Rosa Haritos wrote: > > > Does anyone know of articles, authors, etc. who have examined the impact > > of the medical record for the profession of medicine? > > > > I have a nursing student who's interested in investigating this topic for > > my course in medical sociology. You can respond directly to me at > > > > haritos@email.unc.edu > > > > > > thanks > > rosa > > **************************** > > Rosa Haritos, Ph.D. > > Assistant Professor, Dept. Sociology > > University of North Carolina at Chapel Hill > > 269 Hamilton Hall, CB#3210 > > Chapel Hill, N.C. 27599-3210 > > Office: 919 962 6876 > > > > From D.Hughes@swansea.ac.uk Wed Nov 4 03:02:57 1998 Received: from mhs.swan.ac.uk (mhs.swan.ac.uk [137.44.1.33]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id DAA27800 for ; Wed, 4 Nov 1998 03:02:52 -0700 (MST) Received: from shs.swan.ac.uk by mhs with SMTP-LOCAL (XT-PP) with ESMTP; Wed, 4 Nov 1998 10:02:07 +0000 Received: by shs.swan.ac.uk with Internet Mail Service (5.0.1460.8) id <492M634M>; Wed, 4 Nov 1998 09:59:04 -0000 Message-ID: <51DA2947F405D2119ED700104B4AE51608EF09@shs.swan.ac.uk> From: "Hughes, David" To: MedSoc@csf.colorado.edu Subject: RE: Impact of the Medical Record Date: Wed, 4 Nov 1998 09:59:01 -0000 MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" The author of the chapter mentioned by Clive Seale is Colin Rees. A more recent article that is worth looking at is: Berg, M. (1996) Practices of reading and writing: the constitutive role of the patient record in medical work, Sociology of Health and Illness 18(4) 499-524. From heritage@soc.ucla.edu Wed Nov 4 07:21:05 1998 Received: from theta2.ben2.ucla.edu (theta2.ben2.ucla.edu [164.67.131.36]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id HAA07779 for ; Wed, 4 Nov 1998 07:21:03 -0700 (MST) Received: from [207.217.13.101] (pool0037-max2.ucla-ca-us.dialup.earthlink.net [207.217.13.101]) by theta2.ben2.ucla.edu (8.8.8/8.8.8) with ESMTP id GAA44034 for ; Wed, 4 Nov 1998 06:20:56 -0800 X-Sender: heritage@pop.sscnet.ucla.edu Message-Id: In-Reply-To: References: Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Date: Wed, 4 Nov 1998 06:22:05 -0800 To: MedSoc@csf.colorado.edu From: John Heritage Subject: Re: Impact of the Medical Record The author is Colin Rees John Heritage, UCLA >There is a chapter in: > >Atkinson, P., Heath C., (eds) (1981) Medical Work: Realities & Routines, >Gower (Farnborough). > >It is Chapter 4: Records and hospital routine. I forget the author. > >Yours, > > >Clive Seale >Department of Sociology >Goldsmiths College >Lewisham Way >London SE14 6NW > >Phone: 0171 919 7729 (direct) > 0171 919 7707 (office) > >Fax: 0171 919 7713 > > > > >On Tue, 3 Nov 1998, Andrew C. Twaddle wrote: > >> I don't know of anything. Perhaps someone who has done some work on >> medical history (George Reeder, Paul Starr, Rosemary Stevens) could be of >> more help. I think the idea is interesting. If you come up with any >> references, please let me know. >> >> >>=============================================================================== >>>> Andrew C. Twaddle www.missouri.edu/~ansar >> Professor of Sociology >> University of Missouri >> Columbia, MO 65211 for non- MU related >> phone 573+882-7031 correspondence please use >> fax 573+884=6430 ansar@gwi.net >> >>============================================================================== > >>> >> On Mon, 2 Nov 1998, Rosa Haritos wrote: >> >> > Does anyone know of articles, authors, etc. who have examined the impact >> > of the medical record for the profession of medicine? >> > >> > I have a nursing student who's interested in investigating this topic for >> > my course in medical sociology. You can respond directly to me at >> > >> > haritos@email.unc.edu >> > >> > >> > thanks >> > rosa >> > **************************** >> > Rosa Haritos, Ph.D. >> > Assistant Professor, Dept. Sociology >> > University of North Carolina at Chapel Hill >> > 269 Hamilton Hall, CB#3210 >> > Chapel Hill, N.C. 27599-3210 >> > Office: 919 962 6876 >> > >> >> From D.Hughes@swansea.ac.uk Wed Nov 4 07:54:43 1998 Received: from mhs.swan.ac.uk (mhs.swan.ac.uk [137.44.1.33]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id HAA09141 for ; Wed, 4 Nov 1998 07:54:39 -0700 (MST) Received: from shs.swan.ac.uk by mhs with SMTP-LOCAL (XT-PP) with ESMTP; Wed, 4 Nov 1998 14:54:28 +0000 Received: by shs.swan.ac.uk with Internet Mail Service (5.0.1460.8) id <492M63Z8>; Wed, 4 Nov 1998 14:51:38 -0000 Message-ID: <51DA2947F405D2119ED700104B4AE51608FF4D@shs.swan.ac.uk> From: "Hughes, David" To: MedSoc@csf.colorado.edu Subject: RE: Impact of the Medical Record Date: Wed, 4 Nov 1998 14:51:36 -0000 MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Another reference on medical records is Sally Macintyre's (1978) paper 'Some notes on record taking and making in an antenatal clinic' Sociological Review 26(3): 595-611. I wonder if anyone can help with a related enquiry? I am trying to get a sense of whether there is any literature on problems of research access to organizational documents, including records, files and other papers. My own empirical interest concerns access to National Health Service Contracts, which in theory are public documents but (perhaps for good organizational reasons) prove to be difficult to obtain in complete form. Does anybody know of any general literature (I'm already familiar with Wheeler, Scott, Plummer) on documents and research access, or of empirical studies that may be relevant? From schandle@mail.sdsu.edu Thu Nov 5 09:30:36 1998 Received: from mail.sdsu.edu (mail.sdsu.edu [130.191.25.1]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id JAA07850 for ; Thu, 5 Nov 1998 09:30:33 -0700 (MST) Received: from schandler ([130.191.123.8]) by mail.sdsu.edu (8.8.7/8.8.7) with SMTP id IAA19633 for ; Thu, 5 Nov 1998 08:30:28 -0800 (PST) Message-Id: <3.0.1.16.19981105082944.2dd78f10@mail.sdsu.edu> X-Sender: schandle@mail.sdsu.edu Date: Thu, 05 Nov 1998 08:29:44 -0800 To: MedSoc@csf.colorado.edu From: Shelly Chandler Subject: Re: Impact of the Medical Record In-Reply-To: <3.0.3.32.19981103160749.006c5270@mail.sdsu.edu> References: Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" At 04:07 PM 11/3/98 -0800, you wrote: >A >> >>=========================================================================== >==== >> >>p >>=========================================================================== >=== >> >>On Mon, 2 Nov 1998, Rosa Haritos wrote: >> >>> Does anyone know of articles, authors, etc. who have examined the impact >>> of the medical record for the profession of medicine? >>> >>> I have a nursing student who's interested in investigating this topic for >>> my course in medical sociology. You can respond directly to me at >>> >>> haritos@email.unc.edu >>> >>> >>> thanks >>> rosa >>> **************************** >>> Rosa Haritos, Ph.D. >>> Assistant Professor, Dept. Sociology >>> University of North Carolina at Chapel Hill >>> 269 Hamilton Hall, CB#3210 >>> Chapel Hill, N.C. 27599-3210 >>> Office: 919 962 6876 >>> >> >>Rosa, > >A book on medical socialization published in 1970, Emily Mumford, Interns; >>From Students to Physicians, has an interesting chapter entitled "The >Medical Chart." > >Shelly Chandler > > From schandle@mail.sdsu.edu Thu Nov 5 09:36:02 1998 Received: from mail.sdsu.edu (mail.sdsu.edu [130.191.25.1]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id JAA08067 for ; Thu, 5 Nov 1998 09:35:59 -0700 (MST) Received: from schandler ([130.191.123.8]) by mail.sdsu.edu (8.8.7/8.8.7) with SMTP id IAA21079 for ; Thu, 5 Nov 1998 08:35:54 -0800 (PST) Message-Id: <3.0.1.16.19981105083511.1fb72ad6@mail.sdsu.edu> X-Sender: schandle@mail.sdsu.edu Date: Thu, 05 Nov 1998 08:35:11 -0800 To: Medsoc@csf.colorado.edu From: Shelly Chandler Subject: Medicine and Culture Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" For several years I have been using Lynn Payer's book, Medicine and Culture in my Health and Illness class. It has been very useful for illustrating the social construction of the concept of health, and the variability of practices in several countries. The problem is the book is some years old now and, save for a new introduction, Payer has not updated it. Does anyone know of another, more recent work comparing the concepts of health and disease in a variety of different cultures and that would be appropriate for an undergraduate course? I would appreciate any ideas. Thanks, Shelly Chandler schandler@sciences.sdsu.edu From melb12902@sprynet.com Thu Nov 5 10:31:56 1998 Received: from m2.sprynet.com (m2.sprynet.com [165.121.1.99]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id KAA10166 for ; Thu, 5 Nov 1998 10:31:52 -0700 (MST) From: melb12902@sprynet.com Received: from 199.174.206.67 (dd63-067.dub.compuserve.com [199.174.206.67]) by m2.sprynet.com (8.8.5/8.8.5) with SMTP id JAA24532; Thu, 5 Nov 1998 09:32:24 -0800 (PST) Date: Thu, 5 Nov 1998 09:32:24 -0800 (PST) Message-Id: <199811051732.JAA24532@m2.sprynet.com> MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit Subject: Request for Info - Culture & Healthcare To: MEDSOC@csf.colorado.edu Cc: Melb12902@sprynet.com Hello Everyone. Does anyone know of books, journal articles, or other materials that provide discussion on conflicts that arise between patients and physicians (or other allied medical personnel) who hold different/conflicting cultural beliefs about what constitutes appropriate diagnosis and treatment of health problems? Any information you can provide will be appreciated. Melvin Bobo Department of Sociology Iowa State University e-mail: melb12902@sprynet.com From sgoold@umich.edu Thu Nov 5 13:37:52 1998 Received: from runningman.rs.itd.umich.edu (runningman.rs.itd.umich.edu [141.211.144.15]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id NAA17413 for ; Thu, 5 Nov 1998 13:37:49 -0700 (MST) Received: from umich.edu (ia-01.groupwise.med.umich.edu [141.214.254.241]) by runningman.rs.itd.umich.edu (8.8.5/2.3) with SMTP id PAA15240 for ; Thu, 5 Nov 1998 15:37:46 -0500 (EST) Received: from ia-01-Message_Server by umich.edu with Novell_GroupWise; Thu, 05 Nov 1998 15:37:45 -0500 Message-Id: Date: Thu, 05 Nov 1998 15:37:14 -0500 From: "Susan Goold" To: MedSoc@csf.colorado.edu Subject: Re: Request for Info - Culture & Healthcare Mime-Version: 1.0 Content-Type: text/plain; charset=US-ASCII Content-Disposition: inline The Hournal of Clinical Ethics has a recent issue on this very theme. Susan Dorr Goold University of Michigan >>> 11/05 12:32 PM >>> Hello Everyone. Does anyone know of books, journal articles, or other materials that provide discussion on conflicts that arise between patients and physicians (or other allied medical personnel) who hold different/conflicting cultural beliefs about what constitutes appropriate diagnosis and treatment of health problems? Any information you can provide will be appreciated. Melvin Bobo Department of Sociology Iowa State University e-mail: melb12902@sprynet.com From heritage@soc.ucla.edu Thu Nov 5 16:22:46 1998 Received: from theta2.ben2.ucla.edu (theta2.ben2.ucla.edu [164.67.131.36]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id QAA22618 for ; Thu, 5 Nov 1998 16:22:44 -0700 (MST) Received: from [207.217.13.175] (pool0014-max6.ucla-ca-us.dialup.earthlink.net [207.217.14.78]) by theta2.ben2.ucla.edu (8.8.8/8.8.8) with ESMTP id PAA38434 for ; Thu, 5 Nov 1998 15:22:41 -0800 X-Sender: heritage@pop.sscnet.ucla.edu Message-Id: In-Reply-To: <199811051732.JAA24532@m2.sprynet.com> Mime-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Date: Thu, 5 Nov 1998 15:23:52 -0800 To: MedSoc@csf.colorado.edu From: John Heritage Subject: Re: Request for Info - Culture & Healthcare Content-Transfer-Encoding: 8bit X-MIME-Autoconverted: from quoted-printable to 8bit by csf.Colorado.EDU id QAA22619 Gill, Virginia (frth). Doing attributions in medical interaction: patients' lay explanations for illness and doctors' responses. Social Psychology Quarterly (Dec 1998 issue) . Halkowski, Timothy (1997). An Anatomy of Medical Advice Rejection: A Natural History of Treatment Decision Negotiations. Paper presented at the annual meeting of the Society for Medical Decision Making, Houston, TX. . Heath, Christian (1992). The delivery and reception of diagnosis and assessment in the general practice consultation. In Paul Drew and John Heritage (ed.), Talk at Work. Cambridge, Cambridge University Press: 235-267. Heritage, John and Stivers, Tanya (1998). Online Commentary in Acute Medical Visits: A Method of Shaping Patient Expectations. Paper presented at the American Sociological Association Annual Meetings, San Francisco CA, August 1998. Peräkylä, Anssi (frth). Authority and accountability: the delivery of diagnosis in primary health care. Social Psychology Quarterly (December 1998 issue) Peräkylä, Anssi (frth). Agency and authority: extended responses to diagnostic statements in primary care encounters. Social Science and Medicine. All these papers deal with tensions and conflicts in actual interaction between physicians and patients. The conflicts addressed are not specifically cultural in origin. The major focus is on different explanations of illness, and/or 'no problem' diagnostic evaluations. Hope these help, John Heritage >Hello Everyone. > >Does anyone know of books, journal articles, or other materials that provide >discussion on conflicts that arise between patients and physicians (or other >allied medical personnel) who hold different/conflicting cultural beliefs >about >what constitutes appropriate diagnosis and treatment of health problems? > >Any information you can provide will be appreciated. > >Melvin Bobo >Department of Sociology >Iowa State University >e-mail: melb12902@sprynet.com From elinsonteaneck@juno.com Thu Nov 5 18:26:39 1998 Received: from x8.boston.juno.com (x8.boston.juno.com [205.231.101.24]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id SAA00732 for ; Thu, 5 Nov 1998 18:26:37 -0700 (MST) Received: (from elinsonteaneck@juno.com) by x8.boston.juno.com (queuemail) id DTB7NDP2; Thu, 05 Nov 1998 20:26:25 EST To: MedSoc@csf.colorado.edu Date: Wed, 4 Nov 1998 09:50:43 -0500 Subject: Re: Impact of the Medical Record Message-ID: <19981105.202305.-444359.0.elinsonteaneck@juno.com> X-Juno-Line-Breaks: 1-3 X-Juno-Att: 0 MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit From: elinsonteaneck@juno.com (Jack Elinson) Pls take this e-mail address off your list. It duplicates jackmay @juno.com Thanx. Jack Elinson ___________________________________________________________________ You don't need to buy Internet access to use free Internet e-mail. Get completely free e-mail from Juno at http://www.juno.com/getjuno.html or call Juno at (800) 654-JUNO [654-5866] From melb12902@sprynet.com Thu Nov 5 23:01:08 1998 Received: from m2.sprynet.com (m2.sprynet.com [165.121.1.99]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id XAA07836 for ; Thu, 5 Nov 1998 23:01:06 -0700 (MST) From: melb12902@sprynet.com Received: from 206.175.100.166 (hil-qbu-ptj-vty38.as.wcom.net [206.175.100.166]) by m2.sprynet.com (8.8.5/8.8.5) with SMTP id WAA26901 for ; Thu, 5 Nov 1998 22:01:55 -0800 (PST) Date: Thu, 5 Nov 1998 22:01:55 -0800 (PST) Message-Id: <199811060601.WAA26901@m2.sprynet.com> MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit Subject: Re: Request for Info - Culture & Healthcare To: MedSoc@csf.colorado.edu In-Reply-To: Thank you. From rose.weitz@asu.edu Fri Nov 6 08:38:42 1998 Received: from post6.inre.asu.edu (post6.inre.asu.edu [129.219.110.87]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA24879 for ; Fri, 6 Nov 1998 08:38:40 -0700 (MST) Received: from smtp2.asu.edu by asu.edu (PMDF V5.1-12 #24133) with ESMTP id <01J3UIBIQ55S8Y7NHL@asu.edu> for MedSoc@csf.colorado.edu; Fri, 6 Nov 1998 08:38:32 MST Received: from rose.asu.edu (ss12-09.inre.asu.edu [129.219.100.234]) by smtp2.asu.edu (8.9.1/8.9.1) with SMTP id IAA09923 for ; Fri, 06 Nov 1998 08:38:20 -0700 (MST) Date: Fri, 06 Nov 1998 08:32:58 -0700 From: Rose Weitz Subject: culture and health care X-Sender: atrxw@imap2.asu.edu To: MedSoc@csf.colorado.edu Message-id: <3.0.32.19981106082618.006f4a68@imap2.asu.edu> MIME-version: 1.0 Content-type: text/plain; charset="us-ascii" In response to both questions regarding books on culture and health care, I highly recommend The Spirit Catches you (seizes you?) and You Fall Down. (This may not be the exact title, but it's close enough that you can find it--it's being heavily promoted in bookstores currently.) It is an absolutely gripping account, impeccably researched, and written by a journalist, about a Hmong family--illiterate, innumerate, and unable to speak English--whose daughter has severe and life-threatening epilepsy. It vividly demonstrates the difficulties of cross-cultural communication about health issues. Rose Weitz, Professor Department of Sociology Arizona State University Box 87-2101 Tempe AZ 85287-2101 Fax: 602-965-0064 From ej1@axe.humboldt.edu Fri Nov 6 12:32:55 1998 Received: from axe.humboldt.edu (axe.humboldt.edu [137.150.148.10]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id MAA05449 for ; Fri, 6 Nov 1998 12:32:50 -0700 (MST) Received: by axe.humboldt.edu id LAA04278; Fri, 6 Nov 1998 11:32:44 -0800 (PST) Date: Fri, 6 Nov 1998 11:32:43 -0800 (PST) From: Schlafer Schwester To: MEDICAL SOCIOLOGY Subject: Re: Request for Info - Culture & Healthcare In-Reply-To: Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII I know of another book that is good reading: The Illness Narrative by Arthur Kleinman (published around 1990 or so). That deals directly with patient and doctor conflicts. From soa01cfs@gold.ac.uk Sat Nov 7 13:46:09 1998 Received: from gold.ac.uk (scorpio.gold.ac.uk [158.223.1.1]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id NAA26539 for ; Sat, 7 Nov 1998 13:46:05 -0700 (MST) Received: from localhost (soa01cfs@localhost) by gold.ac.uk (8.8.7/8.8.7) with SMTP id UAA06437 for ; Sat, 7 Nov 1998 20:45:59 GMT Date: Sat, 7 Nov 1998 20:45:59 +0000 (GMT) From: Clive Seale To: MEDICAL SOCIOLOGY Subject: Re: Medicine and Culture In-Reply-To: <3.0.1.16.19981105083511.1fb72ad6@mail.sdsu.edu> Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII This is a good intro to medical anthropology which contains such material. There is a more recent second edition, but I don't have the date for that. Helman C.G. (1990) Culture, Health and Illness. Butterworth- Heinemann. Clive Seale Department of Sociology Goldsmiths College Lewisham Way London SE14 6NW Phone: 0171 919 7729 (direct) 0171 919 7707 (office) Fax: 0171 919 7713 On Thu, 5 Nov 1998, Shelly Chandler wrote: > For several years I have been using Lynn Payer's book, Medicine and Culture > in my Health and Illness class. It has been very useful for illustrating > the social construction of the concept of health, and the variability of > practices in several countries. > The problem is the book is some years old now and, save for a new > introduction, Payer has not updated it. > > Does anyone know of another, more recent work comparing the concepts of > health and disease in a variety of different cultures and that would be > appropriate for an undergraduate course? > > I would appreciate any ideas. > > Thanks, > > Shelly Chandler > schandler@sciences.sdsu.edu > > From soa01cfs@gold.ac.uk Sat Nov 7 13:50:18 1998 Received: from gold.ac.uk (scorpio.gold.ac.uk [158.223.1.1]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id NAA26837 for ; Sat, 7 Nov 1998 13:50:15 -0700 (MST) Received: from localhost (soa01cfs@localhost) by gold.ac.uk (8.8.7/8.8.7) with SMTP id UAA06500 for ; Sat, 7 Nov 1998 20:50:11 GMT Date: Sat, 7 Nov 1998 20:50:11 +0000 (GMT) From: Clive Seale To: MEDICAL SOCIOLOGY Subject: Re: Request for Info - Culture & Healthcare In-Reply-To: <199811051732.JAA24532@m2.sprynet.com> Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII Eisenberg, L. (1977) Disease and illness: distinctions between professional and popular ideas of sickness. Culture, medicine and psychiatry. 1, 9-23 On Thu, 5 Nov 1998 melb12902@sprynet.com wrote: > > > Hello Everyone. > > Does anyone know of books, journal articles, or other materials that provide > discussion on conflicts that arise between patients and physicians (or other > allied medical personnel) who hold different/conflicting cultural beliefs about > what constitutes appropriate diagnosis and treatment of health problems? > > Any information you can provide will be appreciated. > > Melvin Bobo > Department of Sociology > Iowa State University > e-mail: melb12902@sprynet.com > Clive Seale Department of Sociology Goldsmiths College Lewisham Way London SE14 6NW Phone: 0171 919 7729 (direct) 0171 919 7707 (office) Fax: 0171 919 7713 From Phil_Brown@brown.edu Sun Nov 8 08:09:58 1998 Received: from dark.brown.edu (dark.brown.edu [128.148.128.11]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA26187 for ; Sun, 8 Nov 1998 08:09:55 -0700 (MST) Received: from ppp1.bu.edu (PPP-81-11.BU.EDU [128.197.8.31]) by dark.brown.edu (8.9.1a/8.9.1) with SMTP id KAA19948 for ; Sun, 8 Nov 1998 10:09:52 -0500 (EST) Message-Id: <3.0.5.32.19981108101244.007e4100@postoffice.brown.edu> X-Sender: Phil_Brown@postoffice.brown.edu Date: Sun, 08 Nov 1998 10:12:44 -0500 To: MedSoc@csf.colorado.edu From: Phil Brown Subject: queries on sources In-Reply-To: <199811081330.GAA23386@csf.Colorado.EDU> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" It's great that people are querying about sources. In that light I want to mention the wonderful teaching resource book that ASA puts out, It has syllabi, exercizes, film lists, and other great material. Call ASA at 202-833-3410 to order. Phil Brown phone 401-863-2633 Professor of Sociology secretary 863-2367 Brown University fax 863-3213 Box 1916 Providence RI 02912 From kehoes@cadvision.com Sun Nov 8 13:42:03 1998 Received: from huey.cadvision.com (huey.cadvision.com [207.228.64.47]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id NAA14933 for ; Sun, 8 Nov 1998 13:41:57 -0700 (MST) Received: from smkehoe.acs.ucalgary.ca (atm80ip150.cadvision.com [207.228.80.150]) by huey.cadvision.com (8.8.8/8.8.8/CW) with SMTP id NAA129932 for ; Sun, 8 Nov 1998 13:41:49 -0700 Message-ID: <004a01be0b58$5b078680$9650e4cf@smkehoe.acs.ucalgary.ca> From: "Susan Kehoe/Jenkins" To: Subject: smoking policy research help Date: Sun, 8 Nov 1998 13:42:35 -0700 MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="----=_NextPart_000_0045_01BE0B1D.A49C0CC0" X-Priority: 3 X-MSMail-Priority: Normal X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 This is a multi-part message in MIME format. ------=_NextPart_000_0045_01BE0B1D.A49C0CC0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Hi, I am a graduate student (M.A.) and am currently working on a project = which is looking at smoking policy/bylaw implementation in rural = communities. I am particularly interested in studies where the policy = or bylaw has been implemented as a result of a community initiative. If = anyone knows of any existing studies or has any suggestions on where I = might look please email me at kehoes@cadvision.com. Thankyou. Sue Kehoe University of Calgary Department of Sociology Calgary, Alberta, Canada ------=_NextPart_000_0045_01BE0B1D.A49C0CC0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable
Hi,
 
I am a graduate student (M.A.) and = am currently=20 working on a project which is looking at smoking policy/bylaw = implementation in=20 rural communities.  I am particularly interested in studies where = the=20 policy or bylaw has been implemented as a result of a community=20 initiative.  If anyone knows of any existing studies or has any = suggestions=20 on where I might look please email me at kehoes@cadvision.com. =20 Thankyou.
 
Sue Kehoe
University of Calgary
Department of Sociology
Calgary, Alberta,=20 Canada
------=_NextPart_000_0045_01BE0B1D.A49C0CC0-- From SoDerry@aol.com Sun Nov 8 14:07:25 1998 Received: from imo13.mx.aol.com (imo13.mx.aol.com [198.81.17.3]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id OAA16596 for ; Sun, 8 Nov 1998 14:07:22 -0700 (MST) From: SoDerry@aol.com Received: from SoDerry@aol.com by imo13.mx.aol.com (IMOv16.10) id DPZHa13873 for ; Sun, 8 Nov 1998 16:06:55 -0500 (EST) Message-ID: Date: Sun, 8 Nov 1998 16:06:55 EST To: MedSoc@csf.colorado.edu Mime-Version: 1.0 Subject: Re: smoking policy research help Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit Hi -- I do not know if this is relevant, but I lived in Shelburne County, Nova Scotia for a year and there was only one place in the whole town which was nonsmoking -- a restaurant which was closed in the winter and focused on tourists (locals couldn't afford to eat there and thought the food was weird). Everywhere else was filled with billows of smoke (the little mall, stores, and all eating places) -- it would be politically unpalatable, in a place like that to institute any kind of nonsmoking policy. Smoking was a right and a stance, to almost everyone. Include Yarmouth -- it was the same down there. As coastal American -- it was a bit of a shock. I bet is much the same in remote and economically impoverished areas of he US Darcy Woodall From ej1@axe.humboldt.edu Sun Nov 8 16:35:27 1998 Received: from axe.humboldt.edu (axe.humboldt.edu [137.150.148.10]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id QAA21759 for ; Sun, 8 Nov 1998 16:35:24 -0700 (MST) Received: by axe.humboldt.edu id PAA08074; Sun, 8 Nov 1998 15:35:23 -0800 (PST) Date: Sun, 8 Nov 1998 15:35:22 -0800 (PST) From: Schlafer Schwester To: MEDICAL SOCIOLOGY Subject: Re: smoking policy research help In-Reply-To: Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII Thanks for pointing that out. This is also very true of Europe and Asia; in most countries, if you ask someone to put out their cigarette, you'll be considered intolerant. On Sun, 8 Nov 1998 SoDerry@aol.com wrote: > Hi -- I do not know if this is relevant, but I lived in Shelburne County, Nova > Scotia for a year and there was only one place in the whole town which was > nonsmoking -- a restaurant which was closed in the winter and focused on > tourists (locals couldn't afford to eat there and thought the food was weird). > Everywhere else was filled with billows of smoke (the little mall, stores, and > all eating places) -- it would be politically unpalatable, in a place like > that to institute any kind of nonsmoking policy. Smoking was a right and a > stance, to almost everyone. Include Yarmouth -- it was the same down there. > > As coastal American -- it was a bit of a shock. I bet is much the same in > remote and economically impoverished areas of he US > > Darcy Woodall > From Albert_Wessen@brown.edu Mon Nov 9 09:32:05 1998 Received: from dark.brown.edu (dark.brown.edu [128.148.128.11]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id JAA08581 for ; Mon, 9 Nov 1998 09:31:58 -0700 (MST) From: Albert_Wessen@brown.edu Received: from [128.148.45.88] ([128.148.45.88]) by dark.brown.edu (8.9.1a/8.9.1) with ESMTP id LAA12380 for ; Mon, 9 Nov 1998 11:31:43 -0500 (EST) Date: Mon, 9 Nov 1998 11:31:43 -0500 (EST) X-Sender: Albert_Wessen@postoffice.brown.edu Message-Id: In-Reply-To: <3.0.5.32.19981108101244.007e4100@postoffice.brown.edu> References: <199811081330.GAA23386@csf.Colorado.EDU> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" To: MedSoc@csf.colorado.edu Subject: Re: queries on sources Dear Phil: AS I THINK I TOLD YOU BEFORE, I have NO IDEA WHAT HAPPENED TO THE ASA SYLLABUS YOU LOANED ME A YEAR OR MORE AGO. IT IS POSSIBLE THAT I INADVERTENTLY DISPOSED OF IT WHEN I WAS GETTING RID OF THINGS AND MOVING INTO MY NEW OFFICE HERE. AT ANY RATE, I VOLUNTEERED THEN TO REPLACE IT FOR YOU--AND NOW THAT I HAVE A PHONE NUMBER HANDY, THANKS TO YOU, I WILL CALL ASA. WHAT DO I ORDER--THE MEDICAL SOCIOLOGY SYLLABUS/// PLEASE LET ME KNOW. CHEERS, AL. >It's great that people are querying about sources. In that light I want to >mention the wonderful teaching resource book that ASA puts out, It has >syllabi, exercizes, film lists, and other great material. Call ASA at >202-833-3410 to order. > >Phil Brown phone 401-863-2633 >Professor of Sociology secretary 863-2367 >Brown University fax 863-3213 >Box 1916 >Providence RI 02912 From jewellg@gvsu.edu Mon Nov 9 10:29:46 1998 Received: from superior.it.gvsu.edu (superior.it.gvsu.edu [148.61.1.10]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id KAA11301 for ; Mon, 9 Nov 1998 10:29:43 -0700 (MST) Received: from gvsu.edu (send.gvsu.edu [148.61.1.77]) by superior.it.gvsu.edu (8.8.6 (PHNE_14041)/8.8.6) with SMTP id MAA18735; Mon, 9 Nov 1998 12:29:31 -0500 (EST) Received: from ccMail by gvsu.edu (ccMail Link to SMTP R6.00.02) id AA910632574; Mon, 09 Nov 98 12:29:36 -0500 Message-Id: <9811099106.AA910632574@gvsu.edu> Date: Mon, 09 Nov 98 12:28:14 -0500 From: "Gayla Jewell" To: , Subject: Re: Request for Info - Culture & Healthcare MIME-Version: 1.0 Content-Type: text/plain; charset=US-ASCII Content-Transfer-Encoding: 7bit We are well past time that physicians are looked to as the primary source of information or data from the health care field. About 16 other kinds of providers exist for every physician. Patients spend incredibly more time with nurses than with physicians. By focusing mostly on physicians, med sociologists inadvertantly perpetuate the "cultural authority" (Paul Starr) and hegemonic dominance of the medical profession. We must begin to look more thoroughly at the health care profession and various of providers of care and not just the "medical field". This comment is not meant to point fingers at you, Melvin. I'm venting my frustration at an academic group who espouse critical analysis....yet continue to support physician hegemony. ______________________________ Reply Separator _________________________________ Subject: Request for Info - Culture & Healthcare Author: at internet Date: 11/5/98 9:32 AM Hello Everyone. Does anyone know of books, journal articles, or other materials that provide discussion on conflicts that arise between patients and physicians (or other allied medical personnel) who hold different/conflicting cultural beliefs about what constitutes appropriate diagnosis and treatment of health problems? Any information you can provide will be appreciated. Melvin Bobo Department of Sociology Iowa State University e-mail: melb12902@sprynet.com From Bette_Ide@MAIL.UND.NODAK.EDU Mon Nov 9 11:01:42 1998 Received: from MAIL.UND.NODAK.EDU (garnet.und.NoDak.edu [134.129.201.26]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with SMTP id LAA13770 for ; Mon, 9 Nov 1998 11:01:40 -0700 (MST) Received: from UND1-Message_Server by MAIL.UND.NODAK.EDU with Novell_GroupWise; Mon, 09 Nov 1998 12:01:30 -0600 Message-Id: Date: Mon, 09 Nov 1998 12:00:51 -0600 From: Bette Ide To: MedSoc@csf.colorado.edu, jewellg@gvsu.edu Subject: Re: Request for Info - Culture & Healthcare Mime-Version: 1.0 Content-Type: text/plain Content-Disposition: inline As a nurse and a sociologist ---- hurrah! Bette A. Ide, Ph.D., RN Associate Professor Director of Rural Health Nursing Specialization University of North Dakota College of Nursing P.O. Box 9025 Grand Forks, ND 58202 (701)777-4531 (office) (701)777-4096 (Fax) Bette_Ide@mail.und.nodak.edu From ansar@showme.missouri.edu Mon Nov 9 11:30:37 1998 Received: from sp2n17.missouri.edu (sp2n17-t.missouri.edu [128.206.2.27]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id LAA15246 for ; Mon, 9 Nov 1998 11:30:35 -0700 (MST) Received: from sp2n23-t.missouri.edu (sp2n23.missouri.edu [128.206.2.84]) by sp2n17.missouri.edu (8.9.0/8.9.0) with ESMTP id MAA29532 for ; Mon, 9 Nov 1998 12:30:30 -0600 Received: from localhost (ansar@localhost) by sp2n23-t.missouri.edu (8.9.0/8.9.0) with SMTP id MAA78040 for ; Mon, 9 Nov 1998 12:30:29 -0600 X-Authentication-Warning: sp2n23-t.missouri.edu: ansar owned process doing -bs Date: Mon, 9 Nov 1998 12:30:28 -0600 (CST) From: "Andrew C. Twaddle" X-Sender: ansar@sp2n23-t.missouri.edu To: MEDICAL SOCIOLOGY Subject: Re: Request for Info - Culture & Healthcare In-Reply-To: <9811099106.AA910632574@gvsu.edu> Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII AMen.. When Hessler and I were doing our text more than a decade ago, we found hundreds of articles on physicians, a handful on nurses, and only scattered work on any other health occupation. We lamented that at the time, and things have still not changed. =============================================================================== Andrew C. Twaddle www.missouri.edu/~ansar Professor of Sociology University of Missouri Columbia, MO 65211 for non- MU related phone 573+882-7031 correspondence please use fax 573+884=6430 ansar@gwi.net ============================================================================== On Mon, 9 Nov 1998, Gayla Jewell wrote: > > We are well past time that physicians are looked to as the primary > source of information or data from the health care field. About 16 > other kinds of providers exist for every physician. Patients spend > incredibly more time with nurses than with physicians. By focusing > mostly on physicians, med sociologists inadvertantly perpetuate the > "cultural authority" (Paul Starr) and hegemonic dominance of the > medical profession. We must begin to look more thoroughly at the > health care profession and various of providers of care and not just > the "medical field". > This comment is not meant to point fingers at you, Melvin. I'm > venting my frustration at an academic group who espouse critical > analysis....yet continue to support physician hegemony. > > > > > ______________________________ Reply Separator _________________________________ > Subject: Request for Info - Culture & Healthcare > Author: at internet > Date: 11/5/98 9:32 AM > > > > > Hello Everyone. > > Does anyone know of books, journal articles, or other materials that provide > discussion on conflicts that arise between patients and physicians (or other > allied medical personnel) who hold different/conflicting cultural beliefs about > what constitutes appropriate diagnosis and treatment of health problems? > > Any information you can provide will be appreciated. > > Melvin Bobo > Department of Sociology > Iowa State University > e-mail: melb12902@sprynet.com > > > From dlong@fpm.eushc.org Mon Nov 9 12:20:29 1998 Received: from graf.cc.emory.edu (graf.cc.emory.edu [170.140.1.44]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id MAA18542 for ; Mon, 9 Nov 1998 12:20:27 -0700 (MST) Received: from fpm.eushc.org (fpm.eushc.org [163.246.110.190]) by graf.cc.emory.edu (8.8.8/8.8.8) with ESMTP id OAA25258 for ; Mon, 9 Nov 1998 14:20:24 -0500 (EST) Message-Id: <199811091920.OAA25258@graf.cc.emory.edu> Received: from FPM/SpoolDir by fpm.eushc.org (Mercury 1.31); 9 Nov 98 14:21:23 est5edt Received: from SpoolDir by FPM (Mercury 1.31); 9 Nov 98 14:21:21 est5edt From: "David Michael Long" To: MedSoc@csf.colorado.edu Date: Mon, 9 Nov 1998 14:21:13 -0400 MIME-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Subject: Re: Request for Info - Culture & Healthcare In-reply-to: <9811099106.AA910632574@gvsu.edu> X-mailer: Pegasus Mail for Win32 (v2.54) Gayla - I like your comment because it floored me. I admit that I was so focused on the question at hand I completely overlooked my own implicit biases. Thanks for keeping the conversation honest. I also think that perhaps the best question would be how is care negotiated amongst health care professionals, particularly since the physician will be the one with the final "legitimate" decision for a treatment regimen, particularly a pharmaceutical treatment, although the actual diagnosis and primary care will be based on the decision of a nurse practitioner, PA, or a physical/mental health therapist. At least in GA scheduled pharmies can only be prescribed by MD/DO's (although there is always a dialogue on the need of PA's, NP's, and clinical psychologists to have the capability for some meds), what about other states? Dave > > We are well past time that physicians are looked to as the primary > source of information or data from the health care field. About 16 > other kinds of providers exist for every physician. Patients spend > incredibly more time with nurses than with physicians. By focusing > mostly on physicians, med sociologists inadvertantly perpetuate the > "cultural authority" (Paul Starr) and hegemonic dominance of the > medical profession. We must begin to look more thoroughly at the > health care profession and various of providers of care and not just > the "medical field". > This comment is not meant to point fingers at you, Melvin. I'm > venting my frustration at an academic group who espouse critical > analysis....yet continue to support physician hegemony. > > > > > ______________________________ Reply Separator _________________________________ > Subject: Request for Info - Culture & Healthcare > Author: at internet > Date: 11/5/98 9:32 AM > > > > > Hello Everyone. > > Does anyone know of books, journal articles, or other materials that provide > discussion on conflicts that arise between patients and physicians (or other > allied medical personnel) who hold different/conflicting cultural beliefs about > what constitutes appropriate diagnosis and treatment of health problems? > > Any information you can provide will be appreciated. > > Melvin Bobo > Department of Sociology > Iowa State University > e-mail: melb12902@sprynet.com > > > > David M. Long, MPH Department of Family and Preventive Medicine Emory University School of Medicine 69 Butler Street, SE Atlanta, Georgia 30303-3219 404-616-2389 (voice) 404-616-6847 (fax) dlong@fpm.eushc.org "Man makes himself... Life is nothing until it is lived." - Jean-Paul Sartre "God can be shaped. God is Change." - Octavia Butler "The tradition of all the dead generations weighs like a nightmare on the brain of the living." - Karl Marx "Resist or serve." - D. Long From jlitt@iastate.edu Mon Nov 9 12:39:04 1998 Received: from mailhub.iastate.edu (mailhub.iastate.edu [129.186.1.102]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id MAA20358 for ; Mon, 9 Nov 1998 12:39:01 -0700 (MST) Received: from jlitt.cfr.iastate.edu (jlitt.cfr.iastate.edu [129.186.203.69]) by mailhub.iastate.edu (8.8.5/8.8.5) with SMTP id NAA30976 for ; Mon, 9 Nov 1998 13:38:57 -0600 (CST) Message-Id: <199811091938.NAA30976@mailhub.iastate.edu> X-Sender: jlitt@pop-3.iastate.edu Date: Mon, 09 Nov 1998 13:39:02 -0600 To: MedSoc@csf.colorado.edu From: Jacquelyn S Litt Subject: Re: Request for Info - Culture & Healthcare In-Reply-To: <199811091920.OAA25258@graf.cc.emory.edu> References: <9811099106.AA910632574@gvsu.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Hi all; I really like this line of discussion. I've just completed a book (forthcoming Rutgers Press) on how women, in their everyday practices as mothers, negotiate the meaning and uses of medical discourse in the care of their children. It has struck me too that much of medical sociology is physician-(and provider-) focused and thus that we miss much of how medicine and science happens "on the street" (or in the household!) not just in medical offices or scientific labs. Emily Martin's book, Flexible Bodies, is another example of this street-level approach. Jackie Litt Assistant Professor Sociology and Women's Studies Iowa State University At 02:21 PM 11/9/98 -0400, you wrote: >Gayla - I like your comment because it floored me. I admit that I >was so focused on the question at hand I completely overlooked my own >implicit biases. Thanks for keeping the conversation honest. I also >think that perhaps the best question would be how is care negotiated >amongst health care professionals, particularly since the physician >will be the one with the final "legitimate" decision for a treatment >regimen, particularly a pharmaceutical treatment, although the actual >diagnosis and primary care will be based on the decision of a nurse >practitioner, PA, or a physical/mental health therapist. At least in >GA scheduled pharmies can only be prescribed by MD/DO's (although >there is always a dialogue on the need of PA's, NP's, and clinical >psychologists to have the capability for some meds), what about other >states? > >Dave > >> >> We are well past time that physicians are looked to as the primary >> source of information or data from the health care field. About 16 >> other kinds of providers exist for every physician. Patients spend >> incredibly more time with nurses than with physicians. By focusing >> mostly on physicians, med sociologists inadvertantly perpetuate the >> "cultural authority" (Paul Starr) and hegemonic dominance of the >> medical profession. We must begin to look more thoroughly at the >> health care profession and various of providers of care and not just >> the "medical field". >> This comment is not meant to point fingers at you, Melvin. I'm >> venting my frustration at an academic group who espouse critical >> analysis....yet continue to support physician hegemony. >> >> >> >> >> ______________________________ Reply Separator _________________________________ >> Subject: Request for Info - Culture & Healthcare >> Author: at internet >> Date: 11/5/98 9:32 AM >> >> >> >> >> Hello Everyone. >> >> Does anyone know of books, journal articles, or other materials that provide >> discussion on conflicts that arise between patients and physicians (or other >> allied medical personnel) who hold different/conflicting cultural beliefs about >> what constitutes appropriate diagnosis and treatment of health problems? >> >> Any information you can provide will be appreciated. >> >> Melvin Bobo >> Department of Sociology >> Iowa State University >> e-mail: melb12902@sprynet.com >> >> >> >> >David M. Long, MPH >Department of Family and Preventive Medicine >Emory University School of Medicine >69 Butler Street, SE >Atlanta, Georgia 30303-3219 >404-616-2389 (voice) >404-616-6847 (fax) >dlong@fpm.eushc.org > >"Man makes himself... Life is nothing until it is >lived." - Jean-Paul Sartre > >"God can be shaped. God is Change." - Octavia Butler > >"The tradition of all the dead generations weighs like >a nightmare on the brain of the living." - Karl Marx > >"Resist or serve." - D. Long > Jacquelyn Litt Assistant Professor Sociology/Women's Studies Iowa State University 107 East Hall Ames, Iowa 50011-1070 PH: (515) 294-8879 FAX: (515)294-2303 FAX: (515) 294-3613 (fall semester 1998) From jnl0@lehigh.edu Mon Nov 9 13:46:47 1998 Received: from nss4.cc.Lehigh.EDU (nss4.CC.Lehigh.EDU [128.180.1.13]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id NAA27714 for ; Mon, 9 Nov 1998 13:46:45 -0700 (MST) Received: from ns4-1.CC.Lehigh.EDU (root@ns4-1.CC.Lehigh.EDU [128.180.1.42]) by nss4.cc.Lehigh.EDU (8.9.1a/8.9.1) with ESMTP id PAA147500 for ; Mon, 9 Nov 1998 15:46:42 -0500 Received: (from jnl0@localhost) by ns4-1.CC.Lehigh.EDU (8.8.8/8.8.5) id PAA31188; Mon, 9 Nov 1998 15:37:26 -0500 Message-Id: <199811092037.PAA31188@ns4-1.CC.Lehigh.EDU> Date: Mon, 09 Nov 1998 15:37:20 EST From: jnl0@lehigh.edu (Judith N. Lasker) Subject: Re: Request for Info - Culture & Healthcare To: MedSoc@csf.colorado.edu Dear Jackie, Good news about the book. Please let us all know the title and expected date of publication. Judy Lasker >Hi all; > >I really like this line of discussion. I've just completed a book >(forthcoming Rutgers Press) on how women, in their everyday practices as >mothers, negotiate the meaning and uses of medical discourse in the care >of their children. It has struck me too that much of medical sociology is >physician-(and provider-) focused and thus that we miss much of how >medicine and science happens "on the street" (or in the household!) not >just in medical offices or scientific labs. Emily Martin's book, Flexible >Bodies, is another example of this street-level approach. > >Jackie Litt >Assistant Professor >Sociology and Women's Studies >Iowa State University > > > > > >At 02:21 PM 11/9/98 -0400, you wrote: >>Gayla - I like your comment because it floored me. I admit that I >>was so focused on the question at hand I completely overlooked my own >>implicit biases. Thanks for keeping the conversation honest. I also >>think that perhaps the best question would be how is care negotiated >>amongst health care professionals, particularly since the physician >>will be the one with the final "legitimate" decision for a treatment >>regimen, particularly a pharmaceutical treatment, although the actual >>diagnosis and primary care will be based on the decision of a nurse >>practitioner, PA, or a physical/mental health therapist. At least in >>GA scheduled pharmies can only be prescribed by MD/DO's (although >>there is always a dialogue on the need of PA's, NP's, and clinical >>psychologists to have the capability for some meds), what about other >>states? >> >>Dave >> >>> >>> We are well past time that physicians are looked to as the primary >>> source of information or data from the health care field. About 16 >>> other kinds of providers exist for every physician. Patients spend >>> incredibly more time with nurses than with physicians. By focusing >>> mostly on physicians, med sociologists inadvertantly perpetuate the >>> "cultural authority" (Paul Starr) and hegemonic dominance of the >>> medical profession. We must begin to look more thoroughly at the >>> health care profession and various of providers of care and not just >>> the "medical field". >>> This comment is not meant to point fingers at you, Melvin. I'm >>> venting my frustration at an academic group who espouse critical >>> analysis....yet continue to support physician hegemony. >>> >>> >>> >>> >>> ______________________________ Reply Separator >_________________________________ >>> Subject: Request for Info - Culture & Healthcare >>> Author: at internet >>> Date: 11/5/98 9:32 AM >>> >>> >>> >>> >>> Hello Everyone. >>> >>> Does anyone know of books, journal articles, or other materials that >provide >>> discussion on conflicts that arise between patients and physicians (or >other >>> allied medical personnel) who hold different/conflicting cultural >beliefs about >>> what constitutes appropriate diagnosis and treatment of health problems? >>> >>> Any information you can provide will be appreciated. >>> >>> Melvin Bobo >>> Department of Sociology >>> Iowa State University >>> e-mail: melb12902@sprynet.com >>> >>> >>> >>> >>David M. Long, MPH >>Department of Family and Preventive Medicine >>Emory University School of Medicine >>69 Butler Street, SE >>Atlanta, Georgia 30303-3219 >>404-616-2389 (voice) >>404-616-6847 (fax) >>dlong@fpm.eushc.org >> >>"Man makes himself... Life is nothing until it is >>lived." - Jean-Paul Sartre >> >>"God can be shaped. God is Change." - Octavia Butler >> >>"The tradition of all the dead generations weighs like >>a nightmare on the brain of the living." - Karl Marx >> >>"Resist or serve." - D. Long >> >Jacquelyn Litt >Assistant Professor >Sociology/Women's Studies >Iowa State University >107 East Hall >Ames, Iowa 50011-1070 > >PH: (515) 294-8879 >FAX: (515)294-2303 >FAX: (515) 294-3613 (fall semester 1998) > Judith N. Lasker Department of Sociology and Anthropology Lehigh University, 681 Taylor St. Bethlehem, Pa. 18015, 610-758-3811 fax: 610-758-6552 From ebgall@pop.uky.edu Mon Nov 9 15:13:11 1998 Received: from smtp.uky.edu (smtp.uky.edu [128.163.2.17]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id PAA03975 for ; Mon, 9 Nov 1998 15:13:09 -0700 (MST) Received: from pop.uky.edu (pop.uky.edu [128.163.2.16]) by smtp.uky.edu (8.8.8/8.8.8) with ESMTP id RAA29910 for ; Mon, 9 Nov 1998 17:13:06 -0500 (EST) Received: from mdc.novel.uky.edu ([128.163.75.128]) by pop.uky.edu (8.8.8/8.8.8) with SMTP id RAA16579 for ; Mon, 9 Nov 1998 17:13:06 -0500 (EST) Message-Id: <3.0.5.32.19981109171734.007c58a0@pop.uky.edu> X-Sender: ebgall@pop.uky.edu Date: Mon, 09 Nov 1998 17:17:34 -0800 To: MedSoc@csf.colorado.edu From: "Eugene B. Gallagher" Subject: Re: Request for Info - Culture & Healthcare In-Reply-To: References: <9811099106.AA910632574@gvsu.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" I was interested to learn via Gayla Jewell that there are now some 15 or so non-physicians for every doctor who provides medical information to patients. I did not know the ratio was that high. I am not entirely satisfied however that a simple body count of health care workers answers the question about influence and authority in the health/medical field. I think that all providers should their due with regard to number of hours of service logged and number of patients seen. But how many of those non-physician providers are working under the authority or legal shadow of an MD? Going back to Paul E. Starr's notion of "cultural authority", would it make sense to say that physicians have a great deal of-- a preponderant amount- of CULTURAL authority, while all the others in the body count hold the overwhelming preponderance of SOCIAL authority. By SOCIAL I mean roughly face-to-face contact. I don't know quite what I do mean by CULTURAL not how I would index or measure it. If you hold with CULTURAL/SOCIAL, what rough measures would you propose? Or is the whole notion of CULTURAL/SOCIAL hopelessly obscurantist -- or perhaps still worse, cozying up to the most powerful profession? Gene Gallagher, University of KentuckyAt 12:30 PM 11/9/98 -0600, you wrote: >AMen.. > When Hessler and I were doing our text more than a decade ago, we >found hundreds of articles on physicians, a handful on nurses, and only >scattered work on any other health occupation. We lamented that at the >time, and things have still not changed. > >=========================================================================== ==== >Andrew C. Twaddle www.missouri.edu/~ansar >Professor of Sociology >University of Missouri >Columbia, MO 65211 for non- MU related >phone 573+882-7031 correspondence please use >fax 573+884=6430 ansar@gwi.net >=========================================================================== === > >On Mon, 9 Nov 1998, Gayla Jewell wrote: > >> >> We are well past time that physicians are looked to as the primary >> source of information or data from the health care field. About 16 >> other kinds of providers exist for every physician. Patients spend >> incredibly more time with nurses than with physicians. By focusing >> mostly on physicians, med sociologists inadvertantly perpetuate the >> "cultural authority" (Paul Starr) and hegemonic dominance of the >> medical profession. We must begin to look more thoroughly at the >> health care profession and various of providers of care and not just >> the "medical field". >> This comment is not meant to point fingers at you, Melvin. I'm >> venting my frustration at an academic group who espouse critical >> analysis....yet continue to support physician hegemony. >> >> >> >> >> ______________________________ Reply Separator _________________________________ >> Subject: Request for Info - Culture & Healthcare >> Author: at internet >> Date: 11/5/98 9:32 AM >> >> >> >> >> Hello Everyone. >> >> Does anyone know of books, journal articles, or other materials that provide >> discussion on conflicts that arise between patients and physicians (or other >> allied medical personnel) who hold different/conflicting cultural beliefs about >> what constitutes appropriate diagnosis and treatment of health problems? >> >> Any information you can provide will be appreciated. >> >> Melvin Bobo >> Department of Sociology >> Iowa State University >> e-mail: melb12902@sprynet.com >> >> >> > > From melb12902@sprynet.com Mon Nov 9 15:32:25 1998 Received: from m2.sprynet.com (m2.sprynet.com [165.121.1.99]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id PAA04852 for ; Mon, 9 Nov 1998 15:32:23 -0700 (MST) From: melb12902@sprynet.com Received: from 206.175.97.31 (hil-qbu-ppq-vty31.as.wcom.net [206.175.97.31]) by m2.sprynet.com (8.8.5/8.8.5) with SMTP id OAA27203; Mon, 9 Nov 1998 14:33:11 -0800 (PST) Date: Mon, 9 Nov 1998 14:33:11 -0800 (PST) Message-Id: <199811092233.OAA27203@m2.sprynet.com> MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit Subject: Re: Request for Info - Culture & Healthcare To: MedSoc@csf.colorado.edu Cc: Melb12902@sprynet.com In-Reply-To: <9811099106.AA910632574@gvsu.edu> I can appreciate your point Gayla. Do you know of current or historical research text, documents, or articles that have focused on health care providers (other than physicians) and patient interactions? Melvin Bobo melb12902@sprynet.com From ansar@showme.missouri.edu Mon Nov 9 15:35:24 1998 Received: from sp2n17.missouri.edu (sp2n17-t.missouri.edu [128.206.2.27]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id PAA05075 for ; Mon, 9 Nov 1998 15:35:20 -0700 (MST) Received: from sp2n23-t.missouri.edu (sp2n23.missouri.edu [128.206.2.84]) by sp2n17.missouri.edu (8.9.0/8.9.0) with ESMTP id QAA135530 for ; Mon, 9 Nov 1998 16:35:15 -0600 Received: from localhost (ansar@localhost) by sp2n23-t.missouri.edu (8.9.0/8.9.0) with SMTP id QAA208986 for ; Mon, 9 Nov 1998 16:35:15 -0600 X-Authentication-Warning: sp2n23-t.missouri.edu: ansar owned process doing -bs Date: Mon, 9 Nov 1998 16:35:14 -0600 (CST) From: "Andrew C. Twaddle" X-Sender: ansar@sp2n23-t.missouri.edu To: MEDICAL SOCIOLOGY Subject: Re: Request for Info - Culture & Healthcare In-Reply-To: <3.0.5.32.19981109171734.007c58a0@pop.uky.edu> Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII Gene- I would add that there is reason to believe that managed care is shifting the balance of power away from physicians. While they are still the nominal primary care providers within health plans, an increasing amount of patient interaction is taking place with nurse practitioners. While they are nominally under the license of the physician, they are required to make independent judgements and they seem to have considerable autonomy in the patient-system encounter. I have not seen any systematic study of this, but I offer it as an observation from the clinics of Mid-Missouri. Andrew =============================================================================== Andrew C. Twaddle www.missouri.edu/~ansar Professor of Sociology University of Missouri Columbia, MO 65211 for non- MU related phone 573+882-7031 correspondence please use fax 573+884=6430 ansar@gwi.net ============================================================================== On Mon, 9 Nov 1998, Eugene B. Gallagher wrote: > I was interested to learn via Gayla Jewell that there are now some 15 or > so non-physicians for every doctor who provides medical information to > patients. I did not know the ratio was that high. > > I am not entirely satisfied however that a simple body count of health care > workers answers the question about influence and authority in the > health/medical field. I think that all providers should their due with > regard to number of hours of service logged and number of patients seen. > But how many of those non-physician providers are working under the > authority or legal shadow of an MD? Going back to Paul E. Starr's notion of > "cultural authority", would it make sense to say that physicians have a > great deal of-- a preponderant amount- of CULTURAL authority, while all the > others in the body count hold the overwhelming preponderance of SOCIAL > authority. By SOCIAL I mean roughly face-to-face contact. I don't know > quite what I do mean by CULTURAL not how I would index or measure it. If > you hold with CULTURAL/SOCIAL, what rough measures would you propose? Or > is the whole notion of CULTURAL/SOCIAL hopelessly obscurantist -- or > perhaps still worse, cozying up to the most powerful profession? > > Gene Gallagher, University of KentuckyAt 12:30 PM 11/9/98 -0600, you wrote: > >AMen.. > > When Hessler and I were doing our text more than a decade ago, we > >found hundreds of articles on physicians, a handful on nurses, and only > >scattered work on any other health occupation. We lamented that at the > >time, and things have still not changed. > > > >=========================================================================== > ==== > >Andrew C. Twaddle www.missouri.edu/~ansar > >Professor of Sociology > >University of Missouri > >Columbia, MO 65211 for non- MU related > >phone 573+882-7031 correspondence please use > >fax 573+884=6430 ansar@gwi.net > >=========================================================================== > === > > > >On Mon, 9 Nov 1998, Gayla Jewell wrote: > > > >> > >> We are well past time that physicians are looked to as the primary > >> source of information or data from the health care field. About 16 > >> other kinds of providers exist for every physician. Patients spend > >> incredibly more time with nurses than with physicians. By focusing > >> mostly on physicians, med sociologists inadvertantly perpetuate the > >> "cultural authority" (Paul Starr) and hegemonic dominance of the > >> medical profession. We must begin to look more thoroughly at the > >> health care profession and various of providers of care and not just > >> the "medical field". > >> This comment is not meant to point fingers at you, Melvin. I'm > >> venting my frustration at an academic group who espouse critical > >> analysis....yet continue to support physician hegemony. > >> > >> > >> > >> > >> ______________________________ Reply Separator > _________________________________ > >> Subject: Request for Info - Culture & Healthcare > >> Author: at internet > >> Date: 11/5/98 9:32 AM > >> > >> > >> > >> > >> Hello Everyone. > >> > >> Does anyone know of books, journal articles, or other materials that > provide > >> discussion on conflicts that arise between patients and physicians (or > other > >> allied medical personnel) who hold different/conflicting cultural > beliefs about > >> what constitutes appropriate diagnosis and treatment of health problems? > >> > >> Any information you can provide will be appreciated. > >> > >> Melvin Bobo > >> Department of Sociology > >> Iowa State University > >> e-mail: melb12902@sprynet.com > >> > >> > >> > > > > > From melb12902@sprynet.com Mon Nov 9 15:48:14 1998 Received: from m2.sprynet.com (m2.sprynet.com [165.121.1.99]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id PAA05653 for ; Mon, 9 Nov 1998 15:48:11 -0700 (MST) From: melb12902@sprynet.com Received: from 206.175.97.31 (hil-qbu-ppq-vty31.as.wcom.net [206.175.97.31]) by m2.sprynet.com (8.8.5/8.8.5) with SMTP id OAA10428; Mon, 9 Nov 1998 14:48:59 -0800 (PST) Date: Mon, 9 Nov 1998 14:48:59 -0800 (PST) Message-Id: <199811092248.OAA10428@m2.sprynet.com> MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit Subject: Re: smoking policy research help To: MedSoc@csf.colorado.edu Cc: Melb12902@sprynet.com In-Reply-To: <004a01be0b58$5b078680$9650e4cf@smkehoe.acs.ucalgary.ca> Hello Sue Have you had an opportunity to contact the American Cancer Society. The ACS has a network of field offices located in rural communities that may have access to policy data, contacts (in rural communities) who you may be able to receive related first hand information from, or staff who are aware of no-smoking policies in the rural territories they serve. The same may be true of the American Lung Association. If nothing else these may be a good starting point. Hope this information is helpful. Melvin Bobo melb12902@sprynet.com From ash05@health.state.ny.us Tue Nov 10 06:53:02 1998 Received: from gate1.health.state.ny.us (gate.health.state.ny.us [192.135.176.62]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with SMTP id GAA19665 for ; Tue, 10 Nov 1998 06:52:58 -0700 (MST) From: ash05@health.state.ny.us Received: by gate1.health.state.ny.us id IAA09091 (InterLock SMTP Gateway 3.0 for MedSoc@csf.Colorado.EDU); Tue, 10 Nov 1998 08:52:51 -0500 Message-Id: <199811101352.IAA09091@gate1.health.state.ny.us> Received: by gate1.health.state.ny.us (Internal Mail Agent-1); Tue, 10 Nov 1998 08:52:51 -0500 X-Lotus-Fromdomain: NYSDOH To: MedSoc@csf.Colorado.EDU Date: Tue, 10 Nov 1998 08:51:46 -0500 Subject: Re: smoking policy research help Mime-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Disposition: inline Hi, If you're interested in smoking policies for minorities in rural communities, CDC's publication Tobacco Use Among U.S. Racial/Ethnic Minority Groups: A Report of the Surgeon General (1998) may be a good start. Incidentally, just a few weeks ago the National Rural Health Association had its 4th Annual Minority Health Conference in Albuquerque, New Mexico. The contact person's phone number listed for this meeting is 816-756-3140. Hope this helps. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Akiko S. Hosler, Ph.D. Director, Diabetes Surveillance and Evaluation New York State Department of Health 565 Corning Tower, ESP, Albany, NY 12237-0679 Phone (518) 473-0673, Fax (518) 474-2086 From jewellg@gvsu.edu Tue Nov 10 08:06:14 1998 Received: from superior.it.gvsu.edu (superior.it.gvsu.edu [148.61.1.10]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA23602 for ; Tue, 10 Nov 1998 08:06:12 -0700 (MST) Received: from gvsu.edu (send.gvsu.edu [148.61.1.77]) by superior.it.gvsu.edu (8.8.6 (PHNE_14041)/8.8.6) with SMTP id KAA27318; Tue, 10 Nov 1998 10:06:01 -0500 (EST) Received: from ccMail by gvsu.edu (ccMail Link to SMTP R6.00.02) id AA910710372; Tue, 10 Nov 98 10:06:14 -0500 Message-Id: <9811109107.AA910710372@gvsu.edu> Date: Tue, 10 Nov 98 10:04:41 -0500 From: "Gayla Jewell" To: , Subject: Re[2]: Request for Info - Culture & Healthcare MIME-Version: 1.0 Content-Type: text/plain; charset=US-ASCII Content-Transfer-Encoding: 7bit Re: prescriptive authority for nurse practitioners. This varies state board of nursing by state board of nursing. Most states have legislated some type of limited prescriptive authority. A few states have legislated full diagnostic and prescriptive rights. Someone correct me if I'm wrong, but Oregon and Vermont come to mind. Here in Michigan, in 1998, we pushed for a prescriptive authority bill with the backing of a senator who is a physician. During the wee hours before the final vote, he met with lobbyists from the Michigan chapter of AMA and agreed to amendments that made the bill not only flaccid, but regressive. Research continues to bear witness to the fact that nurse practitioners do in their clinical practice 70-80% of that which physicians do yet within a holistic health concept. Research on treatment of hypertension shows better client response with NP care than MD.....less medication prescribed and more success at lifestyle changes that bring down the blood pressure. This is evidence that more time spent with the client assessing and creating therapeutic responses to the entire person, not just the body system, is an incredibly effective method of health care. Bottom line is that nurse practitioners and physicians are working through a field of struggle about turf guarding and socio-cultural and political power. The health of the client, family, society and country is the football. ______________________________ Reply Separator _________________________________ Subject: Re: Request for Info - Culture & Healthcare Author: at internet Date: 11/9/98 2:21 PM Gayla - I like your comment because it floored me. I admit that I was so focused on the question at hand I completely overlooked my own implicit biases. Thanks for keeping the conversation honest. I also think that perhaps the best question would be how is care negotiated amongst health care professionals, particularly since the physician will be the one with the final "legitimate" decision for a treatment regimen, particularly a pharmaceutical treatment, although the actual diagnosis and primary care will be based on the decision of a nurse practitioner, PA, or a physical/mental health therapist. At least in GA scheduled pharmies can only be prescribed by MD/DO's (although there is always a dialogue on the need of PA's, NP's, and clinical psychologists to have the capability for some meds), what about other states? Dave > > We are well past time that physicians are looked to as the primary > source of information or data from the health care field. About 16 > other kinds of providers exist for every physician. Patients spend > incredibly more time with nurses than with physicians. By focusing > mostly on physicians, med sociologists inadvertantly perpetuate the > "cultural authority" (Paul Starr) and hegemonic dominance of the > medical profession. We must begin to look more thoroughly at the > health care profession and various of providers of care and not just > the "medical field". > This comment is not meant to point fingers at you, Melvin. I'm > venting my frustration at an academic group who espouse critical > analysis....yet continue to support physician hegemony. > > > > > ______________________________ Reply Separator _________________________________ > Subject: Request for Info - Culture & Healthcare > Author: at internet > Date: 11/5/98 9:32 AM > > > > > Hello Everyone. > > Does anyone know of books, journal articles, or other materials that provide > discussion on conflicts that arise between patients and physicians (or other > allied medical personnel) who hold different/conflicting cultural beliefs about > what constitutes appropriate diagnosis and treatment of health problems? > > Any information you can provide will be appreciated. > > Melvin Bobo > Department of Sociology > Iowa State University > e-mail: melb12902@sprynet.com > > > > David M. Long, MPH Department of Family and Preventive Medicine Emory University School of Medicine 69 Butler Street, SE Atlanta, Georgia 30303-3219 404-616-2389 (voice) 404-616-6847 (fax) dlong@fpm.eushc.org "Man makes himself... Life is nothing until it is lived." - Jean-Paul Sartre "God can be shaped. God is Change." - Octavia Butler "The tradition of all the dead generations weighs like a nightmare on the brain of the living." - Karl Marx "Resist or serve." - D. Long From jewellg@gvsu.edu Tue Nov 10 08:10:13 1998 Received: from superior.it.gvsu.edu (superior.it.gvsu.edu [148.61.1.10]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA23870 for ; Tue, 10 Nov 1998 08:10:11 -0700 (MST) Received: from gvsu.edu (send.gvsu.edu [148.61.1.77]) by superior.it.gvsu.edu (8.8.6 (PHNE_14041)/8.8.6) with SMTP id KAA27359 for ; Tue, 10 Nov 1998 10:10:01 -0500 (EST) Received: from ccMail by gvsu.edu (ccMail Link to SMTP R6.00.02) id AA910710613; Tue, 10 Nov 98 10:10:13 -0500 Message-Id: <9811109107.AA910710613@gvsu.edu> Date: Tue, 10 Nov 98 10:08:32 -0500 From: "Gayla Jewell" To: Subject: Re[2]: Request for Info - Culture & Healthcare MIME-Version: 1.0 Content-Type: text/plain; charset=US-ASCII Content-Transfer-Encoding: 7bit I'm interested in the title of your book and its anticipated publication date. ______________________________ Reply Separator _________________________________ Subject: Re: Request for Info - Culture & Healthcare Author: at internet Date: 11/9/98 1:39 PM Hi all; I really like this line of discussion. I've just completed a book (forthcoming Rutgers Press) on how women, in their everyday practices as mothers, negotiate the meaning and uses of medical discourse in the care of their children. It has struck me too that much of medical sociology is physician-(and provider-) focused and thus that we miss much of how medicine and science happens "on the street" (or in the household!) not just in medical offices or scientific labs. Emily Martin's book, Flexible Bodies, is another example of this street-level approach. Jackie Litt Assistant Professor Sociology and Women's Studies Iowa State University At 02:21 PM 11/9/98 -0400, you wrote: >Gayla - I like your comment because it floored me. I admit that I >was so focused on the question at hand I completely overlooked my own >implicit biases. Thanks for keeping the conversation honest. I also >think that perhaps the best question would be how is care negotiated >amongst health care professionals, particularly since the physician >will be the one with the final "legitimate" decision for a treatment >regimen, particularly a pharmaceutical treatment, although the actual >diagnosis and primary care will be based on the decision of a nurse >practitioner, PA, or a physical/mental health therapist. At least in >GA scheduled pharmies can only be prescribed by MD/DO's (although >there is always a dialogue on the need of PA's, NP's, and clinical >psychologists to have the capability for some meds), what about other >states? > >Dave > >> >> We are well past time that physicians are looked to as the primary >> source of information or data from the health care field. About 16 >> other kinds of providers exist for every physician. Patients spend >> incredibly more time with nurses than with physicians. By focusing >> mostly on physicians, med sociologists inadvertantly perpetuate the >> "cultural authority" (Paul Starr) and hegemonic dominance of the >> medical profession. We must begin to look more thoroughly at the >> health care profession and various of providers of care and not just >> the "medical field". >> This comment is not meant to point fingers at you, Melvin. I'm >> venting my frustration at an academic group who espouse critical >> analysis....yet continue to support physician hegemony. >> >> >> >> >> ______________________________ Reply Separator _________________________________ >> Subject: Request for Info - Culture & Healthcare >> Author: at internet >> Date: 11/5/98 9:32 AM >> >> >> >> >> Hello Everyone. >> >> Does anyone know of books, journal articles, or other materials that provide >> discussion on conflicts that arise between patients and physicians (or other >> allied medical personnel) who hold different/conflicting cultural beliefs about >> what constitutes appropriate diagnosis and treatment of health problems? >> >> Any information you can provide will be appreciated. >> >> Melvin Bobo >> Department of Sociology >> Iowa State University >> e-mail: melb12902@sprynet.com >> >> >> >> >David M. Long, MPH >Department of Family and Preventive Medicine >Emory University School of Medicine >69 Butler Street, SE >Atlanta, Georgia 30303-3219 >404-616-2389 (voice) >404-616-6847 (fax) >dlong@fpm.eushc.org > >"Man makes himself... Life is nothing until it is >lived." - Jean-Paul Sartre > >"God can be shaped. God is Change." - Octavia Butler > >"The tradition of all the dead generations weighs like >a nightmare on the brain of the living." - Karl Marx > >"Resist or serve." - D. Long > Jacquelyn Litt Assistant Professor Sociology/Women's Studies Iowa State University 107 East Hall Ames, Iowa 50011-1070 PH: (515) 294-8879 FAX: (515)294-2303 FAX: (515) 294-3613 (fall semester 1998) From jewellg@gvsu.edu Tue Nov 10 08:22:14 1998 Received: from superior.it.gvsu.edu (superior.it.gvsu.edu [148.61.1.10]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA24428 for ; Tue, 10 Nov 1998 08:22:12 -0700 (MST) Received: from gvsu.edu (send.gvsu.edu [148.61.1.77]) by superior.it.gvsu.edu (8.8.6 (PHNE_14041)/8.8.6) with SMTP id KAA27543; Tue, 10 Nov 1998 10:22:02 -0500 (EST) Received: from ccMail by gvsu.edu (ccMail Link to SMTP R6.00.02) id AA910711332; Tue, 10 Nov 98 10:22:14 -0500 Message-Id: <9811109107.AA910711332@gvsu.edu> Date: Tue, 10 Nov 98 10:20:48 -0500 From: "Gayla Jewell" To: , Subject: Re[2]: Request for Info - Culture & Healthcare MIME-Version: 1.0 Content-Type: text/plain; charset=US-ASCII Content-Transfer-Encoding: 7bit Political-cultural authority is one based in gate-keeping and power hording. Strong words.....yet, spend one night on a hospital unit and you will see that it is often the team who makes the decisions which are then sanctioned by the physician. For example, at 3:00 AM is a patient starts to "go down the tubes" it is the nurse who gets the ball rolling by starting the IV and oxygen, ordering STAT lab tests or STAT Xray, then phones the physician for a "verbal order" to cover what s/he did. The hierarchical approach serves more of a power purpose than a therapeutic purpose. What about some research to look at where decisions are really made, by whom and who decides just how they should be implemented? An entire team of various professionals is necessary to provide quality health care; the physician some of the medical portion of the health care. ______________________________ Reply Separator _________________________________ Subject: Re: Request for Info - Culture & Healthcare Author: at internet Date: 11/9/98 5:17 PM I was interested to learn via Gayla Jewell that there are now some 15 or so non-physicians for every doctor who provides medical information to patients. I did not know the ratio was that high. I am not entirely satisfied however that a simple body count of health care workers answers the question about influence and authority in the health/medical field. I think that all providers should their due with regard to number of hours of service logged and number of patients seen. But how many of those non-physician providers are working under the authority or legal shadow of an MD? Going back to Paul E. Starr's notion of "cultural authority", would it make sense to say that physicians have a great deal of-- a preponderant amount- of CULTURAL authority, while all the others in the body count hold the overwhelming preponderance of SOCIAL authority. By SOCIAL I mean roughly face-to-face contact. I don't know quite what I do mean by CULTURAL not how I would index or measure it. If you hold with CULTURAL/SOCIAL, what rough measures would you propose? Or is the whole notion of CULTURAL/SOCIAL hopelessly obscurantist -- or perhaps still worse, cozying up to the most powerful profession? Gene Gallagher, University of KentuckyAt 12:30 PM 11/9/98 -0600, you wrote: >AMen.. > When Hessler and I were doing our text more than a decade ago, we >found hundreds of articles on physicians, a handful on nurses, and only >scattered work on any other health occupation. We lamented that at the >time, and things have still not changed. > >=========================================================================== ==== >Andrew C. Twaddle www.missouri.edu/~ansar >Professor of Sociology >University of Missouri >Columbia, MO 65211 for non- MU related >phone 573+882-7031 correspondence please use >fax 573+884=6430 ansar@gwi.net >=========================================================================== === > >On Mon, 9 Nov 1998, Gayla Jewell wrote: > >> >> We are well past time that physicians are looked to as the primary >> source of information or data from the health care field. About 16 >> other kinds of providers exist for every physician. Patients spend >> incredibly more time with nurses than with physicians. By focusing >> mostly on physicians, med sociologists inadvertantly perpetuate the >> "cultural authority" (Paul Starr) and hegemonic dominance of the >> medical profession. We must begin to look more thoroughly at the >> health care profession and various of providers of care and not just >> the "medical field". >> This comment is not meant to point fingers at you, Melvin. I'm >> venting my frustration at an academic group who espouse critical >> analysis....yet continue to support physician hegemony. >> >> >> >> >> ______________________________ Reply Separator _________________________________ >> Subject: Request for Info - Culture & Healthcare >> Author: at internet >> Date: 11/5/98 9:32 AM >> >> >> >> >> Hello Everyone. >> >> Does anyone know of books, journal articles, or other materials that provide >> discussion on conflicts that arise between patients and physicians (or other >> allied medical personnel) who hold different/conflicting cultural beliefs about >> what constitutes appropriate diagnosis and treatment of health problems? >> >> Any information you can provide will be appreciated. >> >> Melvin Bobo >> Department of Sociology >> Iowa State University >> e-mail: melb12902@sprynet.com >> >> >> > > From jewellg@gvsu.edu Tue Nov 10 08:34:17 1998 Received: from superior.it.gvsu.edu (superior.it.gvsu.edu [148.61.1.10]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA25000 for ; Tue, 10 Nov 1998 08:34:15 -0700 (MST) Received: from gvsu.edu (send.gvsu.edu [148.61.1.77]) by superior.it.gvsu.edu (8.8.6 (PHNE_14041)/8.8.6) with SMTP id KAA27703 for ; Tue, 10 Nov 1998 10:34:05 -0500 (EST) Received: from ccMail by gvsu.edu (ccMail Link to SMTP R6.00.02) id AA910712054; Tue, 10 Nov 98 10:34:17 -0500 Message-Id: <9811109107.AA910712054@gvsu.edu> Date: Tue, 10 Nov 98 10:33:07 -0500 From: "Gayla Jewell" To: Subject: Re[2]: Request for Info - Culture & Healthcare MIME-Version: 1.0 Content-Type: text/plain; charset=US-ASCII Content-Transfer-Encoding: 7bit Look in the nursing literature. Contact the American Nurses Association and other professional nursing organizations for research sources. I concur with the note from Prof Twaddle that little research has been done in the area of patient interaction with other health care providers.....please do not label them "non-physicians" (calling them what they are not instead of that which they are). Two articles of interest might be: Bupert, C.K. 1995. Justifying nurse practitioner existence: Hard facts to hard figures. Nurse Practitioner, 20(8), 43-48. May, C. & Fleming, C. 1997. The professional imagination: narrative and the symbolic boundaries between medicine and nursing. Journal of Advanced Nursing, 25, 1094-1100. ______________________________ Reply Separator _________________________________ Subject: Re: Request for Info - Culture & Healthcare Author: at internet Date: 11/9/98 2:33 PM I can appreciate your point Gayla. Do you know of current or historical research text, documents, or articles that have focused on health care providers (other than physicians) and patient interactions? Melvin Bobo melb12902@sprynet.com From jewellg@gvsu.edu Tue Nov 10 08:46:20 1998 Received: from superior.it.gvsu.edu (superior.it.gvsu.edu [148.61.1.10]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA25556 for ; Tue, 10 Nov 1998 08:46:17 -0700 (MST) Received: from gvsu.edu (send.gvsu.edu [148.61.1.77]) by superior.it.gvsu.edu (8.8.6 (PHNE_14041)/8.8.6) with SMTP id KAA27924; Tue, 10 Nov 1998 10:46:07 -0500 (EST) Received: from ccMail by gvsu.edu (ccMail Link to SMTP R6.00.02) id AA910712777; Tue, 10 Nov 98 10:46:20 -0500 Message-Id: <9811109107.AA910712777@gvsu.edu> Date: Tue, 10 Nov 98 10:45:06 -0500 From: "Gayla Jewell" To: , Subject: Re[2]: Request for Info - Culture & Healthcare MIME-Version: 1.0 Content-Type: text/plain; charset=US-ASCII Content-Transfer-Encoding: 7bit Much is being written about the issue of use of nurse practitioners in managed care and in the health care system, in general. Below is a list of a few articles my students have brought to me. This is just a sampling. Managed CAre, Nurse Practitioners and Discrimination by Nancy Sharp in Nursing Management, 26(9), 90-94. Managed Care Organizations' Arrangements with Nurse Practitioners by Diana Mason, et a. in Nursing Economics. Nov-Dec, 1997, 15(6), 306-314. Advanced Practice Roles for Nurses in Tomorrow's Healthcare Systems by Ann Berger, et al. in Clinical Nurse Specialist, 10(5), 250-255. Administrative Issues for Use of Nurse Practitioners by Sellards & Mills in JONA, 25(5), May, 1995, 64-70. Measuring the Impact of Advanced Practice Nursing on Achieving Cost-Quailty Outsomes: Issues and Challenges by Carroll & Fay in Nursing Administratiion Quarterly, 1997, 21(4), 32-40. Estimating Costs of Underusing Advanced Practice Nurses by Nichols in Nursing Economics, 1992, 10(5), 343-350. A Nurse Practioner-Led, Collaborative, Outpatient Practice: A Case Study in Outcomes Management by Cook & Nolan in Seminars for Nurse Managers, 1996, 4, 154-162. ______________________________ Reply Separator _________________________________ Subject: Re: Request for Info - Culture & Healthcare Author: at internet Date: 11/9/98 4:35 PM Gene- I would add that there is reason to believe that managed care is shifting the balance of power away from physicians. While they are still the nominal primary care providers within health plans, an increasing amount of patient interaction is taking place with nurse practitioners. While they are nominally under the license of the physician, they are required to make independent judgements and they seem to have considerable autonomy in the patient-system encounter. I have not seen any systematic study of this, but I offer it as an observation from the clinics of Mid-Missouri. Andrew =============================================================================== Andrew C. Twaddle www.missouri.edu/~ansar Professor of Sociology University of Missouri Columbia, MO 65211 for non- MU related phone 573+882-7031 correspondence please use fax 573+884=6430 ansar@gwi.net ============================================================================== On Mon, 9 Nov 1998, Eugene B. Gallagher wrote: > I was interested to learn via Gayla Jewell that there are now some 15 or > so non-physicians for every doctor who provides medical information to > patients. I did not know the ratio was that high. > > I am not entirely satisfied however that a simple body count of health care > workers answers the question about influence and authority in the > health/medical field. I think that all providers should their due with > regard to number of hours of service logged and number of patients seen. > But how many of those non-physician providers are working under the > authority or legal shadow of an MD? Going back to Paul E. Starr's notion of > "cultural authority", would it make sense to say that physicians have a > great deal of-- a preponderant amount- of CULTURAL authority, while all the > others in the body count hold the overwhelming preponderance of SOCIAL > authority. By SOCIAL I mean roughly face-to-face contact. I don't know > quite what I do mean by CULTURAL not how I would index or measure it. If > you hold with CULTURAL/SOCIAL, what rough measures would you propose? Or > is the whole notion of CULTURAL/SOCIAL hopelessly obscurantist -- or > perhaps still worse, cozying up to the most powerful profession? > > Gene Gallagher, University of KentuckyAt 12:30 PM 11/9/98 -0600, you wrote: > >AMen.. > > When Hessler and I were doing our text more than a decade ago, we > >found hundreds of articles on physicians, a handful on nurses, and only > >scattered work on any other health occupation. We lamented that at the > >time, and things have still not changed. > > > >=========================================================================== > ==== > >Andrew C. Twaddle www.missouri.edu/~ansar > >Professor of Sociology > >University of Missouri > >Columbia, MO 65211 for non- MU related > >phone 573+882-7031 correspondence please use > >fax 573+884=6430 ansar@gwi.net > >=========================================================================== > === > > > >On Mon, 9 Nov 1998, Gayla Jewell wrote: > > > >> > >> We are well past time that physicians are looked to as the primary > >> source of information or data from the health care field. About 16 > >> other kinds of providers exist for every physician. Patients spend > >> incredibly more time with nurses than with physicians. By focusing > >> mostly on physicians, med sociologists inadvertantly perpetuate the > >> "cultural authority" (Paul Starr) and hegemonic dominance of the > >> medical profession. We must begin to look more thoroughly at the > >> health care profession and various of providers of care and not just > >> the "medical field". > >> This comment is not meant to point fingers at you, Melvin. I'm > >> venting my frustration at an academic group who espouse critical > >> analysis....yet continue to support physician hegemony. > >> > >> > >> > >> > >> ______________________________ Reply Separator > _________________________________ > >> Subject: Request for Info - Culture & Healthcare > >> Author: at internet > >> Date: 11/5/98 9:32 AM > >> > >> > >> > >> > >> Hello Everyone. > >> > >> Does anyone know of books, journal articles, or other materials that > provide > >> discussion on conflicts that arise between patients and physicians (or > other > >> allied medical personnel) who hold different/conflicting cultural > beliefs about > >> what constitutes appropriate diagnosis and treatment of health problems? > >> > >> Any information you can provide will be appreciated. > >> > >> Melvin Bobo > >> Department of Sociology > >> Iowa State University > >> e-mail: melb12902@sprynet.com > >> > >> > >> > > > > > From D.Hughes@swansea.ac.uk Tue Nov 10 09:01:33 1998 Received: from mhs.swan.ac.uk (mhs.swan.ac.uk [137.44.1.33]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id JAA26387 for ; Tue, 10 Nov 1998 09:01:30 -0700 (MST) Received: from shs.swan.ac.uk by mhs with SMTP-LOCAL (XT-PP) with ESMTP; Tue, 10 Nov 1998 16:01:14 +0000 Received: by shs.swan.ac.uk with Internet Mail Service (5.0.1460.8) id ; Tue, 10 Nov 1998 15:58:15 -0000 Message-ID: <51DA2947F405D2119ED700104B4AE51609AABA@shs.swan.ac.uk> From: "Hughes, David" To: MedSoc@csf.colorado.edu Subject: RE: Re[2]: Request for Info - Culture & Healthcare Date: Tue, 10 Nov 1998 15:58:13 -0000 MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" On interaction between physicians and nurses (and other health care workers) two interesting articles are as follows. Whale, Z. (1993) The participation of hospital nurses in the multi-disciplinary ward round on a cancer therapy ward, Journal of Clinical Nursing 2: 155-163. Griffiths, L. (1998) Humour as resistance to professional dominance in community mental health teams, Sociology of Health and Illness 20(5). There are other articles on teamwork in recent issues of SHI and Culture, Medicine and Psychiatry In the last few years there has been renewed interest in the UK in Stein's concept of the 'doctor-nurse game', including a review article in the Journal of Advanced Nursing that references some of the empirical studies in this area. Many of these studies provide micro-level exemplifications of the continuing 'cultural authority' of medical practitioners and the (often muted) resistance strategies used by other occupational groups. If one takes the literature on multi-disciplinary teams and doctor/nurse interaction together I would suggest that there is more evidence of this topic than one might at first suppose (although many studies are British rather than North American). From rierda@mail.biu.ac.il Tue Nov 10 20:30:16 1998 Received: from mail.biu.ac.il (root@tamar.cc.biu.ac.il [132.70.9.24]) by csf.Colorado.EDU (8.9.1a/8.9.1/ITS-5.0/csf) with SMTP id UAA29954 for ; Tue, 10 Nov 1998 20:28:29 -0700 (MST) Received: from dial-20-17.slip.huji.ac.il by mail.biu.ac.il (AIX 4.1/UCB 5.64/4.03) id AA587058; Wed, 11 Nov 1998 05:28:13 +0200 Message-Id: <3.0.3.32.19981111052919.00766c74@mail.biu.ac.il> X-Sender: rierda@mail.biu.ac.il Date: Wed, 11 Nov 1998 05:29:19 +0200 To: MedSoc@csf.colorado.edu From: David Rier Subject: Nurse Practitioners Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" There is a new book called "Nursing Wounds", I think by Sue Sherwin, which discusses the professional position of nurse practitioners. This might have material on patient interactions. David Rier David Rier, Ph.D. Graduate Program in Medical Sociology, Dep't. of Sociology Bar-Ilan University, Ramat-Gan, Israel Fax (O): 972-3-635-0995; Phone/Fax (H): 972-2-651-4754 From sbell@Bowdoin.EDU Wed Nov 11 12:40:11 1998 Received: from bodfish.bowdoin.edu (bodfish.bowdoin.edu [139.140.14.41]) by csf.Colorado.EDU (8.9.1a/8.9.1/ITS-5.0/csf) with ESMTP id MAA08686 for ; Wed, 11 Nov 1998 12:37:59 -0700 (MST) Received: from bowdoin.edu ([139.140.18.32]) by bodfish.bowdoin.edu (Netscape Messaging Server 3.54) with ESMTP id AAA21DB for ; Wed, 11 Nov 1998 14:36:49 -0500 Message-ID: <3649A501.837A0F80@bowdoin.edu> Date: Wed, 11 Nov 1998 14:53:53 +0000 From: Susan Bell MIME-Version: 1.0 To: MedSoc@csf.colorado.edu Subject: Re: Nurse Practitioners References: <3.0.3.32.19981111052919.00766c74@mail.biu.ac.il> Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit The book is Nursing Wounds: Nurse Practitioners/Doctors/Women Patients and the Negotiation of Meaning, by Sue Fisher (Rutgers 1995), and it does have material about patient interactions. See also Healing Dramas and Clinical Plots: The Narrative Structure of Experience, by Cheryl Mattingly (Cambridge, 1998). I'm not sure whether this book is available yet. It examines clinical interactions between occupational therapists and patients. David Rier wrote: > > There is a new book called "Nursing Wounds", I think by Sue Sherwin, which > discusses the professional position of nurse practitioners. This might > have material on patient interactions. > David Rier > > David Rier, Ph.D. > Graduate Program in Medical Sociology, Dep't. of Sociology > Bar-Ilan University, Ramat-Gan, Israel > Fax (O): 972-3-635-0995; Phone/Fax (H): 972-2-651-4754 -- Susan E. Bell Department of Sociology and Anthropology Bowdoin College 7000 College Station Brunswick, ME 04011-8470 207-725-3292 From tgallagh@kent.edu Thu Nov 12 09:51:35 1998 Received: from smtp02.kent.edu (smtp02.kent.edu [131.123.14.217]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id JAA07768 for ; Thu, 12 Nov 1998 09:51:32 -0700 (MST) Received: from gallagher.kent.edu (gallagher.sociology.kent.edu [131.123.251.8]) by smtp02.kent.edu (8.8.7/8.8.5) with SMTP id LAA12775 for ; Thu, 12 Nov 1998 11:38:24 -0500 Message-Id: <3.0.5.32.19981112115201.007e3e30@pop.kent.edu> X-Sender: tgallagh@pop.kent.edu Date: Thu, 12 Nov 1998 11:52:01 -0500 To: MedSoc@csf.colorado.edu From: Tim Gallagher Subject: Med Soc Website Update In-Reply-To: <3649A501.837A0F80@bowdoin.edu> References: <3.0.3.32.19981111052919.00766c74@mail.biu.ac.il> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" MedSoc: I am posting a message to give an update on the location of the Med Soc website. The site was moved to: http://www.kent.edu/sociology/asamedsoc/ The previous site location was given in the current issue of the Medical Sociology Newsletter. Tim ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Timothy J. Gallagher, Ph.D. Department of Sociology Kent State University Kent, OH 44242 U.S.A. Email: tgallagh@kent.edu Ph: 330 672-2709 FAX: 330 672-4724 http://www.kent.edu/sociology/tgallagher/ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ From jlitt@iastate.edu Thu Nov 12 13:01:39 1998 Received: from mailhub.iastate.edu (mailhub.iastate.edu [129.186.1.102]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id NAA22310 for ; Thu, 12 Nov 1998 13:01:37 -0700 (MST) Received: from jlitt.cfr.iastate.edu (jlitt.cfr.iastate.edu [129.186.203.69]) by mailhub.iastate.edu (8.8.5/8.8.5) with SMTP id OAA29906 for ; Thu, 12 Nov 1998 14:01:33 -0600 (CST) Message-Id: <199811122001.OAA29906@mailhub.iastate.edu> X-Sender: jlitt@pop-3.iastate.edu Date: Thu, 12 Nov 1998 14:01:33 -0600 To: MedSoc@csf.colorado.edu From: Jacquelyn S Litt Subject: Re: Request for Info - Culture & Healthcare In-Reply-To: <199811092037.PAA31188@ns4-1.CC.Lehigh.EDU> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Hi all: In response to requests for more information on my own and other studies of how medicine gains its meaning in everyday life: My book on mothering and medicalization is (tentatively) entitled American Medicine and Divided Motherhood: Views from the Lives of Jewish and African American Mothers, 1930-1950. It will be out next September, Rutgers University Press. Drawing on oral-history interviews, the book examines the various types of medicalized mothering cultures these women developed and shows that as women's material resources, status needs, and social networks differed, so did the approach they took to a scientific model of child-raising. The book also shows that women used medical discourse not only as a system of technical knowledge to improve child health but also as a site for negotiating their relations to other women, both within and outside of their racial, ethnic, and class groups. The full citation for Emily Martin's excellent book is Flexible Bodies: Tracking Immunity in American Culture from the Days of Polio to the Age of Aids. Boston: Beacon Press. 1994. She examines notions of immunity in various contexts (e.g. medical labs and movies) and in ethnographic interviews she conducted with nonscientists. It is a wonderful study of how the meaning of the body and medicine (and social life) are generated in contemporary understandings of immunity. Emily Abel also has excellent publications on mothers' caregiving and the meanings of medicine in the household. "A 'Terrible and Exhausting" Struggle: Family Caregiving During the Transformation of Medicine." Journal of the HIstory of Medicine and Allied Sciences. 1995. 50 pps. 478-506. And "Appealing for Children's Health Care: Conflicts between Mothers and Officials in the 1930s." Social Service Review. 70. June 1996. pps. 282-304. Jackie Litt Assistant Professor Sociology and Women's Studies Iowa State University At 03:37 PM 11/9/98 -0500, you wrote: >Dear Jackie, > >Good news about the book. Please let us all know the title and expected date >of publication. > >Judy Lasker > > >>Hi all; >> >>I really like this line of discussion. I've just completed a book >>(forthcoming Rutgers Press) on how women, in their everyday practices as >>mothers, negotiate the meaning and uses of medical discourse in the care >>of their children. It has struck me too that much of medical sociology is >>physician-(and provider-) focused and thus that we miss much of how >>medicine and science happens "on the street" (or in the household!) not >>just in medical offices or scientific labs. Emily Martin's book, Flexible >>Bodies, is another example of this street-level approach. >> >>Jackie Litt >>Assistant Professor >>Sociology and Women's Studies >>Iowa State University >> >> >> >> >> >>At 02:21 PM 11/9/98 -0400, you wrote: >>>Gayla - I like your comment because it floored me. I admit that I >>>was so focused on the question at hand I completely overlooked my own >>>implicit biases. Thanks for keeping the conversation honest. I also >>>think that perhaps the best question would be how is care negotiated >>>amongst health care professionals, particularly since the physician >>>will be the one with the final "legitimate" decision for a treatment >>>regimen, particularly a pharmaceutical treatment, although the actual >>>diagnosis and primary care will be based on the decision of a nurse >>>practitioner, PA, or a physical/mental health therapist. At least in >>>GA scheduled pharmies can only be prescribed by MD/DO's (although >>>there is always a dialogue on the need of PA's, NP's, and clinical >>>psychologists to have the capability for some meds), what about other >>>states? >>> >>>Dave >>> >>>> >>>> We are well past time that physicians are looked to as the primary >>>> source of information or data from the health care field. About 16 >>>> other kinds of providers exist for every physician. Patients spend >>>> incredibly more time with nurses than with physicians. By focusing >>>> mostly on physicians, med sociologists inadvertantly perpetuate the >>>> "cultural authority" (Paul Starr) and hegemonic dominance of the >>>> medical profession. We must begin to look more thoroughly at the >>>> health care profession and various of providers of care and not just >>>> the "medical field". >>>> This comment is not meant to point fingers at you, Melvin. I'm >>>> venting my frustration at an academic group who espouse critical >>>> analysis....yet continue to support physician hegemony. >>>> >>>> >>>> >>>> >>>> ______________________________ Reply Separator >>_________________________________ >>>> Subject: Request for Info - Culture & Healthcare >>>> Author: at internet >>>> Date: 11/5/98 9:32 AM >>>> >>>> >>>> >>>> >>>> Hello Everyone. >>>> >>>> Does anyone know of books, journal articles, or other materials that >>provide >>>> discussion on conflicts that arise between patients and physicians (or >>other >>>> allied medical personnel) who hold different/conflicting cultural >>beliefs about >>>> what constitutes appropriate diagnosis and treatment of health problems? >>>> >>>> Any information you can provide will be appreciated. >>>> >>>> Melvin Bobo >>>> Department of Sociology >>>> Iowa State University >>>> e-mail: melb12902@sprynet.com >>>> >>>> >>>> >>>> >>>David M. Long, MPH >>>Department of Family and Preventive Medicine >>>Emory University School of Medicine >>>69 Butler Street, SE >>>Atlanta, Georgia 30303-3219 >>>404-616-2389 (voice) >>>404-616-6847 (fax) >>>dlong@fpm.eushc.org >>> >>>"Man makes himself... Life is nothing until it is >>>lived." - Jean-Paul Sartre >>> >>>"God can be shaped. God is Change." - Octavia Butler >>> >>>"The tradition of all the dead generations weighs like >>>a nightmare on the brain of the living." - Karl Marx >>> >>>"Resist or serve." - D. Long >>> >>Jacquelyn Litt >>Assistant Professor >>Sociology/Women's Studies >>Iowa State University >>107 East Hall >>Ames, Iowa 50011-1070 >> >>PH: (515) 294-8879 >>FAX: (515)294-2303 >>FAX: (515) 294-3613 (fall semester 1998) >> >Judith N. Lasker >Department of Sociology and Anthropology >Lehigh University, 681 Taylor St. >Bethlehem, Pa. 18015, 610-758-3811 >fax: 610-758-6552 > Jacquelyn Litt Assistant Professor Sociology/Women's Studies Iowa State University 107 East Hall Ames, Iowa 50011-1070 PH: (515) 294-8879 FAX: (515)294-2303 FAX: (515) 294-3613 (fall semester 1998) From schandle@mail.sdsu.edu Thu Nov 12 13:24:39 1998 Received: from mail.sdsu.edu (mail.sdsu.edu [130.191.25.1]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id NAA24908 for ; Thu, 12 Nov 1998 13:24:35 -0700 (MST) Received: from schandler ([130.191.123.8]) by mail.sdsu.edu (8.8.7/8.8.7) with SMTP id MAA12662 for ; Thu, 12 Nov 1998 12:24:29 -0800 (PST) Message-Id: <3.0.1.16.19981112122335.48173470@mail.sdsu.edu> X-Sender: schandle@mail.sdsu.edu Date: Thu, 12 Nov 1998 12:23:35 -0800 To: medsoc@csf.colorado.edu From: Shelly Chandler Subject: Payer Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" I have been using Lynn Payer's Medicine and Culture in my Med Soc class for a number of years. It has been very useful in demonstrating the variability of concepts of disease, illness, etc., to students. I'm looking for a more recent, ideally paper-back treatment of the same sort of topics to offer my students. Does anyone have any suggestions? They would be greatly appreciated. Thanks, Shelly Chandler From ansar@showme.missouri.edu Thu Nov 12 14:24:58 1998 Received: from sp2n17.missouri.edu (sp2n17-t.missouri.edu [128.206.2.27]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id OAA00286 for ; Thu, 12 Nov 1998 14:24:54 -0700 (MST) Received: from sp2n23-t.missouri.edu (sp2n23.missouri.edu [128.206.2.84]) by sp2n17.missouri.edu (8.9.0/8.9.0) with ESMTP id PAA27726; Thu, 12 Nov 1998 15:24:48 -0600 Received: from localhost (ansar@localhost) by sp2n23-t.missouri.edu (8.9.0/8.9.0) with SMTP id PAA149764; Thu, 12 Nov 1998 15:24:48 -0600 X-Authentication-Warning: sp2n23-t.missouri.edu: ansar owned process doing -bs Date: Thu, 12 Nov 1998 15:24:47 -0600 (CST) From: "Andrew C. Twaddle" X-Sender: ansar@sp2n23-t.missouri.edu To: Shelly Chandler cc: MEDICAL SOCIOLOGY Subject: Re: Payer In-Reply-To: <3.0.1.16.19981112122335.48173470@mail.sdsu.edu> Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII Lennart Nordenfelt and I have a small book (three essays) on distinctions among Disease, Illness and Sickness. It was put out by the theme department on health at Linkopings Universitet in Sweden in 1994. It may be a bit abstruse for undergraduates, but I'd be interested in feedback. I think the book is free and can be ordered from: Tema H Universitet i Linkoping S-581 83 Linkoping Sweden The title is DISEASE, ILLNESS AND SICKNESS: THREE CENTRAL CONCEPTS IN THE THEORY OF HEALTH. It consists of an essay by me, a critical response from Nordenfelt ( a Philosopher) and a response from me. =============================================================================== Andrew C. Twaddle www.missouri.edu/~ansar Professor of Sociology University of Missouri Columbia, MO 65211 for non- MU related phone 573+882-7031 correspondence please use fax 573+884=6430 ansar@gwi.net ============================================================================== On Thu, 12 Nov 1998, Shelly Chandler wrote: > I have been using Lynn Payer's Medicine and Culture in my Med Soc class for > a number of years. It has been very useful in demonstrating the > variability of concepts of disease, illness, etc., to students. > I'm looking for a more recent, ideally paper-back treatment of the same > sort of topics to offer my students. > > Does anyone have any suggestions? They would be greatly appreciated. > > Thanks, Shelly Chandler > From via@ssc.upenn.edu Fri Nov 13 06:34:12 1998 Received: from nisc2.upenn.edu (NISC2.UPENN.EDU [128.91.254.18]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id GAA24910 for ; Fri, 13 Nov 1998 06:34:09 -0700 (MST) Received: from ssc.upenn.edu (DIALIN0254.UPENN.EDU [128.91.16.254]) by nisc2.upenn.edu (8.8.8/8.8.7) with ESMTP id IAA07190 for ; Fri, 13 Nov 1998 08:34:06 -0500 (EST) Message-ID: <364C355C.1737411C@ssc.upenn.edu> Date: Fri, 13 Nov 1998 08:34:20 -0500 From: "Virginia Adams O'Connell" X-Accept-Language: en MIME-Version: 1.0 To: MedSoc@csf.colorado.edu Subject: Software for Qualitative Data Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit To List Members: What are your favorite software packages for managing qualitative data? Thanks, Virginia Adams O'Connell From Phil_Brown@brown.edu Fri Nov 13 07:03:27 1998 Received: from dark.brown.edu (dark.brown.edu [128.148.128.11]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id HAA27160 for ; Fri, 13 Nov 1998 07:03:24 -0700 (MST) Received: from ppp1.bu.edu (PPP-77-9.BU.EDU [128.197.7.221]) by dark.brown.edu (8.9.1a/8.9.1) with SMTP id JAA14352 for ; Fri, 13 Nov 1998 09:03:21 -0500 (EST) Message-Id: <3.0.5.32.19981113090615.007ef580@postoffice.brown.edu> X-Sender: Phil_Brown@postoffice.brown.edu Date: Fri, 13 Nov 1998 09:06:15 -0500 To: MedSoc@csf.colorado.edu From: Phil Brown Subject: Re: reply postings In-Reply-To: <199811131340.GAA25503@csf.Colorado.EDU> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" It's great that we are having such a flurry of activity. Please remember: Delete original messages before sending replies. Otherwise it gets hard for readers to read the messages that sometimes have 4 iterations. Phil Phil Brown phone 401-863-2633 Professor of Sociology secretary 863-2367 Brown University fax 863-3213 Box 1916 Providence RI 02912 From valles@uic.edu Fri Nov 13 08:16:49 1998 Received: from tigger.cc.uic.edu (TIGGER.CC.UIC.EDU [128.248.155.51]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA00906 for ; Fri, 13 Nov 1998 08:16:47 -0700 (MST) Received: from localhost (valles@localhost) by tigger.cc.uic.edu (8.8.8/8.8.8) with SMTP id JAA336786 for ; Fri, 13 Nov 1998 09:16:50 -0600 X-Authentication-Warning: tigger.cc.uic.edu: valles owned process doing -bs Date: Fri, 13 Nov 1998 09:16:50 -0600 (CST) From: Jesus Ramirez Valles X-Sender: valles@tigger.cc.uic.edu To: MEDICAL SOCIOLOGY Subject: Re: Software for Qualitative Data In-Reply-To: <364C355C.1737411C@ssc.upenn.edu> Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII I prefer the old fashioned way. I feel afraid that the software may take over the analysis. On Fri, 13 Nov 1998, Virginia Adams O'Connell wrote: > To List Members: > > What are your favorite software packages for managing qualitative data? > > Thanks, > Virginia Adams O'Connell > From CKMerkel@aol.com Sat Nov 14 14:39:59 1998 Received: from imo29.mx.aol.com (imo29.mx.aol.com [198.81.17.73]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id OAA14372 for ; Sat, 14 Nov 1998 14:39:56 -0700 (MST) From: CKMerkel@aol.com Received: from CKMerkel@aol.com by imo29.mx.aol.com (IMOv16.1) id DUMGa09167 for ; Sat, 14 Nov 1998 16:39:50 -0500 (EST) Message-ID: <898bcd9f.364df8a6@aol.com> Date: Sat, 14 Nov 1998 16:39:50 EST To: MEDSOC@csf.colorado.edu Mime-Version: 1.0 Subject: Family-Health Practitioner Relationship Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit Does anyone know of a model of the family- health practitioner relationship? I know only of models to explain the patient-practioner relationship. The nurses I studied for my doctoral research perform more emotional labor with families than they do with patients. This represents a significant amount of work for them but I do not believe I can simply "transplant'" theories of the patient-practitioner relationship on to this phenomena since the nurses consider the families to be extra, almost secondary work for them. Any thoughts? Thanks in advance. Cindy Merkel From Libbie.Chute@hi-line.net Sun Nov 15 13:14:55 1998 Received: from noodle.hi-line.net (noodle.hi-line.net [206.107.237.2]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id NAA27409 for ; Sun, 15 Nov 1998 13:14:53 -0700 (MST) Received: from hvtwoeig.hi-line.net (hvtwoeig.hi-line.net [206.107.237.38]) by noodle.hi-line.net (8.8.7/8.8.7) with SMTP id NAA12364 for ; Sun, 15 Nov 1998 13:15:00 -0700 Date: Sun, 15 Nov 1998 13:15:00 -0700 Message-Id: <199811152015.NAA12364@noodle.hi-line.net> X-Sender: chute@hi-line.net Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" To: MedSoc@csf.colorado.edu From: Libbie Chute Subject: Nurses and patients What a stimulating dialogue this is! I am a new PhD whose dissertation was the process individuals go through as they learn to live with a chronic illness. It is a qualitative study. The respondents dealt with doctors through appointments. They had few social interactions with nurses, though many of them were nurses. Now I am temporarily working as a social worker in a nursing home with a census of about 130. Nurses are very powerful in this forum. A doctor can prescribe a medication, say for pain, and advise that it can be taken every 4 hours at the patient's request. This is interpreted by some nurses as at their discretion. Whether or not the patient actually gets the medication depends upon the nurse's interpretation of whether the resident is really in pain or just wants to take something, or if the patient caused the pain by doing something s/he knows s/he shouldn't. If a patient innovates and calls the doctor on an outside line after being refused by a nurse, s/he is labeled manipulative. Sometimes is a social worker sides with the patient and tells the nurse to call the doctor, the nurse will refuse. I'm not saying this happens very often, but it does give one a sense of the power nurses' have in this situation. On the other hand, nurses often catch symptoms before patients even realize they are having them. I found that Qualitative Health Research had a number of articles on nurse/patient interaction. Seems to me there are more of these articles coming from Canadian researchers (Calgary perhaps?) Hope this is helpful. Libbie Chute, PhD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Elizabeth (Libbie) E. Chute, PhD Home Phone: 406-265-2686 1141 14th Avenue E-mail: Chute@hi-line.net Havre, MT 59501-4683 Affiliation: Department of Sociology SUNY Stony Brook ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ From VLeiter@aol.com Sun Nov 15 17:39:22 1998 Received: from imo19.mx.aol.com (imo19.mx.aol.com [198.81.17.9]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id RAA11266 for ; Sun, 15 Nov 1998 17:39:18 -0700 (MST) From: VLeiter@aol.com Received: from VLeiter@aol.com by imo19.mx.aol.com (IMOv16.10) id DITAa04680 for ; Sun, 15 Nov 1998 19:39:01 +1900 (EST) Message-ID: Date: Sun, 15 Nov 1998 19:39:01 EST To: MEDSOC@csf.colorado.edu Mime-Version: 1.0 Subject: No Subject Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit Cindy, Your question struck a chord in me. I'm looking at the relationship between practitioners in Early Intervention programs (which serve infants and toddlers with developmental disabilities), and the parents of the children who are served. The staff are physical therapists, occupational therapists, speech and language therapists, nurses, etc. They do a great deal of emotional work with parents, but often they have not been prepared to do it through their training. The focus of their work and training is on the children, not the parents. Here are a few references on this, if you think that the match is close enough: - Walker, B. and Singer, G.H.S. 1993. Improving Collaborative Communication Between Professionals and Parents. In G.H.S. Singer and L.E. Powers (Eds.), Families, Disability and Empowerment: Active Coping Skills and Strategies for Family Interventions (pp. 285-315). - Bailey, D.B., Jr., Palsha, S.A., and Simeonsson, R. J. 1991. Professional Skills, Concerns, and Perceived Importance of Work with Families in Early Intervention. Exceptional Children, 58, 156-165. -Summers, J.A. et al. 1990. Examining the Individualized Family Service Plan Process: What are Family and Practioner Preferences? Topics in Early Childhood Special Education, 10, 78-99. Renee Anspach's book on Neonatal Infant Care Units (Deciding Who Lives) might also be of help. Best wishes, Valerie Leiter From jackmay@juno.com Sun Nov 15 20:54:10 1998 Received: from x10.boston.juno.com (x10.boston.juno.com [205.231.101.25]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id UAA18348 for ; Sun, 15 Nov 1998 20:54:08 -0700 (MST) Received: (from jackmay@juno.com) by x10.boston.juno.com (queuemail) id DT573P9K; Sun, 15 Nov 1998 22:53:57 EST To: MEDSOC@csf.colorado.edu Date: Sun, 15 Nov 1998 22:52:36 -0500 Subject: Jack Elinson's e-mail addresses Message-ID: <19981115.225240.-425727.1.jackmay@juno.com> X-Juno-Line-Breaks: 1-6 X-Juno-Att: 0 MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit From: jackmay@juno.com (Jack Elinson) I have been receiving MEDSOC messages on two of my e-mail addresses. Please remove one of them. The one to REMOVE is elinsonteaneck@juno.com. KEEP jackmay@juno.com Thank you. From c649885@showme.missouri.edu Sun Nov 15 23:28:23 1998 Received: from sp2n17.missouri.edu (sp2n17-t.missouri.edu [128.206.2.27]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id XAA23995 for ; Sun, 15 Nov 1998 23:28:21 -0700 (MST) Received: from showme.missouri.edu (Mizzou-AS4-44.missouri.edu [128.206.205.188]) by sp2n17.missouri.edu (8.9.0/8.9.0) with ESMTP id SAA23606 for ; Sun, 15 Nov 1998 18:30:31 -0600 Message-ID: <364F7221.113253F5@showme.missouri.edu> Date: Sun, 15 Nov 1998 18:30:25 -0600 From: Soo-Yeon Cho X-Accept-Language: en MIME-Version: 1.0 To: MedSoc@csf.colorado.edu Subject: Re: Software for Qualitative Data References: Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Dear Virginia A. O'Connell, In response to software packages for managing qualitative data, I've use HyperQual for Macintosh. I personally use PC, but I've use HyperQual in my methodology TA class, and I found that was very useful. No matter which way one prefer (old or new), one has to develop a coding system to be able to analyze the data. I haven't used NUD*IST, but I've heard that is good one for PC. You can try the review version as a free. The web site is: http://www.qsr.com.au/OtherInfo/AboutNudist/Reviews.htm Personally I want to try NUD*IST for myself too. If you have positive experience using the try version of NUD*IST, please let me hear from you.-- Soo-Yeon -- * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Soo-Yeon Cho, Grad., Dept. of Sociology, Univ. of Missouri-Columbia c649885@showme.missouri.edu Visit : http://www.missouri.edu/~c649885 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * From ansar@showme.missouri.edu Sun Nov 15 23:48:30 1998 Received: from sp2n17.missouri.edu (sp2n17-t.missouri.edu [128.206.2.27]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id XAA26017 for ; Sun, 15 Nov 1998 23:48:28 -0700 (MST) Received: from sp2n21.missouri.edu (sp2n21.missouri.edu [128.206.2.83]) by sp2n17.missouri.edu (8.9.0/8.9.0) with ESMTP id IAA65090 for ; Sun, 15 Nov 1998 08:48:40 -0600 Received: from localhost (ansar@localhost) by sp2n21.missouri.edu (8.9.0/8.9.0) with SMTP id IAA124410 for ; Sun, 15 Nov 1998 08:48:40 -0600 X-Authentication-Warning: sp2n21.missouri.edu: ansar owned process doing -bs Date: Sun, 15 Nov 1998 08:48:40 -0600 (CST) From: "Andrew C. Twaddle" X-Sender: ansar@sp2n21.missouri.edu To: MEDICAL SOCIOLOGY Subject: Re: Family-Health Practitioner Relationship In-Reply-To: <898bcd9f.364df8a6@aol.com> Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII I don't know of any, but I will check with Jim Campbell, who did a number of studies of family practitioner-patient interactions some years ago. =============================================================================== Andrew C. Twaddle www.missouri.edu/~ansar Professor of Sociology University of Missouri Columbia, MO 65211 for non- MU related phone 573+882-7031 correspondence please use fax 573+884=6430 ansar@gwi.net ============================================================================== On Sat, 14 Nov 1998 CKMerkel@aol.com wrote: > Does anyone know of a model of the family- health practitioner relationship? > I know only of models to explain the patient-practioner relationship. The > nurses I studied for my doctoral research perform more emotional labor with > families than they do with patients. This represents a significant amount of > work for them but I do not believe I can simply "transplant'" theories of the > patient-practitioner relationship on to this phenomena since the nurses > consider the families to be extra, almost secondary work for them. Any > thoughts? > Thanks in advance. > > Cindy Merkel > From Aksel.H.Tjora@unimed.sintef.no Tue Nov 17 02:16:57 1998 Received: from halvan.trd.sintef.no (halvan.trd.sintef.no [129.241.224.23]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id CAA07337 for ; Tue, 17 Nov 1998 02:16:55 -0700 (MST) Received: from umpc225 (um-dhcp-127.unimed.sintef.no [129.241.242.127]) by halvan.trd.sintef.no (8.8.5/8.8.5) with SMTP id KAA05395 for ; Tue, 17 Nov 1998 10:16:52 +0100 (MET) Message-Id: <3.0.1.32.19981117101651.00987890@mail.trd.sintef.no> X-Sender: akselt@mail.trd.sintef.no Date: Tue, 17 Nov 1998 10:16:51 +0100 To: MedSoc@csf.colorado.edu From: Aksel Hn Tjora Subject: Re: Software for Qualitative Data Mime-Version: 1.0 Content-Type: text/enriched; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable The use of software for qualitative data analysis is very useful. Especially the packages are effective in the process of indexing on line data, as for example field interview transcripts. Jesus Ramirez Valles says that he is afraid that the software may take over the analysis. Software, like NUD-IST does not require any alternative form of data analysis than the manual method, I think, but Valles is right in a way because one is tempted to use the default procedure as presented for example in the software manuals. NUD-IST asks you to make a hierarchical tree of indexes, which may not fit the way your indexes are related. However, you may design that index tree as a one level flat tree, and thereby work around this software determinism. Another problem that I experienced with NUD-IST was that changing the indexes during the research project would cause quite a lot of work. This means that you have to work rather hard with index construction in the beginning of your data analysis to avoid fundamental changes later. This problem made me put NUD-IST aside in my thesis work on medical emergency centres, because I had to change my indexes drastically in a rather late stage, and I did not have the energy necessary to work through the indexing again. The result was that I used NUD-IST as a sorting tool for my data, rather than an analysis tool. I think one should be rather concerned about the dynamics in the indexing when choosing a software, as I find it necessary to be able to change indexing, heavily if necessary, during all stages in the research work. Check out the page at Sage Publications for various software and downloadable demo versions, at http://www.scolari.co.uk/ The following subsection from my PhD thesis (in sociology) describes in short terms my experience with NUD-IST: -------------------------------------- Using NUD=B7IST in Qualitative Data Analysis After the three first periods of interviews and two observation periods, I used the computerised tool NUD=D7IST (Non-numerical Unstructured Data Indexing Searching) for sorting data. The program is organised into a document part and an index part, and applies a cut-copy-paste process on the raw data to construct a very flexible way of relating text pieces or other data formats to an index system. The index sys-tem is hierarchically ordered. Besides, there are well developed search engines for searching the raw data, for indexing, or searching the in-dex systems, for finding clusterings, testing hypothesis, making quali-tative matrices, etc. (QSR, 1994).=20 After being introduced to NUD=D7IST by Amanda Bow and Karen Wale in March 1995, shortly before the first interviews of nurses in LV cen-trals, I decided to use NUD=D7IST in my data analysis. Although I had planned to use NUD=D7IST for the complete analysis, I found it difficult because of the hierarchical structure of categories (indexes), that NUD=D7IST is based on. I have problems with accepting the idea of the designers Richards and Richards (1995), that it is natural to think in terms of hierarchical ordered categories. They think of the categories as sorted by a general-to-specific process (Richards and Richards, 1995:82). A source of the problem may be that the categories are thought of as characteristics (like age, gender and religion), a way of thinking that stems from survey approaches. My analysis focuses mostly on the relations between the people, institu-tions, professions and technologies that I study. Following the catego-rising strategy of NUD=D7IST in the complete analysis, I feel that I would have to separate these units, and their work and practice, and the con-textual factors. I am afraid that it would draw me too far away from the relational nature of my data. As pointed out by Kelle and Laurie, implementing a consistent and stable coding scheme at a too early stage of data analysis could have a "hazardous influence on hypothesis generation" (Kelle and Laurie, 1995:28). I believe that the closeness to the data is needed in the exploring strategy that is followed. In a re-view of NUD=D7IST, Weitzman and Miles pointed out some of the same drawbacks with the program as myself; "distance from the data, con-text-less search hits, [..] and hierarchical-only coding" (Weitzman and Miles, 1995:256). Nevertheless, NUD=D7IST provided a very useful way to sort the data, so that the sorted lot could be retrieved at any moment. As the amount of data grew, it was easy to include into the NUD=D7IST document system, and browse the raw data, addressing fragments to different categories (indexes). The hierarchical index tree was modified continuously, as new analysis of new data made me think of new categories, or as analysis made it natural to delete or merge old indexes. After three in-terview periods and two observation periods, I had a large amount of data, that was systematically ordered. However, that the ordering of the indexes is hierarchical was more confusing than useful for this preliminary data analysis of sorting the observed phenomena. Hence, without using the index tree, I still used the indexes. I left the NUD=D7IST approach after having established the preliminary categories, and pursued a manual, intuitive sorting and categorising approach of the data from the observations and interviews that came later.=20 The use of NUD=D7IST is not only interesting in a methodological discus-sion, but also in a discussion of technology and work practices, hence in the focus of the thesis in general. When I started to use NUD=D7IST, the program was of course already fully designed. Nevertheless, I was able to reconstruct the designers' idea of a hierarchical ordered index tree, to a bunch of indexes that for me at that time were unre-lated. I put all indexes on one level of the tree, so no index would be subordinate to the other. My use of NUD=D7IST was therefore not really a use of an analysis software, but a use of the software reconstructed as a very useful tool for selecting and ordering raw text by categories. In the same way as many of the LV nurses more or less reconstructed the LV centre, that was supposed to be a service telephone into a switchboard, I appropriated NUD=D7IST to be a sorting tool, an advanced file manager. Although the artefact was already designed, it did not stop me from redesigning the use of the system to suit my own pur-poses, or avoid using the parts of the software that were conflicting with my research strategy and aims.=20 As pointed out by Coffey and Atkinson (1996), it would be wrong to allow the software to drive the research strategy. After having used the functions of NUD=D7IST that (I think) did not alter my research strat-egy, I felt it was right to leave the software for more manual methods. --------------------------------- Hope some of my experience might be helpful. Aksel Hn Tjora 8080,8080,0000_____________________________________ Aksel Hn Tjora (akselt@unimed.sintef.no) Researcher, Associate Professor, PhD Norwegian Institute for Hospital Research (NIS) Address: Sintef Unimed, 7034 Trondheim, Norway.=20 Tel: (+47) 7359 7889 Fax: (+47) 7359 6361 Tuesdays Tel: (+47) 7359 0267 Fax: (+47) 7359 1564 Other week days Private tel: (+47) 7352 8552 From Chloe_Bird@brown.edu Tue Nov 17 10:46:42 1998 Received: from dark.brown.edu (dark.brown.edu [128.148.128.11]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id KAA01851 for ; Tue, 17 Nov 1998 10:46:37 -0700 (MST) Received: from Chloe_Bird.brown.edu (cis-ts4-slip7.cis.brown.edu [128.148.19.78]) by dark.brown.edu (8.9.1a/8.9.1) with SMTP id MAA09249; Tue, 17 Nov 1998 12:46:30 -0500 (EST) Message-Id: <3.0.2.32.19981117124619.006d28a4@postoffice.brown.edu> X-Sender: Chloe_Bird@postoffice.brown.edu Date: Tue, 17 Nov 1998 12:46:19 -0500 To: MedSoc@csf.colorado.edu From: Chloe Bird Subject: Handbook Chapter Cc: Allen Fremont , Peter Conrad In-Reply-To: Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Bernice, We want to send the Handbook preliminary draft to the publisher so that they can send it out for review. We have revised chapters from most of the authors and draft chapters from all but a few. Of course, we want to give the publisher all of the chapters at once. We had initially planned to do this by early November, now we are looking at December 1. We need your chapter. I know this is a busy time of the semester. But, we want to have time to get you comments and so that you will have some time left to revise before we submit the final manuscript to Prentice Hall. Chloe From magee@chass.utoronto.ca Tue Nov 17 11:51:32 1998 Received: from bebop.chass.utoronto.ca (bebop.chass.utoronto.ca [128.100.160.4]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id LAA07143 for ; Tue, 17 Nov 1998 11:51:29 -0700 (MST) Received: from localhost (magee@localhost) by bebop.chass.utoronto.ca (8.9.1/8.9.1) with SMTP id NAA00989; Tue, 17 Nov 1998 13:51:27 -0500 (EST) Date: Tue, 17 Nov 1998 13:51:26 -0500 (EST) From: William Magee Reply-To: William Magee To: MEDICAL SOCIOLOGY cc: Teresa Scheid Subject: ASA Mental Health Syllabus Set In-Reply-To: <3.0.2.32.19981117124619.006d28a4@postoffice.brown.edu> Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII Contributions to the ASA resource book on sociology of mental health (syllabi, exercises, etc) are currently being collected by Teresa Scheid and I. Please send your contributions to one of us, at the following addresses. Many thanks. Teresa L. Scheid Associate Professor Department of Sociology UNC-Charlotte, Charlotte NC 28223 704-547-4297 tlscheid@niner.uncc.edu Bill Magee Asst. Professor Dept. of Sociology University of Toronto 203 College St. Toronto, Ontario M5T 1P9 Canada 416-978-5405 magee@chass.utoronto.ca From r.s.kelly@uclan.ac.uk Wed Nov 18 08:56:32 1998 Received: from com1.uclan.ac.uk (com1.uclan.ac.uk [193.61.255.3]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA01286 for ; Wed, 18 Nov 1998 08:56:29 -0700 (MST) Received: from mail-gw.uclan.ac.uk by com1.uclan.ac.uk with SMTP (PP); Wed, 18 Nov 1998 15:44:16 +0000 Received: from MAS1/MAILQ by mail-gw.uclan.ac.uk (Mercury 1.31); 18 Nov 98 15:54:30 GMT+0 Received: from MAILQ by MAS1 (Mercury 1.31); 18 Nov 98 15:54:09 GMT+0 From: "r.s.kelly" To: MedSoc@csf.colorado.edu Date: Wed, 18 Nov 1998 15:52:55 GMT+0 MIME-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Subject: Re: Software for Qualitative Data X-mailer: Pegasus Mail for Windows (v2.33) Message-ID: <43F6866A2D@mail-gw.uclan.ac.uk> Virginia writes: "What are your favorite software packages for managing qualitative data?" This depends on what you have for data. I work with transcipts of nurses' talk and find that, like early botanists, there is nothing better than get up to your knees in the data and searching for the specimens. The familiarity with the 'data' is, for me, the quality that makes qualitative research something different from doing surveys and experiments and computer processing numbers and codes. All data processing devices "enhance" the data in some way, that is structure or corrupt it, and thus pervert it validity as your view of the world. Leave the computer staff alone and get involved with your own "data". Russell Russell Kelly Department of Health Studies University of Central Lancashire Preston PR1 2HE, UK E-Mail ; R.S.Kelly@UCLAN.ac.uk Fax: UK - (0)1772 - 892974 Tel: UK - (0)1772 - 893414 From via@ssc.upenn.edu Wed Nov 18 09:50:08 1998 Received: from nisc2.upenn.edu (NISC2.UPENN.EDU [128.91.254.18]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id JAA05881 for ; Wed, 18 Nov 1998 09:50:04 -0700 (MST) Received: from ssc.upenn.edu (DIALIN0583.UPENN.EDU [128.91.18.71]) by nisc2.upenn.edu (8.8.8/8.8.7) with ESMTP id LAA15379 for ; Wed, 18 Nov 1998 11:50:01 -0500 (EST) Message-ID: <3652FAB4.2FE9E739@ssc.upenn.edu> Date: Wed, 18 Nov 1998 11:49:56 -0500 From: "Virginia Adams O'Connell" X-Accept-Language: en MIME-Version: 1.0 To: Medical Sociology List Subject: Qualitative Software Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Thank you to everyone who has responded to my query. I will give a brief synopsis of my data so that everyone can better understand why I am interested in a software package (I probably should have done this in the first place, you say?). I have "qualitative" answers to about five survey questions for roughly 1000 surgical residents. My doctoral dissertation is about attrition in residency programs for five surgical specialties. I would like to use a software package for organizing the qualitative comments by question, and by such characteristics as race and gender. I can certainly do this by rote, but was looking for a facilitating tool since my sample is so big. From the comments I have gotten so far, people are reluctant to use packages like NUDIST since they require "indexing" which some find dangerously limiting. Has anyone had much success with Ethnograph 4.0 which claims not to require the same index trees for sorting and organizing qualitative data? By the way, I agree with many of you that nothing can replace a personal relationship with your qualitative data, but I do not want to rule out the possibility that some software packages might make my work more efficient. For example, I would not trade in my word processor for my old typewriter. Virginia Adams O'Connell University of Pennsylvania Department of Sociology email via@ssc.upenn.edu From Stephanie-Mcfall@ouhsc.edu Wed Nov 18 10:06:45 1998 Received: from imail.ouhsc.edu (imail.ouhsc.edu [157.142.11.15]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id KAA07834 for ; Wed, 18 Nov 1998 10:06:42 -0700 (MST) Received: by imail.ouhsc.edu with Internet Mail Service (5.5.2232.9) id ; Wed, 18 Nov 1998 10:57:21 -0600 Message-ID: <1972192502C1D111B7AE0000F8033E563DC42E@email.ouhsc.edu> From: "Stephanie L. Mcfall" To: "'MedSoc@csf.colorado.edu'" Subject: RE: Qualitative Software Date: Wed, 18 Nov 1998 11:01:38 -0600 MIME-Version: 1.0 Content-Type: text/plain The Ethnograph will do perform the task described by Virginia Adams O'Connell "Like a treat." We did cognitive questionnaire development work on alcohol and drug use surveys with Native American respondents. We made use of face sheet information. You may have something as simple as a caseid that links to your survey or may pull over a set of key identifiers like specialty. This is like your face sheet information. We also treated each question as if it were a speaker. You can sort on all these types of fields as well as upon the codes that you develop. Stephanie L. McFall, Ph.D. Associate Professor Dept. of Health Promotion Sciences College of Public Health - CHB 369 University of Oklahoma Health Sciences Center P.O. Box 26901 Oklahoma City, OK 73190 Phone: (405) 271-2558 FAX: 405-271-2099 stephanie-mcfall@ouhsc.edu From David.M.Bott@Dartmouth.EDU Wed Nov 18 11:30:59 1998 Received: from mailhub.dartmouth.edu (mailhub.dartmouth.edu [129.170.16.6]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id LAA17583 for ; Wed, 18 Nov 1998 11:30:50 -0700 (MST) Received: from prancer.Dartmouth.EDU (prancer.dartmouth.edu [129.170.208.2]) by mailhub.dartmouth.edu (8.8.8+DND/8.8.8) with SMTP id NAA16961 for ; Wed, 18 Nov 1998 13:30:41 -0500 (EST) Message-id: <14213738@prancer.Dartmouth.EDU> Date: 18 Nov 98 13:30:40 EST From: David.M.Bott@Dartmouth.EDU (David M. Bott) Reply-To: david.m.bott@Dartmouth.EDU Subject: Re: Software for Qualitative Data To: MedSoc@csf.colorado.edu MIME-Version: 1.0 Content-Type: text/plain Content-Disposition: inline --- You wrote: All data processing devices "enhance" the data in some way, that is structure or corrupt it, and thus pervert it validity as your view of the world. Leave the computer staff alone and get involved with your own "data". Russell Russell Kelly Department of Health Studies University of Central Lancashire --- end of quote --- I am confused by the above statement. If I understand the statement, then without using a computer, there is no "processing," no "structuring," and no possibility that your "view of the world" will not "pervert" the validity? I find that to be somewhat naive. I find it difficult to believe that the "data" are not processed or structured. Aren't the nurse conversations written down? With or without a computer that transcription is a "processing" and it requires considerable skill in correctly capturing pauses, non-words, and the like. Even reading the verbatim transcript or listening to the audio recordings requires that you understand the idioms and slang. Even if one just reads the transcripts, certain passages come to your attention and the reader often takes notes. This would be a version of structuring the data. What comes to one readers' attention is very likely to be different than what comes to a different reader's attention. The reason for these differences are likely to be based on the readers' different views of the world. In short, even sans computer, qualitative researchers use "devices" to structure the data. The key is to understand what kind of structuring occurs, regardless of the type of device, and how it affects your analysis. I've gone quite far enough. I'm sure you did not mean to espouse a position quite so simple as I have portrayed. I only reacted because my Master's thesis was based on a qualitative analysis and I went in with the idea that I could just "take notes" in an unstructured way and that themes and analyses would be derived purely from the data. Nothing was further from the truth! I had to spend additional research time actually trying to record data which were relevant to the questions I had posed in my proposal! No amount of reading or jumping in up to my elbows in reams of notes or verbatim transcripts would have produced a decent analysis without structuring the data and accounting for my view of the world. If I learned one thing in obtaining my M.S., it was that lesson. Forgive me for my vehemence. Dave ___________________________________________________ David M. Bott, Ph.D. AHCPR Post Doctorate Fellow david.m.bott@dartmouth.edu Center for Evaluative Clinical Sciences phone: 603/650-1958 7251 Strasenburgh Hall, Rm 313B fax: 603/650-1935 Dartmouth Medical School Hanover, NH 03755-3863 From tgallagh@kent.edu Thu Nov 19 05:16:23 1998 Received: from smtp02.kent.edu (smtp02.kent.edu [131.123.14.217]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id FAA02434 for ; Thu, 19 Nov 1998 05:16:21 -0700 (MST) Received: from gallagher.kent.edu (gallagher.sociology.kent.edu [131.123.251.8]) by smtp02.kent.edu (8.8.7/8.8.5) with SMTP id IAA07954 for ; Thu, 19 Nov 1998 08:02:05 -0500 Message-Id: <3.0.5.32.19981119071700.00a60e50@pop.kent.edu> X-Sender: tgallagh@pop.kent.edu Date: Thu, 19 Nov 1998 07:17:00 -0500 To: MedSoc@csf.colorado.edu From: Tim Gallagher Subject: NPR News Story 11/18 In-Reply-To: <14213738@prancer.Dartmouth.EDU> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Did anyone hear the NPR news story last night regarding patient perception and satisfaction with physicians? I came in on the story after the source of the information for the story was given. If you know of the information source for that story I would like to know. Thanks for you help. Tim ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Timothy J. Gallagher, Ph.D. Department of Sociology Kent State University Kent, OH 44242 U.S.A. Email: tgallagh@kent.edu Ph: 330 672-2709 FAX: 330 672-4724 http://www.kent.edu/sociology/tgallagher/ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ From kkitner@umiami.ir.miami.edu Thu Nov 19 07:26:02 1998 Received: from stimpy.ir.miami.edu (stimpy.ir.miami.edu [129.171.32.32]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id HAA08533 for ; Thu, 19 Nov 1998 07:26:00 -0700 (MST) Received: from umiami.ir.miami.edu (soc31.soc.miami.edu) by umiami.ir.miami.edu (PMDF V5.1-12 #D3096) with ESMTP id <01J4CPQUBOGIAKTQB0@umiami.ir.miami.edu> for MedSoc@csf.colorado.edu; Thu, 19 Nov 1998 09:25:57 EST Date: Thu, 19 Nov 1998 09:24:37 -0500 From: "Kathi R. Kitner" Subject: Re: NPR News Story 11/18 To: MedSoc@csf.colorado.edu Message-id: <36542A24.20983374@umiami.ir.miami.edu> MIME-version: 1.0 Content-type: multipart/mixed; boundary="------------0EBF88903921BEF3B93752C0" X-Accept-Language: en References: <3.0.5.32.19981119071700.00a60e50@pop.kent.edu> This is a multi-part message in MIME format. --------------0EBF88903921BEF3B93752C0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Hi Tim, You might try going to NPR's website, at www.npr.org. they often keep those stories on a file that you can listen to, or at least get a name of an author to contact. good luck, Kathi Tim Gallagher wrote: > Did anyone hear the NPR news story last night regarding patient perception > and satisfaction with physicians? I came in on the story after the source > of the information for the story was given. If you know of the information > source for that story I would like to know. > > Thanks for you help. > > Tim > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Timothy J. Gallagher, Ph.D. > Department of Sociology > Kent State University > Kent, OH 44242 > U.S.A. > Email: tgallagh@kent.edu > Ph: 330 672-2709 > FAX: 330 672-4724 > http://www.kent.edu/sociology/tgallagher/ > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ --------------0EBF88903921BEF3B93752C0 Content-Type: text/x-vcard; charset=us-ascii; name="kkitner.vcf" Content-Transfer-Encoding: 7bit Content-Description: Card for Kathi R. Kitner Content-Disposition: attachment; filename="kkitner.vcf" begin:vcard n:Kitner;Kathi x-mozilla-html:FALSE org:University of Miami version:2.1 email;internet:kkitner@umiami.ir.miami.edu title:Research Asst. Professor tel;fax:(305) 284-5716 tel;work:(305) 284-6176 adr;quoted-printable:;;Sociology Research Center=0D=0A5665 Ponce de Leon Blvd.;Coral Gables;Florida;33146-0719;USA x-mozilla-cpt:;0 fn:Kathi Kitner end:vcard --------------0EBF88903921BEF3B93752C0-- From tgallagh@kent.edu Thu Nov 19 09:22:06 1998 Received: from smtp02.kent.edu (smtp02.kent.edu [131.123.14.217]) by csf.Colorado.EDU (8.9.1a/8.9.1/ITS-5.0/csf) with ESMTP id JAA16323 for ; Thu, 19 Nov 1998 09:22:03 -0700 (MST) Received: from gallagher.kent.edu (gallagher.sociology.kent.edu [131.123.251.8]) by smtp02.kent.edu (8.8.7/8.8.5) with SMTP id MAA20955 for ; Thu, 19 Nov 1998 12:07:47 -0500 Message-Id: <3.0.5.32.19981119112241.00a63980@pop.kent.edu> X-Sender: tgallagh@pop.kent.edu Date: Thu, 19 Nov 1998 11:22:41 -0500 To: MedSoc@csf.colorado.edu From: Tim Gallagher Subject: NPR News Story 11/18 In-Reply-To: <3.0.5.32.19981119071700.00a60e50@pop.kent.edu> References: <14213738@prancer.Dartmouth.EDU> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Thanks to Stephanie McFall and Michael Schaefer for getting me the information I needed. If anyone else is interested the story was actually on patient trust in their physician and was based on a paper just published in JAMA. To hear the story go to: http://www.npr.org/programs/atc/archives/1998/current.html and click on doctor-patient trust. Thanks again Stephanie and Michael. My original message was: >Did anyone hear the NPR news story last night regarding patient perception >and satisfaction with physicians? I came in on the story after the source >of the information for the story was given. If you know of the information >source for that story I would like to know. > Tim ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Timothy J. Gallagher, Ph.D. Department of Sociology Kent State University Kent, OH 44242 U.S.A. Email: tgallagh@kent.edu Ph: 330 672-2709 FAX: 330 672-4724 http://www.kent.edu/sociology/tgallagher/ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ From M.Hardey@soton.ac.uk Fri Nov 20 03:56:59 1998 Received: from beech.sucs.soton.ac.uk (beech.sucs.soton.ac.uk [152.78.129.138]) by csf.Colorado.EDU (8.9.1a/8.9.1/ITS-5.0/csf) with ESMTP id DAA27046 for ; Fri, 20 Nov 1998 03:56:56 -0700 (MST) Received: from cedar.sucs.soton.ac.uk (cedar.sucs.soton.ac.uk [152.78.128.92]) by beech.sucs.soton.ac.uk (8.8.8/relay-02) with ESMTP id KAA20556 for ; Fri, 20 Nov 1998 10:56:37 GMT Received: from soton.ac.uk (pol16.socsci.soton.ac.uk [152.78.224.162]) by cedar.sucs.soton.ac.uk (8.8.8/relay-02) with ESMTP id KAA29448 for ; Fri, 20 Nov 1998 10:38:47 GMT Message-ID: <365555DF.7A8604AA@soton.ac.uk> Date: Fri, 20 Nov 1998 11:43:30 +0000 From: Mike Hardey Reply-To: M.Hardey@soton.ac.uk MIME-Version: 1.0 To: "MedSoc@csf.colorado.edu" Subject: Communication and discourse Content-Type: text/plain; charset=iso-8859-1; x-mac-type="54455854"; x-mac-creator="4D4F5353" Content-Transfer-Encoding: 8bit Dear all, To keep the communications/information/care debate going I’d like to add a few notes from a just completed piece of research. The research was funded by a UK health authority and involved an in-depth study of what we call ‘clinical discourses’ between nurses on an elderly care unit. As has been notde there has been a lot of work on doctor/doctor, doctor/patient, doctor/nurse communication and so forth but there are few studies on nurse/nurse communication. We refer to clinical discourses as we wanted to look at the formal and informal exchange of information. We also believed that what was communicated (and where/how) said a lot about underlying assumptions. The unit had a primary nurse organisational approach - but as one said the default was ‘task orientated nursing’ (that is another interesting issue). a) The nursing discourse was very medical - specially at formal venues, speed, clinical names and conditions were seen as relevant. Little evidence for holistic view of patients. d) All nurses used what they called ‘scraps’ These were personal notes that were often quite elaborate. It was here that more holistic ‘nursing’ information was kept. Scraps are interesting as there is little in the literature about them. Following some conference presentations I’m putting together a paper on scarps. Therefore as well as pushing on the discussion I’d like to ask: Has anyone any references to similar things - e.g. in other professions? In the UK professional bodies warn against scraps - is this true elsewhere? Within nursing would similar findings arise in different countries? Michael Hardey From sreddy0@sas.upenn.edu Fri Nov 20 08:02:16 1998 Received: from orion.sas.upenn.edu (ORION.SAS.UPENN.EDU [165.123.26.31]) by csf.Colorado.EDU (8.9.1a/8.9.1/ITS-5.0/csf) with ESMTP id IAA06922 for ; Fri, 20 Nov 1998 08:02:14 -0700 (MST) Received: from Vijayendra_Rao.brown.edu (cis-ts4-slip8.cis.brown.edu [128.148.19.79]) by orion.sas.upenn.edu (8.8.8/8.8.8/SAS.04) with SMTP id KAA13272; Fri, 20 Nov 1998 10:02:10 -0500 (EST) Message-Id: <3.0.1.32.19981120101230.0070fbfc@postoffice.sas.upenn.edu> X-Sender: sreddy0@postoffice.sas.upenn.edu Date: Fri, 20 Nov 1998 10:12:30 -0500 To: MedSoc@csf.colorado.edu, MEDICAL SOCIOLOGY From: Sita Reddy Subject: Re: Qualitative Software In-Reply-To: <3652FAB4.2FE9E739@ssc.upenn.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Hi Ginny! I didn't respond earlier since I am not too familiar with new versions of QDA packages. But since you mention Ethnograph and word processing, here's my two cents: On the one hand, Ethnograph might certainly help in managing a sample your size. Particularly if you are looking for simple code,retrieve and sort features. I think it is easier to use than NUD*IST in terms of coding and importing new data (bear in mind I am talking of NUDIST rev3). And it avoids what critics of NUDIST call "clunking" .. or the inability to analyze separately pieces of data that have been coded as chunks. It does not index categories using structured hierarchical trees ... but indexing features may not be what you are looking for anyway. On the other hand, as Phil Brown reminded me, there isn't much by way of sorting that you cannot do with Word! When used well, it allows for subtle coding, quite elaborate searches, good sorting capability etc. Using Word (or similar wordprocessing program) alone with your large sample size might prove a bit unwieldy. But that might be a tradeoff for the straightforward access to the data and the close interactions it allows. I myself found Ethnograph helpful in reworking my master's paper (which you may/may not remember from ages ago), but that was for a much smaller sample of 30 physicians. Since then, however, my work has relied on observational data in clinics as well as on unstructured interview responses ... and I now find that using Ethnograph is no more efficient (and far less personal) than getting familiar "manually" with the data. And yes, as other listmembers note, of course all data processing devices, even wordprocessing programs, structure and "enhance" data or drive research strategies. But I agree with David Bott .. so does the writing and transcribing of notes, or the reading of those transcriptions. To say nothing about the act of observation itself. The question is to understand how 'structure' affects the analytical process. Following the reflexive turn in ethnography, perhaps we could start with how we 'position' ourselves vis-a-vis our data ... whether these are qualitative or quantitative. -- Sita ________________________ Sita Reddy 55A Charlesfield Street Providence, RI 02906 Phone: (401)454-8162 sreddy0@sas.upenn.edu From CKMerkel@aol.com Sun Nov 22 21:35:48 1998 Received: from imo23.mx.aol.com (imo23.mx.aol.com [198.81.17.67]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id VAA16100 for ; Sun, 22 Nov 1998 21:35:45 -0700 (MST) From: CKMerkel@aol.com Received: from CKMerkel@aol.com by imo23.mx.aol.com (IMOv16.10) id DNOTa03138 for ; Sun, 22 Nov 1998 23:32:36 +1900 (EST) Message-ID: <1ab96040.3658e564@aol.com> Date: Sun, 22 Nov 1998 23:32:36 EST To: MedSoc@csf.colorado.edu Mime-Version: 1.0 Subject: Re: Communication and discourse Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit Micheal, As a nurse and "almost sociologist" I found your research on nursing discourse and "scraps" very interesting. I believe you mean by scraps, the nurses' tendency to write down information about the patient that does not become part of the formal medical record. If so, that is also a very common practice in the US. I agree that what appears here is more 'holistic." Sorry I know of no references in the nursing or sociological literature about this - I will keep my eyes open. I am not aware of any warnings by professional bodies in the US not to keep scraps, only to "chart" (write) thoroughly in the formal medical record ("if it wasn't charted - it wasn't done") What has always interested me about the way nurses communicate with each other about patients is that they are always subverting the directives and control of regulatory agencies and nursing elites. Planning for care of the patient and therefore "charting" in the medical record is supposed to be according to the "nursing process" yet it is so obvious that this is not the way the nurses think about patients (but are forced to chart) and in informal processes follow a different path altogether. I will be so interested to read your paper. Please let us know where it will be published. Cindy Merkel From r.s.kelly@uclan.ac.uk Mon Nov 23 05:36:44 1998 Received: from com1.uclan.ac.uk (com1.uclan.ac.uk [193.61.255.3]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id FAA02770 for ; Mon, 23 Nov 1998 05:36:39 -0700 (MST) Received: from mail-gw.uclan.ac.uk by com1.uclan.ac.uk with SMTP (PP); Mon, 23 Nov 1998 12:25:35 +0000 Received: from MAS1/MAILQ by mail-gw.uclan.ac.uk (Mercury 1.31); 23 Nov 98 12:35:56 GMT+0 Received: from MAILQ by MAS1 (Mercury 1.31); 23 Nov 98 12:35:44 GMT+0 From: "r.s.kelly" To: MedSoc@csf.colorado.edu Date: Mon, 23 Nov 1998 12:34:05 GMT+0 MIME-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Subject: Re: Communication and discourse X-mailer: Pegasus Mail for Windows (v2.33) Message-ID: Mike writes: but there are few studies on nurse/nurse communication. We refer to clinical discourses as we wanted to look at the formal and informal exchange of information. Please try my: Nurses talking: a radical policy, ethnomehodology, for researching critical care nursing, Nursing in Critical Care, vol. 3, no. 1, 1998. A follow up article is in preparation on "Goings on in ICU" which will include an account of a handover, organising a lift, and a few other bits. One further observation of interest. I have been looking at the comparative professional status of nurses in Germany and the UK from some kind of interactionist perspective. On investigating patient's nursing records, I found that "Patient spent a quiet night", as the "official item recording the patient's clinical-nursing experience of an eight-hour shift", routinely used in virtually exactly the same phrasing, in both the UK and Germany on general and surgical wards. There are several versions in five/six word forms which translate exactly English-German or German-English. Is it the same in the US, Australia, etc.? Best Regards, Russell Russell Kelly Department of Health Studies University of Central Lancashire Preston PR1 2HE, UK E-Mail ; R.S.Kelly@UCLAN.ac.uk Fax: UK - (0)1772 - 892974 Tel: UK - (0)1772 - 893414 From Aled.Jones@swansea.ac.uk Mon Nov 23 08:06:38 1998 Received: from mhs.swan.ac.uk (mhs.swan.ac.uk [137.44.1.33]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id IAA10910 for ; Mon, 23 Nov 1998 08:06:35 -0700 (MST) Received: from shs.swan.ac.uk by mhs with SMTP-LOCAL (XT-PP) with ESMTP; Mon, 23 Nov 1998 15:05:48 +0000 Received: by shs.swan.ac.uk with Internet Mail Service (5.0.1460.8) id ; Mon, 23 Nov 1998 15:02:31 -0000 Message-ID: <51DA2947F405D2119ED700104B4AE5160B5BA9@shs.swan.ac.uk> From: "Jones, Aled" To: MEDSOC@csf.colorado.edu Subject: Communication and discourse Date: Mon, 23 Nov 1998 15:02:30 -0000 MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Dear all Very interesting discussion re. communication and discourse, but slightly perturbed, by the use of nursing as a generic term in this context, as (in UK) nurse training, practice, socialisation and thus by extension discourse is significantly different in psychiatric and general nursing. Also, having practised widely in both areas, I have never seen psychiatric nurses use "scraps" in the same way as they do in general nursing wards. Thus I assume Mike Hardey's research is about general nursing? My ongoing PhD thesis is on the construction of patient assessments by nurses; exploring the initial interview, written documentation and the handover (nurse-nurse communication at beginning/end of each shift) using critical discourse analysis and narrative analysis. Aled Jones Nurse Tutor Centre for Foundation Studies School of Health Science University of Wales Swansea Swansea E-Mail; aled.jones@swansea.ac.uk From sxh3@po.cwru.edu Mon Nov 23 09:06:50 1998 Received: from celeste.INS.CWRU.Edu (celeste.INS.CWRU.Edu [129.22.8.214]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id JAA14734 for ; Mon, 23 Nov 1998 09:06:47 -0700 (MST) Received: from durkheim (soci46692.PSCL.CWRU.Edu [129.22.182.100]) by celeste.INS.CWRU.Edu with SMTP (8.8.8+cwru/CWRU-3.4) id LAA24736; Mon, 23 Nov 1998 11:06:44 -0500 (EST) (from sxh3@po.cwru.edu for ) Message-Id: <3.0.1.32.19981123110830.00c9a150@pop.cwru.edu> X-Sender: sxh3@pop.cwru.edu Date: Mon, 23 Nov 1998 11:08:30 -0500 To: MedSoc@csf.colorado.edu From: Sue Hinze Subject: women and drug trials Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Dear colleagues, A student e-mailed the following request; any suggestions? Thanks and please respond privately (unless you think the list would benefit): sxh3@po.cwru.edu Dear Dr. Hinze, > I am a graduate student in the Bioethics dept. I >spoke to you mid- semester about a research paper that I'm doing on the >exclusion of women from drug trials. I came upon an article which >discusses how women have been controlled to a certain extent by social >institutions. It's only about a paragraph long, but I would appreciate it >if you could direct to a few sources that might help me. The article I >have is by Vanessa Merton and is entitled, "Review Essay: Women and Health >Research". She states that, "Because social institutions are accustomed to >denying women the right to make decisions about their own welfare and that >of their offspring, it seems unremarkable for government regulators or >academic and industry scientists to decide whether a given woman, or women >as a class, can participate in a clinical trial." I am also aware of the >fact that women scientists as a group have beeen actively discriminated >against by the NIH. I'm very interested in this aspect of the exclusion of >women from drug trials. I'm particularly looking at how women have been >denied rights at an institutional level, throughout history. Please, any >sources you could direct me to would be of great help. >Thank you, >linda Susan W. Hinze, Ph.D. Assistant Professor of Sociology Case Western Reserve University 10900 Euclid Ave. Cleveland, OH 44106-7124 sxh3@po.cwru.edu From Chloe_Bird@brown.edu Mon Nov 23 09:36:19 1998 Received: from dark.brown.edu (dark.brown.edu [128.148.128.11]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id JAA17080 for ; Mon, 23 Nov 1998 09:36:15 -0700 (MST) Received: from pc215.chcr.brown.edu ([128.148.65.215]) by dark.brown.edu (8.9.1a/8.9.1) with SMTP id LAA00348 for ; Mon, 23 Nov 1998 11:36:11 -0500 (EST) Message-Id: <199811231636.LAA00348@dark.brown.edu> X-Sender: Chloe_Bird@postoffice.brown.edu Date: Mon, 23 Nov 1998 11:35:32 -0500 To: MedSoc@csf.colorado.edu From: Chloe Bird Subject: Re: women and drug trials In-Reply-To: <3.0.1.32.19981123110830.00c9a150@pop.cwru.edu> Mime-Version: 1.0 Content-Type: multipart/alternative; types="text/plain,text/html"; boundary="=====================_10188568==_.ALT" --=====================_10188568==_.ALT Content-Type: text/plain; charset="us-ascii" Sue, The IOM put out a two volume book on this topic in 1994 titled Women and Health Research: Ethical and Legal Issues of Including Women in Clinical Studies. It was edited by Anna C. Mastroianni, Ruth Faden, and Daniel Federman. Washington, DC: Institute of Medicine, National Academy Press. The first volume is the committee's summary and report on the issues, the second volume includes the papers the committee commissioned. Chloe Chloe E. Bird, Ph.D. Assistant Professor Center for Gerontology and Health Care Research Brown University Box G-H3 Providence, Rhode Island 02912 Ph: (401) 863-7345 Fax: (401) 863-9219 --=====================_10188568==_.ALT Content-Type: text/html; charset="us-ascii" Sue,
  The IOM put out a two volume book on this topic in 1994 titled Women and Health Research:  Ethical and Legal Issues of Including Women in Clinical Studies.  It was edited by Anna C. Mastroianni, Ruth Faden, and Daniel Federman.  Washington, DC:  Institute of Medicine, National Academy Press.  The first volume is the committee's summary and report on the issues, the second volume includes the papers the committee commissioned. 
  Chloe


Chloe E. Bird, Ph.D.
Assistant Professor
Center for Gerontology and Health Care Research
Brown University
Box G-H3
Providence, Rhode Island 02912

Ph:  (401) 863-7345
Fax: (401) 863-9219

--=====================_10188568==_.ALT-- From rierda@mail.biu.ac.il Mon Nov 23 13:54:26 1998 Received: from mail.biu.ac.il (tamar.cc.biu.ac.il [132.70.9.24]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with SMTP id NAA04264 for ; Mon, 23 Nov 1998 13:54:20 -0700 (MST) Received: from dial-20-27.slip.huji.ac.il by mail.biu.ac.il (AIX 4.1/UCB 5.64/4.03) id AA651688; Mon, 23 Nov 1998 22:54:02 +0200 Message-Id: <3.0.3.32.19981123220744.00711e34@mail.biu.ac.il> X-Sender: rierda@mail.biu.ac.il Date: Mon, 23 Nov 1998 22:07:44 +0200 To: MedSoc@csf.colorado.edu, sxh3@po.cwru.edu From: David Rier Subject: Re: women and drug trials In-Reply-To: <3.0.1.32.19981123110830.00c9a150@pop.cwru.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" You might wish to look at: Corea, Gena, 1992. The Invisible Epidemic: The Story of Women and AIDS. NY: HarperCollins. She discusses both the failure of the biomedical establishment to include women in AIDS trials, and also the difficulty scientists (who happened to be female) had in getting support for research on women's AIDS risks and related issues. At 11:08 23/11/98 -0500, you wrote: >>fact that women scientists as a group have beeen actively discriminated >>against by the NIH. I'm very interested in this aspect of the exclusion of >>women from drug trials. I'm particularly looking at how women have been >>denied rights at an institutional level, throughout history. Please, any >>sources you could direct me to would be of great help. David Rier, Ph.D. Graduate Program in Medical Sociology, Dep't. of Sociology Bar-Ilan University, Ramat-Gan, Israel Fax (O): +972-3-635-0995; Phone/Fax (H): +972-2-651-4754 From r.s.kelly@uclan.ac.uk Tue Nov 24 02:30:15 1998 Received: from com1.uclan.ac.uk (com1.uclan.ac.uk [193.61.255.3]) by csf.Colorado.EDU (8.8.5/8.8.4/CNS-4.1p-nh) with ESMTP id CAA18212 for ; Tue, 24 Nov 1998 02:30:13 -0700 (MST) Received: from mail-gw.uclan.ac.uk by com1.uclan.ac.uk with SMTP (PP); Tue, 24 Nov 1998 09:19:33 +0000 Received: from MAS1/MAILQ by mail-gw.uclan.ac.uk (Mercury 1.31); 24 Nov 98 09:29:56 GMT+0 Received: from MAILQ by MAS1 (Mercury 1.31); 24 Nov 98 09:24:08 GMT+0 From: "r.s.kelly" To: MedSoc@csf.colorado.edu Date: Tue, 24 Nov 1998 09:20:36 GMT+0 MIME-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Subject: Re: women and drug trials X-mailer: Pegasus Mail for Windows (v2.33) Message-ID: To Professor Hinze, You might advise your student to read the works of: Helen Roberts who has written extensively on Women and Health Research and Lesley Doyal, "What makes Women Sick" or the "Political Economy of Health" All the Best, Russell Kelly Department of Health Studies University of Central Lancashire Preston PR1 2HE, UK E-Mail ; R.S.Kelly@UCLAN.ac.uk Fax: UK - (0)1772 - 892974 Tel: UK - (0)1772 - 893414 From mschmitz@rci.rutgers.edu Wed Nov 25 05:53:31 1998 Received: from gehenna2.rutgers.edu (gehenna2.rutgers.edu [165.230.116.135]) by csf.Colorado.EDU (8.8.8/8.8.8/ITS-4.2/csf) with SMTP id FAA15134 for ; Wed, 25 Nov 1998 05:53:29 -0700 (MST) Received: (qmail 16961 invoked by alias); 25 Nov 1998 12:52:50 -0000 Received: (qmail 16953 invoked from network); 25 Nov 1998 12:52:49 -0000 Received: from swa1.rutgers.edu (165.230.234.66) by gehenna2.rutgers.edu with SMTP; 25 Nov 1998 12:52:49 -0000 Received: by swa1.rutgers.edu with Microsoft Mail id <01BE1848.C7336A20@swa1.rutgers.edu>; Wed, 25 Nov 1998 07:54:07 -0500 Message-ID: <01BE1848.C7336A20@swa1.rutgers.edu> From: "Mark F. Schmitz" To: "'MedSoc@csf.colorado.edu'" Subject: RE: women and drug trials Date: Wed, 25 Nov 1998 07:54:06 -0500 MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="---- =_NextPart_000_01BE1848.C73C91E0" ------ =_NextPart_000_01BE1848.C73C91E0 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: 7bit The following conference announcement may be of interest. Cheers, Mark >>*** Call for submissions by November 30th 1998 *** >> >>2nd INTERNATIONAL INTERDISCIPLINARY CONFERENCE ON WOMEN & HEALTH >> >>European Association for Research on Women and Health >> >>July 12-14, 1999 >>Edinburgh Scotland >> >>This Conference aims to: >> >>. Stimulate communication and collaboration between researchers, >> clinicians and policy makers working in the area of women and >> health. >> >>. Bring critical contributions from theory and research into >> discussions of aetiology, clinical practice and health care >> systems. >> >>. Identify priority areas for women's health research. >> >>The Conference will provide a unique forum for the exchange of ideas >>and the development of new models and approaches to the understanding >>and promotion of women's health. It will appeal to psychologists, >>sociologists, doctors, nurses, midwives, psychotherapists, health care >>workers, policy makers and health advocates. >> >>The key themes of this conference are: >> >>. Addressing inequalities and human rights >> >>. Delivering appropriate health care and health services for women >> >>. Promoting women's health across cultures, ages and stages >> >>. Developing critical theories and methodologies >> >>. Lifespan perspectives >> >>We welcome submissions which are concerned with the areas of interest >>identified by the Report of the EC Commission on the state of women's >>health. These include: cardiovascular disease; incontinence; cancer; >>eating disorders; HIV/AIDS; family planning; abortion; menopause; >>violence against women; and health risk behaviours such as smoking, >>diet, exercise and alcohol consumption. >> >>For further details, abstract forms etc please see >> http://www.ucs.ed.ac.uk/~pamew/ICWH2.htm >> >>or contact the Conference Secretariat at >> conferences@bps.org.uk >> >> >>Help please! >>The difficulty with interdisciplinary conferences is in ensuring that >>information about the conference reaches the majority of potential >>participants, in their diverse disciplinary and occupational >>enclaves..... Please help by forwarding the above web address to >>anyone you know who is not on this discussion list, and who may be >>interested in the conference. Thank you. >> >> >> >>Pamela Warner >> >>Medical Statistics Unit >>Department of Public Health Sciences >>University of Edinburgh Medical School >>Teviot Place >>EDINBURGH EH8 9AG >>Scotland UK >>Ph.: 0131- 650 3248 >>Fax: 0131- 650 6909 >> -----Original Message----- From: Sue Hinze [SMTP:sxh3@po.cwru.edu] Sent: Monday, November 23, 1998 11:09 AM To: MEDICAL SOCIOLOGY Subject: women and drug trials Dear colleagues, A student e-mailed the following request; any suggestions? Thanks and please respond privately (unless you think the list would benefit): sxh3@po.cwru.edu Dear Dr. Hinze, > I am a graduate student in the Bioethics dept. I >spoke to you mid- semester about a research paper that I'm doing on the >exclusion of women from drug trials. I came upon an article which >discusses how women have been controlled to a certain extent by social >institutions. It's only about a paragraph long, but I would appreciate it >if you could direct to a few sources that might help me. The article I >have is by Vanessa Merton and is entitled, "Review Essay: Women and Health >Research". She states that, "Because social institutions are accustomed to >denying women the right to make decisions about their own welfare and that >of their offspring, it seems unremarkable for government regulators or >academic and industry scientists to decide whether a given woman, or women >as a class, can participate in a clinical trial." I am also aware of the >fact that women scientists as a group have beeen actively discriminated >against by the NIH. I'm very interested in this aspect of the exclusion of >women from drug trials. I'm particularly looking at how women have been >denied rights at an institutional level, throughout history. Please, any >sources you could direct me to would be of great help. >Thank you, >linda Susan W. Hinze, Ph.D. Assistant Professor of Sociology Case Western Reserve University 10900 Euclid Ave. Cleveland, OH 44106-7124 sxh3@po.cwru.edu ------ =_NextPart_000_01BE1848.C73C91E0 Content-Type: application/ms-tnef Content-Transfer-Encoding: base64 eJ8+IgcMAQaQCAAEAAAAAAABAAEAAQeQBgAIAAAA5AQAAAAAAADoAAEIgAcAGAAAAElQTS5NaWNy b3NvZnQgTWFpbC5Ob3RlADEIAQ2ABAACAAAAAgACAAEEkAYAwAEAAAEAAAAQAAAAAwAAMAIAAAAL AA8OAAAAAAIB/w8BAAAATQAAAAAAAACBKx+kvqMQGZ1uAN0BD1QCAAAAAE1lZFNvY0Bjc2YuY29s b3JhZG8uZWR1AFNNVFAATWVkU29jQGNzZi5jb2xvcmFkby5lZHUAAAAAHgACMAEAAAAFAAAAU01U UAAAAAAeAAMwAQAAABgAAABNZWRTb2NAY3NmLmNvbG9yYWRvLmVkdQADABUMAQAAAAMA/g8GAAAA HgABMAEAAAAaAAAAJ01lZFNvY0Bjc2YuY29sb3JhZG8uZWR1JwAAAAIBCzABAAAAHQAAAFNNVFA6 TUVEU09DQENTRi5DT0xPUkFETy5FRFUAAAAAAwAAOQAAAAALAEA6AQAAAB4A9l8BAAAAGAAAAE1l ZFNvY0Bjc2YuY29sb3JhZG8uZWR1AAIB918BAAAATQAAAAAAAACBKx+kvqMQGZ1uAN0BD1QCAAAA AE1lZFNvY0Bjc2YuY29sb3JhZG8uZWR1AFNNVFAATWVkU29jQGNzZi5jb2xvcmFkby5lZHUAAAAA AwD9XwEAAAADAP9fAAAAAAIB9g8BAAAABAAAAAAAAAJZXwEEgAEAGgAAAFJFOiB3b21lbiBhbmQg ZHJ1ZyB0cmlhbHMA6wgBBYADAA4AAADOBwsAGQAHADYABgADAD8BASCAAwAOAAAAzgcLABkABwA0 ADcAAwBuAQEJgAEAIQAAAEE1QUFEQTI2M0E4NEQyMTFCNDBBMDA2MDA4QjA3MzdEAAkHAQOQBgDo DgAAIQAAAAsAAgABAAAACwAjAAAAAAADACYAAAAAAAsAKQAAAAAAAwAuAAAAAAADADYAAAAAAEAA OQBgmWGvchi+AR4AcAABAAAAGgAAAFJFOiB3b21lbiBhbmQgZHJ1ZyB0cmlhbHMAAAACAXEAAQAA ABYAAAABvhhyr2Em2qq4hDoR0rQKAGAIsHN9AAAeAB4MAQAAAAUAAABTTVRQAAAAAB4AHwwBAAAA GQAAAG1zY2htaXR6QHJjaS5ydXRnZXJzLmVkdQAAAAADAAYQCp2YQAMABxA1DQAAHgAIEAEAAABl AAAAVEhFRk9MTE9XSU5HQ09ORkVSRU5DRUFOTk9VTkNFTUVOVE1BWUJFT0ZJTlRFUkVTVENIRUVS UyxNQVJLKioqQ0FMTEZPUlNVQk1JU1NJT05TQllOT1ZFTUJFUjMwVEgxOTk4KgAAAAACAQkQAQAA AMQLAADACwAAshQAAExaRnW4XZFzdwAKAQMB9yACpAPjAgBjgmgKwHNldDAgBxOHAoMAUA72cHJx Mg/2Jn0KgAjIIDsJbzI15jUCgAqBdWMAUAsDC2BAbmcxMDMzC6Yg0FRoZSACEGwJAAPwZRUwIAWg bmYEkAnwY3sWQABwbghgF3EHgAIwIBEAwHkgYhZAb2YgxQuAdBdBc3QuCqIKhE0KgEMWMASQcywZ tE2NCsBrGboZtD4+KhzAPCBDB0ADIAIQBcBzdbRibQQBaQIgBCBiGKA4Tm92GCAYwAXAMzAAdGgg MTk5OCAHHMEcRhxGMm5kIEkATlRFUk5BVEkKTyFwTCEURElTQ4hJUEwhIEFSWRzwBSGwRiFQRU5D RSAhIbAgV09NI4AgJkggSEUh0FRIH+5FUQhwb3BlA5FBBBBv2mMHMHQeAR1DUgeQJjDucg9wGOAD oFcDcAnwF6E1IQBIJjBsHzAf7kp1AmwYoDEyLTE0LFUfUjklZ2QLgGIIcGf1H0BTBaB0FRELMSAM FiAfBAAc8BcZB3AEIHRvOu0f7i4GACbgbSpAJtAWQO0FoG0woAMAYybUKJII4ZsLYAbgcibUGMB0 dwnhXiAZYSejGqgcoCAW8GzfC4AxcAcwBjEoknAG8DFwSxigAMBrGqEgdwWwa/8WwguALxAWMQrA JjAY4jbAvyhVNFgWMCjyGaUvukIFEL8W0gUQJuAxgAMgFwF0BRD/K/Am4gQgA1I3YgWwGKAokrsz lhkSbzRYK8AE8HUd5Z0Y8WEPwB4ACQBneSrQ/zT0O7ERQADQO4EXkiEAOWRnFvA3sTRYc3kZgBgg c/s5zzBQSQEAAjAGkBigEUB/HgA7YT1hN8E8oQWxODMn/wQgQjUzlkP/FiIuKQPwHSFbEUAekGkB ABegIDFRcTsKUB1CdTzwHVI3cmV4/w9xFTAY1AEARnAcRiiSN3K3AQAeoAkAcBgzGPFuB9HlBGJs NYRhcEqhANAWMP8vAjdjF/AEgRmAKJEWwU2q/0qhBGAm4zgGRzdFAQVASlP3UIEo4VEicEOAD3BA YgQA/nQ0OCaSVnc/ICagLyAasd9PgAhwD7BYMR3AZAPwHqDvWDFWJDdxMqBwWARCPxygjzbCGqI1 3UH5YWR2JqD/MNFD70lTNnAYoDdxB4IY8T8fMC3xFwoJcC9PMFBBZO5kGWEAkDcTZUtwB0A7cf8H kUHzS+ADkQUQLCBW0GKP/CBETtBZsTsDUINFsTDS91s5QeoPsHJK0BeARolmL/wgUFNEFtFG7QDQ A2AEEe8/YCkACHBZMmFM8DWEUfH/bxFrT2cxTsM7Gz0TZOYHgN8fMARwVnNv3zBBTAaQB5D/CrAD oCYgD6AmIEGRWcEf7r5XSjFO0DERFkAdmnct4P8n0WkyFwEXgASgCYBKQR8x/zd2P9MZJhxGSuFF UgiQIQB/HlE3cidwNeAAIGEEFkBF/kMuETEwHdQn8jdyUfEw4X9T2BxGVIYWIQ+wGRE08HX9AQA6 QpIrwB6QRnBuYQrB8z8xRmFlO4HSAiFkURdx/4PQMYB5khLgHFUmMGyzPzEHBbBRwoPQSElWL0HI SURTg9BmYR3AKlH/C1EXwBbBg9Aycibig9AYMf0mEGE/cIPAHEZK0AbwF2R+ZwtxGYA4JIhxQggF EHP+axixD4CKUVkBHYF5Ao1h/wRgNvI0RyvAD8Aq0EyQBJB/JrCBsVBDd7FWYRbyHZBt1wUwHgFf H0YFsWYIcFpy706RAZADEG7SYhmAQXIdQvsu8Q/AYzTQC1CDkmoRQtl/lj+W1wjQAEEqQDlQAkBw 0DovL3eY0C4UgF8AjQmALgDQmQBrL34KsAEHgHcvSUNXSDL6LmXwbZfhAUAqQAFAH/3/BbE74pQS N3IuKQZgBQCTQX9oUhege6eW36BvoQcXCHPUQGJWIC4FsGeZoR/u0xxGKNBscJT1IUjqK8D/ASAx cG5xGKB6ExkjPzIFIP81AQrAGKCiGRkQqTEDoAnw/x2QOwMfMJ7IC4CUUjGVBuB/PFA3YxcJN8FQ 5BYxAMBq/0XkGPE14BlARVEHQBxGCrHfO4EFIABwWCI3RGmDQmeB/4Gxp8sokiagP2AKsCbirwi3 F2ELYFnBLrRiNNBQlRTvFjClER5RHVF3goKqExeR9wbgHqB3gWJecWPDLxFNqO55AiAWQLiQdWBQ F9AH4P940FFALfEX0E9BN1It8T84/iA1ABmAbuEg8blyGISqiP8ZRHnhN0UXCIFiAHCMsLjh+5Fv H+5QmgELYCPwCsBPkPpyH+5NCYA7kzBwJtEZgPsxcAQgVQMAe6dnQK+iTxb+UB2gNgEoxSxBCJCi ghxG/8SRsTKuJSu4w2dWUQbwLVe/TrAeAAVAtNAA0ELXRSJQQE5CVVJHSH4gSHEfkDlBRxxGLFbE gEsHwRdIQIJQMDEzMS0IIDY1D+AzMjQ4iZH3YXjPKjY5MCsnHxm4CzCX8hudFPFpMzY/AUCa8kqh GUBBkBCEMTb0IC3WAk9lwagxAyDDYP8EEG8B1gMZttUUm1MLMdUWGmkqoTQBQDUAMTgw7wFADNDZ o7cwRgNhYnAMkqpiD+BTS4FIC4B6FkAAW1NNVFA6c3iIaDNANeAuY3dL0PmZQXVdGbW3MAZgAjDb NzpNAiBkGJAq0B6HMjNjKtMfkDExOtGwD/BNXd3XVC8x3sbMMUMh0VOCTyKAT0xPR1nd2P0doGp1 8ds3ODc/IEvQqiH/ByJNldgP1STUZAu2GclnQHcKwTIyJjBnClAaxhm0Qf9vgYIhGFHXQADAAxB5 4TdyfxZoCXBLcRmAi7IYoB2QZ/tvETxjPzTQvvM1gxm0lQW/GWE14FMDWbAw0SpRKBfw/4qABBG4 4mFBvyE3crtSNrHfKkB8wQnwARA7cClidRm089zO6S9EcjBQ3AM0RiEQ/xegPPA34AnAXoBkkDDh 68b9N0VCHgBzMcRSAQAFMLSh/kkcRfDxNnBRIrjiWXHPgP8PsAeBGUGrtTfgPccKsHWh+6ozIRAn PPBYYBbCfxT4Bf9MkQpAfsQ4FjzD5dn7UkKR/3fhstAxwzehO4GKgHjE+AX/PzUHkVZguVEoQ4zx FkAYwP8oYTvj6kJOQVFAN+B5oZNR/amReK6yHkImk8pmixI7cPs8VPtSdEcxDjAqUf220sH/bwBa oR9AFpCOURiwq/H4gP/zpFCCnhBoY8S3dSC4083Q//PCK8AOQZzxCBKdgE+wJpD/qeBqcv8jHcBl 4bU0d+C0ob8WIgQ2+4YGsy3xHlFWsCD/1vLJgZLQMcUt8UVCLIDJoF0q0CIncErQT6FF1wF5r4JQ KD8cVCd2IrShU39W+xGEFsFCnhCJgglleyEKaP95I8uAP2EvIHfgB+IFBouQ/nlsxzdjZcNRIjZS TpGPof8clKvWsOHtUKugd5GHgGlF/6pJfcQhkqaQdVA7ArBh/fD/lXEu8VGgnaDsYFyA4jAEgf0n Mme20XnAxbOdoOqQMMH/WKF68MJWy4BegGDAxnEV0//OIB1RPVGn4UVCVsFRIiBi/0rxeNBzMf2C +OBZsSHhd9D/sCAa8GrNRnEIMcHQbjBAsT91cq+2DpKroUDI5iMuIv8DIviiUBAIEbXxf8MASIeA /5zjnpE4NCmpLVP48I0wpSD/BrYYAnYDC6E/MoyAeECoQI+9gSfWivV85U5JSPtS//+BZ4Hx0L0e FIFGcHXifbb/AOr4BQG/Asf/ga+kgxILof/tQI4jnrEGDwcRHfh8omXE/z9idXEKSdaxioBOwRrw xuDfNGESEKviYVFYkXm0p7uS/nn7lhE1D4934VEx86Z68v/48IXBtTO0ofgFvveOdrHx399g9lrb wNcQq6BX94ZsUPVU0ES/hUF4YVHyy0FscLd1MYZRevJTV5VFxUOVMv93YP1iq6AZQmpA7PDIGPgE fjHhANowfiCNkPNQzjBBu2eAv4VDQ2MYMRrwT8ywhiDZsFKwNi03Mc/wK/Sf9a990pAAWBADABAQ AAAAAAMAERAAAAAAAwCAEP////9AAAcwALtghXIYvgFAAAgwALtghXIYvgELAACACCAGAAAAAADA AAAAAAAARgAAAAADhQAAAAAAAAMAAoAIIAYAAAAAAMAAAAAAAABGAAAAABCFAAAAAAAAAwAFgAgg BgAAAAAAwAAAAAAAAEYAAAAAUoUAALcNAAAeACWACCAGAAAAAADAAAAAAAAARgAAAABUhQAAAQAA AAQAAAA4LjAAAwAmgAggBgAAAAAAwAAAAAAAAEYAAAAAAYUAAAAAAAALAC+ACCAGAAAAAADAAAAA AAAARgAAAAAOhQAAAAAAAAMAMIAIIAYAAAAAAMAAAAAAAABGAAAAABGFAAAAAAAAAwAygAggBgAA AAAAwAAAAAAAAEYAAAAAGIUAAAAAAAAeAEGACCAGAAAAAADAAAAAAAAARgAAAAA2hQAAAQAAAAEA AAAAAAAAHgBCgAggBgAAAAAAwAAAAAAAAEYAAAAAN4UAAAEAAAABAAAAAAAAAB4AQ4AIIAYAAAAA AMAAAAAAAABGAAAAADiFAAABAAAAAQAAAAAAAAAeAD0AAQAAAAUAAABSRTogAAAAAAMADTT9NwAA dBY= ------ =_NextPart_000_01BE1848.C73C91E0-- From tgallagh@kent.edu Wed Nov 25 14:07:21 1998 Received: from smtp02.kent.edu (smtp02.kent.edu [131.123.14.217]) by csf.Colorado.EDU (8.8.8/8.8.8/ITS-4.2/csf) with ESMTP id OAA14703 for ; Wed, 25 Nov 1998 14:07:17 -0700 (MST) Received: from gallagher.kent.edu (gallagher.sociology.kent.edu [131.123.251.8]) by smtp02.kent.edu (8.8.7/8.8.5) with SMTP id QAA16612 for ; Wed, 25 Nov 1998 16:53:04 -0500 Message-Id: <3.0.5.32.19981125160641.00a53510@pop.kent.edu> X-Sender: tgallagh@pop.kent.edu Date: Wed, 25 Nov 1998 16:06:41 -0500 To: MedSoc@csf.colorado.edu From: Tim Gallagher Subject: Medical Sociology Website In-Reply-To: <51DA2947F405D2119ED700104B4AE5160B5BA9@shs.swan.ac.uk> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" MedSoc List Members: The Medical Sociology Section member maintained website has just been updated. It now includes the sessions for the 1999 ASA annual meeting as well as the contact persons for each session including their email addresses. Remember also that the website now supports job advertisements. Just send the advertisement to me at tgallagh@kent.edu. Tim ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Timothy J. Gallagher, Ph.D. Department of Sociology Kent State University Kent, OH 44242 U.S.A. Email: tgallagh@kent.edu Ph: 330 672-2709 FAX: 330 672-4724 http://www.kent.edu/sociology/tgallagher/ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ From tgallagh@kent.edu Wed Nov 25 14:18:27 1998 Received: from smtp02.kent.edu (smtp02.kent.edu [131.123.14.217]) by csf.Colorado.EDU (8.8.8/8.8.8/ITS-4.2/csf) with ESMTP id OAA15286 for ; Wed, 25 Nov 1998 14:18:25 -0700 (MST) Received: from gallagher.kent.edu (gallagher.sociology.kent.edu [131.123.251.8]) by smtp02.kent.edu (8.8.7/8.8.5) with SMTP id RAA17034 for ; Wed, 25 Nov 1998 17:04:03 -0500 Message-Id: <3.0.5.32.19981125161740.00a68590@pop.kent.edu> X-Sender: tgallagh@pop.kent.edu Date: Wed, 25 Nov 1998 16:17:40 -0500 To: MedSoc@csf.colorado.edu From: Tim Gallagher Subject: Medical Sociology Website Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Oops. I forgot to list the web address. Here it is: http://www.kent.edu/sociology/asamedsoc/ >Date: Wed, 25 Nov 1998 16:06:41 -0500 >To: MedSoc@csf.colorado.edu >From: Tim Gallagher >Subject: Medical Sociology Website >In-Reply-To: <51DA2947F405D2119ED700104B4AE5160B5BA9@shs.swan.ac.uk> > >MedSoc List Members: > >The Medical Sociology Section member maintained website has just been updated. It now includes the sessions for the 1999 ASA annual meeting as well as the contact persons for each session including their email addresses. > >Remember also that the website now supports job advertisements. Just send the advertisement to me at tgallagh@kent.edu. Tim ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Timothy J. Gallagher, Ph.D. Department of Sociology Kent State University Kent, OH 44242 U.S.A. Email: tgallagh@kent.edu Ph: 330 672-2709 FAX: 330 672-4724 http://www.kent.edu/sociology/tgallagher/ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ From D.Hughes@swansea.ac.uk Thu Nov 26 06:51:50 1998 Received: from mhs.swan.ac.uk (mhs.swan.ac.uk [137.44.1.33]) by csf.Colorado.EDU (8.8.8/8.8.8/ITS-4.2/csf) with ESMTP id GAA24970 for ; Thu, 26 Nov 1998 06:51:35 -0700 (MST) Received: from shs.swan.ac.uk by mhs with SMTP-LOCAL (XT-PP) with ESMTP; Thu, 26 Nov 1998 13:50:15 +0000 Received: by shs.swan.ac.uk with Internet Mail Service (5.0.1460.8) id ; Thu, 26 Nov 1998 13:46:55 -0000 Message-ID: <51DA2947F405D2119ED700104B4AE5160BDA10@shs.swan.ac.uk> From: "Hughes, David" To: MedSoc@csf.colorado.edu Subject: RE: Medical Sociology Website Date: Thu, 26 Nov 1998 13:46:53 -0000 MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" People planning their conference itineraries for 1999 and thinking of coming to Europe might like to look at the 'other events' section of the BSA Medical Sociology Group website. There are a number of interesting health sociology conferences in such cities as London, Coventry, York and Edinburgh. http://nursing.swansea.ac.uk/bsa/medsoc.htm