Nichter Mark
University of Arizona, Tucson, AZ 85721, USA.
Transcult Psychiatry. 2008 Jun;45(2):163-97. doi: 10.1177/1363461508089764.
This article supports the call for the sensorially engaged anthropological study of healing modalities, popular health culture, dietary practices, drug foods and pharmaceuticals, and idioms of distress. Six concepts are of central importance to sensorial anthropology: embodiment, the mindful body, mimesis, local biology, somatic idioms of distress, and 'the work of culture'. Fieldwork in South and Southeast Asia and North America illustrates how cultural interpretations associate bodily sensations with passions (strong emotions) and anxiety states, and bodily communication about social relations. Lay interpretations of bodily sensations inform and are informed by local understanding of ethnophysiology, health, illness, and the way medicines act in the body. Bodily states are manipulated by the ingestion of substances ranging from drug foods (e.g., sources of caffeine, nicotine, dietary supplements) to pharmaceuticals that stimulate or suppress sensations concordant with cultural values, work demands, and health concerns. Social relations are articulated at the site of the body through somatic modes of attention that index bodily ways of knowing learned through socialization, bodily memories, and the ability to relate to how another is likely to be feeling in a particular context. Sensorial anthropology can contribute to the study of transformative healing and trajectories of healthcare seeking and patterns of referral in pluralistic healthcare arenas.
本文支持开展对治疗方式、大众健康文化、饮食习惯、药食和药物以及痛苦表述等方面进行感官参与式的人类学研究。六个概念对感官人类学至关重要:具身化、正念之躯、模仿、地方生物学、痛苦的躯体表述以及“文化的作用”。在南亚、东南亚和北美的田野调查表明,文化解读如何将身体感觉与激情(强烈情感)和焦虑状态联系起来,以及身体如何传达社会关系。对身体感觉的外行解读既受当地对民族生理学、健康、疾病以及药物在体内作用方式的理解的影响,同时也为其提供信息。通过摄入从药食(如咖啡因、尼古丁来源、膳食补充剂)到刺激或抑制与文化价值观、工作需求和健康问题相符的感觉的药物等物质,可以操控身体状态。社会关系通过躯体关注方式在身体层面得以表达,这些方式体现了通过社会化、身体记忆以及在特定情境中理解他人感受的能力所习得的身体认知方式。感官人类学有助于研究多元医疗环境中的变革性治疗、寻求医疗保健的轨迹以及转诊模式。