Theoretical Orientations
Medical Anthropology
Monday, November 10, 2014
10:56 AM
ANT 102 Page 175

Biomedicine as a cultural system, scientific research as political, power
○
The Bribri's mode of livelihood has been changed because there is a large
plantation keeping the men from being home. This causes a lot of depression
because the men are gone for weeks at a time. By developing an ecotourism
program, the Bribri's bodies are healthier and their depression is lessening
□
Greg, Bribri
Modes of production; Historical relationships to governing bodies; Colonialism;
Globalization
○
Political Economic approaches
•
Greg, Bribri
□
How social influences impact the physical body
"Embodiment"
○
Theories of the body
•
Greg, Bipolar Group
The way cultures use symbolic meaning to describe and understand health and disease
○
Symbolic Approach
•
"Medicine is a social science, and politics is nothing else but medicine on a large
scale."
"Social injustice is killing on a grand scale."
Typhus outbreak could not be solved by treating individual patients with drugs but only
through radical action to promote the advancement of an entire population
○
Rudolf Virchow, German pathologist (1849)
•
Psychology, Vision, Kinship
□
Torres Straits' Expedition
Medicine as part of a cultural system
Worked with soldiers who were 'shell shocked'
The method of curing 'shell shock' then was to dunk people in freezing
water, etc.
Instead of that, W.H.R. talked to them, implemented a psychoanalytic
approach
"Talking Cure"
□
Word War I
"Medicine, Magic and Religion" (1924)
○
William Halse Rivers (W.H.R.) Rivers
•
Medicine an area of study in its own right
Survey of beliefs about disease causation (1932)
○
Forrest Clements
•
Medical practices follow logically from underlying beliefs
○
E.E. Evans Pritchard (1937)
•
Margaret Mead
Beginning in the mid-1930s
○
Culture and Personality Studies
•
Roots in colonialism, Christian missionary activities
Prior to the 1930s
○
Armed forces, public health
1940s: WWII
○
World Health Organization
1940s-1950s: International development agencies
○
Society for Medical Anthropology, founded in 1967-1968
○
And critical perspectives of biomedicine
1970s: Critical Medical Anthropology
○
International Public Health
•
History of Medical Anthropology
Theories of Disease Causation
ANT 102 Page 176

Foster
○
Personalistic/Naturalistic
•
Supernatural Causation
○
Impersonal forces
Mystical
○
Supernatural agents
Animistic
○
Sorcery or witchcraft
□
Human agents
Magical
○
Infection, stress, accident
Natural Causation
○
Worldwide Classification of Disease Etiology (Murdock)
•
Theories of Disease Causation
Biomedical science
Physiological alteration that impairs function in some way
○
Disease
•
Depression is mental, Neurostania is physical, pharmaceutical companies
claim they're the same things
Depression (the West) vs. Neurostania (China)
□
Culturally specific and appropriate ways of being Ill
Subjective experience of symptoms and suffering
○
(disease w/o illness) Being diagnosed with cancer w/o having experienced
symptoms.


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- Fall '08
- Staff
- Sociology, Cultural Anthropology