ANTHROP 1AA3 Lecture Notes - Lecture 12: Zoonosis, Atherosclerosis, Degenerative Disease

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ILLNESS AND DISEASE
Lecture
- Medical Anthropology
o The study of human health and disease, health care systems, biocultural adaptation
o Traditionally a subdivision of cultural anthropology
o Ethnomedicine: cross-cultural study of sickness, health, and health systems
- Health System
o All cultures have a health system:
Perceptions and beliefs about the body
Classifications of health problems
Prevention measures
Healing/healers
Anthropologists perspective on disease and health
- Health
o Many dimensional
o “a state of complete social, psychological, and physical well-being”
o The concept of well-being is specific to, and meaningful within, a set of local conditions
- Disease: biological health problem; universal (eg measles)
o Physiological alteration that impairs function in some way
o Mostly objective across cultures; with some exceptions
o Common diseases
Injury
Damage to anatomy
Infection
Microorganisms that spread and pose a challenge to the body
Malnutrition
Disorders that stem from lack or excess amounts of nutrients, vitamins, minerals,
carbs, proteins, and fat
Genetic
Mutations may occur
Common in inbred populations
Chronic
Chronic disease that stems form genetic factors, but most result from lifelong
behaviours.
Cardiovascular, cancer from smoking, type II diabetes etc
Psychological or Behavioural
Common among humans
Caused by biological or social
Treated using neurotransmitters
- Illness: perceptions and experiences of a health problem
o Subjective experience of symptoms and suffering, and it motivates changes in behaviour to
alleviate the discomfort (altering diet etc)
o There are culturally specific ways of being ill and expressing that experience
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- EXPLANATORY MODELS
o Explanatory models for why we get sick are products of culture
o Hippocrates (ancient Greek)
Based on balance of the humours
Illness came from being “out of
humour”
Excess heat & moisture (fever, sweat,
cough)
Bloodletting restored balance!
No disease specificity
Hot-cold theory of Disease
Important aspect of Latin-
American folk medical practice
Emphasis on a body in balance
Germ Theory
Microscope innovations
Kock & Pasteur
Disease Specificity: Different
diseases caused by different germs
Disease cause by damage to tissues
Western Biomedicine
Body as a machine, Repair body
Emphasis on microorganisms
Treatment = kill microorganism -> eliminate disease
Sustos
Spain and Portugal, Central & South America
‘Soul Loss’ – separation of soul and body
Cure = length egg ritual
Symptoms anxiety, insomnia, fever, diarrhoea, depression
Miasma
Harmful air and environment
Feature of the environment
- Healing & Healers
o Special ability to diagnose & treat
o Personal Healing
o Community healing
Ex Ju/hoasi
o Healers
Ability
Training
Certification
Expect payment
- Cultural Specific Syndrome: Anorexia Nervosa
o Industrial, Western societies
Ancient Egyptian Health System
- Channel System
o Blockage or
misdirection of blood,
air, feces, & water in
the body causes
disease
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Document Summary

Medical anthropology: the study of human health and disease, health care systems, biocultural adaptation, traditionally a subdivision of cultural anthropology, ethnomedicine: cross-cultural study of sickness, health, and health systems. All cultures have a health system: perceptions and beliefs about the body, classifications of health problems, prevention measures, healing/healers. Health: many dimensional, a state of complete social, psychological, and physical well-being , the concept of well-being is specific to, and meaningful within, a set of local conditions. Disease: biological health problem; universal (eg measles: physiological alteration that impairs function in some way, mostly objective across cultures; with some exceptions, common diseases. Explanatory models: explanatory models for why we get sick are products of culture, hippocrates (ancient greek, based on balance of the humours. Illness came from being out of humour : excess heat & moisture (fever, sweat, cough, bloodletting restored balance, no disease specificity, hot-cold theory of disease.

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