Hardin Jessica
Department of Sociology and Anthropology, Pacific University.
Med Anthropol Q. 2018 Mar;32(1):22-41. doi: 10.1111/maq.12368. Epub 2017 May 21.
Drawing from interviews and participant observation, this article explores the intersection of diagnosis of metabolic disorders and religious conversion among Pentecostal Christians in Samoa by analyzing what I call embedded narratives--conversion narratives embedded in illness narratives. Drawing from ethnographic data, I examine how using conversion narrative conventions enabled those living with metabolic disorders to narrate behavior change in a culturally and socially valorized way. By embedding their narratives, I suggest those living with metabolic disorders shifted the object of care from a disease process toward the creation of a religious life and in turn transformed the risks associated with metabolic disorders, including diet, exercise, and pharmaceutical use into moral risks associated with everyday religious life. In these cases, Pentecostal conversion created possible scripts for changing health practices, managing stress, and shifting resource use in the name of religious commitment, providing insights into how self-care can be an expression of religious practice.
基于访谈和参与观察，本文通过分析我所称的嵌入式叙事——嵌入疾病叙事中的皈依叙事，探讨了萨摩亚五旬节派基督徒中代谢紊乱诊断与宗教皈依的交叉点。借鉴人种志数据，我研究了使用皈依叙事惯例如何使代谢紊乱患者以一种在文化和社会上被看重的方式讲述行为变化。通过嵌入他们的叙事，我认为代谢紊乱患者将护理对象从疾病过程转向了宗教生活的塑造，进而将与代谢紊乱相关的风险，包括饮食、运动和药物使用，转变为与日常宗教生活相关的道德风险。在这些案例中，五旬节派皈依创造了以宗教承诺之名改变健康行为、管理压力和转变资源使用的可能脚本，为自我护理如何能够成为宗教实践的一种表达提供了见解。
