One of the more recent exercises that I have asked my
students to complete is to explore the options for applying anthropological
method and theory into practice, specifically for themselves and within their
proposed career fields. This is often
met with a series of moans and groans typical of any new undertaking by
students, but the purpose of these exercises is to encourage students to engage
with the anthropological material, which they believe to be insignificant, in new
and creative ways. As anthropology is
broadly a field concerned with answering the question of what it means to be
human finding ways that anthropology affects any discipline is actually not that
difficult, and upon completion of the exercise many students realize that what
they are learning is both valuable and useful.
In this vein of thinking today’s blog post is dedicated to one
anthropological sub-subfield (as I like to call them) that has theoretical
implications and real-world applications: medical anthropology. This blog post will explore what medical
anthropology is, how it can be used in applied settings, and some areas of
already being undertaken as well as avenues of further inquiry.
Medical anthropology is the study of how individuals and
societies define, identify, and treat illnesses, as well as describe states of healthiness. You, the reader, probably take these notions for
granted and are probably thinking to yourself that you (and those around you)
understand health and sickness similarly, but the reality is that this is not
the case. Cultural groups around the
world identify illness and the causes of those illnesses quite differently. For example, the Azande
of northern Africa attribute illness to being cursed by witches, while the Hmong
(originally of southwest Asia, although many now live in the US) identify sickness
as the result of an imbalance between the physical world we exist in and the
spiritual world that exists around us.
These cultural groups may be vastly different from your own, but if you
think within your own cultural group have you encountered people who appear
healthy but are actually sick? Or people
who are sick but say that they are not?
This is because in our culture, as well as many cultures around the globe,
there are series of factors that affect definitions of illness and health, and
these factors are typically based in cultural, economic, political, and religious
circumstances. For example, when I was
growing up it (in American culture) it was taboo to admit you had a mental
illness. Today, there are less taboos about
mental illnesses in the US, but in other cultures mental illnesses remain unrecognized
and therefore people within those cultures do not acknowledge the existence of
mental illnesses or seek treatment for them.
Another example explains why a man I knew never reported his pain when
he was dying of cancer. He never
reported it because he was a man (and in American culture, men “don’t feel pain”)
and grew up in poverty, and therefore despite having health insurance and the
means to see a doctor as an adult he felt that he could not afford to take time
off work to see a doctor or seek treatment.
Therefore, he opted to ignore the pain and ultimately died because he
never believed he was sick. These are
all aspects of health and wellness that medical anthropologists study.
As you might be beginning to realize there are many
applications for medical anthropological research. Medical anthropologists can be employed in a
variety of fields given the scopes of their research and lines of inquiry. Many hospitals have opted to hire medical
anthropologists to work with patients in understanding their illnesses and how
to seek treatment. Social workers can utilize
medical anthropological knowledge to understand how identity (e.g. gender, age,
socioeconomic status, religion, etc.) affect their clients’ ability and/or willingness
to seek and acquire help. Nurses and doctors
use medical anthropological knowledge daily in diagnosing and treating patients
(even if they do not realize it, although many nursing and medical programs are
actually incorporating medical anthropological coursework into the
curriculum). Psychologists also use
medical anthropological knowledge to discern meaning from the words patients
use or do not use when describing how they are feeling so as to better assist
them with treatment. Medical
anthropologists are also used quite regularly to inform public policies at the
government levels as their research can be used to promote or inhibit the
creation or reformation of laws that are either medically related or have
little to do with medicine.
This is the case of the research done by Angela Garcia,
whose longitudinal studies among impoverished families in the US & Mexico seeks
to understand the political, economic, and psychological decisions that go into
identifying whether or not an individual is sick. Her research has been used to encourage
reforms to drug laws, particularly regarding their effects on impoverished
populations (such as those she studies).
Another medical anthropologist, Lochlann Jain, researches how stories
about injuries are told and retold, and how that affects the medico-legal
community and patients. As these reports
of injuries affect doctor’s decisions in treating patients, insurance companies’
decision in covering claims, innovations in new medical practices and treatment
options, and ultimately the patients Jain’s research is crucial in assisting
people, particularly the injured, in getting better. But not all medical anthropologists conduct
research with such far reaching effects.
Many actually work within professional or governmental organizations,
such as Ria
and Theron
Hunthammer. Their work in the
private and governmental sectors of public health have actually initiated
changes within their communities that have benefited people directly.
Ultimately, the field of anthropology is a dynamic one that
has a great deal of utility across various areas, and medical anthropology is
one that demonstrates that as it touches people directly and indirectly through
reforming political actions and changing the way doctors and nurses treat
patients. This area of anthropology is
also a viable one for individuals interested in pursuing a medical career without
pursuing traditional routes, such as nursing or medicine, which may be inaccessible
for various reasons. In conclusion the
next time you or someone you know thinks or says that anthropology is worthless
remember this and tell them how wrong they actually are. :)
References
Department of Anthropology. (2019). Medical
Anthropology. Retrieved from Northwestern University:
https://www.anthropology.northwestern.edu/undergraduate/career-paths/medical.html
Littlewood, R. (2019). Medical Anthropology.
Retrieved from Discover Anthropology:
https://www.discoveranthropology.org.uk/about-anthropology/specialist-areas/medical-anthropology.html
No Author. (2017). What is Medical Anthropology?
Retrieved from Society for Medical Anthropology:
http://www.medanthro.net/about/about-medical-anthropology/
No Author. (No Date). Medical Anthropology .
Retrieved from Standford Department of Anthropology:
https://anthropology.stanford.edu/research-projects/medical-anthropology