Culture Health & Illness Theme one
Anthropology
Human beings & their origins, history & cultural development.
MEDICAL ANTHROPOLOGY
''Medical anthropology is the study of human health and disease, health care systems, and bio-cultural adaptation''
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'' Is the social & cultural dimension of viewing health, illness, healing & disease''
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It is the better understanding of alternate medicine including medicine from other cultures.
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It involves rethinking the basis for our understanding of how we define what medicine, health & healing is.
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AND HOW THIS COLOURS OUR PERCEPTION OF OTHER MEDICAL SYSTEMS
METHODS
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Anthropological perspective & research methods are used to the study of sickness, health, healing & disease
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Holistic approach is used
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Look at both Nature & Nurture
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Nature: try to understand the human body & mind (biological)
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Nurture: Social & Cultural dimensions
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We need take both Nature & Nurture into consideration when doing sickness/disease profiling of a particular community, this is done through: OBSERVATION, INTERVIEWS & ORAL HISTORY
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Need to go beyond a Medical Framework to a more Holistic approach
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Need understand person's background in terms of RELIGION, POLITICS, ECONOMIC, SOCIAL ORGANISATION- These aspects of society impacts on sickness/disease in different ways.
ORIGINS OF MEDICAL ANTHROPOLOGY
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Developed in the mid 1960's
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Time where people started questioning the environment
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Looked at other alternate factors that are impacting on the spread of illness/disease
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Started to shift away from a purely biomedical approach to find the root problems
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Started to view illness more holistically- patient & illness/disease profiling
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With treatment from clinics & hospitals people's Health still not improving, WHY?
HEALTH ECOLOGY PROGRAM
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One of the first combined studies to be undertaken, by both Biomedical Practitioners & Anthropologists in the 1960s
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Understand why anemia was on the increase even when people where given the medication
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Study focused on Spanish speaking immigrants in the U.S
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Find out why pregnant women hemorrhage during child-birth, even though they where given the anemia medication at the hospitals & clinics
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Anthropologist where sent in to investigate
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It was found that this community held certain belief systems that prevents them from taking certain things
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They had a hot/cold classification system for every aspect of the life?e.g for medical, food, disease.
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They believe that the head was hot, so the women perceived the anemia medication as hot, as the pills were red in colour
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The idea was in terms of hot & cold, you do the opposite of what you feel
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Here the women believed there head was hot and the medication was red in colour, hence, its was something hot
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Therefore they where not taking their anemia medication
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As the believed in doing the opposite to what you feel
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Anthropologists recommended that the colour of the medication should be change.
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Doctors with this information now, suggested the women put the tablet in orange juice so it turns white
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Later on the medication colour changed
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From this we see how cultural belief system impacts on people's healing
STUDY OF THE IMPACT OF WESTERN SOCIETY ON TRADITIONAL SOCIETY
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Know we look at how western society impact on dietary changes in traditional societies (from a medical point of view)
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Detrimental effect on non-western population, where western convenience food have been introduced
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With this new convenience food people eat less traditional food & more unhealthy fatty food
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See a rapid rise in new diseases as a result of new lifestyle change e.g diabetes, high blood pressure, heart disease, cancer, high cholesterol etc?
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Nutrition & Culture, staple food high fiber was barely consumed. In many societies there are different belief systems surrounding food, in terms of what to eat n what not to eat
Bio-psychosocial Model vs Bio-medical Model
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Biomedical is known as modern Western Medicine
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Approach to disease, Views the as Body as a machine
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Treat you with medicine on the symptom only
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Chemical response
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Interested in the disease not the person, disease as separate from the person
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Bio-psychosocial Model, Anthropologist tried to move away from the Bio-medical approach.
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Look at Disease & Illness Holistically
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Attitudes that determine survival, Psychological
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Social & Cultural view of Disease & Illness in terms of Cultural Belief Systems
Disease vs Illness
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Disease is something that is clinical
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Can be classified
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It is a Medical Entity
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Illness is Different, Socially & Culturally constituted display of Learned & Shared patterns of perceiving, experience & coping with symptoms.
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It is lived experiences
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Human drama of how the person views their illness
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How they got the illness
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How they cope with the illness
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Illness varies from society to society, group to group, culture to culture
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The way people view illness differs from society to society
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This is influenced through cultural belief systems
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Culture will inform people how to view disease & illness
Disease in Relation to Ecology, Culture & History
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Interactionist, interact together to give certain populations around the world a Disease Profile
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What Disease affects that population group and the reasons that surround the spread of the disease
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As not every population group is subjected to the same disease, patterns differ from society to society
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Certain diseases affect more the poorer than the middle/upper class
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Need to look at the ecology i.e the environment where the population group resides at
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Example: Malaria- more in tropical regions, T.B more in the Black population need look at the history of South Africa to understand WHY
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Interactionist view: look at Ecology, Culture & History to determine a Disease Profile
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They view disease holistically, other contributing factors to the spread of disease.
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Is the study of the relationship of organisms in the environment
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Humans have learnt to adapt to certain organisms that exist in the environment e.g germ virus
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They have adapted to co-exist over time
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About 80% of illness that come into your bodies can be fought of by minimal care
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Proper nutrition and rest can fight of the flu & cold virus, as the is no cure for the flu or cold virus
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20% that does reamin does need medical intervention e.g T.B, Cholera, Malaria etc..
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Our Immune System holds virus back within us but some times it weakens and the virus come
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Most often enough we are able to fight of illness
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Our Natural Defense (Immune System) has evolved & adapted over time
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Which gives us our 80% capability to fight of these viruses
However
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As the Ecology & Culture changes new germs start to evolve
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Our bodies need to put up a fight
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It is through Industrialization that new illness as come about that our bodies struggle to fight them off
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As people move from rural to urban settings their disease profile changes
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Now introduced to other diseases n illness
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Major pollution in the urban areas, more people getting sick
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Stress is also another issue that impact on health
Disease of Affluence
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Affects more the industrialized countries
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See the rise of Heart Disease, High Blood Pressure, Diabetes, Cancer, Strokes, Chronic Lung Disease etc..
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These Disease accounts for 75% of all deaths in urban areas and in rural areas accounts for 45%
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This is associated with lifestyle change