Skip to main content
Log in

A question of medicine answering

Health Commodification and the Social Relations of Healing in Sri Lanka

  • Published:
Culture, Medicine and Psychiatry Aims and scope Submit manuscript

Abstract

Biomedicine although institutionally powerful in Sri Lanka has not been able to depersonalize illness or promote a notion of treatment efficacy disconnected from social relations. An ideology of healing crosscuts the trend toward health commodification. This paper focuses on three concepts fundamental to the interactive dynamics of treatment efficacy: constitution, habit, and power of the hand. A movement between two distinct types of health care seeking behavior is described. One is inspired by finding the right medicine fix, the other by finding a practitioner having a sensitivity toward one's sense of person and all this entails.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Amarasingham, Lorna Rhodes 1980 Movement among Healers in Sri Lanka: A Case Study of a Sinhalese Patient. Cult. Med. Psychiatry 4:71–92.

    Google Scholar 

  • Abosede, O.A. 1984 Self-medication: An Important Aspect of Primary Health Care. Soc. Sci. Med. 19(7):699–703.

    Google Scholar 

  • Ames, Michael M. 1966 Ritual Presentations and the Structure of the Sinhalese Pantheon. In: M. Nash (ed.), Anthropological Studies in Theravada Buddhism. New Haven: Yale University Press, pp. 27–50.

    Google Scholar 

  • Archetti, E. 1986 The Role of Culture in World Development. Reviews in Anthropology, Winter 79–84.

  • Bateson, G., et al. 1956 Toward a Theory of Schizophrenia. Behav. Sci. 1:251–264.

    Google Scholar 

  • Bateson, G. 1972 Steps to an Ecology of the Mind. Chandler: San Francisco.

    Google Scholar 

  • Beteille, A. 1980 The Idea of Natural Inequality. Auguste Comte Memorial Trust Lecture, The London School of Economics and Political Sciences, London. Unpublished.

    Google Scholar 

  • Daniel, E.V. 1984 Fluid Signs: Being a Person the Tamil Way. Berkeley: University of California Press.

    Google Scholar 

  • Dumont, L. 1970 Homo Hierarchicus. London: Weindenjeld and Nicholson.

    Google Scholar 

  • Friedson, E. 1970 Profession of Medicine: A Study of the Sociology of Applied Knowledge. Harper Row: New York.

    Google Scholar 

  • Good, M.J. 1980 Of Blood and Babies: The Relationship of Popular Islamic Physiology to Fertility. Soc. Sci. Med. 14b:147–156.

    Google Scholar 

  • Helman, C. 1985 Disease and Pseudo-Disease: A Case History of Pseudo-Angina. In: R.A. Hahn and A.D. Gaines (ed.), Physicians of Western Medicine, 243–331.

  • Janzen, John M. 1978 The Quest for Therapy: Medical Pluralism in Lower Zaire. Berkeley: University of California Press.

    Google Scholar 

  • Kapferer, Bruce 1983 A Celebration of Demons. Bloomington: Indiana University Press.

    Google Scholar 

  • Kelman, S. 1976 The Social Nature of the Definition Problem in Health. International Journal of Health Services 5(4):625–642.

    Google Scholar 

  • Kemper, Steven 1980 Time, Person, and Gender in Sinhalese Astrology. American Ethnologist 7(4):744–758.

    Google Scholar 

  • Kunstadter, P. 1975 Do Cultural Differences make any Difference? Choice Points in Medical Systems Available in Northwestern Thailand. In: A. Kleinman, P.K. Kunstadter and J. Gale (eds.), Medicine in Chinese Cultures, E.R. Russell Alexander Publishers.

  • Leslie, Charles 1976 The Ambiguities of Medical Revivalism in Modern India. In: C. Leslie (ed.), Asian Medical Systems. Berkeley: University of California Press, pp. 356–367.

    Google Scholar 

  • Low, S. 1985 Culturally Interpreted Symptoms on Culture Bound Syndromes: A Cross Cultural Review of Nerves. Soc. Sci. Med. 21(2):187–196.

    Google Scholar 

  • Marriott, M. and Inden, R. 1977 Toward an Ethnosociology of South Asian Caste Systems. In: The New Wind: Changing Identities in South Asia. Kenneth David (ed.), The Hague: Mouton Press.

    Google Scholar 

  • Mauss, M. 1938 “Une Categorie de Fesprit humain: la notion de personne celle de ‘moi’”. Journal of the Royal Anthropological Institute, LVIH:263–81.

    Google Scholar 

  • Mauss, M. 1979 Eng. trans. by B. Brewster. In: Sociology and Psychology. London: Routledge and Kegan Paul, pp. 57–94.

    Google Scholar 

  • McCombie, S. 1987 Folk Flu and Viral Syndrome: An Epidemiological Perspective. Soc. Sci. Med. 25(9): 987–993.

    Google Scholar 

  • Morsy, S. 1980 Body Concepts and Health Care: Illustrations from an Egyptian Village. Human Organization 39(1):92–96.

    Google Scholar 

  • Nichter, Mark 1980 The Layperson's Perception of Medicine as Perspective into the Utilization of Multiple Therapy Systems in the Indian Context. Social Science and Medicine 14B(4):225–233.

    Google Scholar 

  • Nichter, Mark 1981 Idioms of Distress: Alternatives in the Expression of Psychosocial Distress: A Case Study from South India. Culture, Medicine and Psychiatry 5:379–408.

    Google Scholar 

  • 1983 Paying for What Ails You: Sociocultural Issues Influencing the Ways and Means of Therapy Payment in South India. Soc. Sci. Med.: 957–965.

  • 1987a Cultural Dimensions of Hot, Cold, and Sema in The Sri Lankan Health Culture. In: Hot-Cold Conceptualization: A Reassessment. L. Manderson (ed.), Special Edition, Soc. Sci. Med., 377–387.

  • Nichter, Mark 1987b From Aralu to ORS: Sinhalese Perceptions of Digestion, Diarrhea and Dehydration. Social Science and Medicine. Vol. 27, No. 1, pp. 39–52,1988.

    Google Scholar 

  • Nichter, Mark 1989 The Commodification of Health. In: Anthropology and International Health: South Asian Case Studies. Kluwer Press, The Netherlands.

    Google Scholar 

  • Nordstrom, C. 1988 It's all in a Name: Local Level Healers in Sri Lanka. In: Women as Healers: Cross-Cultural Perspectives. C. McClain (ed.), New Brunswick: Rutgers University Press.

    Google Scholar 

  • Obeyesekere, Gananath 1969 The Ritual Drama of the “Sanni” Demons: Collective Representations of Disease in Ceylon. Comparative Studies in Society and History 2:174–216.

    Google Scholar 

  • Obeyesekere, Gananath 1976 The Impact of Ayurvedic Ideas on the Culture and the Individual in Ceylon. In: Asian Medical Systems. C. Leslie (ed.), University of California Press, Berley, pp. 201–226.

    Google Scholar 

  • Ohnuki-Tiemey, E. 1984 Physiomorphism (Somatization): An Aspect of the Japanese Illness Etiology, Chapter 4. Illness and Culture in Contemporary Japan. Cambridge University Press, Cambridge.

    Google Scholar 

  • Price, L. 1987 Ecuadorian illness stories. In: D. Holland and N. Quinn (eds.), Cultural Models in Language and Thought. Cambridge University Press, New York.

    Google Scholar 

  • Waxler, Nancy E. 1979 Is the Outcome for Schizophrenia Better in Nonindustrial Societies? The Case of Sri Lanka. The Journal of Nervous and Mental Disease 167(3):144–158.

    Google Scholar 

  • Worsely, P. 1984 The Three Worlds: Culture and World Development. University of Chicago Press, Chicago.

    Google Scholar 

  • Yalman, Nur 1964 The Structure of Sinhalese Healing Rituals. In: E.B. Harper (ed.), Religion in South Asia. University of Washington Press, Seattle.

    Google Scholar 

  • Young, Allan 1981 When Rational Men Fall Sick: An inquiry into some assumptions made by medical anthropologists. Culture, Medicine and Psychiatry 5:317–335.

    Google Scholar 

  • Young, Allan 1982 Rational Men and the Explanatory Model Approach. Culture, Medicine and Psychiatry 6:21–34.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nichter, M., Nordstrom, C. A question of medicine answering. Cult Med Psych 13, 367–390 (1989). https://doi.org/10.1007/BF00052046

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00052046

Keywords

Navigation