biomedicine according to kinsley
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1. Biomedicine according to Kinsley everything is understandable in the context of natural law. Cultures, beliefs, myths are not relevant. Biomedicine is viewed as highly scientific and objective.
2. Biomedicine is not entirely objective. It has some cultural aspects but not as much as ethnomedicine. An example of this is the issue of homosexuality
3. Conversion therapy is when a homosexual person is forced to change his sexuality by going to gay conversion therapies.
4. Allopathic vs homeopathic
Biomedicine
ethnomedicine
ontological
spiritual
attacks the sickness by meds.. etc
lets the body go through it
eliminate symptoms
encourages symptoms
good filter
bad filter
based on scientific method
based on alternative epistemology
5. Biomedicine is allopathic because it matches the allopathic characteristics above
ontological it is considered a separate, real thing
epistemology an ideology
6. medicine is mechanistic the body is considered a machine that consists of parts and systems. Sickness is considered an engineering problem. This helped simplify the study of human body
7. biomedicine is individualistic it tends to concentrate on the disease and the individual. It does not care about social and community factors. For example, medicine looks for a cure for an individual but does not put as much effort on preventive medicine that affects the whole population
8. Symbolic factors in biomedicine white jackets in medical personnel, handwriting in prescriptions they do not have a clinical value but is still being done
9. Knowledge beyond culture is important because it helps temper run-away ethnocentrism. Everyone can appreciate it because it is testable and universal.
10. Western model vs. tribal model
biomedicine
Ethnomedicine
Strictly allopathic
Not strictly allopathic and homeopathic (both)
Has no religion involved
Religion and spiritualism is involved
Highly based on data
Somewhat based on data
Sickness is not a moral phenomenon
Sickness is a moral phenomenon
11. Health is related to morality
12. Animism the belief that all things are animated by a spirit, force or soul.
13. Corporeal worldly plane
14. Ethereal spiritual plane
They are the same in animism
15. In ethnomedicine, they believe that health is due to their relationship with the spirits. it is framed in a moral context. To be healthy, one must have a good relationship not just w the spirits but also with the people around them. Disharmony is perceived as the reason for sickness and is the individuals fault.
16. Taboo- any social thing that offends peoples sensitivity
17. Sexual escapade, rude remarks anything that is out of the moral boundaries of the community
18. The 3 entities that will bring about sickness: gods and spirits, ancestors and ghosts, other human being.
Gods and spirits they laid out rules and violating those rules caused them to render punishments such as sickness and misfortunes
Ghosts and ancestors are particularly interested in their descendants and if a person does something that offends the family, they can cause sickness and bad luck.
Other human beings inconsiderate actions towards fellow men can cause sickness.
19. Mal ojo evil eye. If people flaunt their good fortunes, they invite envy among other people. This hatred alone can bring sickness. They can also use sorcerers to do the job.
20. Sorcerers evil, can cause sickness to other people ; witches usually neutral
21. Soul loss a lot of cultures believe that the soul animates the body. Sickness is a sign that the soul is leaving the body. Healing, therefore, is done by revitalizing the soul and restoring it to the body.
22. Object intrusion - the cause of sickness is the intrusion of an invisible object, shot by a sorcerer or a bad spirit. If it doesnt get removed, it causes death.
23. Spirit intrusion a spirit intrudes the body and the person is not himself anymore. example is possession (emic) or mental disease (etic)
24. Disease sorcery a disease is inflicted either directly through will power (hate) or through a sorcerer.
25. Breach of taboo violating a rule or engaging in taboo acts, whether done intentionally or unintentionally, causes the illness. Example karma
26. The causation of diseases is not exclusive. Example, a soul loss is believed to be caused by sorcery because of a breach of taboo
27. Shaman the oldest form of healer. He is different from all other healers because of his claim to be able to physically visit a different realm.
28. A spirit medium has the ability to communicate with the spirits and act as a conduit or vessel for the spirits so the spirits can do their work
29. Priests they conduct rituals and try and appease the spirits
30. Holy person they are effective because of their piety and acquired goodness. Their touch or sight is believed to have healing effects Example: faith healers
31. Prescriptionist they prepare the medicines
32. The shaman claims that he is able to physically visit the other realms and talk to the spirits
33. Trance techniques used:
Old world (usually found in Asia and Africa) clapping, humming, percussion
New world: hallucinogenic substances
34. Peyote a hallucinogenic substance used by native north Americans to aid their trance
35. Yanomamo tribal group in Venezuela and Brazil
36. Snorts ebene with a bamboo. Everyone snorts it but only a few, experienced people becomes a shaman. This is a patriarchal tribe and the women are not allowed to become shamans.
37. Spiritualism began with the Fox sisters who claimed they can communicate with the spirits through a series of knocks.
38. Spiritualism is a religion that believes they can contact the spirits and dead relatives. It started in 1848 with the Fox sisters and is the fastest growing religion in the early 1900s
39. At that time, science was inventing all kinds of new things that most people considered a miracle, therefore, everything was possible. Also, a lot of people liked the answer that spiritualism gave them.
40. People like the answers that spiritualism gave them.
41. Central themes of sickness in all cultures:
Confession
Transference
Sacred space and pilgrimage
Effective healer
Assigning meaning to an illness
Culture-specific nature of illness
Group solidarity
42. Sance an attempt to communicate with the spirits by a seat session
43. Ouija board a board with symbols and graphics used in communicating with the spirits
44. The Aurohuaca Indians of Columbia believe that sickness is related to sin and will only be cured if the sin is confessed to the healer. The healer then transfers them to a shell or a stone and then exposed to the sun to destroy it.
45. Emic explanation: Illness is believed to be due to the violation of a moral code. In order to be healed, the person must publicly confess his sins. Only then does healing occur.
Etic explanation: public confession keeps the people in line and is their way of maintaining law and order in a community with no judicial laws.
46. Emic: The Ndembu of Zimbabwe believes that sickness is due to the anger of their male ancestors. The male ancestor bites the person using the ihamba. The healer summons the persons kin to an improvised shrine where he publicly confesses all his transgressions. The kin and friends are also required to confess their sins. When everything is confessed, only then will the healers power work in taking out the ihamba.
Etic: the Ndembu of Zimbabwe believes that illness is a symptom of social strife. The hostilities of the kin and patient are what are being treated through confession. This is another example of social control.
47. Ihamba is the incisor of a dead hunter that is used to kill animals, or in the sick persons case, to cause his disease.
48. Transference the shaman attempts to take the spirit out of the persons body, transfer it in a physical object and then set to destroy the object.
49. Transference in the Yuroba of Nigeria the ritual is done in a deserted river. The patient is made to change her clothes, shave her head and make tiny incisions in her scalp. (a symbolic way of changing the persons social standing and move her into a different state as a preparation of her healing).
1st dove: draws out the illness and transfers it to the dove, then drowned and thrown down the river, along with the sickness
2nd dove: the second dove is killed and the calmness is transferred from the dove to the patient
3rd dove: last dove is killed and the incantation starts, the dove is thrown downwards as a symbol that the sickness will never return
50. Curanderismo in the American Southwest is a practice of using an egg and sweeping it in the patients body. Sickness is extracted and transferred into egg. The egg is then destroyed.
51. The Kalahari Kung of South Africa believes that transference can be in the form of the healer taking the patients illness himself.
52. Osmosis takes place by transferring the positive energy of the healer into the patient while absorbing the patients illness.
53. The Balahis of Central India believe that transference occurs in their exorcism. The healer forces a sandal into the patients mouth, where the spirit is transferred. It is then taken into a tree and nailed along with the patients hair, thus fixing it permanently to the tree
54. The Azande of North Central Africa they use poison oracle to come up w a list of culprits. They poison chicken and the owner of the chicken that survives is the culprit. The secret is randomness. Another example is the Bizango of Haiti.
55. In Sri Lanka (bordering India and Maldives) the house is purified and altars are erected and used as sacred space
56. Yak Vidiya the palace of the demons where the fight between the healer and the spirit takes place
57. The Tzotzil of Zinacanteco of Hteklum the patients bed is transformed into a sacred space and is decorated with flowers with special water.
58. The Bodhi tree is the tree of enlightenment for Buddhist.
59. Ziancanteco of Hteklum, Lourdes in Southern France, Fatima in Portugal
60. Healers are available in these shrines but just being present in the shrine is considered healing already
61. Liminal space/ period = a transitional stage where you are in between 2 well-defined social state. A person was not used to be but is not yet what he is going to be. example, communion, initiation
62. Accdg to Victor Turner during the liminal period, peoples behavior changes and become anti-structural. They use a cultural cleansing to remove all semblance of the persons old self. Everyone is equal at this time
63. An effective healer is one who does not have any education but was trained and got his status through a consensus. His skills are measured according to the number of patients he has.
64. Healers are usually physically impaired or psychologically unusual
Physical impairment suggests a wounded healer. A wounded healer can effectively deal with illness because he himself has experienced it.
Psychologically unusual made the healers anti-structural. They are neither one nor the other
65. A patients illness has something to do with an aspect of his life. The healer guides the patient into restructuring his life in order to create harmony. The patient-healer trust is very important. They have to have the same worldview, and the same concept of reality. The healer must be able to diagnose and treat the illness in a way that is meaningful to the patient.
66. The most effective healers in Trinidad are the ones who has the most extensive knowledge about the medicine and the one who has the most clients
67. Transgendered people are always considered in a liminal period in American culture
68. Hajj trip to Mecca
69. Accdg to Kinsley, all illnesses have a cultural aspect to it. Culture bound syndrome does exist
70. Koro shrinking penis. There is an overactivity of Yin and must be treated by introducing more Yang energy
71. Susto the fright disease. The patients soul is leaving the body causing the loss of appetite, sadness and withdrawals
72. In most cultures, illness is related to social relationships. The healing process involves confession and forgiveness that results in the balance of social harmony
73. The healers are the ones who play the role as the mediator between people through confession. They also serve as the agents in appeasing the spirits.
74. A shaman is a religious functionary who claim they can physically visit other realms and consult with the spirits
75. A shaman must undergo a violent and traumatic rite in order to get his status
76. The violent rites destroy their old self. Surviving the trauma transforms them as a person that is not one nor the either. Which is the reason why they can travel in between worlds
77. Shaman comes the term SAMAN from the Tungus people
78. While the priests and medium awaits and receives the spirits (divine into mundane), the shaman can travel towards the spirit world (mundane into divine)
79. Fasting, social isolation, no sexual intercourse. This is done to prepare his body for his travels to different worlds. It is done as a symbol that the shaman is not human nor the other
80. Other than drugs or percussions, experiences and knowledge are also needed
81. Hallucinogenic drugs or other trance inducing actions are necessary to get to their state but not sufficient. It includes all kinds of different factors like the shamans ability and knowledge among other things to have the whole experience.
82. Shamans are anti-structural and are beyond the control of the society. This status enables them to be agents of change
83. The cosmology of the Yanomamo of Venezuela and Brazil consists of 4 realms: The old woman, heaven, earth and hell.
84. The shaman acts as a conduit for all these worlds.
85. Bodhi tree tree of enlightenment among Buddhists
86. The Kalahari Kung of South Africa believes that everyone can have access of their num but only a few people can be shamans
87. A num is a special healing power available to everyone
88. A kia is an alternate reality for the Kungs
89. When the healer enters kia, he starts to see the sickness and its cause. The healer converses with the spirits and might have to fight them. They also see who is in danger among the living. It is preventive as well as curative
90. Ebene used by the Yanomamo of Venezuela and Brazil
91. A Hekura is a humanoid, spiritual being that must be vanquished in order for the sickness to go away
92. Enculturation dictates the persons reaction to the hallucinogenic drugs they take.
93. The Jivaro Indians of Ecuador believe that the state they are in while on hallucinogenic drugs is the real world and the world they are in their normal waking world is a lie.
94. Natema the hallucinogenic tea that the Jivaro Indians use
95. The 2 types of shamans in the Jivaro culture: bewitching shamans and the curing shamans
96. 4:1
97. At that time, the effects of drugs were not yet fully explored. Being under the influence of drugs and experiencing new things, the author stated how important the drug is in understanding the native ideology
98. A tsentsak is a dart spirit helper that is the cause of disease and illness
99. A novice must abstain from sex to become qualified
100. 3 months of abstinence: novice
5 months: he can kill somebody
1 year: necessary to become an effective healer
101. Bewitching is done as a punishment for offending a family member or friend (a social control)
102. A shaman drinks a green tobacco concoction to regurgitate a tsensak. He then throws it towards the victim. If thrown with enough force and it goes through, the victim will be dead in a couple days
103. Pasuk special helper disguised as an insect or animal
104. Wakani servant birds that are available for all
105. Kill the pasuk by targeting the eyes since its the only part not covered with iron
106. A tarantula
107. A shaman tests his tsentsak by targeting a tree. If the tree splits, his tsentsak is still strong. Only people under the influence of natema can see it though
108. If the tsentsak is thrown with enough force and goes through the body, there is nothing they can do. But if it lodges in the body, the curing shaman can suck out the tsentsak
109. By sucking the tsentsak out of the victim
110. They show the family an object that has been hidden in their mouth as proof that they have gotten rid of the poison.
111. Send back the tsentsak to the shaman who owns it
112. The ones who can repeatedly purchase more tsentsak from other shamans
113. Exorcism
114. They drive the spirits out by laying their hands on them and praying.
115. The number one etiology (cause of sickness) is spirit possession. That is why exorcism is the number one form of healing
116. Exorcism is considered a form of psychotherapeutic therapy because the problem is psychological and the therapy is done in order to make people believe they are healed
117. Psychotherapeutic healing and the placebo effect are analogous with each other. They have the whole production all set up and people are made to believe they are being healed
118. The cultural context is different.
What used to be called demon possession is now proven to be nothing but psychological diseases such as schizophrenia. We now have the knowledge and can explain them scientifically so there is less need to explain this phenomenon in a spiritual context.
There is no evidence that all the things they show on movies actually happen in real life exorcism.
119. Catholic and protestant denominations
120. Jesus Christ
121. The Rituale Romanum is written is 1614 and is an outlined rite of exorcism that contains all the rituals and incantations needed to be followed closely in order to have a successful exorcism
122. The exorcist must be free of sin so the devil will not use it against him
123. Normal: healthy, middle-aged, not too brilliant
124. Stages of exorcism accdg to Malachi Martin:
The presence
Pretense
Breakpoint
The voice
The clash
The expulsion
125. Use occams razor
126. It is not always an evil spirit, it can also be a confused spirit
127. Africa, Latin America, orient: it means its universal
128. 1614
129. Paranormal abilities, superhuman strength, speak a different language, revulsion against holy objects
130. It flourishes in places that does not know a lot about mental illnesses
131. When dealing with something bizarre, which is more likely? Is it a hoax or a miracle?
132. Wade Davis
133. Social control
134. Bizango the secret society in Haiti that punishes people by turning them into zombies
135. No, material and spiritual are the same
136. A Houngan is a vodoun priest
137. Vodoun is considered a set of rules and ethics that must be followed in order to have harmony
138. He took his brothers lands, got women pregnant without taking care of the child
139. 1962-1964
140. Tetradotoxin
141. Datura stramonium
142. Set the individuals expectation of what the drugs will do to him
Setting the environment that the drugs is taken
2 different people can go to the same location and use the same drugs but will have different reactions based on their enculturation.
143. Bokor the one who practices sorcery in Haiti
144. Max Beauvoir is his contact and is a houngan
145. Marcelle Pierre is a bokor
146. Ti Femme and Clairvius Narcisse
147. Hounfour the temple
148. Gros bon ange big good angel animates the body, the one that becomes the flesh zombie
Ti bon ange small good angel, the one that consist of the ego or consciousness, the astral zombie that gets captured in a jar.
149. Refer to 148
150. Haitians fear is not the zombie but to become a zombie
151. 7 transgressions: ambition, lack of respect, belittling the bizango, stealing another mans wife, slander, harming family, land issues
152. The magic comes from the bokor and not the poison itself
153. The real zombie ingredients: lizard, toad Bufo Marinas, large worm, variouys plants, 2 different fish one of them is a puffer fish, bones from a recently buried child
154. Tetradotoxin is 160,000x more potent than cocaine
155. The lotion needs to be topically applied
156. Catatonic state aware but cannot physically feel
157. Herard Simon his contact in the Bizango society
158. Loa the spirit in Haiti
159. 2 ethnomedical facts: everyday illness is dealt with medicines. Psychological problems are referred to the houngan
160. The zombie complex according to the Haitians: the powders are used to kill or harm people and make them sick but it is the sorcery that turns them into zombies