Selling Sex, Studying Sexuality: Voices of Costa Rican Prostitutes and Visions of Feminists

This paper explores the images of disembodiment and disengagement put forth in feminist representations of prostitution and prostitutes and contrasts them to the embodied and engaged experiences of fifty-three street prostitutes in San Jose, Costa Rica. The importance of focusing on the global as well as local context is emphasized.Cet exposé explore les images de désincamement et de désengagement présentées dans les représentations féministes de la prostitution et des prostituées et les compare aux expériences incarnées et engagées des prostituées de la cinquante-troisième rue à San José à Costa Rica. On souligne l’importance de se concentrer au contexte mondial anisi qu'au contexte local

The Interpersonal Skills of Community-Engaged Scholarship: Insights From Collaborators Working at the University of Saskatchewan’s Community Engagement Office

Perhaps more clearly than other research approaches, community-based research or engaged scholarship involves both technical skills of research expertise and scientific rigor as well as interpersonal skills of relationship building, effective communication, and moral ways of being. In an academic age concerned with scientific precision, cognitive skills, quantification, and reliable measurements, the interpersonal skills required for research—and particularly community-based research and engaged scholarship—demand growing importance and resources in contemporary discourse and practice. Focused around the University of Saskatchewan’s Community Engagement Office located in the inner city of Saskatoon, Saskatchewan, the authors draw on over 50 years of collective experience to offer critical reflections on the notion of interpersonal skills in community-engaged scholarship that manifest particularly in place-based contexts of Indigenous community partnerships. Overall, we argue that discourse and practice involving community-engaged scholarship must pay attention to the notion of interpersonal skills in various aspects and across multiple dimensions and disciplines. This approach is crucial to ensure that research is done effectively and ethically, that good quality data are produced from such research, that subtle, systematic forms of micro-aggression and oppression are minimized, and that community voices and knowledge have a meaningful and significant place in scholarship activities

Competing models of illness and disease: the study of leishmeniasis in Campeche, Mexico

Bibliography: p. 155-164.Health intervention programs often fail because the biomedical model and folk model of disease are in competition and are incongruous. There is a need for an integrated explanatory model of disease that accounts for both the clinical and cultural perspectives. The purpose of this study is to construct such a model. The parasitic disease, leishmaniasis, in Campeche, Mexico is the subject of this investigation. Five rural villages in the tropical forest of Southern Campeche were studied in order to determine the cultural perceptions of the disease. This research was conducted over a three month period in association with an ongoing investigation of leishmaniasis centered in the University of Yucatan, Merida. The construction of the integrated model requires that a folk model of the disease be developed first. This involves two processes. The introductory study sets forth the broader, cultural beliefs of health and illness in general. The second study develops a specific model of leishmaniasis encompassing the popular, family and expert models. The results of these investigations show that the concepts of strength, equilibrium, personal responsibility, and the etiological agent are prominent to the people's understanding of disease. The symptomatic severity is determined by the degree of incapacitation, pain, and life endangerment. Criteria for treatment success includes the rapidity of cure, painlessness, and ease of access to the treatment. Patient trust is also crucial to treatment choice. Therefore, herbal and self - administered treatments are preferred for all diseases. Leishmaniasis is considered to be severe given the associated economic loss, role strain, pain, and treatment availability. The biomedical model may be drawn from the ongoing medical investigations and the current literature. Biomedically, leishmaniasis is considered to be very mild and non-burdening. The synthesized model is constructed for the health intervention strategy. The disparities between the two competing models may be resolved by expanding the categories of the existing models or by bridging the two models with a new construct. The contrasting perceptions of the burden of illness is the greatest impediment to the intervention campaign. Therefore, the bridging mechanism proposed is a systematic scoring method that provides a standardized, repeatable measure of burden. This measure accounts for both models and may provide an evaluative mechanism for the intervention. The efficacy of the intervention may improve as the burden of leishmaniasis is clarified and refined, outlining the specific targets of the health care program. The process involved in the construction of these models may be utilized in the study of other diseases and the intervention attempts, particularly when the existing models of the disease are incongruous. This study emphasizes the relevance of anthropological inquiry to the health care intervention process

Patient and family engagement: Bridging together interprofessional practice and patient- and family-centred care

Patient and family engagement as part of the health care team is increasingly recommended to meet the objective of providing safer and more coordinated care, as well as enhancing patient satisfaction. This project explores both health care professionals’ and patients and families’ experiences with patient- and family-centred care (PFCC) and interprofessional practice (IPP). Data were collected through individual interviews with 29 health care professionals and 17 patients and families on medicine and pediatrics at a tertiary care teaching hospital. Inductive coding and thematic analysis outcomes are presented using qualitative description. We used communicative action theory to interpret the gap that emerges in our findings between the ideals and practice of IPP and PFCC. Our findings reveal that strategic action takes place far more often than communicative action. The domination of communication by health care professionals, among other systemic factors in health care, contributes to the marginalized status of patients and families in the health care team instead of being at the centre, and them being informed instead of being truly engaged. The lived experiences of patients and families are overshadowed by the needs of the health care system. Patient and family engagement has the potential to support the implementation of PFCC and IPP in health care delivery. Communicative action theory could be used as a theoretical framework for further research and evaluation of patient and family engagement. Experience Framework This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (https://www.theberylinstitute.org/ExperienceFramework). Access other PXJ articles related to this lens. Access other resources related to this lens

Development and clinical feasibility testing of the Pain Treatment Planning Questionnaire

Chronic pain is common in people with bleeding disorders and can complicate clinical management, impair quality of life, and contribute to disability. People living with bleeding disorders often seek advice on pain management from the bleeding disorder treatment team; however, lack of condition-specific assessment tools to guide clinical communication about pain are a barrier to care