Skip to main content

Why the West Spurns Medical Rituals

  • Chapter
  • First Online:
Ritual and the Moral Life

Part of the book series: Philosophical Studies in Contemporary Culture ((PSCC,volume 21))

Abstract

This essay investigates the use of ritual in medicine and argues that the healing power of rituals has been under-appreciated and under-utilized in Western biomedicine, despite its own inventory of medical rituals, because of its commitments to biomedical materialism. The argument hinges on an analysis of the confused Western effort to employ only therapies that heal through “specific” physiologic pathways (rather than through the “non-specific” placebo effect). Non-Western medical traditions that embrace healing rituals would be impoverished were they to uncritically adopt biomedical materialism, with its disdain for “non-specific” pathways (such as rituals) to healing.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    The reader should note that relative invariance is enough. To be considered rituals, action sequences need not be codified or otherwise formally prescribed, and they need not be devoid of variance.

  2. 2.

    “Nocebo effects” are non-specific deleterious effects of clinical interventions.

  3. 3.

    Some of the approaches that count as part of “alternative and complementary medicine” (for instance, chiropractic medicine, therapeutic touch, homeopathy, and massage therapy) have adopted most of the rituals of ordinary clinical medicine as it is practiced in TAWN (Trotter, 2000, p. 63). For the most part, contemporary medical researchers have done a creditable job of investigating these approaches, often debunking exaggerated claims. On the other hand, certain approaches are imbedded in cultural beliefs and standards that are radically at odds with the beliefs and standards that structure ordinary clinical medicine in TAWN. Examples include Navajo medicine, traditional Chinese medicine, and Ayurveda. When I refer to “alternative medical traditions,” these are the sorts of approaches to which I refer.

  4. 4.

    The multitude of incoherent accounts is too vast to consider in this chapter. On one version, self-indulgence is acceptable when it is effected lovingly. But, love, on such accounts, is typically incoherent, in that it involves a kind of synchronized self-indulgence, amounting essentially to conflict avoidance. No recognition is possible of the fact that human impulses are deeply contradictory at both the intra-personal and interpersonal levels, and that many human impulses are aggressive or otherwise destructive. If love is ever to transcend self-indulgence, it will be through an account of a proper human end, or telos, which is precisely what New Age philosophy repudiates.

  5. 5.

    My observations about New Age spirituality are based on my perusal of non-scholarly books at bookstores. Though I hesitate to impugn any particular work, some representative titles speak for (or perhaps against) themselves. Consider: When God Winks on Love, by Squire Rushnell (New York: Simon & Schuster, 2003), which provides instruction on how to interpret “godwinks” – i.e., “silent messages from the universe” which lead people to romantic love, and Healing with Angels, by Doreen Virtue (Carlsbad, CA: Hay House, 1999), which explains the tenets of “angel therapy” and provides prayers for healing pets, releasing stress and enhancing business (the same author has another book which explains how to heal with fairies).

References

  • Benson, H. and Friedman, R. (1996). Harnessing the power of the placebo effect and renaming it “remembered wellness.” Annual Revue of Medicine, 47, 193–199.

    Article  Google Scholar 

  • Bensoussan, A., Talley, N. J., Hing, M., Menzies, R. Guo, A., and Ngu, M. (1998). Treatment of irritable bowel syndrome with Chinese herbal medicine: A randomized controlled trial. JAMA, 280, 1585–1589.

    Article  Google Scholar 

  • Brody, H. (1982). The lie that heals: The ethics of giving placebos. Annals of Internal Medicine, 97, 112–118.

    Google Scholar 

  • Fan, R. (2008). Toward a directed benevolent market polity: Rethinking medical morality in transitional China. Cambridge Quarterly of Healthcare Ethics, 17, 280–292.

    Article  Google Scholar 

  • Kaptchuk, T. J., Stason, W. B., Davis, R. B., et al. (2006). Sham device v inert pill: Randomised controlled trial of two placebo treatments. BMJ, 332, 391–397.

    Article  Google Scholar 

  • Kienle, G. S. and Kiene, H. (1996). Placebo effect and placebo concept: A critical methodological and conceptual analysis of reports on the magnitude of the placebo effect. Alternative Therapies in Health and Medicine, 2(6), 39–54.

    Google Scholar 

  • Kienle, G. S. and Kiene, H. (1997). The powerful placebo effect: Fact or fiction? Journal of Clinical Epidemiology, 50, 1311–1318.

    Article  Google Scholar 

  • Levine, J. D., Gordon, N. C. and Fields, H. L. (1978). The mechanism of placebo analgesia. Lancet, 2, 645–657.

    Google Scholar 

  • Shapiro, A. K. & Shapiro, E. S. (1997). The powerful placebo: From ancient priest to modern physician. Baltimore, MD: Johns Hopkins University Press.

    Google Scholar 

  • Shepherd, M. (1993). The placebo: From specificity to the non-specific and back. Psychosomatic Medicine, 23, 569–578.

    Google Scholar 

  • Spiro, H. M. (1986). Doctors, patients, and placebos. New Haven, CT: Yale University Press.

    Google Scholar 

  • Trotter, G. (2000). Culture, ritual, and errors of repudiation: Some implications for the assessment of alternative medical traditions. Alternative Therapies in Health and Medicine, 6(4), 62–68.

    Google Scholar 

  • Winthrop, R. H. (1991). Dictionary of concepts in cultural anthropology. Westport, CT: Greenwood Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Griffin Trotter .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Trotter, G. (2012). Why the West Spurns Medical Rituals. In: Solomon, D., Fan, R., Lo, Pc. (eds) Ritual and the Moral Life. Philosophical Studies in Contemporary Culture, vol 21. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2756-4_5

Download citation

Publish with us

Policies and ethics