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Social scientific studies of medicine typically assume that systems of medical knowledge are uniform and consistent. But while anthropologists have long rejected the notion that cultures are discrete, bounded, and rule-drive entities, medical anthropology has been slower to develop alternative approaches to understanding cultures of health. This provocative volume considers the theoretical, methodological, and ethnographic implications of the fact that medical knowledge is frequently dynamic, incoherent, and contradictory, and that and our understanding of it is necessarily incomplete and partial. In diverse settings from indigenous cultures to Western medical industries, contributors consider such issues as how to define the boundaries of “medical” knowledge versus other kinds of knowledge; how to understand overlapping and shifting medical discourses; the medical profession’s need for anthropologists to produce “explanatory models”; the limits of the Western scientific method and the potential for methodological pluralism; constraints on fieldwork including violence and structural factors limiting access; and the subjectivity and interests of the researcher. On Knowing and Not Knowing in the Anthropology of Medicine will stimulate innovative thinking and productive debate for practitioners, researchers, and students in the social science of health and medicine.
Malaria remains one of the main causes of mortality and morbidity in sub-Saharan Africa. Matian van Soest looks at the malaria epidemic in the peri-urban zones of Uganda's capital Kampala against the backdrop of recent socio-ecological transformations. Based on long-term ethnographic research, the book provides a holistic picture of the malaria epidemic in central Uganda, revealing the highly localized character of an epidemic that once spanned across almost the entire globe. Understanding, and ultimately tackling the disease, requires an appreciation of the social, political, as well as ecological circumstances that frame this epidemic.
Systems of Classification in Premodern Medical Cultures puts historical disease concepts in cross-cultural perspective, investigating perceptions, constructions and experiences of health and illness from antiquity to the seventeenth century. Focusing on the systematisation and classification of illness in its multiple forms, manifestations and causes, this volume examines case studies ranging from popular concepts of illness through to specialist discourses on it. Using philological, historical and anthropological approaches, the contributions cover perspectives across time from East Asian, Middle Eastern and Mediterranean cultures, spanning ancient Egypt, Mesopotamia, Greece and Rome to Tibet and China. They aim to capture the multiplicity of disease concepts and medical traditions within specific societies, and to investigate the historical dynamics of stability and change linked to such concepts. Providing useful material for comparative research, the volume is a key resource for researchers studying the cultural conceptualisation of illness, including anthropologists, historians and classicists, among others.
This collection brings together three generations of medical anthropologists working at European universities to reflect on past, current and future directions of the field. Medical anthropology emerged on an international playing ground, and while other recently compiled anthologies emphasize North American developments, this volume highlights substantial ethnographic and theoretical studies undertaken in Europe. The first four chapters trace the beginnings of medical anthropology back into the two formative decades between the 1950s-1970s in Italy, German-speaking Europe, the Netherlands, France and the UK, supported by four brief vignettes on current developments. Three core themes that emerged within this field in Europe – the practice of care, the body politic and psycho-sensorial dimensions of healing – are first presented in synopsis and then separately discussed by three leading medical anthropologists Susan Whyte, Giovanni Pizza and René Devisch, complemented by the work of three early career researchers. The chapters aim to highlight how very diverse (and sometimes overlooked) European developments within this rapidly growing field have been, and continue to be. This book will spur reflection on medical anthropology’s potential for future scholarship and practice, by students and established scholars alike. This book was originally published as a special issue of Anthropology and Medicine.
Medical anthropologists, medical sociologists and health educationalists have assumed that 'systems of medical knowledge' held by indigenous peoples and by Westerners alike are generally uniform and consistent. Over the last few years it has become evident that this is not so: frequently members of social groups, and their healers, do not have a clearly established rationale for health beliefs and medical practices. This book collects together some recent works in medical anthropology which argues that there are limits to local health-related knowledge, whether in the mind of the informants themselves or in the analytical models of the anthropologist.
The editors of the third edition of the seminal textbook Understanding and Applying Medical Anthropology bring it completely up to date for both instructors and students. The collection of 49 readings (17 of them new to this edition) offers extensive background description and exposes students to the breadth of theoretical, methodological, and practical perspectives and issues in the field of medical anthropology. The text provides specific examples and case studies of research as it is applied to a range of health settings: from cross-cultural clinical encounters to cultural analysis of new biomedical technologies and the implementation of programs in global health settings. The new edition features: • a major revision that eliminates many older readings in favor of more fresh, relevant selections; • a new section on structural violence that looks at the impact of poverty and other forms of social marginalization on health; • an updated and expanded section on “Conceptual Tools,” including new research and ideas that are currently driving the field of medical anthropology forward (such as epigenetics and syndemics); • new chapters on climate change, Ebola, PTSD among Iraq/Afghanistan veterans, eating disorders, and autism, among others; • recent articles from Margaret Mead Award winners Sera Young, Seth Holmes, and Erin Finley, along with new articles by such established medical anthropologists as Paul Farmer and Merrill Singer.
An Ethnographic Account of Reiki Practice in Britain is the result of 14 months of ethnographic research. This study, while filling a gap in the qualitative literature on Reiki practice, contributes an ethnographic portrayal of a particular group’s construction of well-being. Contributing to medical anthropology, the research findings demonstrate culturally situated ideas and practices related to health wherein the intersubjective nature of healing is a constitutive element for well-being. The distinctions of this are specific to culture and environment, broadening how spirituality and well-being are conceptualized anthropologically. In addition, this book offers a framework for the commoditization of Complementary and Alternative Medicine (CAM), a process where products become a simple commodity. For Reiki practice, this results in spirituality being out of place in the healthcare market. The book will be of interest to academics interested in CAM research and Reiki practitioners alike.
Medical anthropology is playing an increasingly important role in public health. This book provides an introduction to the basic concepts, approaches and theories used, and shows how these contribute to understanding complex health related behaviour. Public health policies and interventions are more likely to be effective if the beliefs and behaviour of people are understood and taken into account. The book examines: Concepts of culture Medical systems Patient's experience of illness and treatment The use of medicines and healing practices Public health and medical research Examples of particular health problems, such as HIV and malaria, are used to show how an anthropological approach can contribute to both a better understanding of health and illness and to more culturally compatible public health measures. Series Editors: Rosalind Plowman and Nicki Thorogood.
Highlighting the most important topics, issues, questions and debates, these two volumes offer full coverage of major subthemes and subfields within the discipline of anthropology.