Space in its place: Developing the link in medical geography

Kearns, Robin; Joseph, Alun E.

doi:10.1016/0277-9536(93)90364-a

Cited by 173 publications

(75 citation statements)

References 12 publications

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“…Recent research conducted within the Geography of Health has been instrumental in promoting and emphasizing the need for health research that focuses on place as a zone of experience and meaning (see Abel and Kearns, 1991;Gesler, 1991;Kearns and Gesler, 1999;Kearns and Joseph, 1993). Situating himself between the new cultural geography and health geography, Gesler (1991) first introduced geographers to the term 'therapeutic landscapes' in his book The Cultural Geography of Health Care.…”

Section: Revisiting Therapeutic Landscapesmentioning

confidence: 99%

Therapeutic landscapes and First Nations peoples: an exploration of culture, health and place

Wilson¹

2003

Health & Place

357

290

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This paper contributes to an expanding body of research within Health Geography that focuses on the role of therapeutic landscapes in shaping health. Therapeutic landscapes demonstrate the importance of places for maintaining physical, emotional, mental and spiritual health. Meanings of place and the relationship between place and health have culturally specific dimensions, yet these tend to be overlooked especially with respect to First Nations peoples. This paper broadens the analysis of therapeutic landscapes by exploring their culturally specific dimensions in the context of the everyday lives of 'Anishinabek' and thus contributes to a better understanding of First Nations peoples.First Nations peoples contend that the relationship they have with the land shapes the cultural, spiritual, emotional, physical and social lives of individuals and communities. While geographic research has explored First Nations peoples health, few studies have attempted to explore the influence of cultural beliefs and values on health-let alone the intricate link between the land and health. This paper presents the results of 17 in-depth interviews conducted with Anishinabek (Ojibway and Odawa) living in one First Nations community in northern Ontario, Canada.The findings from the interviews demonstrate that culture is an important component of the link between health and place in everyday life. Incorporating First Nations peoples' perspectives of health and place reveals that the current conceptualizations of health and place within the Geography of Health literature are only partial. r

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Section: Revisiting Therapeutic Landscapesmentioning

confidence: 99%

Therapeutic landscapes and First Nations peoples: an exploration of culture, health and place

Wilson¹

2003

Health & Place

357

290

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“…This framework provides a theoretical base for understanding NIMBY as a socio-spatial stigma. For example, Kearns and Joseph (1993) note, the most socially excluded are often the most spatially distant. Both sorts of "distance"-social and spatial-collapse into one; that is, the constructs that render the "other" different, immoral, or dangerous can be implemented spatially so that physical distance helps safeguard social and moral distance.…”

Section: Nimby and Socio-spatial Distancing: Implications For Syringementioning

confidence: 99%

NIMBY localism and national inequitable exclusion alliances: The case of syringe exchange programs in the United States

et al. 2007

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Syringe exchange programs (SEPs) aim to reduce the harm associated with injection drug use (IDU). Although they have been accepted as critical components of HIV prevention in many parts of the world, they are often unwelcome and difficult to set up and maintain, even in communities hardest hit by IDU-related HIV transmission. This research examines socio-cultural and political processes that shape community and institutional resistance toward establishing and maintaining SEPs. These processes are configured and reinforced through the socio-spatial stigmatizing of IDUs, and legal and public policy against SEPs. Overarching themes the paper considers are: (1) institutional and/or political opposition based on (a) political and law enforcement issues associated with state drug paraphernalia laws and local syringe laws; (b) harassment of drug users and resistance to services for drug users by local politicians and police; and (c) state and local government (in)action or opposition; and (2) the stigmatization of drug users and location of SEPs in local neighborhoods and business districts. Rather than be explained by "not in my back yard" localism, this pattern seems best conceptualized as an "inequitable exclusion alliance" (IEA) that institutionalizes national and local stigmatizing of drug users and other vulnerable populations.

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“…Alternative, relative concepts of space might be determined by the degree of linkage in spatial networks (Chorley and Haggett 1974), or even by hyperspaces, created by cybernetic systems. Kearns and Joseph (1993), are among those who argue that space can also be seen as both the medium and outcome of social relations. Space therefore has social significance and is socially constructed.…”

Section: Ideas Of Space and Place In The Geography Of Healthmentioning

confidence: 99%

“…Authors such as Kearns (1991) and Joseph (1993) consider the ways that certain cultures imbue particular places with special meanings from the point of view of health. Holistic approaches to understanding varying experiences of health and illness may encourage a consideration of how mental and physical wellbeing interact and how mental state is associated with sense of place.…”

Section: Landscapes and Sense Of Placementioning

confidence: 99%

See 1 more Smart Citation

Is There a Place for Geography in the Analysis of Health Inequality?

Curtis

Jones

1998

Sociology Health & Illness

235

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This paper considers how ideas and evidence concerning geographical health variation are used in discourses relating to health inequalities. We consider the different concepts of space and place which are employed in these debates. Much of the discussion in the literature focuses on the relative importance of compositional and contextual effects in determining health variation between different geographical areas. We discuss some of the theory which might illuminate the possible impact of place on health inequalities. In the light of this theoretical debate, and focusing mainly on research from Britain, we review the empirical evidence concerning place as a contributor to health inequalities. It is concluded that while individual characteristics are very important for the health inequalities which are observed between people, their geographical setting also has some significance. This has implications for policies aiming to reduce health inequalities.

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Space in its place: Developing the link in medical geography

Cited by 173 publications

References 12 publications

Therapeutic landscapes and First Nations peoples: an exploration of culture, health and place

Therapeutic landscapes and First Nations peoples: an exploration of culture, health and place

NIMBY localism and national inequitable exclusion alliances: The case of syringe exchange programs in the United States

Is There a Place for Geography in the Analysis of Health Inequality?

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