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HEALTHCARE AND CULTURE: SUBJECTIVITY IN THE HEALTHCARE CONTEXTS.
No full textThe book deals with current issues, pertinent every healthcare relationship. Changes in medicine as well as some constant aspects over time arise within a cultural ground and generate new questions and issues that are not only purely medical, but also bioethical, social, political, economic and psychological of course.
On the one hand, changes in medicine generate new questions for society, on the other hand, the society poses new questions to the medicine, new challenges, and in some cases they can conflict with consolidated models and practices. Never the progress of Western medicine and its therapeutic practices have been as significant as in the last decades but the increase of specific competence and effectiveness of medical treatments are not linearly translated into an increase of consensus, dialogue and alliance between medicine and society. How does psychology take on a position of interlocutor towards medicine and its transformations? How does Cultural Psychology, Health Psychology, Clinical Psychology confront themselves with the processes of meaning making generated by medicine?
The interest of the book is aimed to grasp the construction of processes of cultural, relational and subjective meaning in the dialogical encounter between medicine and society, between doctor and patient. The book intends to focus in particular on two specific plans: on the one hand, to present a reflection and analysis on contemporary medicine and its on‐going transformations of the healthcare relationship; on the other hand, to present and discuss experiences of intervention and possible models of intervention addressed to healthcare and doctor‐patient relationships during its crucial steps (consultation, formulation and communication of diagnosis, therapy, conclusion). The book’s purposes are aimed to discuss crucial and current issues on the borders between medicine and psychology: consensus and sharing, decision‐making and autonomy, subjectivity and narration, emotions and affectivity, medical semeiotics and cultural semiotics, training of physicians, and epistemological, theoretical and methodological issues.
CONTENTS
Series Editor’s Preface: Caring for Health Care: Cultural Processes in Medicine, Jaan Valsiner. Introduction: The Meaning Making Processes of Healthcare Relationship in the Current Scenario, Maria Francesca Freda and Raffaele De Luca Picione. PART I: HEALTHCARE RELATIONSHIP AS ARENA OF MEANING. FROM CULTURAL ISSUE TO SUBJECTIVE CONSTRUCTION OF ILLNESS. Medicine as a Complex Set of Cultural Systems of Meanings, Raffaele De Luca Picione. The Border Into Wonderland: When Words Between Doctor and Patient Is Not Enough, Jensine Nedergaard. Autonomy: A Concept at the Crossroads of Medicine and Psychology, Giovanni Guerra. The Role of the Meaning‐Making Process in the Management of Hereditary Angioedema, Livia Savarese, Maria Bova, Raffaella Falco, Maria Domenica Guarino, Gerarda Siani, Paolo Valerio, and Maria Francesca Freda. PART II: HEALTHCARE RELATIONSHIP AS ARENA OF TRANSFORMATION: FROM COMMUNICATION TO DIALOGUE. Psychological Scaffolding in the Healthcare Relationship: A Methodological Proposal, Maria Francesca Freda, Raffaele De Luca Picione, and Francesca Dicè. Breaking Bad News: Theory and Practice for Healthcare Professionals’ Training, Giulia Lamiani, Daniela Leone, Elaine C. Meyer, and Elena Vegni. Psychologists and Family Physicians in an Experience of Collaborative Care in Italy: An Effort Towards Integration and Against Stigma, Luigi Solano, Barbara Cordella, Michela Di Trani, Rosa Ferri, and Alessia Renzi. Clinical Psychology in Hospital Setting, Renzo Carli, Rosa Maria Paniccia, Silvia Policelli, and Andrea Caputo. PART III: MENTAL HEALTHCARE AS PARADIGMATIC ARENA TO UNDERSTAND THE COMPLEXITY OF HUMAN RELATION. From Psychopathology to Service. A New View of the Clinical Psychology Intervention, Sergio Salvatore, Claudia Venuleo, Valeria Pace, Marianna Puglisi, Mari Tandoi, Annalisa Venezia, Rossano Grassi, and Gianna Mangeli. Recovery, Paternalism and Narrative Understanding in Mental Healthcare, Tim Thornton. “Why Do You Then Not Shit?” Diagnosis and the Semiotic Sphere, Yair Neuman. PART IV: PREGNANCY AND MOTHERHOOD: A CHALLENGING ARENA FOR DIALOGUE BETWEEN MEDICINE AND PSYCHOLOGY. Birth Experience as Socially and Culturally Regulated Event, Kristiina Uriko. The Generative Function of a Healthcare System: Linking Meanings Between Chronic Illness and Motherhood, Giorgia Margherita, Maria Carlino, and Francesca Tessitore.Doctor‐Patient Relationship in Face of Grief/Mourning: The Case of Gestational Losses, Vivian Volkmer Pontes and Ana Cecília Bastos.Conclusion: Healthcare Relationship: An Open Space Dialogue in Search of Its Own Forms, Maria Francesca Freda and Raffaele De Luca Picione. About the Authors
Introduction: The Meaning Making Processes of Healthcare Relationship in the Current Scenario
No full textMedicine, from a general and wide-ranging point of view, is a therapeutic
activity based on a system of knowledge and practice, locally and historically
connoted (Beneduce & Roudinesco, 2005; Federspil et al., 2008; Good,
1994; Kleinmann, 1998). It changes over time. On the one hand, we see
the transformation of medicine over its subjects, and on the other hand, we
see the transformations of medicine in the relationship between its agents
(doctors, patients, researchers, educational and research institutions, etc.).
Therefore, the evolution and transformation of medicine and its progress
do not pertain exclusively to the relationship it builds with its specific subjects
(think of the increasingly precise definition of diseases and research
for increasingly more effective and efficient therapeutic treatments); the
change of medicine over time also has a side we call relational, and it is built
through the methods of organizing relations amongst its participants. In
the valuable contributions of this book, attention focuses mainly on that
transformative side of medicine, given that the current cultural and social processes within Westernized societies raise questions with regard to medicine
and the ways it carries out its practices. The transformation of medical
practice within the current social and cultural landscapes of the Westernized
societies puts an emphasis on the issue of the medical relationship between
the doctor and the patient
Psychological Scaffolding in the Healthcare Relationship: A Methodological Proposal
No full textPsychological scaffolding in healthcare relationships allows the system to
guarantee a gradual and progressive way to meet medical goals. From a
psychological point of view, you cannot separate these goals from how they
are reached and from the experience the patients have within the clinical
relationship.
Ownership is another important concept, and it is marked by patient
empowerment within the clinical relationship. The owner of a relationship
is not the patient who passively awaits and accepts treatment. In any medical dialogue, everyone can “own” a point of view or a proposal that
can influence the dynamics of the clinical relationship. Active ownership
and partnership are not prerequisites for the relationship but come about
as the relationship progresses.
Consensus involves moving from a passive attitude of informed consensus
and medical authority to the possibility of bringing together different
points of view, evaluation perspectives, and ways of describing the illness.
Consensus can take place when ownership of the technical, pragmatic,
cognitive, emotional, cultural, and social contents is integrated. Bringing
different points of view together leads to the sharing, development, and
experience of new ways of integrating meaning (consensus) of the illness
and its treatment (Freda et al., 2014; Gleijeses & Freda, 2009; Zaccaro &
Freda, 2011). Consensus implies a continual exchange between the health
system and the patients and their families (Jankovic & Masera, 2012).
In dealing with concordance, we look at ways of dealing with one of the
most difficult aspects of the clinical relationship: uncertainty. Accepting
uncertainty and negotiating between reality and hope can be problematic.
Decision making allows us to make decisions for the future. By sharing the
process of decision making, the healing process is shared in the longer
term (including past, present, and future). In doing so, we move away from
events and actions and towards processes. Thanks to ownership and consensus,
the future is no longer seen in terms of diagnostic probability but as
shared meaning in which both the biological outcomes and the subjective,
social, cultural, and economic outcomes of the healthcare relationship are
considered. By understanding the multidimensional and multitemporal
aspects of the illness (Freda, De Luca Picione & Martino, 2015), choices
and responsibilities that were once taken for granted can become shared.
Psychological intervention does not limit itself to creating a harmonious
atmosphere between doctors and patients but rather works towards greater
competency and autonomy in all participants through dialogue and the
semiotic translation of all meaningful aspects of the relationship. Psychological
scaffolding is a dynamic process where new ways of organizing and
developing the relationship can be tested, so that effective decisions and
communication can be made taking into account medical, physiological,
and personal issues
European Museums in the 21st Century: Setting the Framework (vol. 1; vol. 2; vol. 3)
No full textThis book grew out of the earliest work of the MeLa Research Field 6, “Envisioning 21st Century Museums,” aimed at exploring current trends in European contemporary museums. Analysing their ongoing evolution triggered by this “age of migrations” and with specific attention to their architecture and exhibition design, the volume collects the preliminary observations ensuing from this survey, complemented by the some paradigmatic examples, and further enriched by interviews and contributions from scholars, curators and museum practitioners. With contributions by Florence Baläen, Michela Bassanelli, Luca Basso Peressut, Joachim Baur, Lorraine Bluche, Marco Borsotti, Mariella Brenna, Anna Chiara Cimoli, Lars De Jaegher, Maria Camilla De Palma, Hugues De Varine, Maria De Waele, Nélia Dias, Simone Eick, Fabienne Galangau Quérat, Sarah Gamaire, Jan Gerchow, Marc-Olivier Gonset, Klas Grinell, Laurence Isnard, Marie-Paule Jungblut, Galitt Kenan, Francesca Lanz, José María Lanzarote Guiral, Vito Lattanzi, Jack Lohman, Carolina Martinelli, Frauke Miera, Elena Montanari, Chantal Mouffe, Judith Pargamin, Giovanni Pinna, Camilla Pagani, Clelia Pozzi, Paolo Rosa, Anna Seiderer
Conclusion: Healthcare Relationship: An Open Space Dialogue in Search of Its Own Forms
No full textThere are many paths defined by the authors who have participated in this
book—all paths that lead towards the same sea. These waters are turbulent,
moved by continuous currents, tides, and undertows. This is the sea
of countless possibilities and endless forms that subjectivity can take on
in different contexts of disease and care. Through their descriptions, the
authors reflect on and discuss the importance of the construction of subjectivity
within the system of relationships of healthcare that makes possible
its emergence. Subjectivity is not just considered as an entity that a priori
characterizes a person, but as a singular and original process that develops
over time through the experiences with one’s own body, with others, and
with the world
European Museums in the 21st Century: Setting the Framework - Vol. 3
No full textThis book grew out of the earliest work of the MeLa Research Field 6, “Envisioning 21st Century Museums,” aimed at exploring current trends in European contemporary museums. Analysing their ongoing evolution triggered by this “age of migrations” and with specific attention to their architecture and exhibition design, the volume collects the preliminary observations ensuing from this survey, complemented by the some paradigmatic examples, and further enriched by interviews and contributions from scholars, curators and museum practitioners.
With contributions by Florence Baläen, Michela Bassanelli, Luca Basso Peressut, Joachim Baur, Lorraine Bluche, Marco Borsotti, Mariella Brenna, Anna Chiara Cimoli, Lars De Jaegher, Maria Camilla De Palma, Hugues De Varine, Maria De Waele, Nélia Dias, Simone Eick, Fabienne Galangau Quérat, Sarah Gamaire, Jan Gerchow, Marc-Olivier Gonset, Klas Grinell, Laurence Isnard, Marie-Paule Jungblut, Galitt Kenan, Francesca Lanz, José María Lanzarote Guiral, Vito Lattanzi, Jack Lohman, Carolina Martinelli, Frauke Miera, Elena Montanari, Chantal Mouffe, Judith Pargamin, Giovanni Pinna, Camilla Pagani, Clelia Pozzi, Paolo Rosa, Anna Seiderer
Paolo Luca Bernardini, «Di dolore ostello». Pagine di storia italiana
No full textObra ressenyada: Paolo Luca BERNARDINI, "Di dolore ostello" : pagine di storia italiana. Vicenza: Ronzani, 2021
Poliedros regulares e semirregulares
No full textTCC (graduação) - Universidade Federal de Santa Catarina, Centro de Ciências Físicas e Matemáticas, Curso de Matemática.0 presente trabalho reúne informações acerca dos resultados obtidos como envolvimento histórico do homem com os sólidos particularmente os poliedros de faces planas, que estejam dotados de alguma regularidade. Procurou-se trazer informações acerca de suas concepções à luz da geometria, bem como de suas manifestações na arte em geral.Desta forma, o trabalho acabou reunindo um volume considerável deinformações, que, gozando da idoneidade objetivada, podem servir de fonte deconsulta aos acadêmicos em curso
Rec. a Marco Maggiore, (ed.), ‘Liber de pomo’, o della morte di Aristotele. Edizione del volgarizzamento aretino (ms. Paris BNF It. 917), premessa di Luca Serianni, Pisa, ETS, 2021
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"A me piace guardare ben dentro, negli uomini". Il Manzoni di don Giuseppe De Luca
No full textAnalisi e contestualizzazione storica dell'(anti)manzonismo 'eretico' di don Giuseppe De Luca, giornalista, critico, filologo, polemista cattolico e operatore cultural
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