ANTH. 320  Health and Healing: Cross Cultural Perspectives

Fall 2007


SYLLABUS

 

Dr. S. Cosminsky, cosminsk@camden.rutgers.edu Phone: 225-2923, Office: 405 Cooper St. Rm 203

 

 

Assigned Texts

 

McElroy and Townsend- Medical Anthropology in EcologicalPerspective (2004- 4th edition)

Fadiman, Ann - The Spirit Catches You and You Fall Down.

 

* Readings marked by an asterisk will be available either on electronic reserve or library reserve.

 

Course Goals

     The major goals of this course are:

1)                             To provide you with an understanding of various sociocultural, economic and political factors that affect the patterns and distribution of disease through time and space and through the life cycle.

2)                             To examine different health systems, including our own and how people cope with illness and health in different cultural contexts .

3)                             To examine the various factors that affect access to health care   

      

We will first look at some of the theoretical perspectives that have been developed to look at issues of health, disease, and illness, including the biomedical model. We will examine various sociocultural, political, economic, and environmental factors that affect disease using primarily an ecological perspective of your textbook, supplemented by other perspectives. We will then examine what people do when they are sick and why by looking at a variety of health systems or ethnomedical systems as well as how these systems

are changing with the impact of biomedicalization and globalization. We will use the case study of the Hmong in California to illustrate some of the issues involved in medical pluralism and cultural continuity and change.

 

Week

 

Sept. 5 I.  Introduction: Ecological Model and Definitions of Health and Health and Illness

              McElroy and Townsend - Introduction, Chap. 1

       

Sept. 10 II Interdisciplinary Research in Health Problems; More Models and Definitions

             McElroy and Townsend - Chap. 2

             *Mischler - Viewpoint: Critical Perspectives on the Biomedical Model"

             *Kleinman, A. - "Culture, Illness and Care."

             *Helman, C - Medicine and Culture: Limits of Biomedical Explanation

 

Sept. 14      No Class

 

Sept. 17 III Ecology of Human Disease: Culture, Society and Environment

             McElroy and Townsend - Chap. 2

             Film: Kuru

           

Sept. 24  IV Adaptation (Biological and Cultural): Factors Affecting Distribution of Disease

             McElroy and Townsend - Chap. 3, 4

             *Kolata - "!Kung Hunter-Gatherers: Feminism, Diet and Birth Control"

             *Detwyller, K. - "Female Circumcision"

 

Oct. 1  V   Nutritional Practices and Health Implications

             McElroy and Townswend - Chap. 5

             *Harwood - "Hot-Cold Theory of Disease

             *Scheper-Hughes - "Death Without Weeping"

 

Oct. 8. VI  Culture, Ecology, and Reproduction

             McElroy and Townsend -Chap. 6

             *Davis-Floyd, R. -"Ritual in the Hospital: Giving Birth the American Way"

             *Cosminsky- "Childbirth and Change: A Guatemalan Case Study"

 

Oct. 22   MIDTERM EXAM

 


Oct. 24 VII  Models and Definitions of Mental Illness and Mental Health

             *Rosenhahn - "Being Sane in Insane Places"

             *Stix, G. - "Listening to Culture"

             *Kleinman, A - Do Psychiatric Disorders Differ in Different Cultures

Oct. 29 VIII Stress, Illness and Healing

             McElroy and Townsend - Chap. 7

      

Nov. 5 IX   Ethnomedicine; Alternative Medical Systems

             *Sharon - "Eduardo the Healer"

             *Lambo - "Psychotherapy in Africa"

             *Plotkin, M. - "Through the Green Door"

             Fadiman, A. - The Spirit Catches You and You Fall Down- Preface, pp.1-153

 

Nov. 12 X  Medical Pluralism; Health -Seeking Behavior;  Health Resources in Changing Cultures.

             Fadiman, A. - The Spirit Catches You and You Fall Down- Finish book

             McElroy and Townsend - Chap. 8

             *Cosminsky - "Medical Pluralism on a Guatemalan Plantation"

 

Nov. 26 XI. Costs and Benefits of Development

             McElroy and Townsend - Chap.9

    

Dec. 3 XII Medical Anthropologists at Work

             McElroy and Townsend- Chap. 10           

    

Dec. 10    Conclusions and Review

 

Dec. 17    FINAL EXAM

There will be a midterm exam and a final exam which will cover material since the midterm. Exams will including readings, lectures, materials and films. Class participation is expected and will be counted in your grade. Excessive absences will be counted against your grade.

 

You will also be responsible for keeping a Health Diary, upon which a writing assignment will be based. This paper will be due Nov. 19. Details will be given in class.