Lecture 4 Flashcards

1
Q

Yo u n g e r ( 1 9 9 5 ) : t h e p r i m a r y e x p e r i e n c e o f suffering is alienation in 3 phases - what are the 3 phases

A

You become alienated form yourself even hatred (eg Oliver Sacks A leg to stand on)

• Alienated from others (rips aside the social self, need to speak, unsure of reception)

• Makes strangers out of those you know well (an insight into a foreign territory)

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2
Q

From Cassell (2004) what is suffereing

A

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)

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3
Q

Why are pain and suffering not the same and examples

A

Because when pain has a purpose (to dance with grace and beauty) then it is not suffering and thus requires no healing - it is not something we avoid

It is only when pain serves no useful purpose and appears to be unending then we suffer, become demoralized, and seek relief.

EXAMPLES:
in the Tangihanga the period of crying helps to express
the sorrow of the loss but also the rememberance of the good things about the person together when well expressed and supported by a community it can allow us composure when the person is interred

• For Christians, to suffer is in some ways to reflect on the suffering of Jesus on the Cross and so this helps us to make sense of the experience and recognize that temporary distress may serve a higher purpose.

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4
Q

Other info about suffering (probably not important)

A

• It occurs in relation to any aspect of the person, their social
roles, group identification, the relation with the body and the
self and the family, our own purpose in living, our relationship
with a higher being.
• It involves a sense of submitting to a set of circumstances (loss of
autonomy)
• An anguish experienced as a pressure to change and a threat to
our composure, integrity and the fulfilment of our intentions. • Suffering destroys the ability to communicate.

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5
Q

What does younger argue in the sense of overcoming suffering

A

Younger (1995) argues if we can find some way to regain our voice this is the basis of the mastery of suffering. In regaining a voice this is where the role of narrative can appear.

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6
Q

The 3 phases of regaining voice (younger)

A
  • mute suffering
    • Expressive suffering (the narrative)
    • Finding an authentic voice
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7
Q

Narrative help with

A

Healing

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8
Q

Which stories help with what

A

the ‘chaos narrative’ is often associated with suffering, quest and witness narratives help us move forward, restitution helps with curing

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9
Q

Jaye 1998 definition of healing

A

Healing relates to notions of transformation, restoration,
resolution, being made whol

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10
Q

Healing in a faith based settting - HEALTH =

A

not so much a physical attribute but rather a
quality linked to the person’s spiritual resources and
personal attitudes ie outgoingness, inner vision, tenderness,
willingness to listen to people, patience, courage, tenacity,
often called “the fruits of the spirit”

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11
Q

Healing in a faith based settting - outward sign of health

A

be able to face each trial, drawing on God for support, to be whole in body spirit soul and mind

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12
Q

Healing in a faith based settting - HEALTHY=

A

a good relationship with God

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13
Q

Healing in a faith based settting - pure health and untilamte healing

A

Pure health was holiness with Jesus as its perfect
manifestation, and death was the ultimate healing

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14
Q

healing occurred in all the following ….
For Christian’s

A

If one did not receive the healing one prayed for but a
friend or kin did; if praying for a condition to be
averted and the medical tests revealed no condition
existed; for the tiniest increases in movement or
diminution of pain; if the supplicant received no
external healing at all but died

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15
Q

Church members saw health as

A

a process of growth and
mending which brought one closer to God, and took
repeated opportunities for healing

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16
Q

Biomedical healing

A

Healing in biomedicine sometimes refers to resolving
emotional difficulties – as patients recover from traumas,
or via referrals to lay support groups for raising self esteem
(ie Look Good Feel Better)

• Curing and healing may intertwine; but healing goes
beyond; curing ≠ healing

17
Q

How do Anthropologists observe the placebo effect

A

Anthropologists observe the placebo effect in all health care
systems and argue it is a powerful symbolic component of all
healing rituals

18
Q

Helman (2007) explaining the
psychosocial impact of administering a drug

A
19
Q

Helman (2000) - how healing works

A

through language, ritual and the
manipulation of powerful cultural symbols

20
Q

Kleinman (1980:372) how healing works

A

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

21
Q

Moerman (2002) on psychotherapy - how might healing work

A

psychotherapy
works by helping us to create stories or myths, these
stories make our demoralisation less painful, healing
emerges from the depth of the meanings we create
for our suffering through these culturally specific
stories we learn to tell

22
Q

Liggins patients described healing as:

A

making sound
or whole, journeying both forwards and backwards,
hard work and transformation, connection, finding
meaning, transcending suffering, blooming and
contentment, exploration, gaining wisdom

23
Q

Liggins view on phyciary and the goal of revocery

A

She queries why psychiatry works with ‘recovery’ as
its goal not ‘healing’. Using healing could assist in
de-stigmatizing psychiatric care, ensuring patients
rights are met, removing the burden that there is
something wrong with you when you seek treatment
that you must overcome…

24
Q

Fun conclusion

A

• Narratives, healing rituals and symbols help
build a bridge from our current suffering into a
future place of healing by giving us a reason for
our suffering which is culturally congruent with
our own beliefs and values.