Lecture 2 And 3 Flashcards
Nature of illness from Cassell (1976)
Illness is what we feel when we go to visit a doctor and disease is what we have after we have been to the doctors office and we are now on the way home
Nature of illness from helman (2007)
Illness can be thought of as a type of misfortune which brings on a subjective experience of physical and emotional changes what are generally conformed by other people
Nature of illness form Kleinman (1989)
To bocome temporarily deomorilsed with ones world
“Language of distress”
acts as a bridge
between the subjective experiences of
impaired well being and social
acknowledgment of them.
What does congested illness show
Contested illnesses show the
mul/direc/onal direc/onal flow
of interpre/ve work in ‘doing’
health and illness and it gets
poli/cal – eg you consider
yourself ill but few agree you
have a disease (ie ME)…or…
• Others think that you have a
disease but you yourself
consider you are just one more
varia/on of how to be normal
(ie successfully living with
mental health issues or perhaps
with D/deafness –there are just
so many examples)
A definiPon of pilgrimage (Turner, 1969:4):
“the process
of going to a far place to understand a familiar place
becer”
Personal dimensions of suffereing. - young(1995): the primary experience of suffering is Alienation in 3 phase
- You become alienated from yourself, even hatred (e.g Oliver Sacks A leg to stand on)
- Alienated form the others (rips aside the social self, need to speak, unsure of reception)
- Makes strangers out of those you know well (an insight into foreign territory
What is suffering form cassell 2004
suffering is a state of distress brought about
by an actual or perceived threat to the integrity or continued
existence of the whole person ie body/self which includes
cultural and social dimensions (eg Ca Cx/fertility)
The regaining of voice has 3 phases (for Younger)
• mute suffering
• Expressive suffering (the narrative)
• Finding an authentic voice
Jaye 1998 healing
Healing relates to notions of transformation, restoration,
resolution, being made whole
How does healing work?
Helman (2000): through language, ritual and the
manipulation of powerful cultural symbols
How does healing work : Kleinman (1980:372)
Kleinman (1980:372) healing has 3 stages – labeling
the sickness with a culturally appropriate category,
the label is ritually manipulated to culturally
transform it, this creates a new potent cultural symbol
of ‘well’ that is applied independently of behavioral
or social change
Quest narrative
Whentheexperienceofmakingsenseofillnessisresolvedbyhelping
othersorundertakingapersonallysignificantchallenge
Chaos story
Andthenthishappened,andthenthishappened,andthenthis
happened…
Restituation narratives
Yesterday i was well, today i am sick, but tomorrow i will be perfectly well again
Definition of disease
What you have when you leave the doctors office
Health (from an interpretive medical anthropology perspective)
asetofcommonsenseideaswhichwehaveallbeenlearningsincechildhoodaboutourbodilyprocesses,thewayinwhichwe. monitorthem,andthestandardrhetoricaldeviceswhichwe usetodescribethem.”Kleinman(1988)
Curing
The removal of disease
Suffering
astateofdistressbroughtaboutbyanactualorperceived threattotheintegrityorcontinuedexistenceof thewholepersonie.body/selfwhich includesculturalandsocialdimensions