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For a century and a half cholera has been a stigmatizing disease. That the entire world was susceptible to it seemed merely to accentuate its association with Asia, and particularly with Bengal and its people. The recent epidemic in Haiti suggests that cholera still carries stigma. That stigma is the product of epistemic practices within an interdisciplinary and orientalist cholera science that took shape in the 1860s and 1870s, which have, without renewed scrutiny, prevailed largely uncontested until recent decades. Those practices involved an over-interpretation of the historical epidemiological work of John Macpherson by his colleague N. C. Macnamara. Recent research, recognizing the wide distribution and genetic instability of Vibrio cholerae, offers an alternative context for appreciating Macpherson's insights. This new program of interdisciplinary cholera research seems largely free of stigmatizing representations, but nor does it offer (or seek) a single and simple program of cholera prevention. The cholera case study invites reflection on the little-studied problem of epistemic accountability in interdisciplinary research, alerts us to questions of how disciplines are (and might be) made to cohere in policy-driven inquiries. The chief maxim is toward more explicit inclusion of the concept of multiple working hypotheses.  相似文献   
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An earthquake devastated Haiti in January 2010, killing than over 230,000 and displacing millions. Following this disaster, a culturally specific narrative model was developed for leaders (i.e., teachers, clergy, etc.) to treat trauma symptomatology among Haitians. The Haitian local leaders (n=85) were treated with the narrative model. Data were collected and analyzed, and the results were significant. The leaders’ trauma symptoms decreased following treatment. Following the narrative treatment, they were trained to utilize the model. Recommendations for future research and limitations of the study are discussed.  相似文献   
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This study explored the prevalence of posttraumatic stress disorder (PTSD) symptoms related to social support received by the children and adolescents who survived the earthquake on January 12, 2010, in Haiti. A strategy of stratified sampling was used, and 540 children and teenagers were questioned. Questionnaires based on the PTSD Checklist, the Impact of Event Scale-Revised, and the Peritraumatic Distress Inventory, among others, were used and bivariate statistical analyses were carried out. The results showed high rates of complete and partial PTSD symptoms, with higher rates among females, and indicated the need for reinforcing social support as a resilience factor for youth.  相似文献   
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