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“因为我很痛苦,我只希望得到治疗”:津巴布韦农村地区治疗艾滋病毒/艾滋病过程中相互竞争的治疗目标

"Because I was in pain, I just wanted to be treated": competing therapeutic goals in the performance of healing HIV/AIDS in rural Zimbabwe.

作者信息

Taylor Tonya N

出版信息

J Am Folk. 2010;123(489):304-28.

PMID:20684086
Abstract

Zimbabwe is experiencing one of the most severe AIDS epidemics in the world, with an estimated one out of seven people infected with HIV. For both palliative care and pragmatic treatment of HIV-related opportunistic infections, people turn to Un'anga (the traditional system of health and healing), not as a substitute for Western therapeutics but as an alternative explanatory model for the diagnosis and management of illness. Through the use of highly charged symbols and ritualized communication, n'angas (traditional healers) seek to transform patients' understandings and experiences of HIV-related illness. Using performance theory and discourse analysis, this article seeks to expand our understanding of how competing therapeutic goals in the performance of healing affect the structure and content of performance, its subsequent meaning, and the therapeutic effect on those afflicted with HIV.

摘要

津巴布韦正经历着世界上最严重的艾滋病疫情之一,估计每七人中就有一人感染艾滋病毒。对于姑息治疗和艾滋病毒相关机会性感染的务实治疗,人们求助于Un'anga(传统的健康与治疗体系),它并非西方疗法的替代品,而是疾病诊断和管理的另一种解释模式。通过使用极具感染力的符号和仪式化的交流,巫医(传统治疗师)试图改变患者对艾滋病毒相关疾病的理解和体验。本文运用表演理论和话语分析,旨在拓展我们对于治疗过程中相互竞争的治疗目标如何影响表演的结构与内容、其后续意义以及对艾滋病毒感染者的治疗效果的理解。

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