Skip to main content

Advertisement

Log in

Women Supporting Patients, Men Curing Cancer: Gender-Related Variations Among Israeli Arab Practitioners of Traditional Medicine in Their Treatment of Patients with Cancer

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

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.

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

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

  3. 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.

    CAS  Google Scholar 

  4. 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.

    Article  Google Scholar 

  5. Heelas P, Woodhead L. The spiritual revolution: why religion is giving way to spirituality. Oxford: Blackwell; 2005.

    Google Scholar 

  6. Ruggie M. Marginal to mainstream: alternative medicine in America. New York: Cambridge University Press; 2004.

    Book  Google Scholar 

  7. Stacey J. Teratologies: a cultural study of cancer. London: Routledge; 1997.

    Google Scholar 

  8. Taylor C. Sources of the self: the making of the modern identity. Cambridge, MA: Harvard University Press; 1989.

    Google Scholar 

  9. 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.

    Article  PubMed  Google Scholar 

  10. Sointu E. Detraditionalisation, gender and alternative and complementary medicines. Soc Health Illn. 2011;33:356–71.

    Article  Google Scholar 

  11. 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.

    Article  PubMed  Google Scholar 

  12. 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.

    Article  Google Scholar 

  13. 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.

    Article  PubMed  Google Scholar 

  14. Baider L. Cultural diversity: family path through terminal illness. Ann Oncol. 2012;23(Suppl 3):62–5.

    Article  PubMed  Google Scholar 

  15. Ndao-Brumblay SK, Green CR. Predictors of complementary and alternative medicine use in chronic pain patients. Pain Med. 2010;11(1):16–24.

    Article  PubMed  Google Scholar 

  16. 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.

    Article  PubMed  Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

  18. Smooha S. Arab—Jewish relations in Israel: alienation and rapprochement. Washington, DC: United States Institute of Peace; 2010.

    Google Scholar 

  19. 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.

    Article  PubMed  Google Scholar 

  20. 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.

  21. 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.

    Google Scholar 

  22. Seale C. Qualitative interviewing. In: Seale C, editor. Researching society and culture. London: Sage; 1998.

    Google Scholar 

  23. Hsieh H, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.

    Article  PubMed  Google Scholar 

  24. Rasmussen SJ. Those who touch: Tuareg medicine women in anthropological perspective. DeKalb, IL: Northern Illinois University Press; 2006.

    Google Scholar 

  25. Popper-Giveon A, Weiner-Levy N. Returning to ourselves: Palestinian complementary healers in Israel. Qual Health Res. 2014;24(1):33–45.

    Article  PubMed  Google Scholar 

  26. Sointu E, Woodhead L. Spirituality, gender, and expressive selfhood. J Sci Study Relig. 2008;47(2):259–76.

    Article  Google Scholar 

  27. Dwairy M. Foundations of psychosocial dynamic personality theory of collective people. Clin Psychol Rev. 2002;22(3):345–62.

    Article  PubMed  Google Scholar 

  28. Degarrod LN. Female shamanism and the Mapuche transformation into Christian Chilean farmers. Religion. 1998;28:339–50.

    Article  Google Scholar 

Download references

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.

Conflict of interest

The authors declare that there is no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eran Ben-Arye.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-014-0019-6

Keywords

Navigation