Land, Stories, and Resources: Discourse and Entification in Onabasulu Modernity

Resource development may involve codifications of social organization that alter preexisting arrangements. This is the case in Onabasulu society today, impacted by Chevron's petroleum extractions nearby and the codifications of collective life introduced by multinationals and the State of Papua New Guinea alike. Located on the Great Papuan Plateau of Papua New Guinea, Onabasulu "clans" are largely an artifact of a certificate-based incorporation process and do not preexist the era of petroleum development. This "entification" of clans is matched by an entification of ethnic groups, which previously enjoyed soft (or "thick") rather than hard (or sharp) edges and boundaries. Various discourses—lineage histories, myths, other stories—are best viewed as instruments that political actors—the Onabasulu as a people, various clans, various individuals—use to embrace, contest, or manipulate the new codifications as these actors strive to position themselves competitively in relation to resources in an era of nationalist and capitalist penetration. "Land, Stories, and Resources" argues for a discourse-centered political ecology of Onabasulu modernity, one that recognizes the political and discursive roots of human-land relations in an unfolding and open-ended history predicated on an emerging politics of difference within a globalizing context, [political ecology, discursive practices, cognized models, Onabasulu (Papua New Guinea)]     

EOD modulations of brown ghost electric fish: JARs, chirps, rises, and dips.

Weakly electric "wave" fish make highly regular electric organ discharges (EODs) for precise electrolocation. Yet, they modulate the ongoing rhythmicity of their EOD during social interactions. These modulations may last from a few milliseconds to tens of minutes. In this paper we describe the different types of EOD modulations, what they may signal to recipient fish, and how they are generated on a neural level. Our main conclusions, based on a species called the brown ghost (Apteronotus leptorhynchus) are that fish: (1) show sexual dimorphism in the signals that they generate; (2) make different signals depending on Whether they are interacting with a fish of the opposite sex or, within their own sex, to a fish of that which is dominant or subordinate to it; (3) are able to assess relative dominance from electrical cues; (4) have a type of plasticity in the pacemaker nucleus, the control center for the EOD, that occurs after stimulation of NMDA receptors that causes a long-lasting (tens of minutes to hours) change in EOD frequency; (5) that this NMDA receptor-dependent change may occur in reflexive responses, like the jamming avoidance response (JAR), as well as after certain long-lasting social signals. We propose that NMDA-receptor dependent increases in EOD frequency during the JAR adaptively shift the EOD frequency to a new value to avoid jamming by another fish and that such increases in EOD frequency during social encounters may be advantageous since social dominance seems to be positively correlated with EOD frequency in both sexes.     

Three Voices in a Norwegian Living Room: An Encounter from Physiotherapy Practice

This article demonstrates how uses of the body regulate togetherness and availability in clinical encounters. A first encounter between a physiotherapist and a married couple in their home is analyzed. The husband suffers from functional consequences of a stroke. The therapist's job is to assess his functional capacity and determine how he can best be helped. The article centers on the process of interaction, specifically on verbal and bodily actions pertaining to developing role negotiations. Comprehensive excerpts demonstrate that a struggle is going on between the husband and his wife over the management of information about his condition. This imposes dilemmas of control and caring on the therapist. The article describes the maneuvering of the parties and shows how the therapist manages her professional tasks. Emphasis is placed on the particular predicaments that a clinical encounter can generate in a private residence, and on how clinical tasks are embedded in social processes. Finally, the article questions the (often tacit) analytical assumption that "interaction" and "diagnostics" are separate phenomena, and shows how the understanding of both can be advanced if seen as mutually constitutive processes, [clinical encounters, communication, embodiment, physiotherapy, visiting practice]     

Social context and consumption of unfamiliar foods by capuchin monkeys (Cebus apella) over repeated encounters

Visalberghi and Fragaszy [Animal Behaviour 49:1089–1095, 1995] have shown that social influences affect acceptance of novel foods. However, little is known about the temporal course on which such influences act (e.g., for how long they persist and for how many encounters they are effective). To explore this issue, 11 adult tufted capuchins were observed during ten successive encounters with eight unfamiliar foods (phase 1, in which subjects were tested in social or individual condition) and ten more encounters 6 months later (phase 2, in which all subjects were tested in social condition). A total of 680 observational sessions were carried out. Results show that during the first five encounters in phase 1, capuchins ate more when they encountered these foods in the presence of their groupmates than if they encountered them alone. Thereafter, during the second five encounters of phase 1, foods were consumed equivalently whether presented to monkeys socially or individually. In phase 2, the foods were consumed equivalently regardless of the previous circumstance of their presentation (social or alone). In phase 2, consumption was similar to that scored in a previous study for familiar foods [Visalberghi & Fragaszy, Animal Behaviour 49:1089–1095, 1995]. We conclude that 1) foods remain unfamiliar to capuchins only for the first few encounters, 2) social facilitation of consumption of unfamiliar foods is of limited duration, and 3) individuals consumed equivalent amounts of an unfamiliar food when they repeatedly encountered it alone or in the presence of groupmates. These results caution those who interpret similar feeding habits in primate groups as evidence of social influences. Am. J. Primatol. 45:367–380, 1998. © 1998 Wiley-Liss, Inc.     

Effects of perceived patient demand on prescribing anti-infective drugs

BACKGROUND: Although patient demand is frequently cited by physicians as a reason for inappropriate prescribing, the phenomenon has not been adequately studied. The objectives of this study were to determine the prevalence of perceived patient demand in physician-patient encounters; to identify characteristics of the patient, physician and prescribing situation that are associated with perceived demand; and to determine the influence of perceived demand on physicians'' prescribing behaviour. METHODS: An observational study using 2 survey approaches was conducted in February and March 1996. Over a 2-day period 20 family physicians in the Toronto area completed a brief questionnaire for each patient encounter related to suspected infectious disease. Physicians were later asked in an interview to select and describe 1 or 2 incidents from these encounters during which perceived patient demand influenced their prescribing (critical incident technique). RESULTS: Perceived patient demand was reported in 124 (48%) of the 260 physician-patient encounters; however, in almost 80% of these encounters physicians did not think that the demand had much influence on their decision to prescribe an anti-infective. When clinical need was uncertain, 28 (82%) of 34 patients seeking an anti-infective were prescribed one, and physicians reported that they were influenced either "moderately" or "quite a bit" by perceived patient demand in over 50% of these cases. Of the 35 critical prescribing incidents identified during the interviews, anti-infectives were prescribed in 17 (49%); the reasons for prescribing in these situations were categorized. INTERPRETATION: This study provides preliminary data on the prevalence and influence of perceived patient demand in prescribing anti-infectives. Patient demand had more influence on prescribing when physicians were uncertain of the need for an anti-infective.     

Patients' and practitioners' views of knee osteoarthritis and its management: a qualitative interview study

Purpose

To identify the views of patients and care providers regarding the management of knee osteoarthritis (OA) and to reveal potential obstacles to improving health care strategies.

Methods

We performed a qualitative study based on semi-structured interviews of a stratified sample of 81 patients (59 women) and 29 practitioners (8 women, 11 general practitioners [GPs], 6 rheumatologists, 4 orthopedic surgeons, and 8 [4 GPs] delivering alternative medicine).

Results

Two main domains of patient views were identified: one about the patient–physician relationship and the other about treatments. Patients feel that their complaints are not taken seriously. They also feel that practitioners act as technicians, paying more attention to the knee than to the individual, and they consider that not enough time is spent on information and counseling. They have negative perceptions of drugs and a feeling of medical uncertainty about OA, which leads to less compliance with treatment and a switch to alternative medicine. Patients believe that knee OA is an inevitable illness associated with age, that not much can be done to modify its evolution, that treatments are of little help, and that practitioners have not much to propose. They express unrealistic fears about the impact of knee OA on daily and social life. Practitioners'' views differ from those of patients. Physicians emphasize the difficulty in elaborating treatment strategies and the need for a tool to help in treatment choice.

Conclusions

This qualitative study suggests several ways to improve the patient–practitioner relationship and the efficacy of treatment strategies, by increasing their acceptability and compliance. Providing adapted and formalized information to patients, adopting more global assessment and therapeutic approaches, and dealing more accurately with patients'' paradoxal representation of drug therapy are main factors of improvement that should be addressed.     

Kin recognition versus familiarity in a solitary mustelid, the European polecat Mustela putorius

The aim of this experimental study was to investigate kin discrimination in the polecat and to analyse the ontogeny of interactions. Juvenile polecats (ten males and nine females) had been raised under four distinct experimental conditions: 1, kin, familiar; 2, kin, unfamiliar; 3, non-kin, familiar; 4, non-kin, unfamiliar. During dyadic encounters between polecats in neutral enclosures, the number of positive (tolerance), negative (aggression), intermediate (intimidation), and neutral interactions (no direct interactions) were recorded at two different ages of the animals (50 and 70 days old). Male-male encounters were characterised by more aggressive behaviour than female-female ones. The proportion of these negative interactions increased with age, while the proportion of positive interactions decreased. Although aggressive behaviours varied among groups, the reaction did never differ with the kinship. Kin selection theory provides successful explanations for a wide range of phenomena, but our results suggest that multiple mechanisms running simultaneously might be involved in social behaviours. Familiarity clearly influenced the social behaviour of polecats and might be involved in a kin facilitation effect favouring interactions. Animals raised together demonstrated more positive and less negative interactions, so that, despite the individualistic way of life of the polecat, familiarisation may result in more tolerance, emphasising that solitary species may provide significant information on social life. Anyway, familiarisation in polecat may be regarded as a cognitive form of recognition.     

Misunderstanding as therapy: Doctors,patients and medicines in a rural clinic in Sri Lanka

In this paper I want to draw attention to the integration of Western medicine into therapeutic choices among patients in rural Sri Lanka. These patients' interpretation and use of Western pharmaceuticals is discussed in relation to the Ayurvedic theory of balance. The influence of this theory on people's ideas of health and illness is highlighted in encounters where laymen and professionals alike use Western medicines according to context and their respective perspectives. Such therapeutic encounters are used to describe how the meaning of therapy is negotiated and communicated. The modes of perception used by doctors and patients seem to be mutually exclusive but each has its own logic. Western medicines are used as a symbolic means which help the patients and the practitioners of Western clinical medicine in a rural health unit to communicate through — rather than despite — misunderstandings based on their differing cultural assumptions about the body, about disease and about therapy. This argument is raised in relation to recent theoretical discussions among medical anthropologists concerning doctor-patient relationships, asymmetric medical relations and the analysis of meaning systems     

Provision of first contact care out of hours in four urban areas in England.

In a typical two week period in 1984 in three urban areas with general practitioner deputising services roughly 40% of first contact patient encounters out of hours were with hospital accident and emergency departments, and only a quarter were with general practitioner deputising services, although 47%, 64%, and 97% of general practitioners in the areas had permission to use such services. Roughly a third only of the encounters were with the practices themselves, and even fewer occurred overnight (11 pm-7 am). In a fourth urban area where 68% of general practitioners formed an out of hours cooperative rota a third of the encounters were with the accident and emergency department and half (more overnight) were with the rota. The presence of a woman principal in a practice and large partnerships of four principals or more were associated with an increased proportion of encounters with the practice itself. Undue prominence may have been given to the role of deputising services in out of hours care. Paradoxically, the use of general practitioner cooperatives may result in even less personal care being given by the patient''s own practice.     

Teaching plastic surgery from different perspectives

Just as everyone has a different learning style, teachers too approach the task from different perspectives. There are five basic teaching perspectives or styles: transmission, apprenticeship, developmental, nurturing, and social justice. The acronym BIAS is useful to describe the beliefs, intentions, assessments, and strategies associated with each perspective. The authors present a hypothetical 1-week rotation in plastic and reconstructive surgery in which a student encounters instructors who embody the five basic teaching perspectives. By presenting these perspectives, the authors introduce valuable teaching techniques that can benefit all those charged with the education of learners along the spectrum from premedical to continuing education venues. Educational objectives include the following: (1) explain and illustrate different approaches to effective teaching in plastic surgery; (2) introduce readers to the Teaching Perspectives Inventory as a means of determining their primary teaching style; and (3) argue for a "plurality of the good" in teaching.     

Learning the Moral Economy of Commodified Health Care: “Community Education,” Failed Consumers,and the Shaping of Ethical Clinician-Citizens

Leaders of health professional schools often support community-based education as a means of promoting emerging practitioners’ awareness of health disparities and commitment to serving the poor. Yet, most programs do not teach about the causes of health disparities, raising questions regarding what social and political lessons students learn from these experiences. This article examines the ways in which community-based clinical education programs help shape the subjectivities of new dentists as ethical clinician-citizens within the US commodified health care system. Drawing on ethnographic research during volunteer and required community-based programs and interviews with participants, I demonstrate three implicit logics that students learned: (1) dialectical ideologies of volunteer entitlement and recipient debt; (2) forms of justification for the often inferior care provided to “failed” consumers (patients with Medicaid or uninsured); and (3) specific forms of obligations characterizing the ethical clinician-citizen. I explore the ways these messages reflected the structured relations of both student encounters and the overarching health care system, and examine the strategies faculty supervisors undertook to challenge these messages and relations. Finally, I argue that promoting commitments to social justice in health care should not rely on cultivating altruism, but should instead be pursued through educating new practitioners about the lives of poor people, the causal relationships between poverty and poor health, and attention to the structure of health care and provider–patient interactions. This approach involves shining a critical light on America’s commodified health care system as an arena based in relations of power and inequality.     

Intergroup interactions in wild Barbary macaques (Macaca sylvanus), Ghomaran Rif mountains,Morocco

Data are presented on intergroup interactions between six groups of Macaca sylvanus in the Ghomaran region of the Moroccan Rif mountains. Intergroup encounters (0.026/observation hour) were defined as two groups being near each other (< 150 m). Encounters were further classified into: 1) neutral (indeterminate) encounters, in which very little intergroup interaction took place, with the exception of male monitoring (N = 7); 2) approach-retreat encounters with intergroup displacement, in which, without any overt agonism, members of one group slowly approached another and caused it to retreat (N = 3); and 3) agonistic encounters with intergroup displacement (N = 3). These results are compared to the only other study of intergroup interactions in wild Barbary macaques, and it is concluded that 1) observations of intergroup unification and/or coordination of movement in Barbary macaques (“herding”) probably resulted from observer error, or if these phenomena do occur, they are rare throughout the range of this species; 2) approximately half of all intergroup encounters in both studies resulted in intergroup displacement and/or intergroup agonism, evidence of intergroup competition; and 3) current data on intergroup interactions in Barbary macaques conform to the predictions of Wrangham's model of mutually competitive female-bonded, multimale groups.     

Social and River Networks for the Trees: Wounaan's Riverine Rhizomic Cosmos and Arboreal Conservation

ABSTRACT   The effects of environmental conservation and development are of significant anthropological interest. Recent focus on the politics of knowledge and translation has shown the importance of cosmology in conservation encounters. I examine how Wounaan indigenous peoples and extralocal conservation practitioners "translate" eastern Panama based on their own cosmologies. ¹ Specifically, I explore how Wounaan's social and river-networked rhizomic cosmos is overlooked in the practice of forest-focused conservation. This results from Panama's environmental history, in which actors simplified early representations of a complex landscape to one characterized by forests, as well as a Western bias toward forests with scant attention paid to cosmology. Finally, I note how Wounaan negotiate this cultural disconnect by emphasizing their ties to forests. In so doing, they buttress the arboreal bias, in turn reinforcing power relations, but also giving themselves political leverage in conservation activities. These results inform recent discussion about politics and scientific praxis in conservation.     

黑线仓鼠殴斗行为模式及其与生理状态的关系

本文以分布于鲁西南山区的黑线仓鼠雄体为对象,通过测定重复遭遇战(repeated encounters)对黑线仓
鼠体重、生理指标等参数的作用,以期阐明社群冲突(social conflict)对黑线仓鼠生理状态的影响。研究结果表
明:在4 周的重复遭遇战过程中,参与冲突个体的体重增长率略有降低,但未达到显著水平;粪便肾上腺皮质
激素(GCs)含量呈现波动性变化,在整个遭遇战过程中,优势个体与从属个体的GCs 含量交替显著升高,与
冲突时间及个体社群地位均有关;优势个体保持较高的睾酮水平,利于其增强攻击行为和获得优势地位;从属
组雄体的肾上腺显著增大,但生殖腺间差异不显著;HPA 轴对HPG 轴具有显著的抑制效应,肾上腺分泌的皮质
醇可显著抑制个体的睾酮分泌,二者呈显著的负相关关系。这些数据表明,黑线仓鼠雄体可通过斗殴行为建立
明确的优势- 从属关系,睾酮可促进个体优势地位的形成并受到肾上腺皮质醇抑制;HPA 轴对HPG 轴的抑制未
能在器官指数方面得到证实。从属个体受到胁迫,对优势雄性黑线仓鼠野外生存和繁殖有重要意义。     

Spectral call features provide information about the aggression level of greater mouse-eared bats (Myotis myotis) during agonistic interactions

Bats rely heavily on acoustic signals in order to communicate with each other in a variety of social contexts. Among those, agonistic interactions and accompanying vocalizations have received comparatively little study. Here, we studied the communicational behaviour between male greater mouse-eared bats (Myotis myotis) during agonistic encounters. Two randomly paired adult males were placed in a box that allowed us to record video and sound synchronously. We describe their vocal repertoire and compare the acoustic structure of vocalizations between two aggression levels, which we quantified via the bats’ behaviour. By inspecting thirty, one-minute long encounters, we identified a rich variety of social calls that can be described as two basic call types: echolocation-like, low-frequency sweeps and long, broadband squawks. Squawks, the most common vocalization, were often noisy, i.e. exhibited a chaotic spectral structure. We further provide evidence for individual signatures and the presence of nonlinear phenomena in this species’ vocal repertoire. As the usage and acoustic structure of vocalizations is known to encode the internal state of the caller, we had predicted that the spectral structure of squawks would be affected by the caller’s aggression level. Confirming our hypothesis, we found that increased aggression positively correlated with an increase in call frequency and tonality. We hypothesize that the extreme spectral variability between and within squawks can be explained by small fluctuations in vocal control parameters (e.g. subglottal pressure) that are caused by the elevated arousal, which is in turn influenced by the aggression level.     

Do general practitioners act consistently in real practice when they meet the same patient twice? Examination of intradoctor variation using standardised (simulated) patients.

OBJECTIVE: To assess the variation within individual general practitioners facing the same problem twice in actual practice under unbiased conditions. DESIGN: General practitioners were consulted during normal surgery hours by a standardised patient portraying a patient with angina pectoris. Six weeks later the same general practitioners were consulted again by a similar standardised patient portraying a similar case. The patients reported on the consultations. SETTING: Trondheim, Norway. SUBJECTS: Of 87 general practitioners invited by letter, 28 (32%) agreed to participate without hesitation; nine others (10%) wanted more information before consenting. From these 24 were selected and visited. MAIN OUTCOME MEASURES: Number of actions undertaken from a guideline in both rounds of consultations. Duration of consultations. RESULTS: The mean (range, interquartile range) guideline score, total score, and duration of consultation were not significantly different between the first and second patient encounters for the group as a whole. For individual doctors the mean (SD) difference was -0.09 (3.36) for the guideline score, 0.30 (8.1) for the total score, and -0.87 (9.01) for consultation time. CONCLUSIONS: The study shows that assessment of performance in real practice for a group of general practitioners is consistent from the first round of consultations to the second round. However, significant variation occurs in performance of individual physicians.     

Seasonal changes in and effects of familiarity on agonistic behaviors of rat-like hamsters (Cricetulus triton)

The seasonal changes in agonistic behaviors and effects of familiarity on agonistic behaviors in wild-caught adult rat-like hamsters (Cricetulus triton) were observed in dyadic encounters in a neutral arena. The aggression of opposite- and same-sex encounters became higher or remained the same during the non-breeding season. This indicates that the hamsters were solitary during both seasons. Familiarity increased the aggression in male–male encounters and decreased the aggression in female–female encounters during both seasons. Familiarity also increased the aggression in female–male encounters during the non-breeding season and had no effect on the aggression in female–male encounters during the breeding season. These results may be related to the hamsters social structure. The more agonistic acts both male and female hamsters had, the more frequently they marked using flank glands during both seasons. This implies that flank gland marking can be used to advertise status and can be assessed by opponents to reduce the agonistic costs.     

Aggression and dominance in the weaver bird, Quelea quelea.

Previous work on agonistic behaviour in Quelea has been concerned primarily with hormonal variables. In the present series of experiments, a number of behavioural correlates of aggression and dominance are examined in male and bisexual groups. These include the effects of group arousal level on rates of agonistic encounters, the relationship between an individual's habitual level of activity and its relative dominance, aggressiveness and position on the perch in a resting "flock". The temporal patterning of encounters is analysed and the reasons why encounters tend to clump in time determined. The relationship between dominance in encounters over individual-distance infringements and dominance in encounters over access to a restricted food source is investigated and the effects of this on loss of weight in males and females determined. The results are discussed in relation to Ward's (1965) finging that in the wild females suffer higher mortality than males during the dry season and in relation to the general determinants of aggression in Quelea.