Living and dying Lakota : an ethnography of a tribal nursing home

2017 ◽  
Author(s):  
◽  
Anastacia Schulhoff

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] This ethnographic research looks at people who reside, visit, and work at a Native American tribal nursing home. Using grounded theory to sort through 18 months of participant observations, extensive fieldnotes, and 22 interviews -- 12 with staff, three administrators, and seven residents' interviews -- my findings show that there is a complex tension between institutional and cultural particulars competing with one another in a tribal nursing home. The goal of this dissertation is to make visible the assemblages of meaning that are passed over by managerial views of nursing homes. By doing so, I show that a tribal nursing home cannot simply be understood as another nursing home, but must be understood in terms of its cultural resonance. I show how different fields of meaning engender culturally specific signifying practices and narratives that construct the nursing home under study as distinctly "Native American." Fields in this context is much like the social worlds that Gubrium (1975) defines as a setting where they create order, meaning, and structure. I trace how particular objects of signification practices -- family talk, discursive and material anchors, and ceremonies - help define what it means to be Native American in a tribal nursing home, thus constructing a unique institutional culture. This dissertation begins to fill the large gap in the fields of gerontology and sociology about Native Americans in general, and Native Americans use and understanding of nursing homes, in particular.

2019 ◽  
Vol 42 (2) ◽  
pp. 32-39
Author(s):  
LaNada War Jack

The author reflects on her personal experience as a Native American at UC Berkeley in the 1960s as well as on her activism and important leadership roles in the 1969 Third World Liberation Front student strike, which had as its goal the creation of an interdisciplinary Third World College at the university.


Author(s):  
Anne Sophie Bech Mikkelsen ◽  
Signe Petersen ◽  
Anne Cathrine Dragsted ◽  
Maria Kristiansen

Social relations are part of the complex set of factors affecting health and well-being in old age. This systematic review seeks to uncover whether social interventions have an effect on social and health-related measures among nursing home residents. The authors screened PubMed, Scopus, and PsycINFO for relevant peer-reviewed literature. Interventions were included if (1) they focused primarily on social relations or related terms such as loneliness, social support, social isolation, social network, or being involuntarily alone either as the base theory of the intervention or as an outcome measure of the intervention; (2) they were implemented at nursing homes (or similar setting); (3) they had a narrative activity as its core (as opposed to dancing, gardening or other physical activity); (4) their participants met either physically or nonphysically, ie, via video-conference or the like; and if (5) they targeted residents at a nursing home. The authors systematically appraised the quality of the final selection of studies using the Mixed Methods Assessments Tool (MMAT) version 2011 and did a qualitative synthesis of the final study selection. A total of 10 studies were included. Reminiscence therapy was the most common intervention. Studies also included video-conference, cognitive, and support group interventions. All studies found the social interventions brought about positive trends on either/or the social and health-related measures included. Despite limited and very diverse evidence, our systematic review indicated a positive social and health-related potential of social interventions for older people living in nursing homes or similar institutions.


2003 ◽  
Vol 15 (4) ◽  
pp. 367-375 ◽  
Author(s):  
Myron F. Weiner ◽  
Roger N. Rosenberg ◽  
Doris Svetlik ◽  
Linda S. Hynan ◽  
Kyle B. Womack ◽  
...  

Objective: This study compared medical history and findings on initial clinical examination in Native Americans diagnosed with possible or probable Alzheimer's disease (AD) at Native American satellite clinics of the University of Texas (UT) Southwestern Medical Center's Alzheimer's Disease Center with those of Whites diagnosed with probable AD at the UT Southwestern Medical Center's Alzheimer's Disease Clinic. Methods: The information reviewed was contained in the database of the UT Southwestern Alzheimer's Disease Center. Results: In relation to Whites, Native Americans had slightly but significantly greater age at onset of symptoms (71.7 vs. 69.6 years, t = −2.08, p = .04) and equivalent cognitive scores at evaluation (Mini-Mental State Exam score = 17.4 vs. 18.5, t = 0.98, p = .33), despite significantly lower educational level (11.4 vs. 13.4 years, t = 5.63, p < .001). Native Americans were more frequently depressed on examination (22.8% vs. 9.5%, χ2 = 12, p = .001) and reported diabetes, hypertension, and heart disease significantly more often than did Whites (p < .01 for all), but their survival time after AD diagnosis was similar to that of Whites despite these comorbidities. Conclusions: With the exception of a greater prevalence of depression and cardiovascular risk factors in Native Americans than in Whites, Native Americans had a course of illness similar to that of Whites.


2014 ◽  
Author(s):  
◽  
Ana Zapata-Calle

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] My Ph.D thesis, entitled "The Womanist Testimonial Poetry Written by Excilia Saldana, Nancy Morejon and Georgina Herrera," is a post-colonial, sociological, and historiographical analysis of the testimonial poetry written by three Afro-Cuban women poets. The theoretical framework applied is the social theory of womanism from Kemberle Crenshaw, Patricia Hill Collins and Clenora Hudson-Weens, among others. This theory received its name from Alice Walker, who proposed it for the first time in her book In Search of Our Mothers' Gardens (1983), and fills a gap that previously existed between western feminism and ethnic studies. The poems of these three authors describe not only the simultaneous oppression of gender and race that the Afro-Cuban women suffer within their society, but also celebrate the tradition, history, beauty, spirituality, arts and accomplishments of black women as a collective and cultural group. Thus, Excilia Saldana's, Nancy Morejon's and Georgina Herrera's work emerge from a different perspective than the poetry of Nicolas Guillen and the testimonial novel of Miguel Barnet, which had previously provided the main Afro-Cuban representation in the literary canon of the twentieth century. In particular, these three poets write from the female gender approach and about the social reality of Afro-Cuban peoples in the contemporary historical period. The dissertation is composed of an introduction, three chapters, one for each writer, and a conclusion. The first chapter is about Excilia Saldana's poems "Mi Nombre (Antielegia familiar)" and "Monologo de la esposa". Her work portrays a society full of violence and contradictions that causes the fragmentation of the black woman's identity. The phenomena of alienation, endoracism, gender and racial oppression, as well as the sexual trade in Cuba, are included in the analysis. The writer uses her poetry to ask for respect for the Afro-Cuban woman, considering her as a full human being and citizen. The s


2014 ◽  
Author(s):  
◽  
Roslyn Fraser Schoen

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] This dissertation is about the lives of women and girls during a period of economic and demographic change in rural Bangladesh. This bulk of this change, often referred to as economic development, occurs at the intersection of social and economic institutions at a time when agricultural modes of production are being replaced by wage labor within a globalizing labor market. The lived experiences of this change are structured by family and kinship arrangements, ideology, history, tradition, and deeply-internalized gender norms. The purpose of this research is to document via ethnographic methods several important local effects of the shift to a wage-based economic mode from the perspective of women in terms of their roles as wives, mothers, and daughters.


2019 ◽  
Author(s):  
◽  
Lawrence Loiseau

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] This study addresses Lacan's comments on Marx. While much has been done towards reading Marx with psychoanalysis generally, little had has been done to unpack the meaning and extent of Lacan's own statements on Marx. For example, while Lacanian Marxists like Slavoj Zizek have wielded Lacan to great effect in a critique of post-structuralism, they have neglected the full meaning and complexity of Lacan's own stance. What is argued thereby is that Zizek not only omits the discrete knowledge within Lacan's commentary, but misses what I describe as a Lacan's theory of the social. On the one hand, it is commonly known in Lacanian thought that discourse is responsible for making the subject. On the other hand, what is less known is that Lacan defined discourse as that which makes a social link which, in contrast with Marxist thought, introduces a certain affect and materialism premised on discourse itself, commonly known, but also for providing the underlying strata of topology (namely, paradox) requisite for making any social link between subjects. Although less commonly known, we can nevertheless gain new insight into Marx. On the one hand, Lacan concedes Marx's underlying structuralism. On the other hand, Marx fails to see the true source of discourse's origins, the real itself, and consequently fails to see the true efficacy of discourse. He fails to see how discourse, although negative, stands as entirely positive and material in its distinctive effects. Discourse negotiates subjects and their inimitable objects of desire in this singularity itself. This is where true production lies; it is that which precedes any social or economic theory, which are otherwise premised on reality. Lacan rejects reality.


2015 ◽  
Author(s):  
◽  
Jeremy Bowling

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] This dissertation examines few of the determinants and effects of international cooperation. There are three broad themes that run throughout this dissertation, which are the ideas of reciprocity, opportunity, and cooperative norms. Reciprocity is a large part of the development of cooperation theory, particularly in the study of the evolution of cooperation. While it is mentioned across international relations scholarship, empirical testing of its existence in international politics is scarce. Opportunity is a ubiquitous concept across social science. The concept is used in this dissertation as a challenge to the notion that cooperation reduces the likelihood of conflict, which pervades the study of international conflict, particularly from those that study conflict from the theory of liberalism. Lastly, an exploratory analysis of cooperative norms is examined. Studying the social construction of cooperative norms is important for the broader study of international cooperation. I find that direct and indirect reciprocity are important indicators of cooperation, cooperation will increase the likelihood and severity of dyadic conflict unless both states are highly cooperative with each other, and domestic political institutions may be important for the development of cooperative norms that extend to the international level. Overall, international relations scholars should reexamine how cooperation in viewed and studied, particularly in relation to conflict.


2016 ◽  
Vol 24 (7) ◽  
pp. 778-788 ◽  
Author(s):  
Vibeke Lohne ◽  
Bente Høy ◽  
Britt Lillestø ◽  
Berit Sæteren ◽  
Anne Kari Tolo Heggestad ◽  
...  

Background: Physical impairment and dependency on others may be a threat to dignity. Research questions: The purpose of this study was to explore dignity as a core concept in caring, and how healthcare personnel focus on and foster dignity in nursing home residents. Research design: This study has a hermeneutic design. Participants and research context: In all, 40 healthcare personnel from six nursing homes in Scandinavia participated in focus group interviews in this study. Ethical considerations: This study has been evaluated and approved by the Regional Ethical Committees and the Social Science Data Services in the respective Scandinavian countries. Findings: Two main themes emerged: dignity as distinction (I), and dignity as influence and participation (II). Discussion: A common understanding was that stress and business was a daily challenge. Conclusion: Therefore, and according to the health personnel, maintaining human dignity requires slow caring in nursing homes, as an essential approach.


Author(s):  
Gudmund Ågotnes ◽  
Christine Øye

Residents in nursing homes are old and frail and are dependent on constant care, medical, or otherwise, by trained professionals. But they are also social beings, secluded in an institutional setting which is both total and foreign. In this setting, most of the residents most of the time must relate to other residents: other residents are the nursing home residents’ peers, companions, and perhaps even significant others. In this article, we will discuss how resident communities in nursing homes are influenced by the approaches of nursing home staff. Two nursing homes have been included in this article—one from Canada and one from Norway. Participant observation was conducted at these two nursing homes, predominantly focusing on everyday-life activities. The cases from Norway and Canada are illustrative of two very different general approaches to residents: one collectivistic and one individualistic. These general approaches produce different contexts for the formation and content of resident communities, greatly affecting nursing home residents. The significance of these approaches to resident community is profound and also somewhat unanticipated; the approaches of staff provide residents with different opportunities and limitations and also yield unintended consequences for the social life of residents. The two different general approaches are, we suggest, “cultural expressions,” conditioned by more than official preferences and recommendations. The difference between the institutions is, in other words, anchored in ideas and ideologies that are not explicitly addressed.


2021 ◽  
Vol 7 (1) ◽  
pp. 129-153
Author(s):  
Jeanine R. Jackson ◽  
Crystal Saric Fashant

In the summer of 2018, an affordable housing crisis in Minneapolis, Minnesota led to the erection of a homeless encampment infamously labeled, “Tent City.” Publicized by media as a camp for homeless Native Americans, pervasive myths and stereotypes filled the airwaves while public agencies and nonprofit organizations raced to find solutions to this community crisis before the cold winter months settled in. Written from the perspective of an Indigenous woman working in the social services sector of Minneapolis, along with her faculty advisor in a public and nonprofit graduate program, this article: 1) identifies issues of homelessness in Native American communities, 2) dispels myths and stereotypes about Native Americans that impede meaningful progress, 3) explores barriers to safe and secure housing for Native Americans and other marginalized communities, 4) identifies states and countries leading the way to solve homelessness, and 5) suggests best practices and solutions to the ongoing homelessness crisis.


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