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Nosology Exam #2
Safwa Medicine, Ancient Medicine, etc.
44
Anthropology
Undergraduate 2
10/08/2015

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Term
Explain the "Three Bodies Approach"
Definition
This is a framework for looking at disease, therapy, and social conceptions of medicine. The three approaches are:
a) The individual as embodied self
b) The Social Body
c) The Body-Politic
Term
What is meant by "The individual as embodied self"?
Definition
Different societies perceive the body as an entity in different ways, often related to degrees of individualism and collectivism espoused by that culture. Western culture is very individualistic, focused on the body as individual entity and locates disease in biomedical aspects of the body. Cultures that value and conceive of the individual self less often place disease more in social relationships.
Term
What is meant by, "The Social Body"?
Definition
The body is used as a metaphor within a given culture or society. It has widely understood cultural meanings (ex: "right hand of god" "head of state").
Term
What is meant by "The Body Politic"?
Definition
This is the process by which, or concept of the body's place in social/political control. The regulation of bodies by the government, for political means, legal conceptions of deviance and disease, etc. are all integral to the body politic.
Term
Who is De La Mettrie and how is his work related to the "Three Bodies Approach"?
Definition
In his text "Man, the Machine" he argues that humans are no more than complex machines, which constitutes out and out biological reductionism, and is one example of a conception of the individual as embodied self.
Term
What are the basic assumptions of the Zinacantan health system?
Definition
Every individual has a soul placed in them as an Embryo and a heart with thirteen parts. The heart can be damaged, but the soul is indestructible. Maladies are conceptualized as damage to (loss of) parts of the heart. Death is associated with the soul leaving the body.
Term
Describe the reproductive beliefs of the Akwe Shavante.
Definition
They place high value on having many children, and do not conceive of the mother as havign an active role in pregnancy. Fathers impregnate women through multiple sexual encounters, not single encounters.
Term
In what region of Africa do the Safwa live?
Definition
Eastern Africa.
Southern Highlands of Tanzania
Term
What are the two types of communal groups in Safwa society?
Definition
The Compound and the Community
Term
Describe the property owned by a compound and its general organization.
Definition
A compound contains a group of people (a man, his wives, and his descendants), with multiple houses for these people. Compounds own land and livestock.
Term
Describe the property owned by a community and its general organization.
Definition
A community consists of a a group of compounds in close proximity. The community has a headman, and owns common land but NOT livestock
Term
What are the two non-communal group types in Safwa societies?
Definition
Patrilineage groups and tribes
Term
How is a tribe defined among the Safwa?
Definition
it consists of a number of communities linked together because their headmen have patrilineal links to one another
Term
What Safwa social unit is smaller than a compound?
Definition
A house
Term
What is unique about houses compared to other Safwa social organization structures?
Definition
Houses are matrilineal rather than patrilineal.
Term
What are the two types of relationships in Safwa society which are linked to different disease/malady etiologies?
Definition
Transactional (Marriage relationships) are associated with sorcery, and Incorperative (Kin based) are associated with witchcraft.
Term
Describe the concept of Brideservice among the Safwa.
Definition
A man is expected to do service to his future in-laws in order to reciprocate the giving of the daughter in marriage. Such services include working the father-in-law's fields or building the mother-in-law a house.
Term
Why are in-law relationships described as transactional?
Definition
a) people become in laws through a transactional process of selling a bride for property (livestock) and labor (brideservice).
b) after marriage, in laws are expected to provide for each other when need arises in a reciprocal way. (ex: one has no food one year, the other provides it, next year the situation is reversed). relationships between in-laws are always idealized as reciprocal relationships.
Term
What is Empongo?
Definition
It is a Safwa term that describes maladies ranging from a stomachache to death.
Term
How is "life force" conceptualized by the Safwa?
Definition
It as a power or force of existence, likened to heat in humans. It is contained in male semen and female vaginal fluids that are said to create the fetus, and in the vaginal contractions that happen during birth.
When life force leaves the body, death occurs.
Term
What is the relationship between Empongo and Life Force?
Definition
Empongo is caused by a lack of life force. Sicknesses are caused by it's weakening, while death is caused by it's disappearance entirely.
Term
What is the relationship between disease and social deviance according to Safwa thought?
Definition
Proper social order promotes health. So healthy people have good social relationships. Social deviance leads to empongo of different levels, and empongo can be cured by removing or reversing the deviant behavior.
Term
On what occasions to the Safwa perform ancestor rites?
Definition
a) when an adult dies: funerary rites immediately after, and ancestor ceremony at the first harvest after death.
b) Illness ceremonies held for cases of empongo.
c)Periodic ceremonies, especially if there are social tensions, unsettled disagreements, or if illness ceremonies have not been successful at curing Empongo.
Term
Where are ancestor rites performed?
Definition
At the grave of an ancestor
Term
What happens during an ancestor rite?
Definition
a) two holes are dug at the head of the grave
b) Offerings of food and animal sacrifices are placed around these holes
c) a feast occurs where the living share food with the dead
Term
What is the position of ancestors, in terms of a hierarchy of beings in Safwa society.
Definition
Ancestors are considered to be intermediaries between humans and gods.
Term
What activities characterize a "spoiled" household according to the Safwa?
Definition
Gossip, lack of community, and lack of cooperation
Term
What are the moral implications of disease and death in Safwa thought?
Definition
Empongo is always caused by human action, so someone must have erred if disease and/or death occur.
Term
Which comes first in Safwa medical ideology: social disorder or disease?
Definition
In theory, social disorder precedes disease.
In practice, the appearance of disease produces a search for social disorder.
Term
When would a diviner be consulted by the Safwa?
Definition
In the case of sudden illness, long dragging illness, severely incapacitating illnesses, and when there is no evidence that ancestors have shown the cause of Empongo through dreams. Also in other areas of misfortune, such as livestock disease or death, or crop failure.
Term
Do the Safwa perform autopsies?
Definition
They do, or they used to before British colonization. The British reduced or put a stop to this practice.
Term
What does Itonga mean?
Definition
Itonga can be loosely translated as "witchcraft" however it only refers to intentional activities, and can be either good or bad. Itonga refers in general to the power to do things without being noticed.
Term
How can sorcery and itonga be differentiated from one another?
Definition
itonga is used against one's kin, while sorcery is used against those who are not kin.
Term
Who Wrote "Medicine, Magic, and Religions"
Definition
WHR Rivers
Term
What were WHR Rivers' three major disease categories?
Definition
a) Human Agency
b) Supernatural Beings
c) "Natural" Diseases
Term
Which of his three categories of disease did WHR Rivers associate with western bio-medicine?
Definition
"Natural" Diseases
Term
Which of his three categories of disease did WHR Rivers associate with "primitive" medicine?
Definition
Human Agency and Supernatural Beings
Term
True or False: WHR Rivers would categorize "Primitive" medical systems as being irrational.
Definition
False. WHR Rivers believed they were wrong, and was biased towards western bio-medicine, but he understood that based on the underlying principles of a culture's medical practice, the systems as a whole tend to be highly logical.
Term
What is the Edwin Smith Surgical Papyrus?
Definition
An ancient Egyptian medical text that contained 48 case descriptions, and proposed treatments and prognosis for each. It was organized anatomically, from head to toe.
Term
Why is the Edwin Smith Surgical Papyrus relevant?
Definition
It shows a high degree of empiricism (explanations of relocating jaw suggest dedicated study of the procedure over time and refinement). Also relevant for presenting disease as localized in origin.
Term
Explain the contrasts between surgeons and physicians in ancient Egyptian medicine and why surgical texts are seen today as more important.
Definition
Physicians were of the higher class, and were focused on complex academic theorizations, while surgeons were of the lower class, and had more hands on knowledge of the body. THey were focused not on the theoretical underpinnings of disease, but the localized healign of specific body parts. This leads to the localization of disease in the body in the West from the renaissance to contemporary era.
Term
True or False: Ancient Greek Physicians believed that disease was natural, not supernatural, in origin.
Definition
True.
Term
True or False: Ancient Greek Physicians continued the Egyptian Surgical ideology that disease was localized rather than a general process of the body.
Definition
False. Ancient Greek Physicians understood disease as a generalized phenomenon.
Term
True or False: Hippocrates lived during the 5th century BCE
Definition
Both? Hippocrates is dates as living during the 5th century BCE, and most of the texts that bear his name are from that century. However, Hippocrates was not necessarily a single individual, but rather a name that became associated with medicine, and was applied to a particular school of medical thought. there may have been many Hippocrates-es
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