Week 8-11 Flashcards
How did religion and health interconnect in the historical context?
- prior to modern medicine healers, most societies had relgious specialists
- concepts of health and illness were fundementally religious or moral
What was a common cultural idea about health and religion?
sickness was the result of sin or evil spirits
History of Medical Anthropology
- before 1950s, study of illnesses and healing done within cultural/social studies, and in ethnologies of far away societies and cultures
- focused on religion and medicine to deal with sickness
- early medical anthropologists had training in medicine
W. H. R. Rivers
- participated in the Torres Strait Expeditions
- wrote “Medicine, Magic, and Religion”
- argued for long immersion in the field
- one of the earliest examples of using ethnography as method
Medical Anthropology
not any one “official” class of medical system, but any and all practices that are intended to address an affliction in need of attention
Medicine
the various curing and health-upholding practices found around the world
What are medical anthropologists interested in?
health, disease and illness, but also sickness and suffering
Medical anthropplogist and sickness and suffering?
sickness and suffering are subjective -> anthropologists interested in whether or not medical experts find a physical source for the experience
Biomedicine
- medicine of hospitals and mainstream doctors - synonymous w/ Western medical concepts and practices
- a specific medical tradition
Bio
views disease as havinf a unique physical cause w/i the body -> whether it’s a micro-organism causing infection, growth of malignant cells or failure of an organ due to repeated insults (ex: alcohol consumption)
Ethnomedicine
- the health related beliefs, knowledge and practices of a cultural group
- all medical systems constitute ethnomedicines i that they developed from and are embedded in particular sociocultural systems, regqrdless of whether they are small scale or state societies
Ethnomedicine vs Biomedicine
- biomedicine assumes illness and medical theory, science and practice, are acultural and have universal validity
- ethnomedicine was applied to other, non-western medical systems, and reffered to biomedicine as scientific, modern, cosmopolitan or simply medicine due to ethnocentricism
Medical Pluralism
- availability of different approaches, treatments, and institutions that people use to maintain health or treat illness
- coexistance of more than 1 meidcal tradition or system within a society
- commonly entails combined use of biomedicine and nonbiomedical approaches
Examples of Medical Pluralism
- cancer patients might complement chemotherapy with accupuncture and religious healing
- women who want to get pregnant might combine hormonal treatments with home remedies and yoga
Disease
physiological or psychological dysfunction; biological process that doctors use to explain and understand illness
disease in biomedical paradigm
- indicates abnormalities or malfunctions of the body, organs, or systems that can be materially detected; measurable, pathological
- conception of disease not exclusive to Western medicine
Illness
subjective to experience of feeling unwell (individual’s experience)
Examples of illnesses
can include: emergence of physical symptoms along with experiences of changes involving feelings, ideas, values, language, non verbal communication, symbolic behaviour, etc. -> includes social concerns, identity, and negotiation
2 medical systems
- Foster and Anderson (1978) -> what all medical systems have
- Allan Young (1976b) -> how medical systems organize knowledge
Foster and Anderson (1978): Disease Theory System
ideas about the nature of health and ideas about the causes of disease or illness
3 types of Disease Theory System
- Personalistic Theory
- Naturalistic Theory
- Emotionalistic Theory
Foster and Anderson (1978): Health Care System
refers to the social relationships and interactions between the healers and their paitents
example of healthcare system
healers may be assisted by various assistants and in the case of complex societies may work in an elaborate bureaucratic structure, such as a clinic, health maitenance organization, or hospital
Personalistic Theory
views disease as resulting from the actions of a “sensate who may be a supernatural being (a deity or god), a nonhuman being (ghost, ancestor, or evil spirit), or a human being (witch or sorcerer)
The Black Plague (1347-1352)
- cause unknown; attributed to supernatural forces and, primarily, the will or wrath of God
- ppl reacted w/ hopeful cures and responses based on religious belief, folklore and supersition, and medical knowledge, all of which were informed by Catholic Christianity in the West and Islam in the Near East
Christian view of The Black Plague
- punishment form God for humanity’s sins; or “bad air,” witchcraft and sorcery, individual life choices like lack of piety
- contagious and could be passed btw ppl
- could leave a plague stricken region for one with better air which was not infected
Chrisitan Respose to The Black Plague
- could protect oneself through prayer, penitence (penitential processions), charms, and amulets, mass, fasts
- supposed cures and fumigation of “bad air”
- flight from infected areas
- persecution of marginalized commuities, especially Jews
- The Flagellant Movement
Flagellant Movement
group of zellous Christians, led by a Master, who roamed from town to city to countryside whipping themselves for their sins and the sins of humanity; led communities in persecution and slaughter of minority groups
Muslim view of The Black Plague
- plague a merciful gift from God which provided martyrdom for the faithful whose souls were instantly transported to paradise
- Muslims shouldn’t enter or flee from plague-stricken regions but should stay in place
- plague not contagious bc came directly from God to specific individuals accordig to God’s will
Muslim Response to The Black Plague
- prayer and supplication at mosques, processions, mass funerals, orations, fasting
- increased belief in supernatural visions, signs, and wonders
- magic, amulets, and charms used as cures
flight from infected areas
Jinns (Djinns, Genii)
- spirits that aren’t innately good or evil
- some attributed illnesses to Jinns during black plague
- belief gave rise to increase in folk magic and use of charms and amulets to ward off evil spirits
- charm or amulet would be inscribed w/ one of the divine names or epithets of God
Naturalistic Theory
views disease as emanating from imbalance of certian inanimate elements in the body, such as the male and female prinicples of yin and yang in Chinese medicine
Emotionalistic Theory
views disease as emanating from emotional experiences
Susto
- illness found in Latin American cultures defined as “chronic somatic suffereing stemming from emotional trauma or from witnessing traumatic experiences lived by others”
- sometimes described as a “spirit attack”
- prayer and other healing rituals are big part of treatment
Allan Young (1976b): Accumulatinf Medical Systems
consists of accumulates, formalized teachings, generally i written form, that are shared w/ prospective practitioners in training institutions or w/ colleagues at coferecnes or in professional associations
Allan Young (1976b): Diffusing Medical Systems
practitioners generally don’t share medical knowledge (making it rather diffuse or unsystematic) w/ one another and regard it to be secret -> Shamans and Healers
5 causes of illness and their healing methods to restore harmony
- Anger of the Gods -> Appeasement
- Human Agents (witchcraft) -> Counter-Witchcraft
- Intrusion -> Removal or Deemed Harmless
- Spirit Possession -> Exorcism/Demonic Deliverance
- Soul Loss -> Soul Retrieval
Spirits
- a supernatural being that is less powerful than a god and is usually more localized
- can be individually recognized (guardian spirit, an ancerstral spirit, and a shaman’s spirit helper
- non-individualized are often a collection of beings not given specific names and identities (Leprechauns, Jinns, Kami)
Spirit Possession
an altered state of consciousness (ASC) that is interpreted as a spirit taking over control of a human body and is either deliberately induced by a ritual performance or the consequence of an illness caused by a spirit taking control
ASC
Altered State of Consciousness
Religious Specialists
- viewed as an authority on religious/spiritual life
- often gatekeepers of the religious community -> the religious specialist is someon ehwo defines religious practice and spiritual life
4 types of Religious Specialists
- Priests/Priestesses
- Shamans
- Herbalists
- Diviners
Healers
term often used ot refre to a priest or shaman, especially when the individual is focused on the curing of illness or injury
Shamans (Part-Time Religious Practitioner)
- ability to engage/communicate w/ spirits/gods/supernatural
- transcend normal reality to communicate w/ or even manipulate supernatural forces in an alternate world
- ASC acieved through dreams, hallucinogenic drugs, rhythmic music, exhaustion through dance, or other means
- often a calling for those who have personality traits that see “abnormal” in the context of the community
Korean Shamans
- most Shamans today are women
- used to be considered social deviants; now an inportant part of Korean culture
- chosen by spirits
- women who have experienced psychological stress are especially valuable
- spirits search for someone to possess, especially who’s soul has been fractured
- selection through possession illness; main symptom is trance state
- apprentice w/ experienced shaman
- guide dead to underworld; medium; cure illnesses; divination
Priest/Priestess (full time religious practitioners)
- have authority to set rules and control access to religous rites
- Qualificiations Vary (ex: gender) -> knowledge: Christian priests typically complete higher education; Hindu pujaris must spend years learning Sanskrit
Okinawan Priestesses: Yuta
- shaman like practitioners
- mediate btw villagers and ancestor spirits/kami
- practice divination and healing rituals
- each yuta has one or more kami they regularly communicate w/
- illness: serious psychological, physical or social dysfunction; long ilness makes them social outcasts; ability to heal themselves
Okinawan Priestesses: Kaminchu
- priestess
- believed to actually embody a particular kami associated w/ the clan
- do little in rituals, their presence is most important; believed to emit good spiritual energy
- illness - minor illnesses symbolic in nature considered a sign of what kaminchu is born to be
Soul
the noncorporeal, spiritual component of an individual
Soul Flight
- technique used by shamans to enter a state of trance (ASC)
- the shaman’s soul leaves the body and the corporeal world which allows them to travel realms (sometimes using axis mundi), enter a spiritual world and interact
Soul and Death
- idea of soul is tied to death
- soul may linger on
- soul’s final place not in physical world: Heaven, Valhalla (Nordic Beliefs), reincarnation (Hinduism, etc.
Illness in the Hmong Community
- believed ppl possessed many souls (~30)
- health = balance btw physical body and its souls
- when one or more souls lost or stolen, person falls ill
- soul may be frightened out of the body by traumatic event, or may be stolen by a spirit (Quag Dab Peg -the spirit catches you)