Abstract
The use of complementary traditional medicine (CTM) is prevalent among patients with cancer. An understanding of cultural and religious values is needed to design an effective patient-centered supportive treatment program. To examine gender-related demographic and professional characteristics; treatment goals and approaches; and attitudes toward integration among Arab practitioners of CTM. Male and female Arab CTM practitioners treating patients with cancer were located by snowballing through practitioner and clientele networks. Participants underwent semi-structured, in-depth interviews which were analyzed thematically, with a focus on gender-related issues. A total of 27 Arab CTM practitioners participated in the study (17 males, 10 females). Female practitioners were found to be treating women exclusively, with male practitioners treating both genders. Female practitioners tend to be younger, unmarried, urban-based and non-Muslim. Male practitioners set out to “cure” the cancer, while female practitioners focus on symptoms and quality of life. Male practitioners employ a more schematic and structured therapeutic approach; female practitioners a more eclectic and practical one. Male practitioners employ a collectivist approach, involving family members, while female practitioners interact exclusively with the patient. Finally, male CTM practitioners see integration as a means for recognition, increasing their power base. In contrast, female practitioners perceive integration as a foothold in fields from which they have previously been shut out. A number of gender-related issues can have a significant impact on CTM therapy among Arab patients. Further research is needed in order to understand the implications of these differences.
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References
Keshet Y, Popper-Giveon A. Integrative healthcare in Israel and traditional Arab herbal medicine: when healthcare interfaces with culture and politics. Med Anthropol Q. 2013;27(3):368–84.
Vapiwala N, Mick R, Hampshire MK, Metz JM, DeNittis AS. Patient initiation of complementary and alternative medical therapies (CAM) following cancer diagnosis. Cancer J. 2006;12:467–74.
McKenna F, Killoury F. An investigation into the use of complementary and alternative medicine in an urban general practice. Ir Med J. 2010;103(7):205–8.
Doel MA, Segrott J. Self, health, and gender: complementary and alternative medicine in the British mass media. Gend Place Cult: J Fem Geogr. 2003;10(2):131–44.
Heelas P, Woodhead L. The spiritual revolution: why religion is giving way to spirituality. Oxford: Blackwell; 2005.
Ruggie M. Marginal to mainstream: alternative medicine in America. New York: Cambridge University Press; 2004.
Stacey J. Teratologies: a cultural study of cancer. London: Routledge; 1997.
Taylor C. Sources of the self: the making of the modern identity. Cambridge, MA: Harvard University Press; 1989.
Bishop FL, Massey Y, Yardley L, Lewith GT. How patients choose acupuncturists: a mixed-methods project. J Altern Complement Med. 2011;17(1):19–25.
Sointu E. Detraditionalisation, gender and alternative and complementary medicines. Soc Health Illn. 2011;33:356–71.
Ben-Arye E, Karkabi S, Shapira C, Schiff E, Lavie O, Keshet Y. Complementary medicine in the primary care setting: results of a survey of gender and cultural patterns in Israel. Gend Med. 2009;6(2):384–97.
Azaizeh H, Saad B, Cooper E, Said O. Traditional Arabic and Islamic medicine, a re-emerging health aid. J Evid-Based Complement Altern Med. 2010;7(4):419–24.
Broom A, Doron A, Tovey P. The inequalities of medical pluralism: hierarchies of health, the politics of tradition and the economies of care in Indian oncology. Soc Sci Med. 2009;69(5):698–706.
Baider L. Cultural diversity: family path through terminal illness. Ann Oncol. 2012;23(Suppl 3):62–5.
Ndao-Brumblay SK, Green CR. Predictors of complementary and alternative medicine use in chronic pain patients. Pain Med. 2010;11(1):16–24.
Gardiner P, Graham RE, Legedza AT, Eisenberg DM, Phillips RS. Factors associated with dietary supplement use among prescription medication users. Arch Intern Med. 2006;166(18):1968–74.
Ben-Arye E, Schiff E, Shapira C, Frenkel M, Shalom T, Steiner M. Modeling an integrative oncology program within a community-centered oncology service in Israel. Patient Educ Couns. 2012;89(3):423–9.
Smooha S. Arab—Jewish relations in Israel: alienation and rapprochement. Washington, DC: United States Institute of Peace; 2010.
Popper-Giveon A, Schiff E, Ben-Arye E. I will always be with you: traditional and complementary therapists’ perspectives on patient-therapist-doctor communication regarding treatment of Arab patients with cancer in Israel. Patient Educ Couns. 2012;89:381–6.
Popper-Giveon A. Schiff E. & Ben Arye E. We and they in the house of healing: debate among Arab complementary medicine practitioners on an integrative versus alternative approach to supportive cancer care. Integr Cancer Ther. 2013. doi:10.1177/1534735413485818.
Ben-Arye E, Steiner M, Karkabi K, Shalom T, Levy L, Popper-Giveon A, Schiff E. Barriers to integration of traditional and complementary medicine in supportive cancer care of Arab patients in northern Israel. J Evid-Based Complement Altern Med. 2012;2012:9. doi:10.1155/2012/401867.
Seale C. Qualitative interviewing. In: Seale C, editor. Researching society and culture. London: Sage; 1998.
Hsieh H, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.
Rasmussen SJ. Those who touch: Tuareg medicine women in anthropological perspective. DeKalb, IL: Northern Illinois University Press; 2006.
Popper-Giveon A, Weiner-Levy N. Returning to ourselves: Palestinian complementary healers in Israel. Qual Health Res. 2014;24(1):33–45.
Sointu E, Woodhead L. Spirituality, gender, and expressive selfhood. J Sci Study Relig. 2008;47(2):259–76.
Dwairy M. Foundations of psychosocial dynamic personality theory of collective people. Clin Psychol Rev. 2002;22(3):345–62.
Degarrod LN. Female shamanism and the Mapuche transformation into Christian Chilean farmers. Religion. 1998;28:339–50.
Acknowledgments
We thank Clalit Research Institution for granting financial research support and the following physicians, researchers, medical directors and health providers for their assistance: Dr. Motti Levi, Ms. Margalit Shilo, Prof. Bashar Saad, Mr. Abu-Sabri, Dr. Ibrahim Hujeirat, Ms. Ofra Bruno, Dr. Steven Fulder, Ms. Maria Hadad, and Mr. Iaas Masalha. We are grateful to Ms. Marianne Steinmetz for editing the manuscript.
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Popper-Giveon, A., Schiff, E., Samuels, N. et al. Women Supporting Patients, Men Curing Cancer: Gender-Related Variations Among Israeli Arab Practitioners of Traditional Medicine in Their Treatment of Patients with Cancer. J Immigrant Minority Health 17, 737–745 (2015). https://doi.org/10.1007/s10903-014-0019-6
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DOI: https://doi.org/10.1007/s10903-014-0019-6