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Health and healing in the United States is in a moment of deep and broad transformation. Underpinning this transformation is a shift in focus from practitioner- and system-centric perspectives to patient and family expectations and their accompanying localized narratives. Situated within this transformation are patients and families of all kinds.

Health and healing in the United States is in a moment of deep and broad transformation. Underpinning this transformation is a shift in focus from practitioner- and system-centric perspectives to patient and family expectations and their accompanying localized narratives. Situated within this transformation are patients and families of all kinds. This shift's interpretation lies in the converging and diverging trails of biomedicine, a patient-centric perspective of consensus between practitioner and patient, and postmodern philosophy, a break from prevailing norms and systems. Lending context is the dynamic interplay between increasing ethnic/cultural diversity, acculturation/biculturalism, and medical pluralism. Diverse populations continue to navigate multiple health and healing paradigms, engage in the process of their integration, and use health and healing practices that run corollary to them. The way this experience is viewed, whether biomedically or philosophically, has implications for the future of healthcare. Over this fluid interpenetration, with its vivid nuance, loom widespread health disparities. The adverse effects of static, fragmented healthcare systems unable to identify and answer diverse populations' emergent needs are acutely felt by these individuals. Eradication of health disparities is born from insight into how these populations experience health and healing. The resulting strategy must be one that simultaneously addresses the complex intricacies of patient-centered care, permits emergence of more localized narratives, and eschews systems that are no longer effective. It is the movement of caregivers across multiple health and healing sources, managing care for loved ones, that provides this insight and in which this project is keenly interested. Uncovering the emergent patterns of caregivers' management of these sources reveals a rich and nuanced spectrum of realities. These realities are replete with opportunities to re-frame health and healing in ways that better reflect what these diverse populations of caregivers and care recipients need. Engaging female Mexican American caregivers, a population whose experience is well-suited to aid in this re-frame, this project begins to provide that insight. Informed by a parent framework of Complexity Science, and balanced between biomedical and postmodern perspectives, this constructivist grounded theory secondary analysis charts these caregivers' processes and offers provocative findings and recommendations for understanding their experiences.
ContributorsKrahe, Jennifer Anne Eve (Author) / Lamb, Gerri (Thesis advisor) / Evans, Bronwynne (Committee member) / Larkey, Linda (Committee member) / Arizona State University (Publisher)
Created2013
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This dissertation explores the contemporary politics of global transformation: the ways biological expertise and economic rationalities are positioned as agents of governance in the face of emerging global crisis. It examines visions for a new bioeconomy that are offered in response to impending global crisis. Leaders point to calculations of

This dissertation explores the contemporary politics of global transformation: the ways biological expertise and economic rationalities are positioned as agents of governance in the face of emerging global crisis. It examines visions for a new bioeconomy that are offered in response to impending global crisis. Leaders point to calculations of global population growth and resource depletion to predict future crises and call for a new bioeconomy as a pillar of sustainable and “good” governance.

Focusing on visions and practices of bioeconomy-making in the U.S. and Brazil, the dissertation examines bioeconomy discourse as a response to global crisis and a framework of global governance that promises resource abundance and human wellbeing. Bioeconomy discourse makes visible shared notions of how the world is and how it should be that animate the world-making practices of bioeconomy. The dissertation analyzes the bioeconomy as simultaneously a product of existing institutional and nationally situated values and rationalities, and a significant site of performative novelty. It is an effort to reformulate existing projects in the biosciences—from technology regulation to market formation—and establish new rationalities of governance in the name of producing thoroughgoing transformations to both the global economy and to life itself.

Framing existing scientific and economic rationalities as suppressed and misdirected in their power to govern, bioeconomy proponents envision a novel order derivable from the proper conjugation of biological and economic rationalities. Through the lens of bioconstitutionalism, the dissertation elucidates how national, scientific and public rights and responsibilities are coproduced in relation to a sociotechnical imaginary of vital conjuring. Underwritten by the imaginary of vital conjuring, visions of a future transformed promise that abundance and order can be called up from a tangle of crisis and decay. The imaginary of vital conjuring marries a vision of the technological potential of biological life and the forms of economy capable of unlocking that potential. This vision of bioeconomy, the dissertation argues, is a vision of governance: of the right relationships between state, citizen and science.

ContributorsDoezema, Tess A (Author) / Hurlbut, James B (Thesis advisor) / Miller, Clark A. (Committee member) / Bennett, Gaymon (Committee member) / Arizona State University (Publisher)
Created2020