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Take Away the Hunger Take Away the Hunger
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“Packages of Care” “Packages of Care”
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A Local Formulary for Adaptation A Local Formulary for Adaptation
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Dr. Chanta and Systemic Failures Dr. Chanta and Systemic Failures
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Health and Care Health and Care
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Notes Notes
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10 Labor Instability and Community Mental Health: The Work of Pharmaceuticals in Santiago, Chile
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Published:July 2013
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Abstract
This chapter explores how the local destiny of Chile's national program for depression was forged through pharmaceuticals. How and when women use antidepressants reflect both their practical knowledge of everyday afflictions and the shifting affective configurations of their domestic lives. In La Pincoya, psychopharmaceuticals distributed by the local primary care center in the framework of community mental health are absorbed into domestic relations. As material substrates, they can manifest care among neighbors and kin when shared in a variety of ways. They have entered a local formulary of medications informed by practical knowledges of the bodily symptoms and afflictions that are often reactions to labor instability, kinship relations, and economic indebtedness. The chapter examines how these knowledges work in relation to “health,” experienced locally, and how these knowledges—in tandem with institutional failures—can obscure rare disease processes.
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