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  • 1.
    Reichenpfader, Ursula
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Abrandt Dahlgren, Madeleine
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Carlfjord, Siw
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Primärvården i centrala länsdelen.
    'In the hospital all is taken care of': A practice-theoretical approach to understand patients' medication use2020Ingår i: Sociology of Health and Illness, ISSN 0141-9889, Vol. 42, nr 1, s. 50-64Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Drawing from case examples of medication review implementation in three hospital settings in Sweden, this article examines patients’ medication use. Based on a practice theory approach and utilising data from interviews with patients and participant observation, we reconstruct three practices of everyday medication use centring on accepting, challenging or appropriating medication orders. This article argues that patients’ medication practices are embedded in wider practice arrangements that afford different modes of agency. Reconceptualising patients’ medication use from a practice‐based perspective revealed the meaning‐making, order‐producing and identity‐forming features of these practices. Also, we illustrated how different modes of agency were achieved in patients’ medication practices, suggesting a fluidity of both the meanings attached to and the identities related to medication use. Our findings have practical implications as these practices of medication use can be transformed when altering the arrangements they are embedded in, thus going beyond the clinical encounter.

    Publikationen är tillgänglig i fulltext från 2020-08-18 13:04
  • 2.
    Kvist Lindholm, Sofia
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    ‘Looping effects’ related to young people’s mental health: How young people transform the meaning of psychiatric concepts2020Ingår i: Global Studies of Childhood, ISSN 2043-6106, E-ISSN 2043-6106, Vol. 10, nr 1, s. 26-38Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Over the past decades, reports from official authorities and the media have suggested that there is a ‘crisis’ in young people’s mental health. However, there is considerable uncertainty regarding how to interpret the data referred to in these alarming reports. The present article draws on ‘the minority voices’ of young people and theories developed by Ian Hacking to undertake a critical analysis of the conceptualisation of young people’s mental health. According to Hacking, systems of classifications formulate general truths about people and frame the suffering of individuals in specific ways. Classification changes people. However, young people are social actors who interact with classifications of their mental health and by doing so they could cause classifications to be redrawn. Hacking refers to these feedback effects as ‘looping effects’. Based on 51 interviews with 15-year-olds, this article explores how young people interact with psychiatric labels associated with their wellbeing such as anxiety and depression. We demonstrate how the participants gave new meaning to these psychiatric labels, devalued and gave nuance to them, and by doing so transformed them into cultural categories rather than diagnostic categories. We discuss the potential looping effects related to young people’s mental health and how the present findings can inform policy practice.

  • 3.
    Reichenpfader, Ursula
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Abrandt Dahlgren, Madeleine
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Carlfjord, Siw
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Embedding hospital-based medication review: The conflictual and developmental potential of a practice2019Ingår i: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 33, nr 3, s. 339-352Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The purpose of this paper is to explore the embedding of hospital-based medication review attending to the conflictual and developmental nature of practice. Specifically, this paper examines manifestations of contradictions and how they play out in professional practices and local embedding processes.

    Design/methodology/approach: Using ethnographic methods, this paper employs the activity-theoretic notion of contradictions for analyzing the embedding of medication review. Data from participant observation (in total 290?h over 48 different workdays) and 31 semi-structured interviews with different healthcare professionals in two Swedish hospital-based settings (emergency department, department of surgery) are utilized.

    Findings: The conflictual and developmental potential related to three interrelated characteristics (contested, fragmented and distributed) of the activity object is shown. The contested nature is illustrated showing different conceptualizations, interests and positions both within and across different professional groups. The fragmented character of medication review is shown by tensions related to the appraisal of the utility of the newly introduced practice. Finally, the distributed character is exemplified through tensions between individual and collective responsibility when engaging in multi-site work. Overall, the need for ongoing ᅵrepairᅵ work is demonstrated.

    Originality/value: By using a practice-theoretical approach and ethnographic methods, this paper presents a novel perspective for studying local embedding processes. Following the day-to-day work of frontline clinicians captures the ongoing processes of embedding medication review and highlights the opportunities to learn from contradictions inherent in routine work practices.

  • 4.
    Wickström, Anette
    et al.
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten. Linköping University.
    Kvist Lindholm, Sofia
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    Nyanserad förståelse av ungas psykiska ohälsa2019Ingår i: Elevhälsa, s. 6-12Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    En stor del av den statistik som ligger till grund för medialt uppmärksammade rapporter om ökande psykisk ohälsa bland unga representerar inte alltid psykisk ohälsa utan övergående besvär kopplade till ungdomars vardagliga utmaningar. Detta kan leda till att ungas mående medikaliseras och att insatser som ska främja psykisk hälsa riskerar att hamna snett.

  • 5.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Up and down and sideways: Collaboration, friction and ethnographic representations of orthodontics for children2019Ingår i: Ethnography, ISSN 1466-1381, E-ISSN 1741-2714, s. -17, artikel-id 10.1177/1466138119829155Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this article, I discuss collaboration and my experiences of involving orthodontists when representing orthodontic practice. Drawing on an ethnographic study with children and young people getting fixed appliances, the aim is to understand the politics of the practitioners’ receptions of the research result. First, I explore the power balance involved in researching expertise in general. Studying up and down and sideways in a multidirectional collaboration, I demonstrate that direct focus on the practitioners’ reactions to the ethnographic representations can reveal the political and social processes in institutions that deeply affect the lives of children. Secondly, the ethnographic examples show the specific changing conditions within the field of orthodontics that influenced how my analysis was received by the orthodontists. I argue that the result of collaboration, in the form of both agreement and friction, serves as knowledge about the burning questions of the institutional network under study.

  • 6.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Virginity Testing as a Local Public Health Initiative: A 'Preventative Ritual' More Than a 'Diagnostic Measure'2019Ingår i: Cultural Anthropology: Contemporary, Public, and Critical Readings / [ed] Keri Vacanti Brondo, Oxford: Oxford University Press, 2019, 2, s. 313-320Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    This chapter focuses on virginity testing in Nkolokotho in northeastern rural KwaZulu Natal. I argue that testing is a strategy that involves the deployment of collective pressure and symbolic means both to increase the individual’s and the community’s responsibility for sexual relations, and to strengthen girls’ and women’s positions at a time of chronic HIV/AIDS. In the absence of effective measures against AIDS, inhabitants try to find alternative ways to protect young people. An older tradition that emphasizes the status of virgin girls and the significance of the collective is used in a strategy that incorporates HIV blood tests. I show how virginity testing is a ‘preventive ritual’ more than a ‘diagnostic measure’, while emphasizing how both South African and Western projects aimed at improving the situation are grounded in perspectives that sometimes collide with how local people conceive of both relationships and sexuality.

  • 7.
    Reichenpfader, Ursula
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Nilsen, Per
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Abrandt Dahlgren, Madeleine
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Carlfjord, Siw
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Medi(c)ation work in the emergency department: Making standardized practice work2018Ingår i: Professions & Professionalism, ISSN 1893-1049, E-ISSN 1893-1049, Vol. 8, nr 2, artikel-id e2298Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Medication review, the systematic examination of an individual patient’s medicines in order to improve medication therapy, has been advocated as an important patient safety measure. Despite widespread use, little is known about how medication review is conducted when implemented in routine health care. Drawing from an ethnographic case study in a Swedish emergency department and using a practice-based approach, we examine how medication review is practically accomplished and how knowledge is mobilized in everyday practice. We show how physicians construct and negotiate medication safety through situated practices and thereby generate knowledge through mundane activities. We illustrate the centrality of practitioners’ collective reflexive work when co-constructing meaning and argue here that practitioners’ local adaptations can serve as important prerequisites to make “standardized” practice function in everyday work. Organizations need to build a practical capacity to support practitioners’ work-based learning in messy and time-pressured  health care  settings.

  • 8.
    Reichenpfader, Ursula
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Abrandt Dahlgren, Madeleine
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Nilsen, Per
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Carlfjord, Siw
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Our surgeons want this to be short and simple: practices of in-hospital medication review as coordinated sociomaterial actions2018Ingår i: Studies in Continuing Education, ISSN 0158-037X, E-ISSN 1470-126X, Vol. 40, nr 3, s. 323-336Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Medication review, a systematic assessment of a patients medicines by a health care professional, is intended to prevent medication-related harms. A critical element of medication review concerns whether medication review is conducted in a coordinated way. This article draws from a case example of implementing medication review in two surgical wards of a Swedish regional hospital and aims to analyse how medication review is being accomplished with respect to the coordination of its actions. Using a practice-based ethnographic approach, we present several coordination mechanisms by illustrating how practices are connected to materials involved in medication review. Also, we show how common orientations, ends, and understandings expressed in different medication review practices contribute to the coordination of the practices. In conclusion, this article highlights the complexity of establishing and sustaining medication review as a coordinated practice in routine health care. By closely examining sociomaterial connections, this article sheds new light on the neglected issue of artefacts and arrangements in constituting and transforming a highly complex medication practice.

  • 9.
    Wickström, Anette
    et al.
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Zetterqvist Nelson, Karin
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Psykisk hälsa ur barns och ungdomars perspektiv: De sociala relationernas avgörande betydelse2018Ingår i: Barn- och ungdomsvetenskap: Grundläggande perspektiv / [ed] Thomas Johansson och Emma Sorbring, Stockholm: Liber , 2018, s. 350-362Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 10.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Schoolgirls' healt agency: Silence, upset and cooperation in a psycho-educational assemblage2018Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, nr 1, s. 1-12, artikel-id 1564518Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Since the millennium, manual-based preventive health programmes, drawing on psychological models of behaviour management, have dominated psycho-educational practices in school. The aim of this article is to study the health agency of 13-year-old schoolgirls participating in a programme for improving schoolchildren’s psychological health in Sweden.

    Method: Drawing on Deleuze and Guattari’s theories of assemblages, the interaction between schoolchildren, teachers, the manual and psycho-educational techniques is scrutinized. The methodology of assemblage ethnography is used in the analysis of video observations of 13 course meetings.

    Results: Three salient attitudes in relation to the possibilities built up for the schoolgirls are identified—silenceupset and cooperation. The girls’ acts and stories question the psycho-centric, individualized and gender-normative approach used in psycho-educational programmes and make visible the relational and contextual aspects of schoolchildren’s psychological health.

    Conclusion: Children depend on multiple factors for their agency; the institutional networks they are involved in both allow and restrict their actions. The study demonstrates that focusing on children as health actors, in the sense that agency develops in the assemblages children take part in, can complement the knowledge base and question the predominant framing of psychological health.

  • 11.
    Wickström, Anette
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för tema, Tema Barn.
    "One step at a time": Analyzing young patients' video diaries in an ethnographic tracing of fixed appliances2017Ingår i: Children & society, ISSN 0951-0605, E-ISSN 1099-0860, Vol. 31, nr 3, s. 183-193Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The present article examines children’s and young people’s experiences of receiving state-financedorthodontic treatment. Using video diaries and follow-up interviews, the aim was to explore how fixedappliances act on patients’ bodies and social life. The combination of methods reveals complex experiences.The main narrative, primarily found in the interviews, presents a vision of an improved bite thatpatients and orthodontists share. In the video diaries, a parallel narrative of extended bodily hardship isrevealed. Owing to the step-by-step process where appliances are gradually tightened, the young patientsmanage to bear the treatment. However, they cannot foresee its extension.

  • 12.
    Pousette Lundgren, Gunilla
    et al.
    Karolinska Institute, Sweden; Centre Pediat Oral Health Research, Sweden; Public Dent Health Serv, Sweden; Karolinska Institute, Sweden.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Hasselblad, Tove
    Karolinska Institute, Sweden; Centre Pediat Oral Health Research, Sweden.
    Dahllöf, Göran
    Karolinska Institute, Sweden; Centre Pediat Oral Health Research, Sweden.
    Amelogenesis Imperfecta and Early Restorative Crown Therapy: An Interview Study with Adolescents and Young Adults on Their Experiences2016Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 11, nr 6, s. e0156879-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Patients with Amelogenesis imperfecta (AI) can present with rapid tooth loss or fractures of enamel as well as alterations in enamel thickness, color, and shape; factors that may compromise aesthetic appearance and masticatory function. The aim was to explore the experiences and perceptions of adolescents and young adults living with AI and receiving early prosthetic therapy. Seven patients with severe AI aged 16 to 23 years who underwent porcelain crown therapy participated in one-to-one individual interviews. The interviews followed a topic guide consisting of open-ended questions related to experiences of having AI. Transcripts from the interviews were analyzed using thematic analysis. The analysis process identified three main themes: Disturbances in daily life, Managing disturbances, and Normalization of daily life. These themes explain the experiences of patients living with enamel disturbances caused by AI and receiving early crown therapy. Experiences include severe pain and sensitivity problems, feelings of embarrassment, and dealing with dental staff that lack knowledge and understanding of their condition. The patients described ways to manage their disturbances and to reduce pain when eating or drinking, and strategies for meeting other people. After definitive treatment with porcelain crown therapy, they described feeling like a normal patient. In conclusion the results showed that adolescents and young adults describe a profound effect of AI on several aspects of their daily life.

  • 13.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    "I hope I get movie-star teeth": Doing the exceptional normal in orthodontic practice for young people2016Ingår i: Medical Anthropology Quarterly, ISSN 0745-5194, E-ISSN 1548-1387, Vol. 30, nr 3, s. 285-302Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Orthodontics offer young peole the chance to improve their bite and adjust their appearances. The most common reasons for orthodontic treatment concern general dentists', parents' or children's dissatisfaction with the esthetics of the bite. My aim is to analyze how esthetic norms are 'done' during three activities preceding possible treatment with fixed appliances. The evaluation indexes signal definitiveness and are the essential grounds for decision-making. In parallel, practitioners and patients refer to self-perceived satisfaction with appearances. Visualizations of divergences and the improved future bite become part of an interactive process that upholds what I conceptualize as 'the exceptional normal'. Insights into thie process contribute to a better understanding of how medical practices intended to measure and safeguard children's and young people's health at the same time mobilize patient to look and feel better. The article is based on an ethnographic study at two orthodontic clinics.

  • 14.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Virginity Testing as a Local Public Health Initiative: A 'Preventative Ritual' More Than a 'Diagnostic Measure'2016Ingår i: Cultural Anthropology: Contemporary, Public, and Critical Readings / [ed] Keri Vacanti Brondo, Oxford: Oxford University Press, 2016, 1, s. 148-155Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    This chapter focuses on virginity testing in Nkolokotho in northeastern rural KwaZulu Natal. I argue that testing is a strategy that involves the deployment of collective pressure and symbolic means both to increase the individual’s and the community’s responsibility for sexual relations, and to strengthen girls’ and women’s positions at a time of chronic HIV/AIDS. In the absence of effective measures against AIDS, inhabitants try to find alternative ways to protect young people. An older tradition that emphasizes the status of virgin girls and the significance of the collective is used in a strategy that incorporates HIV blood tests. I show how virginity testing is a ‘preventive ritual’ more than a ‘diagnostic measure’, while emphasizing how both South African and Western projects aimed at improving the situation are grounded in perspectives that sometimes collide with how local people conceive of both relationships and sexuality.

  • 15.
    Wickström, Anette
    et al.
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Kvist Lindholm, Sofia
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Zetterqvist Nelson, Karin
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    DISA är ett problematiskt verktyg i skolan2015Ingår i: Svenska Dagbladet, ISSN 1101-2412, nr 25 septArtikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 16.
    Wickström, Anette
    et al.
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Kvist Lindholm, Sofia
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Zetterqvist Nelson, Karin
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Elever tvingas leta efter negativa tankar: Forskare kritiserar program som används i skolan2015Ingår i: SocialPolitik, ISSN 1104-6376, Vol. 22, nr 4, s. 34-36Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 17.
    Wickström, Anette
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för tema, Tema Barn.
    Elevers erfarenheter av manualbaserade metoder2015Ingår i: Sociala relationer, värdegrund och lärarprofessionalitet / [ed] Åsa Bartholdsson, Eva Hultin, Malmö: Gleerups Utbildning AB, 2015, s. 55-68Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 18.
    Wickström, Anette
    et al.
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Kvist Lindholm, Sofia
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Zetterqvist Nelson, Karin
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Fel förstärka negativa tankar hos unga2015Ingår i: Svenska Dagbladet, ISSN 1101-2412, nr 19 septArtikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 19.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Recension av Torbjörn Friberg, Universitetslärare i förändring: En antropologisk studie av profession, utbildning och makt2015Ingår i: Sociologisk forskning, ISSN 0038-0342, Vol. 52, nr 4, s. 403-405Artikel, recension (Övrigt vetenskapligt)
  • 20.
    Wickström, Anette
    Linköpings universitet, Institutionen för kultur och kommunikation, Avdelningen för kulturvetenskaper, KVA. Linköpings universitet, Filosofiska fakulteten.
    "Lungisa": weaving relationships and social space to restore health in rural KwaZulu Natal.2014Ingår i: Medical Anthropology Quarterly, ISSN 0745-5194, E-ISSN 1548-1387, Vol. 28, nr 2, s. 203-220Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Many Zulu people who live in big cities in South Africa return to their rural homestead when they fall ill. Although the health care offered in rural areas is not efficient, people wish to connect to their family and ancestors. My aim is to explore acts of lungisa (“to put in order”) and what they say about health, agency, and the circumstances under which people live. Returning home means weaving oneself firmly within a web of relationships that are located in material things and places. Healing involves imperfect strategies used to better connect bodies, relationships, and places. I theorize the acts of returning using Adriana Cavarero’s concept of weaving together and argue that people produce space and relationships over time to exert some control over a life lived under political and economic circumstances that have created separation. Six months of ethnographic fieldwork make up the material for my analysis.

  • 21.
    Kvist, Therese
    et al.
    Karolinska Institute, Sweden.
    Wickström, Anette
    Linköpings universitet, Institutionen för kultur och kommunikation, Avdelningen för kulturvetenskaper, KVA. Linköpings universitet, Filosofiska fakulteten.
    Miglis, Isabelle
    Karolinska Institute, Sweden.
    Dahllof, Goran
    Karolinska Institute, Sweden.
    The dilemma of reporting suspicions of child maltreatment in pediatric dentistry2014Ingår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 122, nr 5, s. 332-338Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study examined the factors that lead specialists in pediatric dentistry to suspect child abuse or neglect and the considerations that influence the decision to report these suspicions to social services. Focus group discussions were used to identify new aspects of child maltreatment suspicion and reporting. Such discussions illuminate the diversity of informants experiences, opinions, and reflections. Focus groups included 19 specialists and postgraduate students in pediatric dentistry. We conducted video-recorded focus group discussions at the informants dental clinics. All sessions lasted approximately 1.5h. We transcribed the discussions verbatim and studied the transcripts using thematic analysis, a method well-suited to evaluating the experiences discussed and how the informants understand them. The analysis process elicited key concepts and identified one main theme, which we labeled the dilemma of reporting child maltreatment. We found this dilemma to pervade a variety of situations and divided it into three sub-themes: to support or report; differentiating concern for well-being from maltreatment; and the supportive or unhelpful consultation. Reporting a suspicion about child maltreatment seems to be a clinical and ethical dilemma arising from concerns of having contradicting professional roles, difficulties confirming suspicions of maltreatment, and perceived shortcomings in the child-protection system.

  • 22.
    Wickström, Anette
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    From individual to relational strategies: Transforming a manual-based psycho-educational course at school2013Ingår i: Childhood, ISSN 0907-5682, E-ISSN 1461-7013, Vol. 20, nr 2, s. 215-228Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The article focuses on 13-year-old girls’ meaning-making processes during participation in a manual-based psycho-educational course at school. Drawing on childhood studies and ethnographic investigations of subjectivity, I explore how the course is realized in practice. The analysis, based on video-recordings of thirteen classes, shows that the girls and the teachers, through collective transformation, moves the focus from individual potential problems to relational issues. The result demonstrates the weakness of using manual-based educational courses, and indicates that cognitive methods for dealing with negative thoughts could be replaced by exercises designed to deal with interaction and strengthening the individual.

  • 23.
    Wickström, Anette
    Linköpings universitet, Institutionen för kultur och kommunikation, Avdelningen för kulturvetenskaper, KVA. Linköpings universitet, Filosofiska fakulteten.
    Depressionsförebyggande kurser krockar med skolans pedagogiska vardag2012Ingår i: Venue - tanke- och kunskapsutbyte av erfarenheter och forskning om förskola och skola, ISSN 2001-788X, nr 1Artikel i tidskrift (Refereegranskat)
  • 24.
    Zeiler, Kristin
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Wickström, Anette
    Linköpings universitet, Institutionen för kultur och kommunikation, Avdelningen för kulturvetenskaper, KVA. Linköpings universitet, Filosofiska fakulteten.
    Varför ifrågasätts inte andra icke-medicinska ingrepp?2012Ingår i: Svenska dagbladet, ISSN 1101-2412, nr 7/1Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 25.
    Wickström, Anette
    Linköpings universitet, Institutionen för kultur och kommunikation, Avdelningen för kulturvetenskaper, KVA. Linköpings universitet, Filosofiska fakulteten.
    Virginity testing as a local public health initiative: a ‘preventive ritual’ more than a ‘diagnostic measure’2010Ingår i: Journal of the Royal Anthropological Institute, ISSN 1359-0987, E-ISSN 1467-9655, Vol. 16, nr 3, s. 532-550Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article focuses on virginity testing in Nkolokotho in northeastern rural KwaZulu Natal. I argue that testing is a strategy that involves the deployment of collective pressure and symbolic means both to increase the individual's and the community's responsibility for sexual relations, and to strengthen girls' and women's positions at a time of chronic HIV/AIDS. In the absence of effective measures against AIDS, inhabitants try to find alternative ways to protect young people. An older tradition that emphasizes the status of virgin girls and the significance of the collective is used in a strategy that incorporates HIV blood tests. I show how virginity testing is a ‘preventive ritual’ more than a ‘diagnostic measure’, while emphasizing how both South African and Western projects aimed at improving the situation are grounded in perspectives that sometimes collide with how local people conceive of both relationships and sexuality.

  • 26.
    Zeiler, Kristin
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Wickström, Anette
    Linköpings universitet, Institutionen för medicin och hälsa, Hälsa och samhälle. Linköpings universitet, Hälsouniversitetet.
    Why do we perform surgery on newborn intersexed children? The phenomenology of the parental experience of having a child with intersex anatomies2009Ingår i: Feminist Theory, ISSN 1464-7001, E-ISSN 1741-2773, Vol. 10, nr 3, s. 359-377Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Few parents-to-be consider that their child may be born with ambiguous sex. Still, parents of a newborn child with ambiguous sex are expected to make a far-reaching decision for the child should the child be operated upon so that it has either female or male genitals? The aim of this article is to examine, phenomenologically, why parents decide to have their children undergo genital surgery when it is not necessary for the childs physiological functions. Drawing on phenomenological work by Maurice Merleau-Ponty, Simone de Beauvoir and Sara Ahmed, we examine parents frustration when their childs sex is ambiguous and their experiences of the practice of medical sex assignment. We also examine parental identity work when the child has been assigned a sex and the interaction between parents and medical professionals when parents make decisions regarding surgery on their child. Furthermore, we provide a critical perspective on the surgical practice.

  • 27. Beställ onlineKöp publikationen >>
    Wickström, Anette
    Linköpings universitet, Institutionen för medicin och hälsa, Hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Kärlek i virusets tid: att hantera relationer och hälsa i Zululand2008Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [sv]

    Huvudsyftet med avhandlingen är att förstå hur människor tänker om och hanterar kärlek, sexualitet och hälsa i sina vardagliga liv på landsbygden i nordöstra KwaZulu Natal i Sydafrika. Målet är att förstå vad kärlek innebär för dem, men också hur större samhälleliga processer påverkar erfarenheter av kärlek, hälsa och relationer.

    Studien baserar sig på sex månaders etnografiska fältstudier bland framförallt åtta familjer. Data samlades in genom deltagande observationer och öppna intervjuer. Vid sidan om familjerna intervjuades tio örtdoktorer. Materialet består av 60 bandade intervjuer och cirka 340 sidor fältanteckningar.

    Analysen visar att man talar mer om kärlek i termer av respektfulla handlingar och en social ordning än om kärlek som en känsla. Kärleken är visserligen känslofull, men talet om respektfulla handlingar som kännetecknet på kärlek visar att invånarna ser sig som djupt beroende av varandra. Individen definieras av en väv av relationer där även förfäderna, både levande och döda, ingår. Kärlek mellan två individer hänger därför intimt samman med släkten och relationer i närsamhället, vilket skapar tillhörighet men också utsatthet. Kärleksmediciner tillverkade av örter utgör en möjlig väg att stärka ett förhållande eller att vinna någons kärlek. Berättelser om kärleksmediciner visar emellertid vad människor drabbas av och vad som anses vara ett omoraliskt agerande, vilket ger förklaring och lindring i svåra situationer men också lyfter fram att strukturella omständigheter under vilka människor lever behöver förändras.

    Kolonisation, apartheid och under senare år demokratisering har inneburit radikala förändringar för kärleks- och familjerelationer. Män, och fler och fler kvinnor, försörjer sig som migrantarbetare, vilket har lett till en uppsplittring av familjen mellan stad och landsbygd och skapat nya slags försörjningsnätverk. Förändringarna har lett till svårigheter med att visa kärlek i handling och till efterfrågan på nya sorters handlingar som bevis på kärlek.

    Arbetslöshet och sjukdomar utgör dock det allvarligaste hotet mot kärleken. I brist på effektiva åtgärder mot aids åberopar människor en tydligare moralisk ordning och försöker finna alternativa vägar att skydda sig. För att lyfta fram både det individuella och det gemensamma ansvaret för sexuella relationer och för att stärka flickors position har invånarna skapat en ritual för att kontrollera flickors oskuld, som en preventiv snarare än en diagnostisk åtgärd. En välkänd historisk ritual som lyfter fram oskuldens och kollektivets betydelse används i en modern strategi för att försöka hejda spridningen av aids och göra kärleken möjlig.

    Studien lyfter fram hur både inomstatliga och västerländska projekt som syftar till att förbättra zulufolkets situation grundar sig i perspektiv och föreställningar som är främmande för dem, och ibland krockar med deras sätt att uppfatta kärlek, relationer och sexualitet. Invånarna ser ömsom nya möjligheter, ömsom försöker de bevara sin tidigare moraliska ordning, men framförallt transformerar de sin specifika förståelse av hur samlevnad fungerar till dagens behov och villkor.

  • 28.
    Wickström, Anette
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för medicin och hälsa, Hälsa och samhälle.
    Love as action; managing relationships, sickness and medicine in a Zulu society2008Ingår i: Medische antropologie, ISSN 0925-4374, Vol. 20, s. 47-68Artikel i tidskrift (Refereegranskat)
    Abstract [en]

      

  • 29.
    Wickström, Anette
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för hälsa och samhälle, Tema hälsa och samhälle.
    Love, Medicine and Health2006Ingår i: Umbiko. Bringing Science to PeopleArtikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
1 - 29 av 29
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