Patients and healers in the context of culture :

Kleinman, Arthur.

Patients and healers in the context of culture : an exploration of the borderland between anthropology, medicine, and psychiatry / Arthur Kleinman - Berkeley ; London : University of California Press, 1980 - xvi, 427 p. : ill. ; 25 cm - Comparative studies of health systems and medical care ; no. 3. .

Includes bibliography and index

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. 1. Orientations 1: The Problem, the Setting, and the Approach --
2. Orientations 2: Culture, Health Care Systems, and Clinical Reality --

3. Orientations 3: Core Clinical Functions and Explanatory Models --

4. The Cultural Construction of Illness Experience and Behavior, 1: Affects and Symptoms in Chinese Culture --


5. The Cultural Construction of Illness Experience and Behavior, 2: A Model of Somatization of Dysphoric Affects and Affective Disorders --



6. Family-Based Popular Health Care --




7. Patients and Healers: Transactions Between Explanatory Models and Clinical Realities. Part 1. Sacred Folk Healer-Client Relationships --



8. Patients and Healers: Transactions Between Explanatory Models and Clinical Realities. Part 2: Professional Practitioner-Patient and Family-Patient Relationships --




9. The Healing Process --






10. Epilogue: Implications.








0520037065 9780520045118 0520045114


Medical anthropology
Psychiatry, Transcultural

306.4 / KLE

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