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Various explanations and discourses exist to explain this phenomenon, and some research has been conducted to determine the extent of salary inequities between men and women faculty members; however, no research has yet interrogated problematic features of the dominant discourses and examined gendered experiences of salary negotiation nationwide.
A nationwide survey has been conducted, and we are now in phase two of the project, which entails collection of qualitative data. The Problematizations research began with publication analyses in by examining the framings of underrepresentation in engineering education journals articles and conference papers. In , findings from the publication analyses were then compared to data from interviews with feminist engineering educators.
Presently, findings from that earlier research are being compared to data from the Faculty Discourses on Gender project. The aim of the Problematizations project is to critically examine the discourses used to explain why underrepresentation is a problem, and then link those explanations to maintenance of the status quo. Using discourse analysis methodologies, the project names and unpacks stories around the question of why underrepresentation is a problem, thus offering them up for much needed, yet largely absent, discussion and analysis within the engineering education community.
Through ethnographic observations of interdisciplinary teams, we are studying the creation and use of boundary negotiating artifacts BNAs. BNAs are artifacts and practices surrounding them that coordinate perspectives, create alignment between team members from different disciplines, facilitate transmission of information, and allow team members to learn from other disciplines during research and design.
Findings from this project will ultimately allow us to create materials to help engineering instructors facilitate improved interdisciplinary teamwork. Peer review is a key site of the micropolitics of knowledge production. As an emerging and interdisciplinary field, engineering education presents a valuable and timely opportunity to examine how theoretical, topical, and methodological boundaries are established, maintained, and negotiated through peer review.
Through interviews with authors and editors involved with the Journal of Engineering Education, this project aims to identify normativities and values shaping engineering education through peer review processes.
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Providing a theoretical contrast to this literature is historical social research on the professionalization of chiropractic in the United States.
They remained defiant even when imprisoned for practising medicine without a license. Siahpush noted that a future strand of research might be occupational analysis using field research, including issues of socialization, career and occupational communities. Although to date, this has not become a major theme in the research, there are some notable exceptions, looking at education of practitioners Gale , ; Wainwright et al.
Ho and Hsu have addressed issues of authority and language in Chinese medicine communities, through examining the ways that the concepts of qi energy and shen spirituality , respectively, are discursive markers of expertise. Others have discussed the management of tensions in the therapeutic encounter, such as the management of sexuality in bodywork Oerton , empathy Ruusuvuori or discussion of evidence of the effectiveness of homeopathy Chatwin There have been some early steps to explore practitioner social networks, such as therapist networks in Mexico Nigenda et al.
Issues such as career expectations, career trajectories, transitions from education to usually independent practice, or the extent to which communities of practice Lave and Wenger have developed have not been explored in depth to date.
There have been quantitative investigations, such as a survey of Australian general practitioners that showed how attitudes to CAM become more favorable with younger age, personal experience and patient endorsement Easthope et al. They argued that this outcome is influenced by the personal and professional characteristics of the provider, the personal characteristics and disease state of the patient, the physical and organizational structure in which they were working, and the epistemological and political status of the CAM modality under consideration.
Some researchers have actually focused on the process of construction, maintenance and communication of the dichotomy. In this way, they become symbolic of particular groups and organisations, and ultimately such representations come to be viewed as reflective of the natural order Broom Big picture As the sociology of CAM and TM has matured, researchers have increasingly tried to make links to wider theories of societal change, drawing where appropriate on historical research, and to be more theoretically rigorous.
For each concept, I will examine the structural forms that they describe, the social trends they relate to, and relate these back to how they are negotiated at a micro level by social actors. Medical pluralism draws attention to the diversity of practices in a health system and can be distinguished from medical monism where there would be unity of practice or medical dualism where there would be a binary opposition of practices.
They pointed out that medical pluralism has a long history. In the UK, it had its roots in the purveyance of patent medicines in the 19th century, which the regular profession fought hard to wipe out because it was a challenge to their hegemony Loeb ; Porter More recently, there had been a revival of pluralism in the form of increased use, practice and popular legitimacy of CAM, with similar resistance evident from the medical profession.
Nevertheless, there was an important disruption of the division of medical labor. The State, they argued, had a responsibility to address issues of funding and regulation.
An important strand in this work has been the ways in which pluralism is embodied and enacted by the users or consumers of medical care who, some have argued, tend to make choices based on pragmatism and perceived therapeutic effectiveness rather than philosophy or scientific evidence Broom and Tovey ; Chacko ; Connor ; Fadlon b ; Little et al.
This literature points less toward a postmodern society but a late modern one. It is difficult to overestimate the proliferation of debate in this area, and much of it has been in the clinical and applied health research literature; however, sociological analyses are also common. In a review by Wiese et al. The first, pluralization, means that each practice retains its distinctiveness and, as discussed above, the user often performs a consumer role selecting the approach most suited to them.
The second involves the selective incorporation of aspects of CAM to be used alongside biomedical treatment. The final one, integration, involves respect and collaboration between different views of health and healing, resulting in mutual transformation. The important distinction between integration as incorporation with asymmetry of power favoring biomedicine and the orthodox professions or as mutual transformation with more symmetry and genuine complementarity is not always acknowledged in the debates about integration.
There is another potential issue with the term: it is now being regularly used in the wider health services literature to describe the process of integrating health and social care, rather than different types of healthcare Glasby Shuval et al. This has echoes of the gendered division of labor between medicine and nursing Witz The positionality, power and constraints of actors in the integrative setting are also important.
Links between different integration strategies and wider patterns of power have been noted. Hollenberg and Muzzin argued that anti-colonial theory can aid our analysis of the appropriation of indigenous knowledge and the enduring dominance of biomedicine.
Many of the debates on integration seem more rooted in modernity, rather than late or postmodernity. This has produced some critical scholarship, which indicates that the collaboration of CAM and orthodox professionals is not surprising in a market economy and argue that this convergence to a medical monism is not a real alternative to modernity.
Hsu showed how Chinese medicine in Tanzania flourished through entrepreneurial activity. Nisula described the integration of Ayurveda in the context of a market economy in Mysore, India. Tillman looked at the role of health insurance companies in the integration process. This pervades both orthodox medicine and its various alternatives.
Han Following these lines of argument, integrative strategies are more likely to maintain modernist and colonial structures and perpetuate social inequalities rather than challenge them. Scott made the distinction between wider-self holism and wider-world holism, arguing that CAM tends to focus on the former, bringing notions of mind, spirit and self into healing practices but not that of societal structures and environment that characterize a critical, rather than medical public health approach Givati In their review of cancer patients experiences of using CAM, Smithson et al.
This has parallels with the wider literature about partnership and shared decision-making Gale However, Tovey and Broom's research cautioned that use of CAM should not be conflated with advocacy for integrated healthcare. Other issues such as risk, evidence, cost, location of provision and the epistemological identity of providers are relevant to users and mediate their views on the appropriateness of integration.
There have been a number of studies applying this theoretical perspective to empirical data on movements of practices across national and cultural boundaries Kim ; Obadia ; Reddy ; Santosh For instance, researchers have considered the process of cross-cultural translation of medical concepts Garvey ; Kim ; Reddy ; Sagli as well as documenting the ways that transfer, exchange and transformation of knowledge happen Scheid , The concept of hybridity challenges the empirical basis of both pluralism, which implies little merging of philosophy and practice and can overlook political dimensions Broom et al.