Mirjam van Ewijk’s research while affiliated with Utrecht University and other places

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Publications (3)


Ethical problems in communication in immigrant health care
  • Article

May 1998

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5 Reads

Patient Education and Counseling

Mirjam van Ewijk

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Paul Grifhorst

Ethical Issues in Immigrant Health Care and Clinical Research

January 1998

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81 Reads

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25 Citations

In the past decade, the number of immigrants and refugees has increased dramatically in various nations throughout the world. Ethnic conflict in Africa, Eastern Europe, and elsewhere has resulted in large numbers of individuals living in diaspora. Those in search of better economic conditions or political asylum emigrate to countries where opportunities for safety and security are thought to exist. Thus, in the context of health care delivery, particularly in urban centers, cultural pluralism is the norm rather than the exception. In pluralistic societies, where the influx of immigrant and refugee populations has grown, interactions between patients and health professionals from different ethnic backgrounds are becoming routine.


Controlling and Disciplining the Foreign Body: A Case Study of TB Treatment among Asylum Seekers in the Netherlands

January 1998

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17 Reads

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15 Citations

In this chapter we explore some of the ways in which Dutch institutions produce knowledge and power about and over refugees’ bodies. These include the construction of images of ‘otherness’. Our focus is on the role of medicine in this process, particularly the provision of care for asylum seekers during their application for asylum, their mandatory screening for contagious tuberculosis (TB) and the treatment of asylum seekers suspected of being multiple drug-resistant tuberculosis (MDR TB) carriers.1

Citations (2)


... When treatment is refused, and the bodies are used as sites of resistance (by negotiating privileges within accommodation in return of treatment adherence), health professionals morally ascribed patients' refusal to ignorance, irresponsibility or deviance. These ascribed qualities were in turn attributed to refugees' 'culture', such as a relative ease with the concept of dying, an infrahuman quality in the age of biolegitimacy (van Ewijk and Grifhorst 1998). In line with the establishment of health-related prejudices against migrants, Taylor (2013) argues that migrant non-compliance and moral irresponsibility especially in the case of multidrug-resistant tuberculosis as assigned to migrants are part of the disease identity of tuberculosis in Europe. ...

Reference:

Discrimination as a Health Systems Response to Forced Migration
Controlling and Disciplining the Foreign Body: A Case Study of TB Treatment among Asylum Seekers in the Netherlands
  • Citing Chapter
  • January 1998

... Patients also reported concerns about privacy violation, especially when the interpreter belongs to the same community. In addition, differences in accent or in dialects between the patient and the interpreter were also reported by patients as affecting communication (Marshall et al., 1998;Tribe & Lane, 2009;Tribe & Sanders, 2003), as well as reports stating that class gaps or different value systems affected the therapeutic relationship (Bayes & Neill, 1978). Some CBT programs address the issue more explicitly. ...

Ethical Issues in Immigrant Health Care and Clinical Research
  • Citing Chapter
  • January 1998