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)