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Full-Text Articles in Race, Ethnicity and Post-Colonial Studies

The Clinical Gaze In The Practice Of Migrant Health: Indigenous Mexican Migrants In The United States, Seth M. Holmes Phd, Md Jan 2012

The Clinical Gaze In The Practice Of Migrant Health: Indigenous Mexican Migrants In The United States, Seth M. Holmes Phd, Md

Seth M. Holmes PhD, MD

This paper utilizes eighteen months of ethnographic and interview research undertaken in 2003 and 2004 as well as follow-up fieldwork from 2005 to 2007 to explore the sociocultural factors affecting the interactions and barriers between U.S. biomedical professionals and their unauthorized Mexican migrant patients. The participants include unauthorized indigenous Triqui migrants along a transnational circuit from the mountains of Oaxaca, Mexico, to central California, to northwest Washington State and the physicians and nurses staffing the clinics serving Triqui people in these locations. The data show that social and economic structures in health care and subtle cultural factors in biomedicine ...


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 ...


Oaxacans Like To Work Bent Over: The Naturalization Of Social Suffering Among Berry Farm Workers, Seth M. Holmes Phd, Md Jan 2007

Oaxacans Like To Work Bent Over: The Naturalization Of Social Suffering Among Berry Farm Workers, Seth M. Holmes Phd, Md

Seth M. Holmes PhD, MD

No abstract provided.


Social Medicine In The Twenty-First Century, Scott Stonington Phd, Md, Seth M. Holmes Phd, Md, The Plos Medicine Editors Jan 2006

Social Medicine In The Twenty-First Century, Scott Stonington Phd, Md, Seth M. Holmes Phd, Md, The Plos Medicine Editors

Seth M. Holmes PhD, MD

No abstract provided.


Health Is Still Social: Contemporary Examples In The Age Of The Genome, Timothy Holtz Md, Seth M. Holmes Phd, Md, Scott Stonington Phd, Md, Leon Eisenberg Md Jan 2006

Health Is Still Social: Contemporary Examples In The Age Of The Genome, Timothy Holtz Md, Seth M. Holmes Phd, Md, Scott Stonington Phd, Md, Leon Eisenberg Md

Seth M. Holmes PhD, MD

No abstract provided.


Parce Qu'ils Sont Plus Pres Sol: L'Invisibilisation De La Souffrance Sociale Des Cueilleurs De Baies, Seth M. Holmes Phd, Md Jan 2006

Parce Qu'ils Sont Plus Pres Sol: L'Invisibilisation De La Souffrance Sociale Des Cueilleurs De Baies, Seth M. Holmes Phd, Md

Seth M. Holmes PhD, MD

No abstract provided.


An Ethnographic Study Of The Social Context Of Migrant Health In The United States, Seth M. Holmes Phd, Md Dec 2005

An Ethnographic Study Of The Social Context Of Migrant Health In The United States, Seth M. Holmes Phd, Md

Seth M. Holmes PhD, MD

Background

Migrant workers in the United States have extremely poor health. This paper aims to identify ways in which the social context of migrant farm workers affects their health and health care.

Methods and Findings

This qualitative study employs participant observation and interviews on farms and in clinics throughout 15 months of migration with a group of indigenous Triqui Mexicans in the western US and Mexico. Study participants include more than 130 farm workers and 30 clinicians. Data are analyzed utilizing grounded theory, accompanied by theories of structural violence, symbolic violence, and the clinical gaze. The study reveals that farm ...