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Including the Physician in Healer-Centered Research: Retrospect and Prospect

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Physicians of Western Medicine

Part of the book series: Culture, Illness and Healing ((CIHE,volume 6))

Abstract

The study of healers, the healing process and healers’ transactions with their clients are central foci in cross-cultural research leading to understanding of the role of medical systems in health maintenance. Healers in traditional, small societies have been studied by anthropologists in considerable detail (e.g., Turner 1967; Levi- Strauss 1967a). However, it is remarkable that anthropology has heretofore largely ignored the healer of Western Biomedicine, the physician. This paper examines recent studies of Western physicians which compliment those included in this volume. It examines forces external to anthropology which give direction to such studies, the challenges for anthropologists engaged in field research on physicians, and some theoretical perspectives and research foci which have guided research on physicians to date.

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References

  1. Alland, Alexander, Jr. 1966 Medical Anthropology and the Study of Biological and Cultural Adapatation. American Anthropologist 68: 40–51.

    Article  Google Scholar 

  2. Alexander, Linda 1979 Clinical Anthropology: Morals and Methods. Medical Anthropology 3 (11): 61–107.

    Article  Google Scholar 

  3. Alland, Alexander, Jr. 1982 Illness Maintenance and the New American Sick Role. In Chrisman, Noel and T. Maretzki (eds.), Clinically Applied Anthropology. Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  4. Balint, Michael 1957 The Doctor, His Patient and the Illness. New York: International Universities Press.

    Google Scholar 

  5. Becker, Howards S., B. Geer, E. C. Highes, A. Strauss 1961 Boys in White: Student Culture in Medical School. Chicago: The University of Chicago Press.

    Google Scholar 

  6. Bennett, Linda (ed.) 1982 Reconsidering Appropriate Roles for Medical Anthropologists in Clinical Settings: Case Studies. Medical Anthropology Newsletter 14(1):18—26.

    Google Scholar 

  7. Bosk, Charles 1979 Forgive and Remember: Managing Medical Failure. Chicago: The University of Chicago Press.

    Google Scholar 

  8. Bosk, Charles 1980 Occupational Rituals in Patient Management. New England Journal of Medicine 303 (2): 71–76.

    Article  Google Scholar 

  9. Bowden, Charles L. and Alvin G. Burstein 1974 Psychosocial Basis of Medical Practice: An Introduction to Human Behavior. Baltimore: The Williams and Wilkings Co.

    Google Scholar 

  10. Blumhagen, Dan 1980 Hypertension: A Folk Illness with a Medical Name. Culture, Medicine and Psychiatry 4 (3): 197–277.

    Article  Google Scholar 

  11. Brody, Howard 1983 Does Disease Have a Natural History? Medical Anthropology Quarterly 14(4):3ff.

    Google Scholar 

  12. Capra, Fritjof 1982 The Turning Point. New York: Simon and Schuster.

    Google Scholar 

  13. Cassell, Eric 1979 The Healer’s Art. Baltimore: Pengu in Books.

    Google Scholar 

  14. Cassell, Joan 1981 Technical Error and Moral Error in Medicine and Fieldwork. Human Organization 40 (2): 160–168.

    Google Scholar 

  15. Caudill, William A. 1958 The Hospital as a Small Society. Cambridge, Mass.: Harvard University Press.

    Google Scholar 

  16. Chrisman, Noel T. and Thomas W. Maretzki (eds.) 1982 Clinically Applied Anthropology. Dordrecht, Holland: D. Reidel Publishing Company.

    Google Scholar 

  17. Cousins, Norman 1979 Anatomy of an Illness as Perceived by the Patient: Reflecting on Healing and Regeneration. New York: W. W. Norton.

    Google Scholar 

  18. De Craemer, Willy and Renee C. Fox 1968 The Emerging Physician. A Sociological Approach to the Development of a Congolese Medical Profession. Stanford: The Hoover Institution, Stanford University.

    Google Scholar 

  19. Duffy, John 1979 The Healer: A History of American Medicine. Champaign, 111.: University of Illinois Press.

    Google Scholar 

  20. Dunn, Fredrick L. 1976 Traditional Asian Medicine and Cosmopolitan Medicine as Adaptive Systems. In Leslie (ed.), Asian Medical Systems. Berkeley: University of California Press.

    Google Scholar 

  21. De Vos, George 1980 Afterword. In David K. Reynolds, The Quiet Therapies. Honolulu: The University Press of Hawaii.

    Google Scholar 

  22. Eisenberg, Leon and Arthur Kleinman (eds.) 1981 The Relevance of Social Science for Medicine. Dordrecht, Holland: D. Reidel Publ. Co.

    Google Scholar 

  23. Engel George L. 1977 The Need for a New Medical Model: A Challenge for Bio-Medicine. Science 196: 129–136.

    Article  Google Scholar 

  24. Engel George L. 1982 The Biopsychosocial Model and Mental Education. The New England Journal of Medicine 306 (13): 802–805.

    Article  Google Scholar 

  25. Estroff, Sue E. 1981 Making It Crazy: An Ethnography of Psychiatric Clients in a Community. Berkeley: The University of California Press.

    Google Scholar 

  26. Foster, George M. 1974 Medical Anthropology: Some Contrasts with Medical Sociology. Medical Anthropology Newsletter 6 (1): 1–5.

    Article  Google Scholar 

  27. Foster, George M. and Barbara G. Anderson 1978 Medical Anthropology. New York: John Wiley (amp) Sons.

    Google Scholar 

  28. Fox, Renee C. 1959 Experiment Perilous. Philadelphia: University of Pennsylvania Press.

    Google Scholar 

  29. Fox, Renee C. 1975 Training for Uncertainty. In R. Merton, G. Reader, and P. L. Kendall (eds.), The Student Physician. Cambridge, Mass.: Harvard University Press.

    Google Scholar 

  30. Fox, Renee C. 1979a Essays in Medical Sociology: Journey Into the Field. New York: John Wiley (amp) Sons.

    Google Scholar 

  31. Fox, Renee C. 1979b The Human Condition of Health Professionals. University of New Hampshire Distinguished Lecture Series.

    Google Scholar 

  32. Fox, Renee C. and H. I. Lief 1963 Training for Detached Concern in Medical Students. In H. I. Lief et al., (eds.), The Psychological Basis of Medical Practice. Berkeley: University of California Press.

    Google Scholar 

  33. Freidson, Eliot 1970a Professional Dominance: The Social Structure of Medical Care. New York: Atherton Press.

    Google Scholar 

  34. Freidson, Eliot 1970b Profession of Medicine: A Study of the Sociology of Applied Knowledge. New York: Dodd Mead.

    Google Scholar 

  35. Frank, Jerome D. 1961 Persuasion and Healing: A Comparative Study of Psychothreapy. Baltimore: The Johns Hopkins University Press.

    Google Scholar 

  36. Gaines, Atwood D. 1979 Definitions and Diagnoses: Cultural Implications of Psychiatric Help-Seeking and Psychiatrists’ Definitions of the Situation in Psychiatric Emergencies. Culture, Medicine and Psychiatry 3 (4): 381–418.

    Article  Google Scholar 

  37. Gaines, Atwood D. 1982a Cultural Definitions, Behavior and the Person in American Psychiatry. In A. Marsella and G. White (eds.), Cultural Conceptions of Mental Health and Therapy. Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  38. Gaines, Atwood D. 1982b Knowledge and Practice. In: N. Chrisman and T. Maretzki (eds.), Clinically Applied Anthropology. Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  39. Gaines, Atwood D. 1982c The Twice-Born: ‘Christian Psychiatry’ and Christian Psychiatrists. In A. Gaines and R. Hahn (eds.), Physicians of Western Medicine: Five Cultural Studies. Special Issue. Medicine and Psychiatry 6 (3): 305–324.

    Google Scholar 

  40. Gaines, Atwood D. and Robert A. Hahn (eds.) 1982 Physicians of Western Medicine: Five Cultural Studies. Special Issue. Culture, Medicine and Psychiatry 6(3).

    Google Scholar 

  41. Garrison. Vivian 1977 Doctor, Espiritista or Psychiatrist? Health Seeking Behavior in a Puerto Rican Neighborhood of New York City. Medical Anthropology 1: 65–180.

    Google Scholar 

  42. Good, Byron 1977 The Heart of What’s the Matter. Culture, Medicine and Psychiatry l(l):25–58.

    Google Scholar 

  43. Good, Byron and Mary-Jo DelVecchio Good 1981 The Meaning of Symptoms: A Cultural Hermeneutic Model for Clinical Practice. In L. Eisenberg and A. Kleinman (eds.), The Relevance of Social Science for Medicine. Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  44. Hahn, Robert A. 1979 “Treat the Patient, Not the Lab”: Internal Medicine and the Concept of the ‘Person’. In A. Gaines and R. Hahn (eds.), Physicians of Western Medicine: Five Cultural Studies. Special Issue. Culture, Medicine and Psychiatry 6 (3): 219–236.

    Article  Google Scholar 

  45. Hahn, Robert A. and Arthur Kleinman 1980 Belief as Pathogen, Belief as Medicine: “Vodoo Death” and the “Placebo Phenomenon” in Anthropological Perspective. Medical Anthropology Quarterly 14(4):3ff.

    Google Scholar 

  46. Hall, Edward T. 1973 Mental Health Research and Out-of-Awareness Cultural Systems. In L. Nader and T. Maretzki (eds.), Cultural Illness and Health. Washington, D.C.: American Anthropological Association.

    Google Scholar 

  47. Harwood, Alan (ed.) 1981 Ethnicity and Medical Care. Cambridge, Mass.: Harvard University Press.

    Google Scholar 

  48. Helman, Cecil G. 1978 ‘Feed a Cold, Starve a Fever’ — Folk Models of Infection in an English Suburban Community and Their Relation to Medical Treatment. Culture, Medicine and Psychiatry 2(2):107–137.

    Google Scholar 

  49. Huntington, Mary Jean 1957 The Development of a Professional Self-image. In R. Merton, R. G. Reader and P. L. Kendall (eds.), The Student Physician. Cambridge, Mass.: Harvard University Press.

    Google Scholar 

  50. Illich, Ivan 1980 Medical Nemesis: The Expropriation of Health. London: Clader and Boyars.

    Google Scholar 

  51. Ingelfinger, John M. 1981 Listen: The Patient — Once Again. New England Journal of Medicine 295 (26): 1478–1479.

    Article  Google Scholar 

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

    Google Scholar 

  53. Janzen, John M. and G. Prins (eds.) 1983 Causality and Classification in African Medicine and Health. Social Science and Medicine 15B (3).

    Google Scholar 

  54. Jellinek, Michael 1983 Erosion of Patient Trust in Large Medical Centers. The Hastings Center Report 6 (3): 16–19.

    Article  Google Scholar 

  55. Kiev, Ari 1964 Magic, Faith and Healing: Studies in Primitive Psychiatry Today. Glencoe: The Free Press.

    Google Scholar 

  56. Kleinman, Arthur 1980 Patients and Healers in the Context of Culture. Berkeley: The University of California Press.

    Google Scholar 

  57. Kleinman, Arthu 1984 Clinically Applied Anthropology in a Psychiatric Consultation-Liaison Service. In N. Chrisman and T. Maretzki (eds.), Clinically Applied Anthropology. Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  58. Kleinman, Arthur, L. Eisenberg, and B. Good 1978 Culture, Illness and Healing. The Annals of Internal Medicine 88: 251–258.

    Google Scholar 

  59. Kluckhohn, Florence R. and F. L. Strodtbeck 1961 Variations in Value Orientations. New York: Row, Peterson and Co.

    Google Scholar 

  60. Knowles, John (ed.) 1982 Doing Better and Feeling Worse: Health in the United States. New York: W. Norton.

    Google Scholar 

  61. Lazare, Aaron 1957 Hidden Conceptual Models in Clinical Psychiatry. New England Journal of Medicine 288: 345–351.

    Article  Google Scholar 

  62. Levi-Strauss, Claude 1967a The Sorcerer and His Magic. In C. Levi Strauss, Structural Anthropology. Doubleday and Co.

    Google Scholar 

  63. Levi-Strauss, Claude 1967b The Effectiveness of Symbols. In C. Levi Strauss, Structural Anthropology. Doubleday and Co.

    Google Scholar 

  64. Light, Donald 1982 Becoming Psychiatrists: The Professional Transformation of the Self. New York: W. W. Norton.

    Google Scholar 

  65. Lock, Margaret 1979 Models and Practice in Medicine: Menopause as Syndrome or Life Transition? In A. Gaines and R. Hahn (eds.), Physicians of Western Medicine: Five Cultural Studies. Special Issue. Culture, Medicine and Psychiatry 6 (3): 261–290.

    Google Scholar 

  66. Lorber, Judith 1975 Women and Medical Sociology: Invisible Professionals and Ubiquitous Patients. In M. Millman and R. M. Kauter (eds.), Sciences. New York: Anchor Press.

    Google Scholar 

  67. Luborsky, L. et al. 1980 Comparative Study of Psychotherapy: Is It True That, “Everyone Has Won and All Must Have Prizes”? Archives of General Psychiatry 32: 995 - 1008.

    Google Scholar 

  68. McCue, Jack D. 1983 The Effects of Stress on Physicians and Their Medical Practice. New England Journal of Medicine 306 (8): 458–463.

    Article  Google Scholar 

  69. Maretzki, Thomas W. 1984 Realities of Mental Health Service Development: A Case Study. In P. Pederson and A. Marsella (eds.), Cross-Cultural Mental Health Services. Beverly Hills: Sage Publications.

    Google Scholar 

  70. Maretzki, Thomas W. and E. Seideler 1983 Biomedicine and Naturopathic Healing: A Historical View of a Stormy Relationship in Germany. Unpublished manuscript.

    Google Scholar 

  71. Mechanic, David 1983 The Growth of Bureaucratic Medicine. New York: John Wiley (amp) Sons.

    Google Scholar 

  72. Mechanic, David 1983 Future Issues in Health Care: Social Policy and the Rationing of Medical Services. New York: Free Press.

    Google Scholar 

  73. Medical Anthropology Newsletter 1983 Open Forum: Clinical Anthropology 12 (l): 14–25.

    Google Scholar 

  74. Merton, Robert, G. Reader, P. L. Kendall (eds.) 1957 The Student Physician: Introductory Studies in the Sociology of Medical Education. Cambridge, Mass.: Harvard University Press.

    Google Scholar 

  75. Moerman, Daniel E. 1979 Anthropology of Symbolic Healing. Current Anthropology 20: 59.

    Article  Google Scholar 

  76. Moerman, Daniel E. 1983 General Medical Effectiveness and Human Biology: Placebo Effects in the Treatment of Ulcer Disease. Medical Anthropology Quarterly 14(4):3ff.

    Google Scholar 

  77. Morgan, W. L. and G. L. Engel 1983 The Clinical Approach to the Patient. Philadelphia: W. B. Saunders Co.

    Google Scholar 

  78. Mumford, Emily 1983 Interns: From Students to Physicians. Cambridge, Mass.: Harvard University Press.

    Google Scholar 

  79. Olsen, Virginia Convergences and Divergences: Anthropology and Sociology in Health Care. Medical Anthropology Newsletter 6(1):6–10.

    Google Scholar 

  80. Petersdorf, Robert G. and A. R. Feinstein 1981 An Informal Appraisal of the Current Status of ‘Medical Sociology’. In L. Eisenberg and A. Kleinman (eds.), The Relevance of Social Science for Medicine. Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  81. Pfifferling, John Henry 1977 Records and Revitalization: The Problem Oriented Medical Records System in a Clinical Setting. Ann Arbor, Mass.: University Microfilms International.

    Google Scholar 

  82. A Cultural Prescription for Medicocentrism. In L. Eisenberg and A. Kleinman (eds.), The Relevance of Social Science for Medicine. Dordrecht, Holland: D. Reidel Publ. Co.

    Google Scholar 

  83. Press, Irwin 1959 Witch Doctor’s Legacy: Some Anthropological Implications for the Practice of Clinical Medicine. In N. Chrisman and T. Maretzki (eds.). Clinically Applied Anthropology. Dordrecht, Holland: D. Reidel Publ. Co.

    Google Scholar 

  84. Reynolds, David 1980 The quiet therapies. Honolulu: The University Press of Hawaii.

    Google Scholar 

  85. Riley, James N. 1980 Client Choices Among Osteopaths and Ordinary Physicians in a Michigan Community. Social Science and Medicine 14B: 111–120.

    Google Scholar 

  86. Roberts, Cecilia M.

    Google Scholar 

  87. Riley, James N. 1982 Doctor and Patient in the Teaching Hospital. Lexington, Mass.: D. Heath Co.

    Google Scholar 

  88. Robillard, A. B., G. White, and T. Maretzki 1982 Between Doctor and Patient: Informed Consent in Conversational Interaction. In S. Fisher and A. Todd (eds.), The Social Organization of Doctor-Patient Interaction. Washington, D.C.: Space Center for Applied Linguistics.

    Google Scholar 

  89. Russel, John C. 1979 Responsibilities of Anthropological Researchers in Clinical Settings. Human Organization 42 (l): 63–69.

    Google Scholar 

  90. Salan, Rudy, and T. Maretzki 1980 Mental Health Services and Traditional Healing in Indonesia: Are the Roles Compatible? Culture, Medicine and Psychiatry 7 (4): 1–40.

    Google Scholar 

  91. Scully, Diana 1980 Men Who Control Women’s Health: The Miseducation of Obstetrician-Gynecologists. Boston: Houghton Miffl in Co.

    Google Scholar 

  92. Skipper, James K. Jr. (ed.)

    Google Scholar 

  93. Scully, Diana 1983 Medical Sociology and Chiropractice. Sociological Symposium 22.

    Google Scholar 

  94. Snyder, Patricia 1983 The Use of Nonprescribed Treatments by Hemodialysis Patients. Culture, Medicine and Psychiatry 7 (1): 13–32.

    Article  Google Scholar 

  95. Starr, Paul 1982 The Social Transformation for American Medicine. Cambridge, Mass.: Harvard University Press.

    Google Scholar 

  96. Szasz, Thomas S. and M. H. Hollender 1956 A Contribution of the Philosophy of Medicine - The Basic Models of the Doctor- Patient Relationship. Archives of Internal Medicine 97: 585.

    Google Scholar 

  97. Thomas, Lewis 1960 The Technology of Medicine. The New England Journal of Medicine 285 (24): 1366–1368.

    Article  Google Scholar 

  98. Torrey, E. Fuller 1961 The Mind Game: Witchdoctors and Psychiatrists. New York: Emerson Hall Publishers.

    Google Scholar 

  99. Turner, Victor 1967 Forest of Symbols. Ithaca, N. Y.: Space Cornell University Press.

    Google Scholar 

  100. Unschuld, Paul 1984 Medical Ethics in Imperial China: A Study in Historical Anthropology. Berkeley: University of California Press.

    Google Scholar 

  101. Vaillant, George, J. R. Brighton, C. McArthur 1970 Physician Use of Mood-Altering Drugs: A 20-Year Follow-Up Report. New England Journal of Medicine 282 (7): 365–370.

    Article  Google Scholar 

  102. Wallis, Roy and P. Morley (eds.) 1979 Marginal Medicine. New York: Free Press.

    Google Scholar 

  103. Wardwell, Walter I. Wallis, Roy and P. Morley (eds.) 1985 The Future of Chiropractice. New England Journal of Medicine 302(12):668–690.

    Google Scholar 

  104. Weaver, Charlotte A. 1986 Role Evolution of Language Translators in a Major Medical Center. Unpublished Ph.D. dissertation. The University of California, San Francisco.

    Google Scholar 

  105. Weed, Lawrence L. 1962 Physician of the Future. New England Journal of Medicine 304 (15): 903–907.

    Article  Google Scholar 

  106. Weideman, Hazel et al. 1982 Miami Health Ecology Project Report, Volume 1. University of Miami (offprint).

    Google Scholar 

  107. Wellin, Edward 1977 Theoretical Orientation in Medical Authropology: Continuity and Change over the Past Half-Century. In: D. Landy, ed. Culture, Disease, and Healing. New York: Macmillan Publishing Co.

    Google Scholar 

  108. Wennberg, John and A. Gittelson 1963 Variations in Medical Care Among Small Areas. Scientific American 246 (4): 120–135.

    Article  Google Scholar 

  109. Weppner, Robert S. 1973 An Anthropological View of the Street Addict’s World. Human Organization 32 (2): 111–121.

    Google Scholar 

  110. Young, Allan 1981 The Creation of Medical Knowledge: Some Problems of Interpretation. Social Science and Medicine 15B (3): 379–386.

    Google Scholar 

  111. Young, Allan 1982a The Anthropology of Illness and Sickness. In B. Siegel, A. Beals, S. Tyler (eds.), Annual Review of Anthropology 11. Palo Alto, California: Annual Reviews. Inc.

    Google Scholar 

  112. Young, Allan 1982b When Rational Men Fall Sick: An Inquiry Into Some Assumptions Made by Medical Anthropologists. Culture, Medicine and Psychiatry 5 (4): 317–335.

    Article  Google Scholar 

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  1. Thomas W. Maretzki
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Editors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA

    Robert A. Hann

  2. Departments of Anthropology and Psychiatry, Case Western Reserve University and Medical School, Cleveland, OH, USA

    Atwood D. Gaines

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Maretzki, T.W. (1985). Including the Physician in Healer-Centered Research: Retrospect and Prospect. In: Hann, R.A., Gaines, A.D. (eds) Physicians of Western Medicine. Culture, Illness and Healing, vol 6. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-6430-3_2

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  • DOI: https://doi.org/10.1007/978-94-009-6430-3_2

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-277-1881-5

  • Online ISBN: 978-94-009-6430-3

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