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En clave intercultural: Intervenciones en el final de la vida con fundamento en las “diferencias culturales” / Through an intercultural lens: Grounding end of life interventions in “cultural difference” approaches

Luxardo, N; Vindrola-Padros, C; (2016) En clave intercultural: Intervenciones en el final de la vida con fundamento en las “diferencias culturales” / Through an intercultural lens: Grounding end of life interventions in “cultural difference” approaches. Revista M. Estudos sobre a morte, os mortos e o morrer , 1 (1) pp. 178-197. Green open access

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Abstract

El artículo indaga en los modos en que el personal sanitario en contextos institucionales de atención en el final de vida se apropia de los discursos sobre las “diferencias culturales” de las poblaciones que atienden para basar sus intervenciones, interpretando qué es lo que los pacientes y sus familias necesitan. Sostiene que la apelación a discursos en clave culturalista aparece cuando los pacientes pertenecen a minorías étnicas, atravesando la comunicación de la enfermedad; la gestión de la atención y el cuidado y la espiritualidad, la religiosidad y los sistemas de creencias. Se trata de un análisis secundario basado en datos propios recabados en investigaciones realizadas en Servicios de Cuidados Paliativos, Oncología y Hospices de Argentina. Este fundamento “culturalista” de las intervenciones es atravesado por estereotipos y prenociones sobre las identidades culturales de poblaciones que ya tienen una alta carga de estigmatización en la sociedad y reproduce actitudes paternalistas y condescendientes. Concluye que negar o ignorar otras cosmovisiones es tan nocivo como reificarlas. / The purpose of this article is to explore the ways in which healthcare professionals who provide care to patients during end of life use discourses based on arguments of “cultural differences” to justify their interventions and interpretations of patients’ and their families’ needs. The article argues that this reliance on cultural discourses appears when patients belong to ethnic minorities. These discourses shape the communication of the disease as well as the delivery of care and spiritual services. The article is based on the secondary analysis of data collected in palliative care, oncology and hospice services in Argentina. A conclusion of this study is that the “culturalist” nature of these interventions leads to stereotypes and preconceptions of the cultural identity of patient populations and reproduces paternalistic and condescending attitudes. Furthermore, these cultural discourses led to the reification and decontextualization of patients’ cosmovisions, producing harmful effects on populations who are already suffering from social stigma and confronting the end of life.

Type: Article
Title: En clave intercultural: Intervenciones en el final de la vida con fundamento en las “diferencias culturales” / Through an intercultural lens: Grounding end of life interventions in “cultural difference” approaches
Open access status: An open access version is available from UCL Discovery
Publisher version: http://www.revistam-unirio.com.br/en-clave-intercu...
Language: Spanish
Keywords: Intervenciones en el fin de la vida – Personal sanitario y discursos sobre el fin de la vida – Interculturalidad – Personal sanitario y interculturalidad – Investigaciones sobre cuidados paliativos / End of life interventions – Healthcare professionals’ end of life discourses – Interculturality – Healthcare professionals – Palliative care research
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
URI: https://discovery.ucl.ac.uk/id/eprint/1512471
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