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Transactions in Suffering: Mothers, Daughters, and Chronic Disease Comorbidities in New Delhi, India

机译:遭受痛苦的交易:印度新德里的母亲,女儿和慢性病合并症

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摘要

The biomedical definition of comorbidity belies the complexity of its lived experience. This article draws on case studies of women with diabetes and various comorbidities in New Delhi, India, to explore intergenerational transactions surrounding suffering in contexts of comorbidity. The analysis synthesizes sociological theories of chronic disease work, psychological theories of caregiver burnout, and anthropological approaches to suffering and legitimacy to explore how, when, and by whom women's comorbid sources of suffering become routinized in everyday life. The analysis demonstrates, first, that comorbid suffering is not simply a matter of the addition of a second source of suffering to an existing one; rather, it comprises complex interactions between suffering, disability, family dynamics, and quality of life. Second, it illustrates several social routes through which comorbid suffering can fade into the background of everyday life, even when it is severe. Close attention to how suffering works in cases of comorbidity will be important as comorbid conditions become increasingly commonplace around the world.
机译:合并症的生物医学定义掩盖了其生活经历的复杂性。本文以印度新德里的糖尿病和各种合并症妇女为例,以探讨合并症背景下围绕苦难的代际交易。该分析综合了慢性病工作的社会学理论,照料者倦怠的心理理论,以及关于痛苦和合法性的人类学方法,以探讨妇女在日常生活中如何共同,何时以及由谁来共同对待痛苦。分析表明,首先,共患苦难不仅仅是在现有苦难中增加第二种苦难源。相反,它包括痛苦,残疾,家庭动态和生活质量之间的复杂相互作用。其次,它说明了几种社交途径,即使在严重的情况下,共病也可通过这些途径逐渐淡化为日常生活的背景。随着合并症在世界范围内越来越普遍,密切注意合并症中的痛苦将变得很重要。

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