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Syndemics
“synergy” + “epidemic” = conceptualizing the intersection of multiple epidemics, both diseases and social problems
Reading→ Mendenhall: Mexican Immigrant Women facing CSA, abusive relationships, and diabetes
VIDDA
violence, immigration-related stress, depression, diabetes, & abuse
Reading→ Mendenhall: Marcia’s life story & current state
3 Rules Implicit to Syndemic Theory
clustering of diseases within a position
social co-construction (shared conditions)
interaction of diseases & social conditions
Stigma
people becoming morally discredited, socially devalued, & disempowered on the basis of diagnosis or other trait
Reading→ Brewis & Wutich: argues against stigma, says it creates additional suffering & shifts from “disgust triggering” to “disgusting people”
A mingua
withdrawal of care
Reading → Scheper-Hughes: NE Brazilian mothers express selective neglect for especially vulnerable babies
Luta
life as a struggle
Reading → Scheper-Hughes: improved material conditions increase maternal ethos
Hierarchy of Suffering
race & role determine a person’s level of suffering
Reading → Holmes: Tanaka farm managers treating Holmes better in the berry picking sector because he is White
Conjugated Oppression
ethnicity & class working together to produce a unique kind of oppression
Reading → Holmes: Tanaka farm migrant workers living in fear & surrendering to abuse due to fears of being deported
The Clinical Gaze
ignores societal factors of sickness
Reading → Holmes: Abelino & Crescensio’s medical issues being chalked up to alcoholism and the availability of worker benefits
Symbolic Violence
internalization of social domination based on one’s race/gender/class positioning
Reading → Holmes: “the migrant body is made to betray itself”
Reading → Keshavjee: poor countries are poor due to nature
Klienman’s Social Theories
unintended consequences of purposive action
social construction of reality
social suffering
biopower