Dominque P Behague
Dados Biográficos
| ID | 108998 |
|---|---|
| NOME | Dominque P Behague |
| PRENOMES | Dominque P |
| SOBRENOME | Behague |
| ASSINATURA | BEHAGUE D P |
| AFILIAÇÕES | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0001-8621-6942 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 38 |
| TOTAL DE CITAÇÕES | 266 |
| TOTAL COMO AUTOR | 38 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1993 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 9 |
Growing up otherwise
This paper proposes a reframing of how young men become embroiled—or not—in the systemic violence that infuses their daily lives. Most frameworks in health and social policy tend to approach violence as rooted in psycho‐developmental problems and/or social and structural determinants. These approaches can underemphasize the relational specificities and institutional dynamics through which violence is reproduced and might otherwise be interrupted.…
No more single stories
Rethinking and remaking “the social”
This paper presents findings from a qualitative study exploring how students at a university in the southern USA conceptualize, theorize, and attempt to influence the role ‘social factors’ play in mental illness and well-being. Drawing on models of research co-production and principles of critical pedagogy, a group of 10 university students (‘student researchers’) worked with a faculty member to develop and conduct the study. The results highligh…
Contested leadership and the governance of Covid-19 in Brazil
Strong public health governance and leadership driven by scientific evidence, community participation, and attention to social and structural determinants of health are key to effective covid-19 containment. Given the failure of the federal government in Brazil to adopt effective public health measures, state and municipal governments, as well as community activists, have stepped in to fill the void. This essay examines the synergistic role that …
The Politics of Clinic and Critique in Southern Brazil
Drawing on a historical ethnography of how Brazil's post-dictatorial psychiatric reforms have shaped young people's lives, this paper builds on Eve Sedgwick's analysis of the hermeneutics of suspicion to show that narrow applications of Foucault's biopower concept nurture forms of resistance to bio-reductionism centred primarily on epistemic deconstruction. To unsettle this hermeneutic, I put young people's theories of power into conversation wit…
O que a medicina social latino-americana pode contribuir para os debates globais sobre as políticas da Covid-19
função de sua "preparatividade" (preparedness) 1 para enfrentar uma
The Global Psyche
Adolescent Sex and Psyche in Brazil
Drawing on a historical ethnography conducted in Southern Brazil, this article explores how public health programs for adolescent reproductive and mental health have emerged in Brazil and begun to intersect with the growing field of “global mental health” (GMH). The story I recount begins not in the 2010s with the rapid rise of expert interest in adolescent health within GMH, but in the 1990s, the decade when young teens in Brazil were first comi…
Re-imagining global health through social medicine
The conceptual and practical work done by social medicine and global health have often overlapped. In this paper, we argue that new efforts to apprehend 'the social' in social medicine offer important insights to global health along five lines of critical analysis: (1) reconfigurations of the state and new forms of political activism, (2) philanthrocapitalism and the economisation of life, (3) The economy of attention, (4) anthropogenic climate c…
Psychiatry, Sex, and Science
Research linking teen motherhood to psychoneurodevelopmental causes and pathologies has proliferated in the past two decades. In Brazil, a psychodevelopmental project of teen motherhood has gained traction despite many experts' long-standing commitment to psychodynamic psychiatry and social epidemiology, generating epistemic tension rather than substitution. Drawing on historical ethnography conducted in Southern Brazil, I explore how this projec…
Policy ideals and everyday politics in the Partnership for Maternal, Newborn and Child Health—the role of ethnography
Guilty until proven innocent”
The MMR - maternal mortality ratio - has risen from obscurity to become a major global health indicator, even appearing as an indicator of progress towards the global Sustainable Development Goals. This has happened despite intractable challenges relating to the measurement of maternal mortality. Even after three decades of measurement innovation, maternal mortality data are widely presumed to be of poor quality, or, as one leading measurement ex…
Lives in the balance”
A decade ago, the Partnership for Maternal, Newborn and Child Health (PMNCH) was established to combat the growing fragmentation of global health action into uncoordinated, issue-specific efforts. Inspired by dominant global public-private partnerships for health, the PMNCH brought together previously competing advocacy coalitions for safe motherhood and child survival and attracted support from major donors, foundations and professional bodies. …
Psychiatry, bio-epistemes and the making of adolescence in southern Brazil
Drawing on an ethnographic study in southern Brazil, this paper explores how therapists' attempts to "resist bioreductionist" pharmaceutical use both succeed and crumble. Using a comparative framing, I show that pharmaceuticalization can become an anesthetizing "lid" that interacts with young people's polarizing micro-politics and is an outgrowth of multi-generational medico-political family histories. This lid, however, is not air-tight and exce…
Shaping the modern child
Taking pills for developmental ails in Southern Brazil
Playing the Numbers Game
Based on an ethnography of the international Safe Motherhood Initiative (SMI), this article charts the rise of evidence-based advocacy (EBA), a term global-level maternal health advocates have used to indicate the use of scientific evidence to bolster the SMI's authority in the global health arena. EBA represents a shift in the SMI's priorities and tactics over the past two decades, from a call to promote poor women's health on the grounds of fem…
Pragmatic politics and epistemological diversity
In recent years, the demand for cost-effective evidence of health impact has grown exponentially, often to the exclusion of other disciplines and of epidemiology's longstanding interest in the multivariate determinants of health. Drawing on an ethnography of the Safe Motherhood Initiative, this paper focuses on experts who, in producing historical case-study evidence, exceptionally inhabit a stigmatising epistemological position while still succe…
Taming troubled teens
Explanations for the association between teen-childbearing and subsequent mental morbidity vary considerably, from those based on neurological theories of development to those investigating underlying social and economic determinants. Based on longitudinal epidemiological and ethnographic sub-studies of the 1982 Pelotas birth cohort study, this paper explores the hypothesis that teen childbearing and subsequent mental morbidity have become associ…
Contraceptive medicalisation, fear of infertility and teenage pregnancy in Brazil
In Brazil, as in many other countries, teenage pregnancy is widely recognised as a public health problem. Buttressed by a public health science of the economics of teenage pregnancy that emphasises the postponement of parenthood as key to poverty reduction, young people's lack of appreciation for medical knowledge of contraceptives is most often credited for failed attempts to reduce teenage pregnancy. Based on a longitudinal ethnographic study c…
Evidence-based policy-making
Psychiatry and Politics in Pelotas, Brazil
The world-wide emergence of categories for diagnosing mental health problems in children and youth such as conduct disorder is often attributed to the globalization of a highly biomedical form of psychiatry. In Brazil, a small group of therapists are resisting biomedicalization by keeping psychodynamic traditions alive and aiming to transform psychotherapy into a resource for politicized youth empowerment. Nevertheless, clinical practices demonst…
Anthropology and Epidemiology
Collaboration between anthropology and epidemiology has a long and tumultuous history. Based on empirical examples, this paper describes a number of epistemological lessons we have learned through our experience of cross disciplinary collaboration. Although critical of both mainstream epidemiology and medical anthropology, our analysis focuses on the implications of addressing each discipline's main epistemological differences, while addressing t…
Psychiatry and Military Conscription in Brazil
The Domains of Psychiatric Practice
Playing the Numbers Game
Based on an ethnography of the international Safe Motherhood Initiative (SMI), this article charts the rise of evidence-based advocacy (EBA), a term global-level maternal health advocates have used to indicate the use of scientific evidence to bolster the SMI's authority in the global health arena. EBA represents a shift in the SMI's priorities and tactics over the past two decades, from a call to promote poor women's health on the grounds of fem…
The Pelotas birth cohort study, Rio Grande do Sul, Brazil, 1982-2001
Given the growing recognition of the importance of the life course approach for the determination of chronic diseases, birth cohort studies are becoming increasingly important. This paper describes the methods used in the 1982 Pelotas (Brazil) birth cohort study, one of the largest and longest studies of this type in developing countries. All 5,914 hospital births occurring in Pelotas in 1982 (over 99% of all deliveries) were studied prospectivel…
Evidence-based policy-making
Methodological aspects of the 1993 Pelotas (Brazil) birth cohort study
This paper describes the main methodological aspects of a cohort study, with emphasis on its recent phases, which may be relevant to investigators planning to carry out similar studies. In 1993, a population based study was launched in Pelotas, Southern Brazil. All 5,249 newborns delivered in the city's hospitals were enrolled, and sub-samples were visited at the ages of one, three and six months and of one and four years. In 2004-5 it was possib…
Pierre Bourdieu and transformative agency
This paper explores the social and institutional processes that constrain and enable obstetric patients in Benin to critically evaluate quality of healthcare and to stimulate positive changes in the health system. Based on qualitative data collected as part of a hospital auditing system, the paper analyses semi-structured patient feedback interviews and their function as a primary mechanism through which critical patient evaluation can develop co…
Psychiatry and Politics in Pelotas, Brazil
The world-wide emergence of categories for diagnosing mental health problems in children and youth such as conduct disorder is often attributed to the globalization of a highly biomedical form of psychiatry. In Brazil, a small group of therapists are resisting biomedicalization by keeping psychodynamic traditions alive and aiming to transform psychotherapy into a resource for politicized youth empowerment. Nevertheless, clinical practices demonst…
Lives in the balance”
A decade ago, the Partnership for Maternal, Newborn and Child Health (PMNCH) was established to combat the growing fragmentation of global health action into uncoordinated, issue-specific efforts. Inspired by dominant global public-private partnerships for health, the PMNCH brought together previously competing advocacy coalitions for safe motherhood and child survival and attracted support from major donors, foundations and professional bodies. …
Pragmatic politics and epistemological diversity
In recent years, the demand for cost-effective evidence of health impact has grown exponentially, often to the exclusion of other disciplines and of epidemiology's longstanding interest in the multivariate determinants of health. Drawing on an ethnography of the Safe Motherhood Initiative, this paper focuses on experts who, in producing historical case-study evidence, exceptionally inhabit a stigmatising epistemological position while still succe…
Collapsing the Vertical–Horizontal Divide
Using the international maternal health field as a case study, we draw on ethnographic research to investigate how public health researchers and policy experts are responding to tensions between vertical and horizontal approaches to health improvement. Despite nominal support for an integrative health system approach, we found that competition for funds and international recognition pushes professionals toward vertical initiatives. We also highli…
O que a medicina social latino-americana pode contribuir para os debates globais sobre as políticas da Covid-19
função de sua "preparatividade" (preparedness) 1 para enfrentar uma
Taking pills for developmental ails in Southern Brazil
The Global Psyche
Shaping the modern child
Taming troubled teens
Explanations for the association between teen-childbearing and subsequent mental morbidity vary considerably, from those based on neurological theories of development to those investigating underlying social and economic determinants. Based on longitudinal epidemiological and ethnographic sub-studies of the 1982 Pelotas birth cohort study, this paper explores the hypothesis that teen childbearing and subsequent mental morbidity have become associ…
Psychiatry, bio-epistemes and the making of adolescence in southern Brazil
Drawing on an ethnographic study in southern Brazil, this paper explores how therapists' attempts to "resist bioreductionist" pharmaceutical use both succeed and crumble. Using a comparative framing, I show that pharmaceuticalization can become an anesthetizing "lid" that interacts with young people's polarizing micro-politics and is an outgrowth of multi-generational medico-political family histories. This lid, however, is not air-tight and exce…
Determinantes sociais da iniciação sexual precoce na coorte de nascimentos de 1982 a 2004-5, Pelotas, RS
OBJETIVO: Analisar determinantes sociais da iniciação sexual precoce de jovens pertencentes a uma coorte de nascimentos. MÉTODOS: Foram entrevistados em 2004-5 os indivíduos da coorte de nascimentos de Pelotas (RS), em 1982 (N=4.297). A iniciação sexual precoce (
Growth monitoring and the promotion of breastfeeding
Psychiatry, Sex, and Science
Research linking teen motherhood to psychoneurodevelopmental causes and pathologies has proliferated in the past two decades. In Brazil, a psychodevelopmental project of teen motherhood has gained traction despite many experts' long-standing commitment to psychodynamic psychiatry and social epidemiology, generating epistemic tension rather than substitution. Drawing on historical ethnography conducted in Southern Brazil, I explore how this projec…
Uso de chupeta em crianças
Inexistem na literatura estudos sobre o possível papel das chupetas na transmissão da diarréia. Realizou-se um estudo transversal em 354 crianças menores de dois anos em duas vilas da periferia urbana de Pelotas, RS, Brasil, com precárias condições socioeconómicas. A maioria das crianças (79%) usava chupeta, 15% nunca as haviam utilizado e 6% já haviam abandonado o hábito. Dentre os usuários, 38% passavam a maior parte do tempo fazendo uso da chu…
Debate sobre o artigo de Minayo & Sanches
Growth monitoring and the promotion of breastfeeding
Uso de chupeta em crianças
Inexistem na literatura estudos sobre o possível papel das chupetas na transmissão da diarréia. Realizou-se um estudo transversal em 354 crianças menores de dois anos em duas vilas da periferia urbana de Pelotas, RS, Brasil, com precárias condições socioeconómicas. A maioria das crianças (79%) usava chupeta, 15% nunca as haviam utilizado e 6% já haviam abandonado o hábito. Dentre os usuários, 38% passavam a maior parte do tempo fazendo uso da chu…
Consumer demand for caesarean sections in Brazil
Objectives: To investigate why some women prefer caesarean sections and how decisions to medicalise birthing are influenced by patients, doctors, and the sociomedical environment. Design: Population based birth cohort study, using ethnographic and epidemiological methods. Setting: Epidemiological study: women living in the urban area of Pelotas, Brazil who gave birth in hospital during the study. Ethnographic study: subsample of 80 women selected…
Beyond the Simple Economics of Cesarean Section Birthing
Making medicine for the poor
As in many capitalist settings, health care in Brazil is becoming increasingly plural and complex. Since the mid-1980s, public health care in Brazil has undergone great expansion, decentralization and economic reorganization. The 1987 constitutional revision instituted the National Health Reform Commission, which reformed universal health care and created the Sistema Unico de Sade (SUS), or the Unified Health System. 1,2 These changes, in line wi…
The Pelotas birth cohort study, Rio Grande do Sul, Brazil, 1982-2001
Given the growing recognition of the importance of the life course approach for the determination of chronic diseases, birth cohort studies are becoming increasingly important. This paper describes the methods used in the 1982 Pelotas (Brazil) birth cohort study, one of the largest and longest studies of this type in developing countries. All 5,914 hospital births occurring in Pelotas in 1982 (over 99% of all deliveries) were studied prospectivel…
Methodological aspects of the 1993 Pelotas (Brazil) birth cohort study
This paper describes the main methodological aspects of a cohort study, with emphasis on its recent phases, which may be relevant to investigators planning to carry out similar studies. In 1993, a population based study was launched in Pelotas, Southern Brazil. All 5,249 newborns delivered in the city's hospitals were enrolled, and sub-samples were visited at the ages of one, three and six months and of one and four years. In 2004-5 it was possib…
Anthropology and Epidemiology
Collaboration between anthropology and epidemiology has a long and tumultuous history. Based on empirical examples, this paper describes a number of epistemological lessons we have learned through our experience of cross disciplinary collaboration. Although critical of both mainstream epidemiology and medical anthropology, our analysis focuses on the implications of addressing each discipline's main epistemological differences, while addressing t…
Psychiatry and Military Conscription in Brazil
The Domains of Psychiatric Practice
Béhague and Storeng Respond
Thank you for the opportunity to respond to Yeh and Brandes’s letter regarding our article.1 We are encouraged by their interest and will address their three points below. First, Yeh and Brandes are concerned that our use of opportunistic or purposive sampling, being nonsystematic and nonprobabilistic, has biased our results. However, for certain types of research questions, purposive sampling generates data of higher quality, validity, and perti…
Collapsing the Vertical–Horizontal Divide
Using the international maternal health field as a case study, we draw on ethnographic research to investigate how public health researchers and policy experts are responding to tensions between vertical and horizontal approaches to health improvement. Despite nominal support for an integrative health system approach, we found that competition for funds and international recognition pushes professionals toward vertical initiatives. We also highli…
Determinantes sociais da iniciação sexual precoce na coorte de nascimentos de 1982 a 2004-5, Pelotas, RS
OBJETIVO: Analisar determinantes sociais da iniciação sexual precoce de jovens pertencentes a uma coorte de nascimentos. MÉTODOS: Foram entrevistados em 2004-5 os indivíduos da coorte de nascimentos de Pelotas (RS), em 1982 (N=4.297). A iniciação sexual precoce (
Explorando as múltiplas trajetórias de causalidade
OBJETIVO: Embora a relação entre Epidemiologia e Antropologia tenha uma longa história, geralmente, ela tem sido compreendida por meio da integração dos métodos quantitativos e qualitativos em pesquisa. Recentemente, esses dois campos têm convergido para linhas conceituais e teóricas, enfatizando mais a explicação do que a simples descrição dos fenômenos investigados. O objetivo do estudo foi mostrar como a análise de dados etnográficos auxilia n…
Pierre Bourdieu and transformative agency
This paper explores the social and institutional processes that constrain and enable obstetric patients in Benin to critically evaluate quality of healthcare and to stimulate positive changes in the health system. Based on qualitative data collected as part of a hospital auditing system, the paper analyses semi-structured patient feedback interviews and their function as a primary mechanism through which critical patient evaluation can develop co…
Evidence-based policy-making
Psychiatry and Politics in Pelotas, Brazil
The world-wide emergence of categories for diagnosing mental health problems in children and youth such as conduct disorder is often attributed to the globalization of a highly biomedical form of psychiatry. In Brazil, a small group of therapists are resisting biomedicalization by keeping psychodynamic traditions alive and aiming to transform psychotherapy into a resource for politicized youth empowerment. Nevertheless, clinical practices demonst…
Contraceptive medicalisation, fear of infertility and teenage pregnancy in Brazil
In Brazil, as in many other countries, teenage pregnancy is widely recognised as a public health problem. Buttressed by a public health science of the economics of teenage pregnancy that emphasises the postponement of parenthood as key to poverty reduction, young people's lack of appreciation for medical knowledge of contraceptives is most often credited for failed attempts to reduce teenage pregnancy. Based on a longitudinal ethnographic study c…
Taming troubled teens
Explanations for the association between teen-childbearing and subsequent mental morbidity vary considerably, from those based on neurological theories of development to those investigating underlying social and economic determinants. Based on longitudinal epidemiological and ethnographic sub-studies of the 1982 Pelotas birth cohort study, this paper explores the hypothesis that teen childbearing and subsequent mental morbidity have become associ…
Pragmatic politics and epistemological diversity
In recent years, the demand for cost-effective evidence of health impact has grown exponentially, often to the exclusion of other disciplines and of epidemiology's longstanding interest in the multivariate determinants of health. Drawing on an ethnography of the Safe Motherhood Initiative, this paper focuses on experts who, in producing historical case-study evidence, exceptionally inhabit a stigmatising epistemological position while still succe…
Playing the Numbers Game
Based on an ethnography of the international Safe Motherhood Initiative (SMI), this article charts the rise of evidence-based advocacy (EBA), a term global-level maternal health advocates have used to indicate the use of scientific evidence to bolster the SMI's authority in the global health arena. EBA represents a shift in the SMI's priorities and tactics over the past two decades, from a call to promote poor women's health on the grounds of fem…
Shaping the modern child
Taking pills for developmental ails in Southern Brazil
Guilty until proven innocent”
The MMR - maternal mortality ratio - has risen from obscurity to become a major global health indicator, even appearing as an indicator of progress towards the global Sustainable Development Goals. This has happened despite intractable challenges relating to the measurement of maternal mortality. Even after three decades of measurement innovation, maternal mortality data are widely presumed to be of poor quality, or, as one leading measurement ex…
Political science (27 obras) · Sociology (25 obras) · Medicine (20 obras) · Psychology (18 obras) · Politics (17 obras) · Law (15 obras) · Ethnography (12 obras) · Gender Studies (10 obras) · Global Maternal and Child Health (10 obras) · Population (10 obras)