Les Medecins Generalistes Doivent Ils Et Peuvent Ils Sapproprier La Demarche Palliative

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Les médecins généralistes doivent-ils et peuvent-ils s'approprier la démarche palliative?

Author : Claudine Lavalard-Jaud
Publisher :
ISBN 13 :
Total Pages : 196 pages
Book Rating : 4.:/5 (758 download)

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Book Synopsis Les médecins généralistes doivent-ils et peuvent-ils s'approprier la démarche palliative? by : Claudine Lavalard-Jaud

Download or read book Les médecins généralistes doivent-ils et peuvent-ils s'approprier la démarche palliative? written by Claudine Lavalard-Jaud and published by . This book was released on 2009 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : Depuis quelques années, la France a vu émerger de nouvelles lois, des recommandations, sur les soins palliatifs et la Démarche palliative est en plein essor dans les pratiques médicales actuelles. Le médecin généraliste est le pilier de la prise en charge de la fin de vie à domicile. Objectif : Ce travail a pour but de dégager des idées directrices sur la perception et les connaissances de la Démarche palliative par les médecins généralistes. Méthodes : Un questionnaire qualitatif a été adressé à 76 médecins généralistes enseignants ou maîtres de stage attachés à la Faculté Libre de Médecine de Lille, installés dans les départements du Nord et du Pas-de-Calais. Résultats : La définition exacte des soins palliatifs est peu connue des médecins. 100% des répondeurs ont une expérience des soins palliatifs à domicile. Les patients pris en charge étaient principalement suivis en oncologie, ou des personnes âgées, ou des patients poly-pathologiques. Face aux nombreuses difficultés rencontrées, les médecins privilégient la pluridisciplinarité, le conseil de praticiens expérimentés, et le recours à la créativité. Les médecins estiment que les conditions de prise en charge de fin de vie à domicile sont satisfaisantes. Celle-ci nécessite des aides humaines, voire techniques apportées souvent par l’hospitalisation à domicile. Le lieu le plus approprié pour la pratique des soins palliatifs est le lieu choisi par le patient, le domicile en phase ultime. Les médecins ont reçu des informations sur le thème des soins palliatifs, peu provenaient de leurs études médicales théoriques. Les références officielles sont moyennement connues des médecins généralistes. Le mouvement des soins palliatifs a permis d’optimiser la relation médecin - malade. Conclusions : Les médecins généralistes doivent s’approprier la Démarche palliative. Trois conditions sont nécessaires pour qu’ils puissent vraiment se l’approprier en pratique: volonté d’accompagner la fin de vie de son patient, participer à des formations en soins palliatifs, s’entourer de partenaires efficaces comme l’hospitalisation à domicile.

Soins palliatifs à domicile

Author : Céline Dyl
Publisher :
ISBN 13 :
Total Pages : 194 pages
Book Rating : 4.:/5 (95 download)

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Book Synopsis Soins palliatifs à domicile by : Céline Dyl

Download or read book Soins palliatifs à domicile written by Céline Dyl and published by . This book was released on 2015 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Opinion des médecins généralistes concernant l'utilisation d'un outil élaboré par AMAVI pour l'identification d'un patient nécessitant une démarche palliative

Download Opinion des médecins généralistes concernant l'utilisation d'un outil élaboré par AMAVI pour l'identification d'un patient nécessitant une démarche palliative PDF Online Free

Author : Baptiste Desoutter
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (132 download)

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Book Synopsis Opinion des médecins généralistes concernant l'utilisation d'un outil élaboré par AMAVI pour l'identification d'un patient nécessitant une démarche palliative by : Baptiste Desoutter

Download or read book Opinion des médecins généralistes concernant l'utilisation d'un outil élaboré par AMAVI pour l'identification d'un patient nécessitant une démarche palliative written by Baptiste Desoutter and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : La HAS, sur la base de données scientifiques, cherche à promouvoir l'instauration précoce de soins palliatifs. Dans l'agglomération dunkerquoise, elle est perçue comme tardive par les acteurs du réseau de santé AMAVI. A partir de ce constat, ces derniers ont mis à disposition de médecins généralistes un outil facilitant l'identification des patients nécessitant une démarche palliative. Deux ans après sa diffusion, AMAVI a observé une sous-utilisation de cet outil par les médecins contactés. Quelle est l'opinion des médecins généralistes de l'agglomération dunkerquoise concernant la pertinence de l'utilisation de l'outil élaboré par AMAVI ? Méthode : Une analyse qualitative a été menée d'avril à juin 2021, basée sur quinze entretiens individuels semi-dirigés, réalisés jusqu'à suffisance des données, auprès de médecins généralistes installés dans l'agglomération dunkerquoise. Après retranscription puis codage avec triangulation, une analyse inductive à visée phénoménologique, inspirée de la théorisation ancrée a été effectuée à l'aide du logiciel NVivo QSR 12®. Résultats : L'utilisation de l'outil ne correspondrait pas aux principes d'une bonne démarche palliative selon les participants. Les médecins réussiraient, grâce à leur intuition, à repérer une situation palliative sans utiliser d'outil. Ils éprouvaient des difficultés à comprendre la pertinence de la question surprise. Un score leur semblait inadapté pour apprécier un besoin de soins palliatifs. Les médecins souhaitaient analyser des éléments contextuels, plutôt que par une approche biomédicale. Néanmoins, ils pourraient adapter l'utilisation de l'outil et le rendre compatible avec leur pratique. L'outil pourrait mesurer l'évolution de la situation des patients. Il aiderait à justifier une décision. Il pourrait servir à communiquer entre soignants et avec le patient. Le retard d'initiation constaté par AMAVI ne serait pas uniquement lié à un défaut d'identification. D'autres solutions que la diffusion de l'outil ont été suggérées pour favoriser l'anticipation des soins palliatifs au niveau local. Conclusion : L'analyse révèle des réserves de la part des médecins vis à vis de l'outil d'AMAVI, sans constater de refus d'utilisation de leur part. Des pistes d'amélioration des pratiques ont pu être identifiées, afin de mieux anticiper les soins palliatifs. D'autres travaux sont nécessaires pour évaluer leur impact.

Les facteurs limitant les médecins généralistes du Tarn et Garonne dans la prise en charge à domicile de leurs patients en soins palliatifs, et leurs ressources pour y faire face

Download Les facteurs limitant les médecins généralistes du Tarn et Garonne dans la prise en charge à domicile de leurs patients en soins palliatifs, et leurs ressources pour y faire face PDF Online Free

Author : Emilie Laurent
Publisher :
ISBN 13 :
Total Pages : 192 pages
Book Rating : 4.:/5 (114 download)

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Book Synopsis Les facteurs limitant les médecins généralistes du Tarn et Garonne dans la prise en charge à domicile de leurs patients en soins palliatifs, et leurs ressources pour y faire face by : Emilie Laurent

Download or read book Les facteurs limitant les médecins généralistes du Tarn et Garonne dans la prise en charge à domicile de leurs patients en soins palliatifs, et leurs ressources pour y faire face written by Emilie Laurent and published by . This book was released on 2019 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : la prise en charge des patients en phase palliative est l'un des principaux enjeux actuels de santé publique, plaçant le médecin généraliste au cœur de la prise en charge lorsque les soins palliatifs sont organisés au domicile. Malgré les mesures législatives mises en place, l'essor des soins palliatifs à domicile se heurte encore à de nombreuses difficultés. Nous nous sommes intéressés plus particulièrement à la population médicale du Tarn et Garonne pour d'identifier les freins perçus par les médecins généralistes (MG) à la mise en place de soins palliatifs à domicile. Nous avons secondairement identifié les ressources disponibles sur le territoire et discuter des améliorations possibles. Matériel et méthode : il s'agit d'une étude quantitative descriptive, de type évaluation des pratiques professionnelles, reposant sur une enquête déclarative non rémunérée et anonyme. Elle a été réalisée à l'aide d'un questionnaire standardisé élaboré à partir des données de la littérature et diffusé par mail aux 190 médecins généralistes installés dans le département du Tarn et Garonne, par l'intermédiaire de l'antenne départementale de l'ARS. Résultats : malgré son faible taux de participation de 16.3%, notre étude montre que les difficultés sont nombreuses et variées. Les MG interrogés avaient pour principaux freins leur manque de disponibilité associé à la difficulté d'assurer la permanence des soins, la gestion des symptômes d'inconfort, l'absence ou l'épuisement de l'entourage et les difficultés matérielles ou environnementales. Le Réso82 et l'HAD restent les ressources de première intention sur le département. Les principales améliorations souhaitées par les médecins de notre étude sont les solutions de répit pour les aidants et une aide technique par l'intermédiaire de protocoles. Conclusion : pour aider les MG dans la prise en charge de leurs patients en soins palliatifs à domicile il conviendrait de développer l'aspect humain et éthique de leur formation ainsi que prévenir l'épuisement des aidants par la mise en place de solutions de répit. Il ne faut cependant pas perdre de vue que la démarche palliative nécessite de la disponibilité de la part des MG qui ne peut être remplacée par la multiplicité des acteurs de soins.

Oxford Textbook of Palliative Medicine

Author : Nathan I. Cherny
Publisher : Oxford University Press, USA
ISBN 13 : 0199656096
Total Pages : 1281 pages
Book Rating : 4.1/5 (996 download)

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Book Synopsis Oxford Textbook of Palliative Medicine by : Nathan I. Cherny

Download or read book Oxford Textbook of Palliative Medicine written by Nathan I. Cherny and published by Oxford University Press, USA. This book was released on 2015 with total page 1281 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.

Oxford Textbook of Palliative Care for Children

Author : Richard Hain
Publisher : Oxford University Press
ISBN 13 : 019882131X
Total Pages : 535 pages
Book Rating : 4.1/5 (988 download)

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Book Synopsis Oxford Textbook of Palliative Care for Children by : Richard Hain

Download or read book Oxford Textbook of Palliative Care for Children written by Richard Hain and published by Oxford University Press. This book was released on 2021-03-24 with total page 535 pages. Available in PDF, EPUB and Kindle. Book excerpt: The importance of palliative care for children facing life threatening illness and their families is now widely acknowledged as an essential part of care, which should be available to all children and families, throughout the child's illness and at the end of life. The new edition of the Oxford Textbook of Palliative Care for Children brings together the most up to date information, current knowledge, evidence, and developments of clinical practice in the field. The book is structured into four sections. 'Foundations of Care' describes core issues, the foundations on which paediatric palliative care is based. 'Child and Family Care' looks at different aspects of psychological, social, and cultural care for the sick child or young person, and their family. These chapters cover the time course of the illness, around the time of death and support for the bereaved family. 'Symptom Care' focuses on the uses of medication, specific symptoms, and their management. Finally, 'Delivery of Care' examines practical approaches to care in different environments and the needs of clinicians. Two new editors join the team from Canada and South Africa, reflecting our aims to contribute towards the development of care for children across the world, and to be a resource for both experienced clinicians and those new to the field. Comprehensive in scope, exhaustive in detail, and definitive in authority, this third edition has been thoroughly updated to cover new practices, current epidemiological data, and the evolving models that support the delivery of palliative medicine to children. This includes two new chapters, looking in detail at 'Decision Making' and 'Perinatal Care', and a new section highlighting the emerging importance of 'Palliative Care for Children in Humanitarian Crises'. This book is an essential resource for anyone who works with children worldwide.

Congregations in Europe

Author : Christophe Monnot
Publisher : Springer
ISBN 13 : 3319772619
Total Pages : 229 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Congregations in Europe by : Christophe Monnot

Download or read book Congregations in Europe written by Christophe Monnot and published by Springer. This book was released on 2018-05-14 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume describes and maps congregations of Christian confessions and denominations, as well as groups with Jewish, Buddhist, Muslim, Hindu, and various other spiritual faiths, in different European countries. Consisting of three parts, it presents concrete sociological studies addressing how established and not established, old and new congregations of various faiths create a new kind of religious diversity at the country level; how religious congregations are challenged and thrive in large cities; and how religious congregations change in the 21st century. The book enlightens by its descriptive analysis and the theoretical questions it raises concerning the religious transformations happening all over Europe. It addresses issues of religious diversity in the cities of Europe by presenting large studies conducted in cities such as Barcelona in Spain, and Aarhus in Denmark. By means of large-scale censuses taken in areas such as North Rhine-Westphalia in Germany and in countries like Switzerland and Italy, the book shows how the historically established churches restructure their congregations and activities. It clarifies for the new gatherers where and how a new diversity of religious congregations is in the process of being established. Finally, the book covers two important topical issues: pluralisation and secularisation. It provides new data on religious diversity, painting a new picture of secularisation: the impact and structural consequences of the long-term decrease of membership in the established churches.

Diffused Religion

Author : Roberto Cipriani
Publisher : Springer
ISBN 13 : 3319578944
Total Pages : 278 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Diffused Religion by : Roberto Cipriani

Download or read book Diffused Religion written by Roberto Cipriani and published by Springer. This book was released on 2017-10-26 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the concept of diffused religion as it is found in contemporary society, resulting from a vast process of religious socialisation that continues to pervade our cultural reality. It provides a critical engagement with a framework of non-institutional religion that is based on values largely shared in society by being diffused through primary and secondary socialisation. Cipriani also contends that these very values which give form to diffused religion can also be seen in themselves as their own kind of religion. As a result, they go beyond secularisation and favour the religious continuum extending around the world of diffused religions. This work will be of great interest to scholars in the Sociology of Religion and to anyone wanting to learn more about the social aspects of religion.

Children's Palliative Care in Africa

Author : Justin Amery
Publisher :
ISBN 13 : 0199567964
Total Pages : 448 pages
Book Rating : 4.1/5 (995 download)

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Book Synopsis Children's Palliative Care in Africa by : Justin Amery

Download or read book Children's Palliative Care in Africa written by Justin Amery and published by . This book was released on 2009 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childen's palliative care has developed rapidly as a discipline, as health care professionals recognize that the principles of adult palliative care may not always be applicable to children at the end of life. The unique needs of dying children are particularly evident across Africa, where the scale of the problem is overwhelming, and the figures so enormous that they are barely comprehensible: over 400,000 children in Africa died from AIDS in 2003, and out of the 166,000 children a year diagnosed with cancer, 85% of these are in the developing world. Despite the enormous need, provision of children's palliative care in Africa is almost non-existent, with very few health workers trained and confident to provide care for dying children. The challenges of providing palliative care in this setting are different to those in more developed countries, contending with the shortage of physical and human resources in addition to the vast scope of the care needed. Written by a group with wide experience of caring for dying children in Africa, this book provides practical, realistic guidance by improving access to, and delivery of, palliative care in this demanding setting. It looks at the themes common to palliative care--including communication, assessment, symptom management, psychosocial issues, ethical dilemmas, end of life care, and tips for the professional on compassion and conservation of energy--but always retains the focus on the particular needs of the health care professional in Africa. While containing some theory, the emphasis is on practical action throughout the book. Children's Palliative Care in Africa provides health care professionals working in Africa, and other resource-poor settings, with the confidence, knowledge, and capacity to improve care for the terminally ill child in constrained and demanding environments.

India's Immortal Comic Books

Author : Karline McLain
Publisher : Indiana University Press
ISBN 13 : 0253220521
Total Pages : 265 pages
Book Rating : 4.2/5 (532 download)

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Book Synopsis India's Immortal Comic Books by : Karline McLain

Download or read book India's Immortal Comic Books written by Karline McLain and published by Indiana University Press. This book was released on 2009-03-04 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: Combining entertainment and education, India's most beloved comic book series, Amar Chitra Katha, or "Immortal Picture Stories," is also an important cultural institution that has helped define, for several generations of readers, what it means to be Hindu and Indian. Karline McLain worked in the ACK production offices and had many conversations with Anant Pai, founder and publisher, and with artists, writers, and readers about why the comics are so popular and what messages they convey. In this intriguing study, she explores the making of the comic books and the kinds of editorial and ideological choices that go into their production.

Acupuncture in Practice

Author : Hugh MacPherson (Ph. D.)
Publisher :
ISBN 13 : 9780443050497
Total Pages : 482 pages
Book Rating : 4.0/5 (54 download)

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Book Synopsis Acupuncture in Practice by : Hugh MacPherson (Ph. D.)

Download or read book Acupuncture in Practice written by Hugh MacPherson (Ph. D.) and published by . This book was released on 1997 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by THE leading lights in the field of integrating acupuncture into a Western medical system, this book bridges the gap between the theoretical foundations of acupuncture and its application in a modern Western clinical context. Each case history focuses on the complexities and dilemmas of treatment that are tackled, providing valuable insights by experienced practitioners into the management of a course of acupuncture treatment.

Lived Religion in Latin America

Author : Gustavo S. J. Morello
Publisher : Oxford University Press
ISBN 13 : 0197579620
Total Pages : 257 pages
Book Rating : 4.1/5 (975 download)

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Book Synopsis Lived Religion in Latin America by : Gustavo S. J. Morello

Download or read book Lived Religion in Latin America written by Gustavo S. J. Morello and published by Oxford University Press. This book was released on 2021 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Latin American critical sociology perspective on religion -- Historical context -- Respondents' religious and social landscape -- Latin Americans' god -- Latin Americans' ways of praying -- Religion in Latin America's public sphere.

The NHS Improvement Plan

Author : Great Britain. Department of Health
Publisher : The Stationery Office
ISBN 13 : 9780101626828
Total Pages : 94 pages
Book Rating : 4.6/5 (268 download)

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Book Synopsis The NHS Improvement Plan by : Great Britain. Department of Health

Download or read book The NHS Improvement Plan written by Great Britain. Department of Health and published by The Stationery Office. This book was released on 2004 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: This document sets out the priorities for the NHS up to 2008 based on the process of reform set out in the NHS Plan (Cm. 4818-I ISBN 0101481829). It is in three sections. The first 'Laying the foundations' looks at the progress so far in NHS reform. The second section 'Offering a better service' sets out the objectives of the policy under the headings of personalised care, supporting people with long-term conditions, and a healthier and fitter population. One of the aims is to change the NHS from a sickness service to a service that gives a higher priority to the prevention of disease and a reduction of health inequalities. The third section is called 'Making it happen' and it covers investment and diversity of provision, staff and working practices and information systems.

Silent was Zarathustra

Author : Nicolas Wild
Publisher : Harper Collins
ISBN 13 : 9351363449
Total Pages : 534 pages
Book Rating : 4.3/5 (513 download)

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Book Synopsis Silent was Zarathustra by : Nicolas Wild

Download or read book Silent was Zarathustra written by Nicolas Wild and published by Harper Collins. This book was released on 2016-01-10 with total page 534 pages. Available in PDF, EPUB and Kindle. Book excerpt: The much awaited sequel to the two successful Kabul Disco books Nicolas Wild travels to Iran at the invitation of his friend Sophia, daughter of the well-known humanist Cyrus Yazdani, who had been assassinated in mysterious circumstances. Here, Wild discovers Zoroastrianism, one of the world's first monotheistic religions and an inspiration to numerous philosophers, among them Nietzsche. As he meets and talks to people in Iran, Wild becomes immersed in Cyrus's story. With Sophia's permission, he goes to Geneva to hear the testimonies of the assassination trial at the Criminal Court. Inspired by the life of a real-life activist, Wild's account reveals more than the story of one man's life or a court case. With characteristic humour - both unprejudiced and warm - he portrays a complex picture of a people and a culture.

Palliative Care Consultant

Author : Ohio Hospice and Palliative Care Organization Staff
Publisher :
ISBN 13 : 9780757561849
Total Pages : 0 pages
Book Rating : 4.5/5 (618 download)

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Book Synopsis Palliative Care Consultant by : Ohio Hospice and Palliative Care Organization Staff

Download or read book Palliative Care Consultant written by Ohio Hospice and Palliative Care Organization Staff and published by . This book was released on 2010-10-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Orthodox Christianity and Human Rights in Europe

Author : Elisabeth A. Diamantopoulou
Publisher : Dieux, Hommes et Religions / Gods, Humans and Religions
ISBN 13 : 9782807604209
Total Pages : 0 pages
Book Rating : 4.6/5 (42 download)

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Book Synopsis Orthodox Christianity and Human Rights in Europe by : Elisabeth A. Diamantopoulou

Download or read book Orthodox Christianity and Human Rights in Europe written by Elisabeth A. Diamantopoulou and published by Dieux, Hommes et Religions / Gods, Humans and Religions. This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collective book aims at examining in what terms, and to what extent, the "reception" of the Human Rights doctrine takes place in Eastern Orthodox countries, as well as in the Orthodox diaspora. A series of questions are raised regarding the resources and theological structures that are mobilized in the overall Human Rights' debate and controversy, the theological "interpretation" of Human Rights within the Eastern Orthodox spiritual tradition, and the similarities and/or divergences of this "interpretation", compared to the other Christian confessions. Special attention is given to the various Orthodox actors on the international arena, aside the national Orthodox churches, which participate in the Ecumenical dialogue, as well as the dialogue with the European and international institutions. Religious freedom, as a fundamental Human right, guaranteed by the European Convention of Human Rights (ECHR), constitutes a key-issue that contributes to broadening the reflections on the overall Human Rights-related problematic between East and West, by shading light on the more complex issue pertaining to the conceptualization and implementation of Human Rights in countries belonging to the Eastern Orthodox tradition. The present volume studies the diversity that characterizes the Orthodox theological traditions and interpretations regarding Human Rights, not only in terms of an "external", or a "strategical" approach of socio-political and ecclesial nature, but also through a reflexive analysis of theological discourses.

Contemporary Religiosities

Author : Bruce Kapferer
Publisher : Berghahn Books
ISBN 13 : 0857455346
Total Pages : 228 pages
Book Rating : 4.8/5 (574 download)

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Book Synopsis Contemporary Religiosities by : Bruce Kapferer

Download or read book Contemporary Religiosities written by Bruce Kapferer and published by Berghahn Books. This book was released on 2010-08-01 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: The last decade has seen an unexpected return of the religious, and with it the creation of new kinds of social forms alongside new fusions of political and religious realms that high modernity kept distinct. For a fuller understanding of what this means for society in the context of globalization, it is necessary to rethink the relationship between the religious and the secular; the contributors - all leading scholars in anthropology - do just that, some even arguing that secularization itself now takes a religious form. Combining theoretical reflection with vivid ethnographic explorations, this essential collection is designed to advance a critical understanding of social and personal religious experience in today's world.