H,H, E Exam I notes

H,H, E Exam I notes - Health, Healing & Ethics Exam 1...

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Health, Healing & Ethics Exam 1 Class Notes 1/18/08 Explanatory Models They are individualistic Different EM Why use it? Key words: Author Kleinman – coined EM Illness – person’s perception & experience of not being well; it’s subjective; social scientist study it Disease – abnormality in structure of organ or organ system; doctors study it Healthcare system Ethnomedicine Social location Folk illness Goal of EM communication b/w patient and doctor; to interpret illness & identify disease; looks into the beliefs and meanings of illness episode EM in head with what they feel about illness EM focus 1. Etiology (cause) – looks @ signs or symptoms 2. course of illness 3. treatment Healthcare system – organized set of ideas & practices intended to manage sickness & promote health (all systems have theory (ies) of ideology/causation Ethnomedical system – aka healthcare system (HCS) trying to understand a culture’s HCS not general beliefs of HCS but it is shaped by cultural surroundings Culture is composed of individual personality, social location, clinical setting, belies in the HCS EM Lay Family Practitioner Professional Scientific EM Name ut siong ut siong TB, asthma, depression, etc Can be the Symptoms Physical, psycho-somatic Physical Same scientific Cause Works too hard, exercising too little, imbalance in temp Anti-biotics Treatment Local meaning in culture where it exist but its not defined *********************************************************************************** *
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1.22.08 Healing System 1. Theory of etiology 2. course of sickness (system of diagnosis-dx) and identifying symptoms 3. treatment Today’s topic: surgery aspect of primitive surgery what does primitive action mean? Keywords: Author’s name Name of article Primitive Specialization Ritual Ethnocentric Pragmatic 19 th century evolutionism Rites of ….? Surgery – cutting a person’s live tissue in our society is to improve their health status but in some societies this is used for other purposes. Self-inflicted pregnancy (not real surgery) Medicine man b/c it’s not live tissue Amputation (to improve health status) vs. Mutilation (to inflict harm) **(both still considered surgery) Who performs surgery ritual or healing specialist Shamans (hunter-gatherer society) Bone setters Medicine man Punishment **Masai in E. Africa is the only group that has both things (has a specialization) Reasons for doing surgery in primitive societies where: to take away pain, magic (judiciary) and religion Ritual – a series of repetitive events that have social and symbolic meaning. Set apart from everyday activity culture training Symbols – music, bone (setters); powerful symbol: white goat Mutilations – rites of passage helps move from one step to another Author: Ackno…is very ethnocentric while author Kleiman is not ethnocentric Primitive society – has no knowledge of bio-medicine; don’t have technical skills, mental capacity; there
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H,H, E Exam I notes - Health, Healing & Ethics Exam 1...

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