Summary:
Introduction and review of literature:
This review and user driven learning community ontology transcripts provide an overview of "the emotional economy, a shift where competitive advantage no longer stems from hardware, efficiency, or feature lists, but from the emotions products evoke through experience, interface, and brand identity. It signals an evolution of capitalism itself: from an age defined by industrial efficiency to one driven by experiential meaning.
In many ways, this extends the Business-to-Humans (B2H) mindset. Companies no longer think in terms of markets — B2B or B2C — but in terms of human relationships that hold emotional value. Empathy becomes infrastructure. Trust becomes currency. Emotional resonance becomes strategy."
Unquoted from: https://medium.com/
The key tool to build an empathic infrastructure for emotional economies to thrive:
"Regularly engaging in volunteer work hones empathy, the ability to understand and share the feelings of another, which enhances emotional intelligence—a critical factor in overall happiness. As volunteers interact with diverse individuals, they develop an aptitude for emotional cues and foster patience, understanding, and attentiveness. Empowered with these skills, volunteers tend to communicate better in personal and professional settings, leading to enriched relationships and personal fulfillment." Unquote: https://
Current postivist research translation barriers to translation of emotional economies at scale:
"Current positivist approaches have largely overlooked consideration of how power works in urban socio-ecological systems. Questions surrounding marginalization and exclusion, of who creates what type of urban ecological knowledge for whose benefit, are often eclipsed by analyses of the extent and benefits of urban greenspace. This is not to say that this work is not important, rather that it needs to be balanced with and supplemented by empirical and theoretical analyses of the power-laden political processes behind the production and distribution of benefits." Unquote: https://www.mdpi.com/
Qualitative solutions to bridging emotional economic power inequity research to translation gap:
"Emotional economies of care are thought of as multiplicities and becomings in the style of Deleuze and Guattari [1], allowing us to think of them as a composition of multiple human and nonhuman bodies joined by their increased capacity to act (their affects). Ref 1: Deleuze, G.; Guattari, F. A Thousand Plateaus Capitalism and Schizophrenia; University of Minnesota Press: Minneapolis, MN, USA, 1987 more: https://en.wikipedia.
"One encouraging prospect for the becomings of emotional economies of care is found in Althusser’s [ref within ref rwf 2] aleatory materialism of the encounter." "if we think of emotion as circulating and creating value, it is apparent that there needs to be an ongoing series of encounters for these emotions to circulate between more and more participants to enable the growth of emotional economies of care and the accumulation of value. However, there is a tension between reading aleatory materialism as completely up to chance and recognizing the effects of previous encounters [ref within ref rwf 3]. What bringing in this sense of history helps to retain is the balance between pure prefiguration and pure contingency, acknowledging that “the present encounter reopens past encounters.” (rwf 2: Althusser, L. Philosophy of the Encounter: Later Writings, 1978–1987; Verso: London, UK, 2006), (ref 3: Pedwell, C. Affective Relations: The Transnational Politics of Empathy; Palgrave Macmillan: London, UK, 2014. ). In recent times healthcare workers, oblivious of previous work as detailed above, have developed emotional economies of care through persistent clinical encounters using academic tools to create user driven community ontologies. (Ref 4 : https://www.researchgate.
Methodology:
Participatory action research in regular real time clinical encounters between patient advocate , non commercial volunteers and deidentified patients through a transparent and accountable interface with minimal patient privacy trade offs after a rigorous DPDP compliant consent collection process from the patient.
Results:
5000 cases over 5 years here:T
he 5000 records that were made over 5 years largely depended on our student users where we made this a curricular activity that are logged in 1000 student online learning portfolios here: https://
500 cases over last one year here:
Disease event related conversational transcripts from a single patient PaJR case report published here: https://
The gist of it is that this patient had a viral fever , which necessitated regular monitoring and conservative management. It may have been managed more rationally and with high value without having to over test and overtreat in a homehealth care setting if only there was such a support system available locally. What actually was available locally made them spend a larger amount of "out of pocket expenses" for a short duration of stay with need for similar meticulous monitoring even after discharge.
This brought out thoughts of how to strategize a working community driven ecosystem of trained nurses and doctor volunteers capable of managing such patients in the community partnering with pre existing government/public health infrastructure.
At a top government think tank policy making level the above problem statement has been currently tackled using "a 250-page document, in which, the Centre’s top think tank suggested a Public Private Partnership (PPP) model under which beds in state-run health facilities could be split as “market” and “regulated”. Offering one kind of beds at market prices would help subsidise regulated ones, suggested the proposal, also endorsed by Union Finance Minister Minister Nirmala Sitharaman in that year’s Union Budget speech. More here: https://theprint.in/health/putting-state-run-hospitals-in-private-hands-is-an-ongoing-experiment-it-doesnt-always-pan-out/2395458/
Discussion:
"Beyond personal motivations, the emergence of medical volunteerism often stems as a response to the politics of needs interpretation within a society, the contestation in determining which welfare needs deserve legitimation and which institutions assume responsibility for its fulfillment. Volunteers and their contributions could be interpreted as a mode of discursive engagement when the state fails to adequately serve marginalized needs." Unquote: https://en.wikipedia.
"Progression towards more ethical and sustainable change necessitates volunteers to prioritize the creation of long-term relationships with local healthcare facilities and providers. Sustainable development in this field can only be achieved once medical outreach is reframed not as isolated interventions but as an ongoing process that strengthens the capacity of local institutional care. Through integrating their mission goals with preexisting local community systems, volunteer collectives can collaborate with local governance to provide care in areas where current state provisioning fails. This collaborative model would ensure the impact of volunteer labor to reach structural inequalities that persist and outlast deployment timeframes, offering systemic aid to unmet health rights within marginalized populations." "Because people's experiences are not entirely bounded by “communities,” developing programs to address health problems and behavior at the “community” level, will always be insufficient – no matter how well designed an intervention may be. To effectively achieve the goals of a Culture of Health, we must work actively to create a more just and equitable society writ large. Vulnerable populations must be shown convincingly that their lives matter. Unquote: Mason, Katherine A.; Willen, Sarah S.; Holmes, Seth M.; Herd, Denise A.; Nichter, Mark; Castañeda, Heide; Hansen, Helena (December 2020). "How Do You Build a "Culture of Health"? A Critical Analysis of Challenges and Opportunities from Medical Anthropology". Population Health Management. 23 (6): 476–481. d
