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[从卫生部门对传统医学的务实应用到人类学视角的意识形态排斥:以墨西哥为例(1930 - 2022)]

[From the pragmatic use of traditional medicine by the health sector to the ideological exclusion of anthropological perspectives: the case of Mexico (1930-2022)].

作者信息

Menéndez Eduardo L

机构信息

Doctor en Ciencias Antropológicas. Doctor Honoris Causa, Universitat Rovira i Virgili, Catalunia. Doctor Honoris Causa, Universidad Nacional de Rosario, Argentina. Profesor-investigador emérito, Centro de Investigaciones y Estudios Superiores en Antropología Social (CIESAS), México.

出版信息

Salud Colect. 2022 May 21;18:e4051. doi: 10.18294/sc.2022.4051.

Abstract

This article analyzes two general lines of research on traditional medicine used by Mexican indigenous peoples since the 15th century up to the present day. The first - pioneered by anthropologists and physicians with anthropological training - addresses traditional medicine so as to promote biomedicine among indigenous groups, with the purpose of improving their health conditions. This line of research developed between the 1930s and 1960s, reemerged in the mid-1970s with the Alma Ata Conference, and has maintained momentum into the present day, seeking to expand coverage of the health sector in marginalized areas, but while subordinating traditional medicine to biomedical programs in all aspects. The second line of research has been fostered by anthropologists, in particular from the 1960s onward, and seeks to comprehend indigenous cultures through traditional medicine, with a particular focus on healers, who express the cosmovision, identity, sense of belonging, and cultural autonomy of indigenous peoples. However, these enquiries attempt to comprehend and validate the ways in which traditional medicine encapsulates cultural identity, and in some cases to justify political, economic, and above all ideological objectives. These perspectives do not take into consideration information regarding morbility, mortality, and life expectancy, despite the fact that indigenous peoples are the social group with the highest mortality rates and lowest life expectancy.

摘要

本文分析了自15世纪至今墨西哥原住民使用的传统医学的两条总体研究路线。第一条路线由人类学家以及接受过人类学培训的医生开创,研究传统医学是为了在原住民群体中推广生物医学,目的是改善他们的健康状况。这条研究路线在20世纪30年代至60年代发展起来,在20世纪70年代中期随着《阿拉木图宣言》会议再次出现,并一直保持至今,旨在扩大边缘化地区卫生部门的覆盖范围,但在各个方面都将传统医学置于生物医学项目之下。第二条研究路线由人类学家推动,特别是从20世纪60年代起,试图通过传统医学理解原住民文化,尤其关注医者,他们体现了原住民的宇宙观、身份认同、归属感和文化自主性。然而,这些研究试图理解和验证传统医学体现文化身份的方式,在某些情况下是为了证明政治、经济,尤其是意识形态目标的合理性。尽管原住民是死亡率最高、预期寿命最低的社会群体,但这些观点并未考虑有关发病率、死亡率和预期寿命的信息。

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