Anthropological Approaches To The Study Of Ethnomedicine

First Published in 1992. The reader of this volume will see how a decade of new work has remade ethnomedicine into one of the livelier and more promising domains of anthropology. Nicthter's encompassing redefinition of the relationship of ethnomedicine to medical anthropology and his critical comments that introduce each chapter are bound to provoke discussion and response over the years to come. - Arthur Kleinman, MD Harvard Medical School.

After putting down this weighty (in all senses of the word) collection, the reader, be she or he physician or social scientist, will (or at least should) feel uncomfortable about her or his taken-for-granted commonsense (therefore cultural) understanding of medicine. The editors and their collaborators show the medical leviathan, warts and all, for what it is: changing, pluralistic, problematic, powerful, provocative. What medicine proclaims itself to be - unified, scientific, biological and not social, non-judgmental - it is shown not to resemble very much. Those matters about which medicine keeps fairly silent, it turns out, come closer to being central to its clinical practice - managing errors and learning to conduct a shared moral dis course about mistakes, handling issues of competence and competition among biomedical practitioners, practicing in value-laden contexts on problems for which social science is a more relevant knowledge base than biological science, integrating folk and scientific models of illness in clinical communication, among a large number of highly pertinent ethnographic insights that illuminate medicine in the chapters that follow.

Medical Pluralism in the Andes is the first major collection of anthropological approaches to health in the Andes for over twenty years. Written in tribute to Libbet Crandon Malamuds pioneering work on Andean medicine, this readable, extensively illustrated and instructive book reflects the diversity of approaches in medical anthropology that have evolved during the past two decades. Capturing the intricacies of health practice within the context of Andean social history, cultural tradition, community and folklore, this is a remarkable and intimate chronicle of Andean culture and everyday life, which will appeal across a wide range of readers, from professional anthropologists to those interested in alternative medicines.

Global environmental change and recent worldwide infectious-disease outbreaks make the ecological perspective of medical anthropology more important a field of study than ever. In this premier teaching text, authors Ann McElroy and Patricia K. Townsend integrate biocultural, environmental, and evolutionary approaches to the study of human health, providing a complete and authoritative ecological perspective that is essential for interpreting medical anthropology. Research by biological anthropologists, archaeologists, and paleopathologists illuminates the history and prehistory of disease, along with coverage of contemporary health issues, both local and global. This sixth edition is thoroughly revised and updated, with expanded discussion on the interaction of environment and infectious disease; new material on climate change, globalization, and the effects of war on physical and mental health; and an entirely new chapter on ethics in community health and medical anthropology. Medical Anthropology in Ecological Perspective captures the essentials of the discipline and covers its ever-changing topics, trends, and developments in an engaging, accessible way.

In the past ten years, medical anthropology has come into its own as a flourishing sub-discipline within anthropology, with an expanded research agenda and sophisticated methodology. This handbook offers both an introduction for those not trained in the field and a state-of-the-art survey encompassing the range of theoretical orientations, research findings, and methods that characterize the discipline as it moves into the 1990s. Each of the nineteen chapters explores recent developments in a major subarea of medical anthropology and speculates about directions for future research and theoretical exploration. The chapters are arranged in five sections, the first of which addresses core issues covering the breadth of current theoretical concerns. The sections that follow treat other aspects of medical anthropology, including a range of medical systems and approaches; the most recent trends in the crosscultural study of health and healing; medical dimensions of the interaction of populations with the natural and cultural environment; research methods; and some of the most pressing policy and advocacy issues confronting medicine today.

`There are many insights and nuggets of value in this collection. Maurice Lipsedge reminds us how badly psychiatry needs anthropology's insights.This book should contribute to the ongoing dialogue between the two fields.' - The Journal of the Royal Antropological Institute `The editors states in the introduction that they wish to encourage the reader `to meet halfway the other discipline'. This expresses the view which all the contributors clearly feel and which is correct, that psychology and psychiatry and anthropology have much to offer each other and indeed are similar in several respects'. - The International Journal of Social Psychiatry `As an introductory text the book is perhaps too difficult, but for students of medical anthropology and cross-cultural psychiatry it offers a useful up to date assessment of the field.' - The International Journal of Social Psychiatry 'This text brings together some noted clinicians and researchers in psychiatry and mental health. The aim is to explore what we can learn from anthropology to achieve a contextual understanding of mental illness and health in contemporary society. The book contains a wide selection of ideas, and works well to bridge the gap between anthropolgy and psychiatry. This book is definitely not for the novice or anyone new to the field. It is, however, worth reading to explore ways in which mental health practitioners can make the shift from ideologies, theories and practices that are only interested in establishing the presence or absence of pathology or illness, towards theory and practice that take account of the meaning of those experiences for people in their everyday lives. One of the authors sums this up well by suggesting that "anthropologically informed methods of enquiry have potential to help establish clearer links between personal suffering and local politico-economic ideologies".` - Openmind. No110, July/Aug 2001 The relevance of transcultural issues for medical practice, including psychiatry, is becoming more widely recognized and medical anthropology is now a major sub-discipline. Written for those working in the mental health services as well as for anthropologists, Anthropological Approaches to Psychological Medicine brings together psychiatry and anthropology and focuses on the implications of their interaction in theory and clinical practice. The book reaffirms the importance of anthropology for fully understanding psychiatric practice and psychological disorders in both socio-historical and individual contexts. The development and use of diagnostic categories, the nature of expressed emotion within cross-cultural contexts and the religious context of perceptions of pathological behaviour are all refracted through an anthropological perspective. The clinical applications of medical anthropology addressed include, in particular, the establishing of cultural competence and an examination of the new perspectives anthropological study can bring to psychosis and depression. The stigmatization of mental illness is also reviewed from an anthropological perspective. Encouraging practitioners to reflect on the position of medicine in a wider cultural context, this is an exciting and comprehensive text which explores the profound importance of an anthropological interpretation for key issues in psychological medicine.

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.

This book examines various aspects of ethnomedicine and tribal healing practices, including its importance for inclusion and integration from a health systems perspective. Tribal healing practices is an under-studied component in healthcare system, health policy and health systems research. The book consists of original research papers based on empirical studies done by anthropologists, sociologists, public health practitioners and research scientists in various parts of India. It discusses issues of non-codified folk healing, with a focus on the therapeutic ideas and practices of tribal communities, located in anthropological theory and methods. It has a balance of empirical papers, review and theoretical papers, not only explaining ‘what is inside the healing practices’ but also touching upon the question of ‘why’ and delving into ‘what should be’ looking into the possibility to apply it for a larger good i.e., health care for all. This book discusses several important issues related to legitimacy, evidence and efficacy, recognition, certification and integration, protection and preservation, bio-piracy and bioprospecting, benefit sharing and intellectual property rights, sustainable use of medicinal herbs and conservation of nature and natural resources, biodiversity and possibilities of mainstreaming tribal healing. It is of interest to students and researchers from medical anthropology, medical sociology, cultural geography, liberal studies, tribal studies, ecology, sustainability and development and public health.