The article describes drinking habits of Finnish older adults and their relationship to alcohol. The study is based on the analysis of theme interviews among 60-70-year-old urban people. The method was biographical, qualitative content analysis. Alcohol consumption of the older adults was investigated through the analysis of changes in the use of alcohol during life course and the features of current drinking habits. The article argues that events of both life course and changing Finnish alcohol culture have shaped the drinking habits of older adults. The drinking habits and meanings given to alcohol consumption among older adults vary in many respects. A common factor in the drinking habits of older adults is the everyday nature of drinking; as with other Finns of today alcohol has become more commonplace than before. However, for the great majority of older adults, advanced years have produced skills in controlling the alcohol use and avoiding intoxication. The skill to consume alcohol within moderation has evolved with age and the course of life.

In psychiatric clinical practice, professionals pursue risk management alongside various uncertainties concerning diagnoses and treatment decisions. In this article, I draw on an ethnographic study of understandings of bipolar disorder in Finland to argue that risk management in psychiatry is better characterised as practical uncertainty work. I show how both the clinicians and the patients coordinate the uncertainties of bipolar disorder symptoms, risks and treatment decisions, into something that can be managed. I examine the ways in which temporality structures this uncertainty work and I explore two different modes of framing time. Clinical time stems from the current psychiatric thinking committed to the standardised diagnosis and the ideals of evidence-based medicine. Through this, professionals frame a task-oriented and linear treatment path from diagnosis and treatment to a managed life with bipolar disorder. Experienced time, in contrast, relates to the logics of care and self-care amid the embodied experiences of different actors. This framing of time involves a cyclical process where the patient, the clinician and the treatment interventions each need to adjust to changing situations.

Tieteenfilosofi Isabelle Stengers on yksi keskeisistä hahmoista monilajisuuden tutkimuksen teoretisoinneissa. Stengersin ajatteluun, etenkin siltä osin kuin sitä on hyödynnetty monilajisuuden tutkimuksessa, on merkittävällä tavalla vaikuttanut Alfred North Whiteheadin spekulatiivinen filosofia. Jäljitämme Stengersin ja Whiteheadin filosofioiden ja empiirisen monilajisuuden tutkimuksen yhteisiä juonteita. Nämä yhteydet koskevat sitä, kuinka keskenään erilaiset olennot tulevat toistensa huomion ja tiedon kohteiksi ja merkityksellisiksi toisilleen. Artikkeli perustuu kirjallisuuskatsaukseen Stengersin filosofiaa hyödyntävästä monilajisuuden tutkimuksesta. Lisäksi siinä käsitellään omia tutkimuksiamme geeniedioituja hyttysiä malariantorjuntatyökaluksi kehittävien tutkijoiden ja ihmisen mikrobiomia tutkivien mikrobiologien parissa. Tulkitsemme empiiristen esimerkkien avulla Stengersin tieteenfilosofiaa suhteessa kysymyksiin siitä, millä tavoin biotieteiden tieto rakentuu monilajisessa vuorovaikutuksessa ja millä tavoin keskenään erilaisten olentojen tavat elää ja toimia maailmassa ovat yhteydessä toisiinsa. Tähän perustuen ehdotamme tulkintaa monilajisuuden tutkimuksesta vallitsevan ekososiaalisten kriisien määrittämän nykyhetkemme spekulatiivisena problematisointina.

No abstract

Purpose: Psychiatric patients' awareness of treatments options and their possibilities to influence their care has increased. For the clinicians, the management of evidence-based care, as well as organizational and resource aspects, set different goals for the clinical encounter. In this article we are focusing on the clinicians' experiences and ask: How do the clinicians view situations in which there is a conflict between patients' individual needs and goals and other aspects in decision-making? Materials and methods: We implemented a qualitative study of 13 thematic semi-structured interviews with clinicians working in psychiatry. We used discourse analysis to investigate how the clinician view the doctor-patient interaction. Results: We identified three discources which were termed the medical standpoint, the psychodynamic standpoint and the standpoint of the patient's experience. Conclusions: In their talk, the clinicians use the three discources to make sense of the diverse expectations from both the patient and the mental health care system. The three discources also reflect different aspects in psychiatric treatment cultures, such as evidence-based medicine, the ideal of patientcenteredness, therapeutic interaction and organizational requirements.