ANTH/HSERV 475 Perspectives in Medical Anthropology University of WashingtonAlejandro Cerón Office: Denny Hall 417 Office hours: Wed 11 am -13 pm Week 3: Mon, 10/11/2010

Outline Today’s Goals: Exercise illness/disease/sickness Identify key concepts from Janzen’s chapter 1 and 2 Introduce “Stories in the time of cholera” 1. Questions/problems with blog: talk to me after class! 2. Work in small groups - Illness/disease/sickness 3. Ethnography 4. History of theories in medical anthropology 5. Stories in the time of cholera – close reading

Some implications… Illness Disease Sickness 7 1myocardial infarction, tuberculosis and renal failure 2screening and predictive testing (prostate cancer, hypo- fibrinogenemia) 3common cold, tooth decay, aging, and seasickness 4Fibromyalgia, low back pain, whiplash, and chronic fatigue syndrome 5Asymptomatic instances of hyperglycemia, hypertension, and lactose intolerance 6general feeling of dissatisfaction, unpleasantness or incompetence, anxiety or melancholia 7Delinquency, dissidence, homosexuality, skin color, and masturbation (Historical examples) Examples from Hoffman 2002

Implications OntologicalEpistemologicalNormative Disease Illness Disease

Ethnography The close range and extended participation and observation of a society by an anthropologist in order to gain general insights by a thorough acquaintance of the particular. (Janzen 2002)

Ethnography the art and science of describing a group or a culture. (David Fettermann) aims to reach an understanding of the self via an understanding of the other (Gerry Phillipsen)

From Janzen Chapter 2. The origins and theories of medical anthropology Emerged as specialty in 1960s Understand “exotic” health care practices Improve health care in “Third World” countries “Crisis of medicine” Technological developments

Heterogeneity of Medical Anthropology Sociocultural Biocultural Applied “Development” “Clinical” Comparative study of health systems Culture in biocultural Cultural construction of medicine Critical

Briggs, Charles with Clara Mantini-Briggs (2003). Stories in the time of cholera: racial profiling during a medical nightmare. Berkeley: University of California Press. Chapters Ethnographic description Theoretical discussions Main argument (s) Key concepts “Stories in the time of Cholera” The authors in Delta Amacuro, 2008 (from BBC )link