The Margins Review · Culture-Centered Approach

Marginalization and related articulations comes across strongly in this week's readings. Dutta (2008) writes marginalization as" being at the periphery of a dominant system and that marginalization is embodied in the position of being under, of being silenced, of being without a voice and of being without resources". Marginalization can be caused by poverty, ignorance, location, access, positionality in the societal and economic system (pecking order!!) and in God's own country, insurance!!  From a critical cultural perspective, marginalization occurs from basic structural deprivations, created and sustained by structural inequities and unequal distribution at resources, further created and sustained by unhealthy practices which are in turn created and sustained by those in positions of power (Dutta, 2008). True, and I feel this is ingrained in our lives. The principle and declaration of human rights (1948) say "all human beings are equal...etc...". There ca...

The readings from week four had two distinct branches for me. One dealt with the construction and negotiation of pain, and the other with the need for participation and solidarity to improve life. How do we negotiate pain? For a vast majority of us, it may be safe to say that we think of the physical aspect of pain when we think about it. One can easily point to the location of pain, as in arms, legs, stomach etc. But can this pain be actually objectified? Most people would agree that we cannot see pain. Can pain be pin pointed? Perhaps not. Then how are we constructing it as a physical element? If we take a more post positivist approach we can perhaps define pain as electrical impulses to and from the brain. In that case, why do we not consider pain as a brain manifestation? I witnessed first hand the tendency among the Western doctors to quantify pain - tell me on a scale of 1 to 10, where your pain is right now. I wonder how effective such a statement can be, as it is easy to poke h...

This week's readings has many points to start a discussion. Many notable ones talk of pain as a human experience and situated in the body. Indeed, how do we manifest pain or is pain itself a manifestation? The health communication concern and the concern of the many health organizations in the US it to create constructs around it, quantify it, isolate it and advertise and sell treatment for it, the fancy "disorders" patented under exotic names. This is what Kleinman et.al., (1992) call the political economic transformation of pain and its treatment. I found myself wondering, of course we all agree that converting socio-somatic processes into biological terminology is reductionist but hasn't that been the enterprise of much of the positivist scholars and yet alive and kicking now in NSF funding criteria and erstwhile "Bush" science (St. Pierrie, 2006). My primary education being in Physics and Management, I am very amused to see all these scholars studying hu...