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"BUSE, CHRISTINA"
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Materialities of care : encountering health and illness through artefacts and architecture
\"Materialities of Care addresses the role of material culture within health and social care encounters, including everyday objects, dress, furniture and architecture. Makes visible the mundane and often unnoticed aspects of material culture and attends to interrelations between materials and care in practice. Examines material practice across a range of clinical and non-clinical spaces including hospitals, hospices, care homes, museums, domestic spaces and community spaces such as shops and tenement stairwells. Addresses fleeting moments of care, as well as choreographed routines that order bodies and materials. Focuses on practice and relations between materials and care as ongoing, emergent and processual International contributions from leading scholars draw attention to methodological approaches for capturing the material and sensory aspects of health and social care encounters\"--Provided by publisher.
Book
Materialities of Care
Materialities of Care addresses the role of material culture within health and social care encounters, including everyday objects, dress, furniture and architecture.
* Makes visible the mundane and often unnoticed aspects of material culture and attends to interrelations between materials and care in practice
* Examines material practice across a range of clinical and non-clinical spaces including hospitals, hospices, care homes, museums, domestic spaces and community spaces such as shops and tenement stairwells
* Addresses fleeting moments of care, as well as choreographed routines that order bodies and materials
* Focuses on practice and relations between materials and care as ongoing, emergent and processual
* International contributions from leading scholars draw attention to methodological approaches for capturing the material and sensory aspects of health and social care encounters
eBook
E-scaping the ageing body? Computer technologies and embodiment in later life
This paper explores the embodied dimensions of computer and internet use in later life, and examines how technology use relates to constructions and experiences of the ageing body. It is argued that previous research on technology use and embodiment has neglected older bodies, in contrast to research on gender and disability. Furthermore, while earlier theorisations presented internet use as disembodied, it is argued that the experience of using such technologies is grounded in our embodiment. In the light of these limitations and arguments for more complete theories of the body, this paper explores how technology use relates to various aspects of embodiment. These issues are examined in the light of data from qualitative interviews and time-use diaries completed by retirees in 17 households in the United Kingdom. By examining the ‘technobiographies’ of these older computer users, it is shown that changes in body techniques are prompted and in some cases required by broader cultural and technological change. The findings evince the process of acquiring computing skills as an embodied competency, and as a form of ‘practical knowledge’ that can only be ‘learned by doing’. These experiences of technology use were embedded within constructions and experiences of ageing bodies. Although the participants drew on discourses of ageing in complex ways, their coding of computer technologies in terms of the competences of youth often reproduced hierarchies between young and old bodies.
Journal Article
Materialising memories: exploring the stories of people with dementia through dress
In this article, we use clothes as a tool for exploring the life stories and narratives of people with dementia, eliciting memories through the sensory and material dimensions of dress. The article draws on an Economic and Social Research Council-funded study, ‘Dementia and Dress’, which explored everyday experiences of clothing for carers, care workers and people with dementia, using qualitative and ethnographic methods including: ‘wardrobe interviews’, observations, and visual and sensory approaches. In our analysis, we use three dimensions of dress as a device for exploring the experiences of people with dementia: kept clothes, as a way of retaining connections to memories and identity; discarded clothes, and their implications for understanding change and loss in relation to the ‘dementia journey’; and absent clothes, invoked through the sensory imagination, recalling images of former selves, and carrying identity forward into the context of care. The article contributes to understandings of narrative, identity and dementia, drawing attention to the potential of material objects for evoking narratives, and maintaining biographical continuity for both men and women. The paper has larger implications for understandings of ageing and care practice; as well as contributing to the wider Material Turn in gerontology, showing how cultural analyses can be applied even to frail older groups who are often excluded from such approaches.
Journal Article
‘Ways of being’ in the domestic garden for people living with dementia: doing, sensing and playing
Domestic gardens represent a site for enacting embodied identity and social relationships in later life, and negotiating tensions between continuity and change. In the context of dementia, domestic gardens have significant implications for ‘living well’ at home, and for wider discussions around embodiment, relational selfhood and agency. Yet previous studies exploring dementia and gardens have predominantly focused on care home or community contexts. In light of this, the paper explores the role of domestic gardens in the everyday lives of people living with dementia and their households, using qualitative, creative methods. This includes filmed walking interviews and garden tours, diaries and sketch methods, involving repeat visits with six households in England. Findings are organised thematically in relation to different ‘ways of being’ in the garden: working in and doing the garden; being in and sensing; and playing, empowerment and agency. These different ‘ways of being’ are situated within relationships with household members, neighbours and non-human actors, including pets, wildlife and the materiality of the garden. Garden practices illustrate continuity, situated within embodied biographies and habitus. However, identities, practices and gardens are also subject to ongoing readjustment and reconstruction. The conclusion discusses implications for extending literature on gardens and later life, describing how social and material relationships in domestic gardens are renegotiated in the context of dementia, while highlighting opportunities for ‘play’, active sensing and agency. We also explore contributions to understandings of dementia, home and place, and implications for garden design and care practice.
Journal Article
Imagined bodies: architects and their constructions of later life
This article comprises a sociological analysis of how architects imagine the ageing body when designing residential care homes for later life and the extent to which they engage empathetically with users. Drawing on interviews with architectural professionals based in the United Kingdom, we offer insight into the ways in which architects envisage the bodies of those who they anticipate will populate their buildings. Deploying the notions of ‘body work’ and ‘the body multiple’, our analysis reveals how architects imagined a variety of bodies in nuanced ways. These imagined bodies emerge as they talked through the practicalities of the design process. Moreover, their conceptions of bodies were also permeated by prevailing ideologies of caring: although we found that they sought to resist dominant discourses of ageing, they nevertheless reproduced these discourses. Architects’ constructions of bodies are complicated by the collaborative nature of the design process, where we find an incessant juggling between the competing demands of multiple stakeholders, each of whom anticipate other imagined bodies and seek to shape the design of buildings to meet their requirements. Our findings extend a nascent sociological literature on architecture and social care by revealing how architects participate in the shaping of care for later life as ‘body workers’, but also how their empathic aspirations can be muted by other imperatives driving the marketisation of care.
Journal Article
Pathways, practices and architectures: Containing antimicrobial resistance in the cystic fibrosis clinic
Antimicrobial resistance and the adaptation of microbial life to antibiotics are recognised as a major healthcare challenge. Whereas most social science engagement with antimicrobial resistance has focussed on aspects of ‘behaviour’ (prescribing, antibiotic usage, patient ‘compliance’, etc.), this article instead explores antimicrobial resistance in the context of building design and healthcare architecture, focussing on the layout, design and ritual practices of three cystic fibrosis outpatient clinics. Cystic fibrosis is a life-threatening multi-system genetic condition, often characterised by frequent respiratory infections and antibiotic treatment. Preventing antimicrobial resistance and cross-infection in cystic fibrosis increasingly depends on the spatiotemporal isolation of both people and pathogens. Our research aims to bring to the fore the role of the built environment exploring how containment and segregation are varyingly performed in interaction with material design, focussing on three core themes. These include, first, aspects of flow, movement and the spatiotemporal choreography of cystic fibrosis care. Second, the management of waiting and the materiality of the waiting room is a recurrent concern in our fieldwork. Finally, we take up the question of air, the intangibility of airborne risks and their material mitigation in the cystic fibrosis clinic.
Journal Article
Protein expression profile of Gasterophilus intestinalis larvae causing horse gastric myiasis and characterization of horse immune reaction
Background
Little information is available on the immunological aspect of parasitic
Gasterophilus intestinalis
(Diptera, Oestridae) larvae causing horse gastric myiasis. The objectives of this research were to analyze the protein content of larval crude extracts of the migrating second and third larvae (L2 and L3) of
G. intestinalis
in order to characterize the immune response of horses.
Results
The proteomic profile of L2 and L3, investigated by using one and two dimensional approaches, revealed a migration pattern specific to each larval stage. Furthermore, Western blots were performed with horse sera and with sera of Balb/c mice immunised with the larval crude extracts of L2 or L3, revealing a different immune reaction in naturally infected horses
vs
. artificially induced immune reaction in mice. The comparisons of the immunoblot profiles demonstrate that the stage L2 is more immunogenic than the stage L3 most likely as an effect of the highest enzymatic production of L2 while migrating through the host tissues. Fifteen proteins were identified by mass spectrometry.
Conclusion
This work provides further information into the understanding of the interaction between
G. intestinalis
and their host and by contributing a novel scheme of the proteomic profile of the main larval stages.
Journal Article
Dressing disrupted: negotiating care through the materiality of dress in the context of dementia
This paper explores how the materiality of dress mediates and shapes practices of care in the context of dementia. Earlier research called for an approach to conceptualising care that recognised the role played by everyday artefacts. We extend this to a consideration of dress and dressing the body in relation to people with dementia that involves the direct manipulation of material objects, as well as the materiality of bodies. The paper draws on an ESRC funded study Dementia and Dress, which examined experiences of dress for people with dementia, families and care‐workers using ethnographic and qualitative methods. Our analysis explores the process of dressing the body, the physicality of guiding and manipulating bodies into clothing, dealing with fabrics and bodies which ‘act back’ and are resistant to the process of dressing. We consider how the materiality of clothing can constrain or enable practices of care, exploring tensions between garments that support ease of dressing and those that sustain identity. Examining negotiations around dress also reveals tensions between competing ‘logics’ of care (Mol 2008).
Book Chapter
Conceptualising ‘materialities of care’: making visible mundane material culture in health and social care contexts
‘Materialities of care’ is outlined as a heuristic device for making visible the mundane and often unnoticed aspects of material culture within health and social care contexts, and exploring interrelations between materials and care in practice. Three analytic strands inherent to the concept are delineated: spatialities of care, temporalities of care and practices of care. These interconnecting themes span the articles in this special issue. The articles explore material practice across a range of clinical and non‐clinical spaces, including hospitals, hospices, care homes, museums, domestic spaces, and community spaces such as shops and tenement stairwells. The collection addresses fleeting moments of care, as well as choreographed routines that order bodies and materials. Throughout there is a focus on practice, and relations between materials and care as ongoing, emergent and processual. We conclude by reflecting on methodological approaches for examining ‘materialities of care’, and offer some thoughts as to how this analytic approach might be applied to future research within the sociology of health and illness.
Book Chapter