Creativity in illness: Methodological linkages to the logic and language of science in folk pursuit of health in central Italy

Romanucci‐Ross, Lola

doi:10.1016/0277-9536(86)90318-7

Cited by 15 publications

(8 citation statements)

References 9 publications

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“…Other studies in both rural and urban areas in many countries found that less than 10% of illness episodes receive care provided by health care personnel 13–17 . Our sample probably included more severe illness.…”

Section: Discussionmentioning

confidence: 97%

Management of Episodes of Incapacity by Families in Rural and Remote Queensland

Jirojwong

MacLennan

2002

Australian J Rural Health

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People in rural and remote areas have relatively poor health, so limited availability of and accessibility to doctors are major health issues. This cross-sectional study was conducted in rural and remote areas of Central Queensland. Using telephone interviews, the study described the use of formal and informal health services by families in response to episodes of incapacity. An episode of incapacity was defined as inability to conduct ordinary activities for at least half a day due to new or continued illness. Of the 394 households contacted, 270 (68.5%) provided information about 698 household members, of whom 269 (38.5%) reported at least one episode of incapacity in the previous 12 months. The respondents could report more than one type of management of an illness episode. The management of the most recent episode in each member included 68% visiting doctors and 8.2% using services at an accident and emergency unit. Persons living in "least" medically resourced areas were more likely than persons in relatively "high" and "moderate" areas to consult doctors, but were also more likely to first consult books and delay their visits. They also consulted by telephone three times more frequently. Only 7% consulted other health practitioners including nurses and chemists, suggesting that these health practitioners were not used by families in rural and remote areas during episodes of incapacity. Increasing the availability and accessibility of medical care resources in rural and remote areas, using alternative delivery methods such as telemedicine, may meet the health needs of rural populations.

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Section: Discussionmentioning

confidence: 97%

Management of Episodes of Incapacity by Families in Rural and Remote Queensland

Jirojwong

MacLennan

2002

Australian J Rural Health

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“…Spirits, both pagan and mainstream, could also be held accountable for ill health or ill fortune, or appealed to for relief from these. Phenomena such as malocchio limited social strife caused by people boasting or allowing themselves to give way to envy (see Foster 1976;Romanucci-Ross 1997;Scheper-Hughes and Lock 1987).…”

Section: Demographic and Sodoeconomic Transitionmentioning

confidence: 99%

“…Italian health beliefs, consequently, are tied both to a geographically widespread and very old humoral tradition and to the more recent biomedical paradigm centered in northern Europe and the United States.Yet the practice of biomedicine is not uniform and is shaped by the unique historical and cultural traditions of each country (see Payer 1996). In Italy, biomedicine is not sharply bounded against other healing traditions in a system of medical pluralism (see Romanucci-Ross 1991. And, in contrast to the naturalistic orientation of humoral medicine and biomedicine, Italian ideas about health are also informed by a traditional personalistic medical system that emphasizes the influence of spirits and human malice as agents of disease and saints and divine will as purveyors of good fortune (see Romanucci-Ross 1997).…”

mentioning

confidence: 99%

“…For all people, outside events, such as atmospheric changes or perturbations, as well as internal ones related to individual behavior (including excessive eating, drinking, thinking, and emotions), would cause a surfeit or deficit in a particular humor, with predictable health effects. These beliefs informed medical science for many centuries and are still present, albeit in modified or latent form, in current understandings of the body and health in Italy (see Romanucci-Ross 1991. 5 During the early decades of the 20th century, Italian medical science replaced the old humoral conception with modern understandings of hormones and other bodily fluids.…”

mentioning

confidence: 99%

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The Idea of Health: History, Medical Pluralism, and the Management of the Body in Emilia‐Romagna, Italy

Whitaker

2003

Med Anthropol Q

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Basic beliefs about health in north central Italy derive from an approach to the personal management of the body that is not just reactive but also proactive. This article examines a complex field of health factors in relation to historical processes and a system of medical pluralism. Rapid demographic and social changes over the past century have brought an accommodation of ancient medical beliefs to more recent germ-oriented principles. An enduring belief in the permeability of the body leads to an emphasis on moderation in personal conduct to prevent debilitation, whether by atmospheric insults, microbial infection, or modern-day miasmas such as pollution or additives in food. The idea of health itself is analyzed to show how biomedicine varies across societies and how historical processes have shaped contemporary cultural patterns and led to generational continuities and differences in beliefs and behaviors. This information may also improve interactions between patients and health care providers.

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“…3 Thus, when the choices are multiple, the ‘shifting game strategies’ take place. 4 Of course, the ‘hierarchy‐of‐resorts model’ of treatment selection suggested by Romanucci‐Ross et al is relevant here. 4 Further, according to the degree of severity of the illness, treatment strategies may vary.…”

Section: Introductionmentioning

confidence: 99%

Culture‐bound syndrome and a culturally sensitive approach: From a viewpoint of medical anthropology

Shimoji

Miyakawa

2000

Psychiatry Clin Neurosci

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Some aspects of the culture-bound syndrome are presented for discussion. From the psychiatric and medical anthropological viewpoints, kamidaari is described as an initiatory illness for seeing a shaman, and focus on clinical realities developing between different therapeutic subcultures in the same culture and the complementary practices of two epistemological ones, namely, the shamanistic and modern psychiatric system in the shamanistic climate. It is suggested that the culture-bound syndrome that reflects cultural influences on disease patterns and renders them difficult to place in a universal classificatory system should be seen as a vernacular bricolage or as tactics used by people within the web of their own local culture of origin. Therapists who treat patients in a cross-epistemological milieu should be aware of the subculturalepistemological issues that may affect the clinical process. It should be recognized that, depending on the nature of a particular psychiatric crisis, the clinical encounter is straddling the boundaries of multiple clinical realities. At every stage in the clinical field, there is an intersection, consonance, or interruption of rejoinders in the open dialog by all those engaged in the clinical time. Aspects of climatic, culturally sensitive psychotherapy will be described, and the concept of the culture-bound syndrome will be reconsidered. Our approach could be seen as 'situation-and fudo-bound'.

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Creativity in illness: Methodological linkages to the logic and language of science in folk pursuit of health in central Italy

Cited by 15 publications

References 9 publications

Management of Episodes of Incapacity by Families in Rural and Remote Queensland

Management of Episodes of Incapacity by Families in Rural and Remote Queensland

The Idea of Health: History, Medical Pluralism, and the Management of the Body in Emilia‐Romagna, Italy

Culture‐bound syndrome and a culturally sensitive approach: From a viewpoint of medical anthropology

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