Thomas L E
Human Development, University of Connecticut, Storrs 06268.
Soc Sci Med. 1992 Mar;34(5):499-505. doi: 10.1016/0277-9536(92)90205-5.
In-depth interviews and participant observation was conducted with 14 Hindu religious renunciates, 70 years or older. Despite having taken vows renouncing concern for physical pain or comfort, respondents differed markedly in their attitudes toward pain and their rationale for utilizing medical treatment. They differed still further in their use of Ayurvedic and allopathic medicine, with the most culturally conservative accepting only Ayurvedic medicine. Rejection of allopathic medicine tended to be associated with a highly systematized religious world-view. The results are discussed in terms of both the ideological conflict between religious world-view and medical usage, and the need for sophisticated distinction of religious world-view if research on the religious factor of health care utilization is to prove fruitful.
对14名70岁及以上的印度教宗教苦行者进行了深入访谈和参与观察。尽管这些受访者已发誓放弃对身体疼痛或舒适的关注,但他们对疼痛的态度以及使用医疗手段的理由却存在显著差异。他们在阿育吠陀医学和对抗疗法的使用上差异更大,文化上最保守的受访者只接受阿育吠陀医学。对抗疗法的排斥往往与高度系统化的宗教世界观有关。研究结果从宗教世界观与医疗使用之间的意识形态冲突,以及如果要使医疗保健利用宗教因素的研究取得成果就需要对宗教世界观进行精细区分这两个方面进行了讨论。