Tinkering with symptoms, causes and solutions: Tracing the enactments of multiple chronic illnesses in specialised outpatient check-ups

Negotiated care practices: The experiences of young people who question their gender, their parents and the healthcare professionals who support them

Care, while having no clear boundaries, facilitates a nurturing that requires a disposition to act in another's interests. Care, however, is never disinterested and dividing practices vie with transformative potential, to define what is regarded as appropriate support. Current healthcare for young people who question their gender identity reflect this tension, particularly in the UK, where ideological inscriptions can subvert caring intent. In exploring this, our paper presents testimonial experiences from young people referred to the Gender Identity Development Service (GIDS) in England, their parents and clinicians responsible for their care. We consider how care is negotiated and (re)produced, by exploring how young people and their parents respond to gender questioning and seek resolution through their relationships with formal care providers. Using the work of Annemarie Mol, we provide an understanding of the creative calibration of elements that make up a situation, until they somehow fit and work, to define a caring environment characterised by complex, ambivalent and shifting tensions. Our conclusion assesses the possibilities for more inclusive caring practices, in which diversity of experience is acknowledged, along with the different ways that gender identity finds expression.

Making it Work: Everyday Life and Healthcare with Multiple Chronic Illnesses in Denmark

A growing concern in clinical literature with the "treatment burden" of living with multimorbidity raises questions about how we can study and produce knowledge on the impact of health care. In this article, we draw on ethnographic material from fieldwork among people with multimorbidity in Denmark and recent theorization on "values" in health care, to show how an ongoing "trying out" and ways of "just getting on with it" are enacted in illness trajectories marked by multimorbidity. Our findings point to the importance of attending to the subject positions that particular healthcare relations and encounters make possible.

Expanding Medical Semiotics

This special issue explores the evolving landscape of medical semiotics of conventional biomedicine. With expansion we refer to the range of phenomena considered signs or symptoms of underlying disease, but also the growing anthropological attention to the medical sign system in ways which reach beyond classic semiotic analysis. The articles testify to the expansion in terms of empirical foci and theoretical contributions. As part of the introduction, we discuss three modes of reading symptoms within medical anthropology: the hermeneutic, material, and critical readings, all highlighting the crucial role of medical anthropology in understanding the biosocial and cultural dimensions of medical semiotics.