Department of Anthropology, University of Virginia, P.O. Box 40012, Charlottesville, VA, 22904-4120, USA.
Cult Med Psychiatry. 2022 Mar;46(1):101-114. doi: 10.1007/s11013-021-09722-9. Epub 2021 May 17.
In recent years, alcohol abuse and dependence have become topics of increasing concern in Uganda, but the chronic relapsing brain disease model of addiction remains only one of many ways of understanding and addressing alcohol-related problems there. For many Ugandan Pentecostals and spirit mediums to be addicted is to be under the control of a being that comes from outside the self. Where these two groups differ, and here they differ strongly, is in regard to the moral valence of these external spirits and what ought to be done about them. This article draws on four years of collaborative ethnographic fieldwork to explore the affordances of these ways of viewing and experiencing addiction and recovery for Ugandans attempting to leave alcohol behind. While the idioms of bondage, dedication, and possession are at times severe, this article argues that they contain within them concepts and practices that point away from models of addiction as a chronic relapsing brain disease and towards the possibility of release.
近年来,酗酒和依赖已成为乌干达日益关注的话题,但成瘾的慢性复发性脑病模型仍然只是理解和解决那里与酒精相关问题的众多方法之一。对于许多乌干达五旬节派和灵媒来说,上瘾就是被来自自我之外的存在所控制。这两个群体的不同之处在于,他们对这些外部灵魂的道德价值和应该对其采取的措施有强烈的分歧。本文借鉴了四年的合作民族志实地研究,探讨了这些看待和体验成瘾和康复的方式对于试图戒酒的乌干达人的启示。尽管被奴役、奉献和被占有等习语有时很严厉,但本文认为,这些习语包含了一些概念和实践,这些概念和实践不仅指向将成瘾视为一种慢性复发性脑病的模式,还指向摆脱成瘾的可能性。