Abstract
The negotiation of the illness experience by ayurvedic vaidya and South Kanarese patients suffering from specific sources of psychosocial distress is examined in light of the cultural patterning of illness and communication within the clinical context. The negotiation process is initiated by the posing of rhetorical questions about somatic and affective states and structured by a conceptual framework which relegates such states to humoral interrelationships. By establishing a humoral explanatory model for an illness episode or affective state which takes into account environmental and constitutional factors over which one has little control, responsibility is mollified and dialogue about personal problems eased. A comparison of the interaction between ayurvedic practitioners and patients and astrologers and clients is made in this regard. The socially integrative and adaptive consequences of ayurvedic therapy is considered vis a vis a portrayal of a popular vaidya's therapy for a number of illnesses associated with the somatization of psychosocial stress.
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References
Balint, M. 1957 The Doctor, His Patient, and the Illness. New York: International Universities Press.
Carstairs, M. G. 1957 The Twice Born. London: Hogarth Press.
Cassell, E. J. 1970 In Sickness and in Health. Commentary, June edition, 59–66.
Good, B. 1977 The Heart of What's the Matter: The Semantics of Illness in Iran. Culture, Medicine, and Psychiatry 1: 25–58.
Kleinman, A. 1977 Comparisons of Practitioner-patient Interactions in Taiwan: The Cultural Construction of Clinical Reality. In A. Kleinman et al. (eds.); Culture and Healing in Asian Societies: Anthropological, Psychiatric, and Public Health Studies. Cambridge, Mass.: Schenkman Publishing.
Kleinman, A. 1980 Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. Berkeley: University of California Press.
Kouwenaar, W. P. 1971 Epidemiological and Sociocultural Factors in the Etiology of Duodenal Ulcer. Advances in Psychosomatic Medicine 6: 121–51.
Nichter, M. 1977 Idioms of Distress: Expression of Anxiety and Psychosocial Conflict among Havik Brahmin Women. Paper presented to the British Medical Anthropology Society Conference on “Women, Illness, and Stereotypes”, June 1977, School of African and Asian Studies, Sussex University. Publication forthcoming.
Nichter, M. 1979 The language of illness in South Kanara. Anthropos 74: 181–201.
Obeyesekere, G. 1976 The Impact of Ayurvedic Ideas on the Culture and Individual in Sri Lanka. In C. Leslie (ed.): Asian Medical Systems: A Comparative Study. Berkeley: University of California Press.
Waxler, N. E. 1974 Culture and Mental Illness: A Social Labeling Perspective. J. Nerv. and Ment. Dis. 159: 379–395.
Zimmerman, F. 1978 From Classical Texts to Learned Practice: Methodological Remarks on the Study of Indian Medicine. Soc. Sci. and Med. 12: 97–103.
Zimmerman, F. 1980 Rtu-sātyma: The Seasonal Cycle and the Principle of Appropriateness. Soc. Sci. and Med. 14B: 99–106.
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Nichter, M. Negotiation of the illness experience: Ayurvedic therapy and the psychosocial dimension of illness. Cult Med Psych 5, 5–24 (1981). https://doi.org/10.1007/BF00049156
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DOI: https://doi.org/10.1007/BF00049156