Repositori institucional URV
| URV's Author/s: | Ventura Garcia, Laia |
| Author, as appears in the article.: | Garcia, Laia Ventura |
| Author's mail: | laia.ventura@urv.cat |
| Journal publication year: | 2025 |
| Publication Type: | Journal Publications |
| APA: | Garcia, Laia Ventura (2025). "Navigating the lived efficacies of Chagas treatment". Social Science & Medicine, 367(), 117709-. DOI: 10.1016/j.socscimed.2025.117709 |
| Paper original source: | Social Science & Medicine. 367 117709- |
| Abstract: | Drawing on an ethnographic study of Chagas treatment among migrant domestic workers in Catalonia, conducted between January 2014 and May 2016, and utilizing the concepts of "lay care" and "living labyrinths," this paper explores how the efficacy of parasiticide treatments is experienced within relational and contextually situated frameworks. While pharmaceutical efficacy is often characterized by temporary and uncertain outcomes, the results indicate that lived efficacy is shaped by a complex interplay of embodied sociocultural, political, and historical processes, being continually negotiated and redefined within a broader context of global health values, biomedical technologies, migratory experiences and ethnicity, patient-doctor relationships, personal identities, daily demands, and care practices. The findings emphasize the reflexive management of the condition by those affected and highlight the role of pharmaceuticals as active agents that shape social and cultural dynamics, with significant impacts on social life and healthcare. By examining lived efficacy, the study suggests that limited access to healthcare services is not the sole process preventing treatment for Chagas, providing deeper insights into the logics behind actions related to Chagas pharmaceutical treatments. Incorporating "lay care" practices and perspectives into the therapeutic negotiation process not only acknowledges the complex "living labyrinths" navigated by social groups but also offers a foundation for reflecting on and reimagining alternative forms of care, recognizing their role in social and cultural reproduction. |
| Article's DOI: | 10.1016/j.socscimed.2025.117709 |
| Link to the original source: | https://www.sciencedirect.com/science/article/pii/S0277953625000383 |
| Paper version: | info:eu-repo/semantics/publishedVersion |
| licence for use: | https://creativecommons.org/licenses/by/3.0/es/ |
| Department: | Antropologia, Filosofia i Treball Social |
| Licence document URL: | https://repositori.urv.cat/ca/proteccio-de-dades/ |
| Thematic Areas: | Sociología Social sciences, biomedical Serviço social Saúde coletiva Public, environmental & occupational health Psychology Psicología Planejamento urbano e regional / demografia Odontología Nutrição Medicine (miscellaneous) Medicina ii Medicina i Interdisciplinar History and philosophy of science Historia y filosofía de la ciencia Health (social science) General o multidisciplinar General medicine Farmacia Enfermagem Educação física Economia Ciencias sociales Ciencias humanas Ciências biológicas i Ciências ambientais Ciência da computação Antropologia / arqueologia |
| Keywords: | Treatment Nonendemic countries Medication Living labyrinths Living labyrinth Lay care Emotions Efficacy Disease Challenge Chagas Catalonia Car Anthropology |
| Entity: | Universitat Rovira i Virgili |
| Record's date: | 2025-03-15 |
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| File | Description | Format | |
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| DocumentPrincipal | DocumentPrincipal | application/pdf |
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