Patients and Healers in the Context of Culture: An Exploration of the Borderland Between Anthropology, Medicine, and Psychiatry

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University of California Press, 1980 - Medical anthropology - 427 pages
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Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine, and psychiatry describes observations of clinical interviews between various medical practitioners, namely folk healers, temple medicine men, and Chinese style and Western style physicians, and their patients. It stresses the importance of adopting proper cultural perspectives, making one's interpretations within that framework, and relying on direct observation; and urges an integration of social and cultural methods into the routine training of doctors, so as to enable a more humane and appropriate clinical practice. Medical anthropology is rich with anecdote and description focused on one or another aspect of patients or diseases, practitioners or healing, symbolisms or religion. This book takes us beyond such details and provides an integrating theoretical framework, operational models, and a systematic methodology of study that will allow the clinician and investigator to avoid the quagmires of ethnocentricity and reductionist formulation. The material is based on ten years of comparative cross-cultural research of Chinese medical systems at the National Taiwan University, Harvard University, the University of Washington, and the National Institutes of Health.
 

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Contents

The Problem the Setting and
1
Figures
3
Culture Health Care Systems
24
Types of Reality
28
Clinical Reality
42
Internal Structure
50
Core Clinical Functions
71
Popular EMs Semantic Networks and Health Care Seeking
108
Model of Cultural Impact on Affects and Affective Disorders
173
FamilyBased Popular Health Care
179
Patterns of Health Seeking Behavior
188
Diagram of Health Seeking Behavior of Three Taiwanese Patients
190
Transactions Between Explanatory
203
Transactions Between Explanatory
259
The Healing Process
311
Implications
375

Dynamics of Interactions between Explanatory Models in PractitionerPatient Relationships
112
The Cultural Construction of Illness Experience
119
The Cultural Construction of Illness Experience
146
Glossary
389
Index
415
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About the author (1980)

Arthur Kleinman is Maude and Lilian Presley Professor of MedArthur Kleinman is Maude and Lilian Presley Professor of Medical Anthropology and Chair of the Department of Social Mediical Anthropology and Chair of the Department of Social Medicine at Harvard Medical School and Professor of Anthropologycine at Harvard Medical School and Professor of Anthropology at Harvard University. His most recent book is "Writing at at Harvard University. His most recent book is "Writing at the Margin" (California, 1996). Veena Das is Professor of Sothe Margin" (California, 1996). Veena Das is Professor of Sociology at the University of Delhi and author of "Critical Eciology at the University of Delhi and author of "Critical Events: An Anthropological Approach to Contemporary India" (1vents: An Anthropological Approach to Contemporary India" (1995). Margaret Lock, Professor in the departments of Social 995). Margaret Lock, Professor in the departments of Social Studies of Medicine and of Anthropology at McGill UniversityStudies of Medicine and of Anthropology at McGill University, is author of "Encounters with Aging" (California, 1993) an, is author of "Encounters with Aging" (California, 1993) and coeditor of "Knowledge, Power and Practice" (California, 1d coeditor of "Knowledge, Power and Practice" (California, 1993). 993).

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