1. University of WashingtonAlejandro Cerón Office: Denny Hall 417 Office hours: Wed 11 am -1 pm maceron@uw.edu Week 9: Mon, 11/22/2010

2.  Goal: catching up!  Student presentations  Karandeep Prehar, Jordan Greco, Anne Weiss  Sign  Medical Knowledge and Power  Video  Discussion

3. Signified (concept) Signifier (form) Saussure – linguistics, semiology Arbitrariness - conventional Stop Manorexic body Beauty? Disease?

4. Interpretant (sense) Object (referent) Representamen (form) Stop Manorexic body Beauty? Disease? Peirce – philosophy, semeiotics (not semiotics) (usually represented as triangle)

5. Categorycharacterizationdefinition FirstnessQuality of feelingReference to an abstraction (monadic) SecondnessDyadic relation, reactionReference to a correlate (dyadic) ThirdnessRepresentation, mediationReference to an interpretant (triadic) Interpretant (sense) Object (referent) Representamen (form) Read quote from Valentine Daniel (p. 150), related to pain

6. Phen. Category: Every sign: FirstnessSecondnessThirdness Is:Qualisign A quality or possibility Sinsign An actual individual thing, fact, etc. Legisign A norm, habit, rule, law Refers through:Icon Similarity to its object Index Factual connection to its object Symbol Interpretive habit or norm of reference to its object Is interpreted as:Rheme Term-like (relation of quality to its object) Dicisign Proposition-like (relation of fact to its object) Argument Argumentative (relation of habit or law to its object)

7. Medical pluralism: The coexistence of multiple medical traditions, or bodies of practice and thought, within the same society. (Janzen 2002) Hierarchy of resort: the conventional pattern of the sequence of different consultations with medical practitioners or therapies in an unfolding case (Janzen 2002) Ayurvedic medicine in India (20min,link)link

8.  Different traditions  Different scientific paradigms (Thomas Kuhn)  Episteme  What is acceptable from the scientific perspective  Not what is possible or true  Themes to consider  Relation cause-cure  Scale, scope and focus of notions of illness and healing  Relation between person and illness/cause/cure  Classification/labeling  Dynamic  Reflecting history  Nocebo effect

9.  Sources of coherence  Tradition  Resource control  Sources of control and legitimacy  Traditional authority  Legal authority  Charismatic authority  Incorporation of medicine  Professionalization  Relationship to the state and the market