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      La diabetes como metáfora de vulnerabilidad. El caso de los ikojts de Oaxaca Translated title: Diabetes as a Metaphor for Vulnerability: The Case of the Ikojts from Oaxaca

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          Abstract

          RESUMEN Este artículo presenta los resultados de una investigación etnográfica de corte fenomenológico (2013/2014), que exploró las representaciones socioculturales de la diabetes y las experiencias de vida de los afligidos en una comunidad ikojts en Oaxaca. El estudio sugiere que para muchos miembros de ese grupo la diabetes es una expresión de la vulnerabilidad, síntoma y metáfora de cambios sufridos por ellos recientemente. Se describe cómo la diabetes permite a los afligidos articular la experiencia de la vulnerabilidad en múltiples niveles y se invita a incluir la etnicidad en el entendimiento de las epidemiologías desiguales del país, evitando nuevas formas de esencialización racial y cultural.

          Translated abstract

          ABSTRACT This article presents the results of an ethnographic research (2013/2014), that based on phenomenological approach, explored the sociocultural representations of diabetes and the lived experiences of diabetes sufferers in an Ikojts community in Oaxaca. This study suggests that for many Ikojts diabetes is an idiom of vulnerability, symptom and metaphor of the many changes they have recently endured in their community. Diabetes allows them to articulate the experience of vulnerability at multiple levels. The article encourages the inclusion of ethnicity into the understanding of the unequal epidemiologies of the country but warns against the perils of new forms of racial and cultural essentialization.

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          Most cited references75

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          The Mindful Body: A Prolegomenon to Future Work in Medical Anthropology

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            Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research.

            Major health care problems such as patient dissatisfaction, inequity of access to care, and spiraling costs no longer seem amenable to traditional biomedical solutions. Concepts derived from anthropologic and cross-cultural research may provide an alternative framework for identifying issues that require resolution. A limited set of such concepts is described as illustrated, including a fundamental distinction between disease and illness, and the notion of the cultural construction of clinical reality. These social science concepts can be developed into clinical strategies with direct application in practice and teaching. One such strategy is outlined as an example of a clinical social science capable of translating concepts from cultural anthropology into clinical language for practical application. The implementation of this approach in medical teaching and practice requires more support, both curricular and financial.
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              Structural vulnerability and health: Latino migrant laborers in the United States.

              Latino immigrants in the United States constitute a paradigmatic case of a population group subject to structural violence. Their subordinated location in the global economy and their culturally depreciated status in the United States are exacerbated by legal persecution. Medical Anthropology, Volume 30, Numbers 4 and 5, include a series of ethnographic analyses of the processes that render undocumented Latino immigrants structurally vulnerable to ill health. We hope to extend the social science concept of "structural vulnerability" to make it a useful concept for health care. Defined as a positionality that imposes physical/emotional suffering on specific population groups and individuals in patterned ways, structural vulnerability is a product of class-based economic exploitation and cultural, gender/sexual, and racialized discrimination, as well as complementary processes of depreciated subjectivity formation. A good-enough medicalized recognition of the condition of structural vulnerability offers a tool for developing practical therapeutic resources. It also facilitates political alternatives to the punitive neoliberal policies and discourses of individual unworthiness that have become increasingly dominant in the United States since the 1980s. Copyright © 2011 Taylor & Francis Group, LLC
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                Author and article information

                Journal
                rpfd
                Revista pueblos y fronteras digital
                Rev. pueblos front. digit.
                Universidad Nacional Autónoma de México, Centro de Investigaciones Multidisciplinarias sobre Chiapas y la Frontera Sur (San Cristóbal de Las Casas, Chiapas, Mexico )
                1870-4115
                June 2017
                : 12
                : 23
                : 46-76
                Affiliations
                [1] orgnameUniversity of Kent United Kingdom
                Article
                S1870-41152017000100046 S1870-4115(17)01202300046
                10.22201/cimsur.18704115e.2017.23.287
                acde9e44-4a84-49d6-8208-b9124ec03918

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 21 March 2017
                : 18 October 2016
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 75, Pages: 31
                Product

                SciELO Mexico

                Categories
                Artículos

                type 2 diabetes,vulnerability,indigenous peoples,Ikojts,diabetes tipo 2,vulnerabilidad,pueblos indígenas,ikojts

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