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Full-Text Articles in Medicine and Health Sciences

Clinical Subjectivation: Anthropologies Of Contemporary Biomedical Training., Seth M. Holmes Phd, Md, Angela C. Jenks Phd, Scott Stonington Phd, Md Jan 2011

Clinical Subjectivation: Anthropologies Of Contemporary Biomedical Training., Seth M. Holmes Phd, Md, Angela C. Jenks Phd, Scott Stonington Phd, Md

Seth M. Holmes PhD, MD

No abstract provided.


En-Case-Ing The Patient: Disciplining Uncertainty In Medical Student Patient Presentations., Seth M. Holmes Phd, Md, Maya Ponte Phd, Md Jan 2011

En-Case-Ing The Patient: Disciplining Uncertainty In Medical Student Patient Presentations., Seth M. Holmes Phd, Md, Maya Ponte Phd, Md

Seth M. Holmes PhD, MD

The problem-oriented medical record is the widespread, standardized format for presenting and recording information about patients, which is taught to future physicians early in their medical training. Based on our participant obser- vation of medical training, we analyze the ways in which the patient presentation operates in medical training as a disciplinary technology that manages uncertainty in the clinical decision-making process. We uncover various mechanisms at work including the construction of a coherent narrative structure in which chaotic experiences are re-organized and re-interpreted to fit neatly in a linear plot with a predictable ending, the atomization of the patient as …


Structural Vulnerability And Hierarchies Of Ethnicity And Citizenship On The Farm., Seth M. Holmes Phd, Md Jan 2011

Structural Vulnerability And Hierarchies Of Ethnicity And Citizenship On The Farm., Seth M. Holmes Phd, Md

Seth M. Holmes PhD, MD

Every year, the United States employs nearly two million seasonal farm laborers, approximately half of whom are migrants (Rothenberg 1998). This article utilizes one year of participant observation on a berry farm in Washington State to analyze hierarchies of ethnicity and citizenship, structural vulnerability, and health disparities in agriculture in the United States. The farm labor structure is organized along a segregated continuum from US citizen Anglo-American to US citizen Latino, undocumented mestizo Mexican to undocumented indigenous Mexican. The ethnography shows how this structure symbolically reinforces conflations of race with perceptions of civilized and modern subjects. These hierarchies produce what …