Julie Livingston's Debility and the Moral Imagination in Botswana: Disability, PDF

By Julie Livingston

ISBN-10: 0253346371

ISBN-13: 9780253346377

In the frenzy to improvement in Botswana, and Africa extra mostly, alterations in paintings, nutrition, and remedy have ended in escalating stories of power disease, debilitating ailment, and twist of fate. Debility and the ethical mind's eye in Botswana files how differences wrought through colonialism, independence, industrialization, and improvement have effected alterations in physically existence and perceptions of overall healthiness, disorder, and debility. during this intimate and robust e-book, Julie Livingston explores the lives of debilitated folks, their caregivers, the clinical and social networks of being concerned, and techniques that groups have followed for selling wellbeing and fitness. Livingston lines how Tswana scientific concept and perform became intertwined with Western bio-medical rules and methods. by means of targeting studies and meanings of sickness and physically misfortune, Livingston sheds mild at the complexities of the present HIV/AIDS epidemic and areas it in context with an extended and complicated background of impairment and debility. This booklet offers useful and considerate responses to actual misfortune and gives an figuring out of the advanced dynamic among social switch and suffering.

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Additional resources for Debility and the Moral Imagination in Botswana: Disability, Chronic Illness, and Aging

Example text

Con®icts over debility in the late 1990s usually took place within families, and inevitably crystallized around struggles over morality, money, and care. While health care professionals, community leaders, neighbors, and friends all play a vital part in the lives of debilitated persons, they do so in part out of their capacity to affect internal family dynamics. Families shape the outcome of professional health care, be it Tswana or biomedical in orientation. Through internal familial struggles over the meaning and validity of diagnosis and treatment, family members together de¤ne the nature of a particular case of debility: who, if anyone, is to blame and what type of future onus is to accompany that blame; what is to be done given the interpreted nature of the problem; how much self-determination is to be accorded to the debilitated subject.

Unemployment does not in and of itself bring exclusion from the social world, and the villages remained vibrant places during working hours. A signi¤cant percentage of rural residents were supported at least in part through government welfare schemes. Many of the men and women we would ¤nd at home in the villages during the day did piecework jobs when they were available or earned cash through the seemingly perpetual program of drought relief. Drought relief is one of the state-funded social welfare programs through which participants are remunerated for labor on local public-works projects such as building roads or enclosures around water taps to keep livestock out.

42 Since people make sense of and try to manage health in multiple domains, I do not focus on “traditional” medicine, colonial medicine, public health, or lay nursing care per se. Rather, I explore how patients and their caregivers mediate between various layers of health knowledge and practices and move through multiple domains of thought and practice as they attempt to manage an increase in debilitating misfortune and a recon¤guring of key health and welfare institutions. In the process this history illustrates the continuing incommensurability of differing (Tswana and western) ideas about health, human biology, and personhood Introduction 17 despite increasing overlap in terminology over time.

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Debility and the Moral Imagination in Botswana: Disability, Chronic Illness, and Aging by Julie Livingston


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