Nichter M
Department of Anthropology, University of Arizona, Tucson 85721.
Soc Sci Med. 1987;25(4):377-87. doi: 10.1016/0277-9536(87)90276-0.
Attention is focused on those for whom hot/cold and phlegm constitute special health concerns in Sri Lanka. A distinction is drawn between those at special risk to hot/cold and phlegm based on a sense of constitutional vulnerability and those at risk due to temporary illness or expected changes in physiological process. Socialization of the former risk group is considered in light of social labeling theory, while the health behavior of the latter group is highlighted. It is pointed out that a wide range of behavior from folk dietetics to bathing and from water boiling to the taking of birth control pills is influenced by hot/cold reasoning. It is emphasized that the hot/cold conceptual framework serves an integrative function in the traditional health care arena and provides a rationale for participatory action in a health culture undergoing rapid medicalization.
注意力集中在那些在斯里兰卡，热/冷和痰构成特殊健康问题的人群上。基于体质易感性的感觉，区分了那些特别容易受到热/冷和痰影响的人与那些因临时疾病或生理过程预期变化而处于风险中的人。根据社会标签理论考虑前一风险群体的社会化，而后一群体的健康行为则受到关注。指出从民间饮食到沐浴、从烧水到服用避孕药等广泛的行为都受到热/冷推理的影响。强调热/冷概念框架在传统医疗保健领域发挥着整合功能，并为快速医学化的健康文化中的参与性行动提供了理论依据。
