Patients and Healers in the Context of Culture: An Exploration of the Borderland Between Anthropology, Medicine, and PsychiatryFrom the Preface, by Arthur Kleinman:Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research. |
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 |
PractitionerPatient and FamilyPatient | 259 |
The Healing Process | 311 |
Implications | 375 |
Other editions - View all
Patients and Healers in the Context of Culture: An Exploration of the ... Arthur Kleinman Limited preview - 1980 |
Patients and Healers in the Context of Culture: An Exploration of the ... Arthur Kleinman Limited preview - 2023 |
Patients and Healers in the Context of Culture: An Exploration of the ... Arthur Kleinman Limited preview - 1980 |
Common terms and phrases
activities anxiety applied aspects behavior beliefs better biomedical cause Ch'ien interpreter chapter Chen chief Chinese medicine Chinese-style doctors chronic client clinical reality cognitive communication comparative complaints concepts concern course cult cultural cure depression described developed disease disorders effective efficacy episodes evaluations example expectations experience explanations expressed fate feelings folk frequently function give healers healing health care systems hospital illness important indigenous individuals interactions interest interviewed involve label less major meaning mechanism mother particular patients physical popular possess practice practitioners present problems professional psychiatric psychological questions received relationships response ritual role sacred sector settings shamans shrine sickness social societies somatic specific structural studies suffering symbolic symptoms Taipei Taiwan Taiwanese talk tâng-ki therapeutic tion told traditional transactions treated treatment usually Western Western-style doctors