By comparing some founding concepts underlying developing interest in the role of signs and symbols in social life, such as the nature of the sign in Charles Peirce and Ferdinand de Saussure and in Emile Durkheim and George Herbert Mead, and then exploring recent developments in structuralism and symbolic interactionism, a critical appraisal of their theories of meaning is made in the context of an emerging semiotic sociology.

Death is a state of the total disappearance of life. Dying is a process of decay of the vital system, which ends with clinical death. In current perspectives there are several approaches to research on death and dying; these are the clinical, the humanistic, the philosophical, the psychological, the anthropological, and the sociological perspective.

ÍNDICE Prefacio. Pensamientos sobre la violencia. Un libro como un bricolage. Ana Belén Blanco – María Soledad Sánchez | 9 Prólogo. La violencia como “objeto”. Una Aproximación Teórica. Sergio Tonkonoff | 19 I. Violencia, mito y religión. Rubén Dri | 35 II. Violencia, religión y mesianismo: reflexiones desde la filosofía judía. Emmanuel Taub | 53 III. Religión y violencia. Una mirada desde lo implícito y lo relacional. Gustavo A. Ludueña | 65 IV. Escrito en el cuerpo: la pregunta por la (...) violencia en algunas ficciones contemporáneas. VII. Política y Violencia: Una Introducción. Miguel Ángel Rossi | 129 VIII. Reflexiones sobre la violencia (y la política). Ezequiel Ipar | 147 IX. Variables de la violencia generalizada: real de la época. Carlos Gustavo Motta | 159 X. La función de la cópula Y en el título “violencia y espectáculo”. Daniel Mundo | 169 XI. Muerte, violencia y prohibición: ¿vínculo histórico o constitutivo? Martina Lassalle | 179 XII. Criminalización, Juventud y Delito. Algunas consideraciones teórico-metodológicas. Sergio Tonkonoff | 205 XIII. Activismo de los derechos humanos, tribunales y policías. Sofía Tiscornia | 233 El Docke. Ensayo fotográfico. Henrik Malmström | 247. (shrink)

Personal reports of receiving bad news provide data that describes patients’ comprehension, reflections, experienced emotions, and an interpretative commentary with the wisdom of hindsight. Analysis of autobiographical accounts of “hearing bad news” enables the identification of patterns of how patients found out diagnoses, buffering techniques used, and styles of receiving the news. I describe how patients grapple with the news, their somatic responses to hearing, and how they struggle and strive to accept what they are hearing. I discuss metaphors used (...) within the languages of hearing bad news. Finally, I discuss implications for a change of focus in the breaking bad news research agenda, that is, from the physician’s “performance” to a patient-focused agenda. (shrink)

Objective Futile treatment, which by definition cannot benefit a patient, is undesirable. This research investigated why doctors believe that treatment that they consider to be futile is sometimes provided at the end of a patient9s life. Design Semistructured in-depth interviews. Setting Three large tertiary public hospitals in Brisbane, Australia. Participants 96 doctors from emergency, intensive care, palliative care, oncology, renal medicine, internal medicine, respiratory medicine, surgery, cardiology, geriatric medicine and medical administration departments. Participants were recruited using purposive maximum variation sampling. (...) Results Doctors attributed the provision of futile treatment to a wide range of inter-related factors. One was the characteristics of treating doctors, including their orientation towards curative treatment, discomfort or inexperience with death and dying, concerns about legal risk and poor communication skills. Second, the attributes of the patient and family, including their requests or demands for further treatment, prognostic uncertainty and lack of information about patient wishes. Third, there were hospital factors including a high degree of specialisation, the availability of routine tests and interventions, and organisational barriers to diverting a patient from a curative to a palliative pathway. Doctors nominated family or patient request and doctors being locked into a curative role as the _main_ reasons for futile care. Conclusions Doctors believe that a range of factors contribute to the provision of futile treatment. A combination of strategies is necessary to reduce futile treatment, including better training for doctors who treat patients at the end of life, educating the community about the limits of medicine and the need to plan for death and dying, and structural reform at the hospital level. (shrink)

This article applies a theoretical framework developed by the late American sociologist Anselm Strauss to the discovery of a new resuscitation technique, closed-chest cardiac massage. The discovery, which took place in the laboratories of Johns Hopkins University between 1956 and 1960, is analyzed as the collective management of a trajectory over time. The article follows the discovery trajectory from its origins in defibrillator research to the establishment of closed-chest cardiac massage and cardiopulmonary resuscitation as a universal life-saving method. The analytical (...) focus on the experimental, clinical, and promotional activities performed by the different actors interacting with the emerging technology allows one to critically question the value of concepts such as closure, stabilization, and black boxing in sociology of science and technology. Instead of prematurely freezing the analysis of technoscience, a trajectory conceptual framework emphasizes the ongoing dynamic between actors and medical technology to define the scope, effectiveness, and multiple interpretations of the technology-actor interaction. (shrink)

Academic social scientists and professional practitioners could increase the effectiveness of their undertakings to advance positive change toward solving social and organizational problems by more effectively combining their efforts. Historically, both realms have used reductionist techniques and methodologies that are unsuited for understanding and solving problems in social and organizational systems. Their efforts could be significantly enhanced by using a grounded theory/grounded action approach. Grounded theory/grounded action is designed to generate explanations directly from data that provide a theoretical foothold for (...) effecting optimal and sustainable change in social and organizational systems. (shrink)

This article is about the recognition of personhood when death occurs in early life. Drawing from anthropological perspectives on personhood at the beginnings and ends of life, it examines the implications of competing religious and customary definitions of personhood for a small sample of young British Pakistani Muslim women who experienced miscarriage and stillbirth. It suggests that these women's concerns about the lack of recognition given to the personhood of their fetus or baby constitute a challenge to customary practices surrounding (...) burial as a Muslim. The article suggests that these women's concerns cannot be adequately glossed as a clash of Islamic belief versus Western medicine. Rather, they represent a renegotiation of Islamic opinion and customary practices within the broader context of changes in the medical and social norms surrounding pregnancy loss and infant death in multi-ethnic British society. (shrink)

Abstract This article explores interview data from a study of 50 Norwegian generalist nurses' focus group accounts of caring for dying patients in the hospital and care home. An eclectic discourse analytic approach was applied to nurses' accounts of the patient and three discursive contexts of reference to the patient were identified: the 'taken as read' patient, the patient paired with particular characteristics and the patient as psychologically present. Talk about the patient falls mainly into the first two contexts, which (...) position the patient in relation to three closely related discursive processes: individualization, anonymization and objectification. The third context presents the patient as a person with a particular identity. The analysis is discussed in a broader philosophical and sociological context in which we return to some of the theoretical work on death and dying of the 1990s and the topic of sequestration. We suggest that nurses' talk about the patient can be heard to participate in a continuing sequestration of the dying patient in healthcare institutions focused on 'result-oriented' care. (shrink)

This research provides a look at men doing gender in the highly feminized context of temporary clerical employment. Male clerical temporaries, as with other men who cross over into “women's work,” face institutionalized challenges to their sense of masculinity. In particular, male clerical temporary workers face gender assessment—highlighting their failure to live up to the ideals of hegemonic masculinity. The resulting gender strategies these men adopt reveal how male clerical temporary workers “do masculinity”—often in a collaborative performance shaped by the (...) gendered expectations of their agencies, their clients, and even themselves—to reassert the feminine identification of the job while at the same time rejecting its application to them. Paradoxically, rather than disrupting the gender order, the gender strategies used by these male clerical temporaries help to reproduce and naturalize the gendered organization of work and reinvigorate hegemonic masculinity and its domination over women and subaltern men. (shrink)

Setting out to understand “indexicality” and its significance in Ethnomethodology, it is first necessary to trace the history of the ideas of Harold Garfinkel. From his early commitment to find “order” in his Harvard dissertation, Garfinkel finds himself in California defending Parsons’ Structural Functionalism while confronting Goffman and Symbolic Interactionism, based in Simmelian, Schützian Sociology. From the audience of students shared with Goffman, Garfinkel puts aside the “situation” of Symbolic Interaction in favour of a process, “Indexicality”, abandoning theorising in favour (...) of ethnomethodology as the means to understand “order*”. This paper, then, demonstrates how indexicality works and proposes completing the tasks that Garfinkel set out in the Studies to disclose the taken-for-granted, the left out, bounded by caveats like No-Time-Out and For-all-practical purposes. (shrink)

In the 20th century, the boundaries of psychosis emerged as an area in which psychiatric judgement faced numerous and profound uncertainties. Between obvious neuroses and personality and reactive disorders on the one hand, and unquestionable psychoses on the other, psychiatrists faced a world of suspected cases of schizophrenia, doubtful personality disorder diagnoses or probable cases of psychosis constituting a garden of equivocal clinical presentations in which both individual psychiatrists and the discipline as a whole were confronted with the limits of (...) their knowledge. This article examines how psychiatrists from two German university clinics managed the multiple uncertainties involved in diagnosing cases of early psychosis between 1950 and 1980. Based on the analysis of a sample of records, we propose a pragmatic interpretation of the ways in which these uncertainties were recorded by psychiatrists. How were uncertainties and doubts expressed in the records and managed by clinicians? What means were used to dispel doubt? What were the consequences for patients of these diagnostic uncertainties? The article defines an uncertainty diagnosis as a diagnosis expressed with reservations by its author and recorded as such in a medical file. Depending on the nature of the uncertainty, the types of evidence used by the professionals and how this evidence was dealt with, we have identified three types of uncertainty diagnoses: suspicion, plausibility and probability diagnoses. The article then reflects on the role of the patients themselves in shaping these uncertain situations. (shrink)

Relatives’ presence in connection with cardiopulmonary resuscitation and sudden death at the intensive care unit Within Norwegian intensive care units it is common to focus on the needs of the next of kin of patients undergoing end‐of‐life care. Offering emotional and practical support to relatives is regarded as assisting them in the initial stages of their grief process. It has also become usual to encourage relatives to be present at the time of death of close relatives. How can dignified end‐of‐life (...) care coexist with the sometimes turbulent and dramatic character of intensive care in the highly technological environment of intensive care units? This paper describes a case study based on an incident that took place at the intensive care unit (ICU) of Trondheim University Hospital, Norway, in which the relatives of a newly deceased patient voiced unusually strong dissatisfaction with the way they were excluded in connection with cardiopulmonary resuscitation (CPR). The next of kin's criticism highlights an important paradox as well as a degree of inconsistency in lifesaving and end‐of‐life care at the ICU. I argue that an investigation of the multiple identities within medical practice can illuminate the potential for clashes between lifesaving and end‐of‐life care, as described and analysed in this paper. (shrink)

‘I’ll tell you what suits me best if you don’t mind me saying’: ‘lay participation’ in health‐careIncreasing ‘lay participation’ in healthcare has become a popular notion in recent years and is generally considered to be a good thing in both nursing and wider policy circles. Yet despite the widespread acceptance of this overall idea, there is a dearth of theorising in this area. This has resulted in a lack of conceptual clarity which has not only hamstrung the development of empirical (...) work in the field, but has also led to a tendency by both nurses and policy‐makers to assume that greater ‘lay participation’ in health will lead to a concomitant increase in lay power vis‐à‐vis health professionals. The data presented in this paper indicate that this is, at best, an over‐simplistic assumption and, at worst, an erroneous one. Drawing on sociological theories of the division of labour, I suggest that one way in which we might begin to clarify our thinking in this area is by differentiating between the ‘role’ and ‘task’ components of ‘lay participation’. I illustrate my argument with reference to two separate ethnographic studies undertaken between 1994 and 1998 in which participation at the level of the individual was examined. (shrink)

Approximately 40 years ago, Barney Glaser and Anselm Strauss and their joint research approach, the constant comparative method of grounded theory, were at the forefront of what can be called a qualitative revolution. The publication of their book, The discovery of grounded theory, was a breakthrough because of the systematic procedures for qualitative research that were presented. Prior to this publication, qualitative research methodology was traditionally most often taught orally. Through their book, Glaser and Strauss defended the method of qualitative (...) research and countered the prevailing opinion that quantitative research provided the one and only approach to scientific inquiry. They argued that qualitative research is a field of inquiry in its own right, not merely to be used for pre-studies to “real” statistically based studies. The grounded theory method fits in with life world research, because the emphasis is on individuals as unique living wholes and the researcher focuses on the world as it is experienced by the individual. The researcher does not formulate any hypothesis in advance and tries to approach the research area with as few preconceptions as possible. Preconceptions, taken-for-granted assumptions, and interpretations must be handled by reflexive strategies in line with what Dahlberg has labelled “bridling”. Grounded theory offers the researcher a set of guidelines for building conceptual frameworks that specify the relationships among categories. The guidelines should be used as flexible tools rather than being seen as rigid rules. Grounded theory is a broad method with distinct procedures that work in practice and that are suitable to pragmatic researchers. The “core category” in grounded theory is, as I see it, the constant comparative method. The grounded theory method has been modified by the era within which it exists and by new ideas encountered in the world of inquiry. Varying views of what reality is and how it can be known affect the modes of the grounded theory method. (shrink)

Socjologiczne analizy śmierci i umierania zwracają obecnie uwagę na proces jej „tabuizowania” i „eksmitowania” ze zbiorowej świadomości. Problematyka śmierci – jeżeli się pojawia – to głównie w dyskursie instrumentalno-medycznym. Jest w nim zracjonalizo - wana i sprowadzona do działań medycznych podejmowanych na rzecz powstrzymania śmierci, odroczenia jej w czasie bądź nawet uniknięcia. Proces wypierania śmierci ze zbiorowej świado - mości społecznej ma swoje źródło między innymi w fizycznym jej przesunięciu z naturalnego środowiska rodzinnego do instytucji, jaką jest szpital lub hospicjum. (...) Tekst prezentuje wybrane wątki socjomedyczne związane z problematyką instytucjonalizacji śmierci i umierania. Dynamiczny rozwój medycyny oraz postępująca jej specjalizacja i technicy - zacja przyczyniły się do przeniesienia śmierci do instytucji szpitala, co Magdalena Sokołowska nazywała „hospitalizacją śmierci”. Śmierć została poddana supremacji medycyny, podporządko - wana medycznym procedurom i ujęta w ramy instytucjonalne. Socjologia krytyczna podkreśla jednak nieadekwatność szpitala jako organizacji biurokratycznej do wymogów sytuacyjnych procesu umierania, na co zostanie zwrócona uwaga w artykule. Szpital jako instytucja społeczna jest bowiem powołany do realizacji innych celów niż zapewnienie opieki osobie umierającej. Nie posiada on ani warunków, ani procedur, które umożliwiają „odejście z godnością”. W sytuacji wydłużającego się procesu umierania, „instytucjonalną alternatywę” dla szpitala może stać się obecnie hospicjum, w którym pacjent oraz jego rodzina objęci są wielowymiarową opieką. Podstawowy cel działania hospicjum to zapewnienie godnego umierania wówczas, gdy „biomedyczna oferta” szpitala przestaje mieć optymalny charakter. (shrink)