1.The Notion of Death and Caring Behaviors in one Community.
Journal of Korean Academy of Nursing 1999;29(3):688-699
This study was to find out the perception of toward death and caring behavior of lay parsons in one community : One Island in Pusan County, Chonbuk. The methodology of this study was ethnography. For this study, The fieldwork was conducted from October 1997 to July 1998. Data collected by in-depth interview and participant observations. The participants consisted of were 17 persons of both sexes. The key informants were four specific people. The result of this study is as follows; The people perceived two different kinds of death. Normal death, which means death from old age. The person was respected as an ancestor God and was believed to exist forever with their offspring. Abnormal death was regarded as negative, many had fears toward this king of death. The causes of abnormal death were supernatural phenomena and had absolute holy meanings. Whether death was good or bad, The death was not personal, but collective events as family or community affairs and was interpreted as death and birth for their offsprings. Funeral rites were family-centered and/or community-centered. The did normal procedures for normal deaths for abnormal deaths, there were many protective ceremonies(BuJungmagi : the prevention of the taboo of uncleanliness) for the remaining people. These ceremonies combined confucism and shamanism. Caring behavior for dying persons was ruled as community-centered, reciprocal and reality-centered principles.
Anthropology, Cultural
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Busan
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Funeral Rites
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Humans
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Jeollabuk-do
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Parturition
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Shamanism
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Taboo
2.The Achievements and Limitations of Researches That Make Use of Interviews for the History of Medicine in Korea.
Korean Journal of Medical History 2013;22(2):421-448
An interesting aspect of the many recent researches on the history of medicine in Korea is a concentration on oral histories, a trend that is sure to supplement the lack of medical documents and historical materials covering the modern period. This trend will also contribute to the invention of new approaches in the historiography of medicine. Although the fragments of oral testimony cannot be expected to give a perfect representation of historical reality, such "slices of life" help represent history from the viewpoint of ordinary people and members of the medical profession who are less often acknowledged. The recent researches that have taken oral testimony on the history of medicine in Korea have both racked up achievements as well as encountered limitations. First, many disciplines such as history, literature, cultural anthropology, folklore, sociology, and the history of medicine have used the technique of oral histories in the research approaches, and, especially since the start of the 2000s, have produced a variety of materials. The large amounts of raw materials published in these many disciplines are sure to bring even higher research achievements. Second, for the most part, oral history researches in the medical profession have concentrated on second-tier practitioners, such as midwives, apothecaries, and acupuncturists, and the experiences of such untypical sufferers as lepers and victims of germ and atomic warfare. While the oral history of more prominent medical figures tends to underline his or her story of success, the oral histories of minority participants in the medical profession and patients can reveal the truth that has remained veiled until now. It is especially meaningful that these oral histories enable researchers to reconstruct history from below, as it were. Third, the researches that take the oral history approach are intended to complement documentary records. Surprisingly, through being given the opportunity to tell their histories, the interviewees have frequently experienced the testimony as an act of self-healing. Formally, an oral history is not a medical practice, but in many cases the interviewee is able to realize his or her own identity and to affirm his or her own life's story. It is in this light that we need to pay attention to the possibilities of such a humanistic form of therapy. Finally, because the research achievements depend on oral materials, the objectivity and rationality of description take on an important research virtue. When conducting an oral history, the researcher partakes of a close relationship with interviewees through persistent contact and can often identify with them. Accordingly, the researcher needs to take care to maintain a critical view of oral materials and adopt an objective perspective over his or her own research object.
Achievement
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Anthropology, Cultural
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Complement System Proteins
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Folklore
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Historiography
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History of Medicine
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Humans
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Inventions
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Korea
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Light
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Midwifery
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Nuclear Warfare
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Sociology
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Virtues
3.Ethnography of Caring experience for the Senile Dementia.
Journal of Korean Academy of Nursing 1998;28(4):1047-1059
Senile Dementia is one of the dispositional mental disorder which has been known to the world since Hippocratic age. It has become a wide-spread social problem all over the world because of chronic disease processes and the demands of dependent care for several years as well as improbability of treatment of it at the causal level. Essentially, life styles of the older generation differ from those of the younger generation. While the former is used to the patriarchal system and the spirit of filial piet and respect, the latter is pragmatized and individualized under the effects of the Western material civilization. these differences between the two generations cause conflict between family members. In particular, the pain and conflict of care-givers who take care of a totally dependent dementia patient not only is inciting to the collapse of the family union, but is expanding into a serious social problem. According to this practical difficulty, this study has tried to compare dementia care-givers' experiences inter-culturally and to help set up more proper nursing interventions, describing and explaining them through ethnographies by participant observation and in-depth interviews that enable seeing them in a more close, honest and certain way. It also tries to provide a theoretical model of nursing care for dementia patients which is proper to Korean culture. This study is composed of 12 participants(4 males, 8 females) whose ages range from 37-71 years. The relations of patients are 5 spouses(3 husbands, 2 wives), 4 daughters-in-law, 2 daughters, and 1 son-in-law. The following are the care-givers' meaning of experiences that results of the study shows. The first is "psychological conflict". It contains the minds of getting angry, reproaching, being driven to dispair, blaming oneself, giving up lives, and being afraid, hopeless, and resigned. The second is "physical, social and psychological pressure". At this stage, care-givers are shown to be under stress of both body and soul for the lack of freedom and tiredness. They also feel constraint because they hardly cope with the care and live through others' eyes. The third is "isolation". It makes the relationship of patient care-giver to be estranged, without understanding each other. they, also, experience indifference such as being upset and left alone. The forth is "acceptance". They gradually have compassion, bear up and then adapt themselves to the circumstances they are in. The fifth is "love". Now they learn to reward the other with love. It is also shown that this stage contains the process of winning other recognition. The final is "hope". In this stage they really want situations to go smoothly and hope everything will be O.K. These consequence enable us to summarize the principles of care experience such as, in the early stage, negative response such as physical, psychological confusion, pain and conflict are primary. Then the stage of acceptance emerges. It is initial positive response phase when care-givers may admit their situations. As time passes by a positive response stage emerges. At last they have love and hope. Three stages we noted above; however, there are never consistent situations. Rather it gradually comes into the stage of acceptance, repeating continuous conflict, pressure and isolation. If any interest and understanding of families or the support of surrounding society lack, it will again be converted to negative responses sooner or later. Otherwise, positive responses like hope and love can be encourage if the family and the surroundings give active aids and understanding. After all, the principles of dementia care experiences neither stay at any stage, nor develop from negative stages to positive stages steadily. They are cycling systems in which negative responses are constantly being converted. I would like to suggest the following based on the above conclusions: First, the systematic and planned education of dementia should be performed in order to enhance public relations. Second, a special medical treatment center which deals with dementia, under government's charge, should be managed. Third, the various studies approaching dementia care experiences result in the development of more reasonable and useful nursing guidelines.
Alzheimer Disease*
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Anthropology, Cultural*
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Chronic Disease
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Civilization
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Dementia
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Education
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Empathy
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Family Characteristics
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Freedom
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Hope
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Humans
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Life Style
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Love
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Male
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Mental Disorders
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Models, Theoretical
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Nuclear Family
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Nursing
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Nursing Care
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Public Relations
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Reward
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Social Problems
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Spouses
4.Construction of Medieval Skeleton Collections with Human Remains from Tombs of Goryeo Dynasty, Korea.
Yi Suk KIM ; Chang Seok OH ; Sang Jun LEE ; Myeung Ju KIM ; Seung Gyu CHOI ; So Ri MIN ; Na Li LEE ; Mun Sik HA ; Gi Dae BOK ; Dong Hoon SHIN
Korean Journal of Physical Anthropology 2010;23(3):113-123
Skeletal remains collected from the archaeological fields must be maintained carefully, for being used in scientific studies on the physical characteristics, health status, and pathological disease of the ancient or medieval human populations. Even if Joseon Dynasty Human Sample Collection might be a good example for such studies, few of bone collections predated the Joseon Age (e.g. Goryeo Dynasty) have been established until now, possibly owing to poor preservation condition of archaeological sites in Korea. In this study, we performed anthropological studies on a few cases of Goryeo skeletons, which have been rarely reported by anthropologists in Korea. Judging from the preservation status of bones found in various types of Goryeo graves (e.g. earthen- or stone-chambered tombs), many cases seem to be cremated in accordance with Buddhist funeral rites. Goryeo bone collections must be constructed with the bones identified in the earthen tombs, which were preserved much perfectly than those of any other types of Goryeo tombs.
Anthropology, Physical
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Archaeology
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Funeral Rites
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Humans
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Korea
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Skeleton
5.Cultural Hegemony of Medicine in Modern China: Focused on Debates between Modernists and Neotraditionalists, 1900s~1930s.
Korean Journal of Medical History 2003;12(1):13-33
The paper is to explore into how cultural hegemony had been established in modern China, focused on ideological debates and political conflicts between modernists and traditionalists. Relying upon historical, anthropological, and medicohistorical researches respectively by Paul Cohen, Judith Farquhar and Paul Unschuld, I criticize three research paradigms that had prevailed in modern Chinese history: (i) the 'Chinese response to Western impact' perspective fails to explain how Chinese Western medical practitioners founded their own independent organization; (ii) a dichotomy of 'tradition versus modernity' is, from an epistemological viewpoint, incompatible with an ontological view of illness shared between traditional Chinese medicine and Western medicine; and (iii) while those Weberian social scientists tend to consider culture as the system of meanings and symbols, separated from their temporal and spatial matrix, they neglect political and historical spheres that are inevitably represented in cultural hegemony. My arguments are divided into two parts. The first part investigates that whereas Chinese modernists aggressively supported an immediate institutionalization of Western medicine for getting adapted to social Darwinian world, neotraditionalists tried to maintain medical identity through national essence backed up by Chinese civilization. In the second part, the paper illuminates how having emerged as a conceptual idea for moving beyond 'tradition versus modernity', 'state medicine' became popularized to solve public health problems in 1930s' rural China. In conclusion, cultural hegemonyyoriented debates that were seriously staged in the 1920s and 1930s between modernists and neo-traditionalists were transformed to "scientification of traditional Chinese medicine and popularization of Western medicine" a slogan proposed by Mao ZeDong.
Anthropology, Cultural/*history
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China
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*Culture
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History, 20th Century
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Philosophy, Medical/*history
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*Politics
6.Aging and Temporality of Aged in a Clan.
Journal of Korean Academy of Adult Nursing 2008;20(2):280-295
PURPOSE: This ethnography in communication aimed to explore the changes in consciousness on time and temporality as an elderly became older. This study focused on time as a primary message systems of Edward Hall. METHODS: The assumption of the study was that the aging body as an expression of biological time is a meta of physical, personal, and social time. Data were collected from iterative fieldwork in a clan between Jan, 1990 and April, 2007. The key informants were 13 women and men aged 70 years old or more at the beginning of study. Changes in physical time and temporality as the women's body declined in its physical function was analyzed. As the cultural context, informants' every life and the history of the clan were also analyzed. RESULTS: The meta-time of the informants were constituted as follows: In the low-contextual dimension, physical time perceived as longer and personal time perceived as shorter than they were young; In high-contextual dimension, informant and residents had a polychronic perspective and aged-centered time perspectives.; In the supernatural dimension of time, sacred time were reinforced by rituals. Informants extended temporality to their springs' world and ancestors' world. CONCLUSION: As the informants recognized slugged body movements and time-limited present life, their views on their life world towards the future of spring and of the sacred world of ancestors. Thereby, their identity as a member of a clan was reinforced. This result informed us on what we should focus on when caring with older women.
Aged
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Aging
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Anthropology, Cultural
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Ceremonial Behavior
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Consciousness
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Female
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Gastropoda
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Humans
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Male
7.Aging and Temporality of Aged in a Clan.
Journal of Korean Academy of Adult Nursing 2008;20(2):280-295
PURPOSE: This ethnography in communication aimed to explore the changes in consciousness on time and temporality as an elderly became older. This study focused on time as a primary message systems of Edward Hall. METHODS: The assumption of the study was that the aging body as an expression of biological time is a meta of physical, personal, and social time. Data were collected from iterative fieldwork in a clan between Jan, 1990 and April, 2007. The key informants were 13 women and men aged 70 years old or more at the beginning of study. Changes in physical time and temporality as the women's body declined in its physical function was analyzed. As the cultural context, informants' every life and the history of the clan were also analyzed. RESULTS: The meta-time of the informants were constituted as follows: In the low-contextual dimension, physical time perceived as longer and personal time perceived as shorter than they were young; In high-contextual dimension, informant and residents had a polychronic perspective and aged-centered time perspectives.; In the supernatural dimension of time, sacred time were reinforced by rituals. Informants extended temporality to their springs' world and ancestors' world. CONCLUSION: As the informants recognized slugged body movements and time-limited present life, their views on their life world towards the future of spring and of the sacred world of ancestors. Thereby, their identity as a member of a clan was reinforced. This result informed us on what we should focus on when caring with older women.
Aged
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Aging
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Anthropology, Cultural
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Ceremonial Behavior
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Consciousness
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Female
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Gastropoda
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Humans
;
Male
8.Recapturing the Lives and Experiences of Korean Nurses Dispatched to Germany in the 1960s and 1970s.
Hack Sun KIM ; Sun Woo HONG ; Kyung Sook CHOI
Korean Journal of Occupational Health Nursing 2009;18(2):174-184
PURPOSE: While there exist a good number of studies on Korean nurses who were dispatched to Germany in 1960s and 1970s in sociological or labor economic perspectives, there have been few studies on their experiences from a nursing perspective. The purpose of this study is to recapture their lives and experiences from a nursing point of view. METHODS: This paper adopts an Agar's ethnographic approach which is more suitable to investigate personal qualitative experiences of those Korean nurses. The data were collected from group discussion and individual interview, and field observation with 10 dispatched Korean nurses. RESULTS: The experiences of those dispatched nurses to Germany can be summarized into three themes: challenging to life, embracing new life, and giving a meaning to life. Challenging to life involved 'hope and anxiety,' and embracing new life was reflected by 'wonderment and envy' and 'loneliness and sorrow.' Lastly, they took pride in their contributions to their mother country and also felt something lacking that they had not been properly evaluated. CONCLUSION: By rediscovering their lives and experiences from a nursing perspective, this study argues for more future studies to reexamine their impact and contribution to the nursing field in Korea.
Anthropology, Cultural
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Germany
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Humans
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Korea
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Mothers
9.Health as an electoral currency in the Philippines: Insights from political ethnography.
Philippine Journal of Health Research and Development 2018;22(1):44-54
BACKGROUND AND OBJECTIVES: This article aims to contribute to the literature on health and politics in the Philippines. So far, the wealth of studies on the intersection of these two in the local context has been mostly focused on issues of health sector reform and specific health policies or legislations. Unlike elsewhere, the use of health in elections in the Philippines, the most important political activity in any democracy, remains largely understudied. This article aimed to fill this gap by studying the ways health was used in the 2016 Philippines elections. It mapped the ways health was used as an electoral currency, meaning as a means for vote brokerages during local elections.
METHODOLOGY: The observations that informed this study were based on a political ethnographic study in Quezon City. In-depth interviews, focus group discussions, and participant observations were conducted among voters and politicians of two vote-rich electoral districts in the city. The transcripts and notes from the data gathered were coded and thematically analyzed.
RESULTS AND CONCLUSION: Voters and politicians use health as a means of transactional exchange of votes during focal elections-an electoral currency. Politicians use their control of public health facilities and services to secure votes while voters simultaneously use their vote as a leverage to gain access to these health facilities and services and improve its delivery in their communities. So while politicians use health to reinforce patron-client ties during elections, voters take advantage of its opportunities to improve their everyday life.
Human ; Health ; Politics ; Anthropology, Cultural ; Philippines
10.Experiencing Leininger's stranger to trusted friend enabler as a novice ethnonursing researcher.
Philippine Journal of Nursing 2018;88(2):40-42
Leininger espoused that when studying cultures, researchers are likely to discover authentic and credible data when they are viewed by the participants as trusted friends. The Stranger to Trusted Friend Enabler was formulated to guide researchers in identifying indicators that a researcher has become the participants' trusted friend. This article presents my reflections on using Leininger's Stanger to Trusted Friend Enabler as a novice ethnonursing researcher. From my own experience, I have identified four hallmarks of a trusting relationship during fieldwork that correspond with the indicators of a trusting relationship identified by Leininger: (1) participants voluntarily share information about their culture and their personal experiences; (2) participants express concern for the researcher's welfare through their words and actions; (3) participants give the researcher a sense of community identity, such as a native name; and (4) participants suggest steps to further improve the trustworthiness of the study.
One of the limitations of the Stranger to Trusted Friend Enabler, however, is the fact that it only focuses on assessing the participants' trust towards the researcher. A successful ethnographic research requires mutual trust between the researcher and participants. From my experience in conducting an ethnonursing research, I have noted that aside from the participants' trust towards me, my trust towards them was also essential in obtaining rich and accurate data. Furthermore, the transition from being a stranger to a trusted friend is not a linear process in ethnonursing and in other types of ethnographic research. As a researcher transitions to become a trusted friend, he or she does not totally abandon his or her sense of alienation to the researched. The scientific nature of ethnography requires researchers to be a stranger and a trusted friend at the same time.
Human ; Anthropology, Cultural ; Nursing Research ; Nursing