Fakulteta za podiplomski študij Študijski program Interkulturni študiji – primerjalni študij idej in kultur Univerza v Novi Gorici in Znanstvenoraziskovalni center SAZU ANTROPOLOŠKI MODUL ANTROPOLOGIJA ZDRAVJA, BOLEZNI IN ZDRAVLJENJ koordinator modula izr. prof. dr. Borut Telban Več o podiplomski šoli na http://isik.zrc-sazu.si/ in na http://www.p-ng.si/si/ ANTROPOLOŠKI MODUL Antropologija zdravja, bolezni in zdravljenj koordinator modula: Borut Telban Študijski program sestavljajo: 1. nabor predavanj, ki poglabljajo poznavanje medicinske antropologije; 2. nabor specializiranih tem, ki jih predavatelji/ce organizirajo okoli raziskovalnih tem povezanih s študijskim področjem. Medicinska antropologija, kot pomembno področje socialne in kulturne antropologije, obravnava koncepte, s katerimi ljudje iz različnih kulturnih in družbenih okolij razlagajo zdravje, bolezen, in zdravljenja; obravnava vse oblike zdravilstva, ideje in vedenje zdravstvenih delavcev v različnih kulturnih okoljih, vključno z bolnišnicami v tehnološko razvitem svetu. Primerja kompleksna verovanja, prakse in ideologije, ki so temelj tako biomedicinskim kot kulturno-medicinskim zdravstvenim sistemom. Obravnava odnos "zdrave" populacije, do tistih, ki jih označijo za "prizadete", samopodobo le-teh, kulturne in družbene vzorce, ki določajo položaj in vlogo "bolnih". V zgodovinsko-kulturnem kontekstu obravnava človekovo konstrukcijo drugačnosti kot podlago za odnos do bolnih in analizira lokalne moralne svetove, ki določajo ta odnos. Predavatelji bodo študentkam in študentom posredovali kritične razmisleke o aktualni družbeni problematiki povezani z zdravjem in boleznijo v različnih kulturnih okoljih in ponudili sveže odgovore na ključna vprašanja: Ali širjenje sodobnih biomedicinskih tehnologij obogati nekatere in osiromaši druge? Globalno zdravje in biomedicinska intervencija. Medicinski pluralizem in terapevtski aktivizem. Kako razumeti psihiatrijo v različnih kulturnih okoljih? Kako se predstave o telesu in interpretacije simptomov razlikujejo po svetu? Kako kulturni in družbeni faktorji vplivajo na zdravje in bolezen? Razlike v odnosu do smrti v različnih kulturnih, družbenih in zgodovinskih okoljih. Rodnost, migracije in smrtnost. Ali religija vpliva na zdravje in kako ga definira? Kritična medicinska antropologija in socialno trpljenje. Morala in etika v biomedicini in ljudski medicini. Dodatno zanimanje slušateljev/ic za odgovore na zgornje teme in vprašanja bomo spodbujali z njihovim vključevanjem v tekoče raziskovalne projekte. Antropološko terensko delo, kjer bodo študenti in študentke intenzivno vključeni v problematiko in prakso, ki ju bodo raziskovali, bo seveda nepogrešljiv del njihovega izobraževanja. Pri izvedbi programa bodo sodelovali: Gabriele Alex (University of Heidelberg), Allan Young (McGill University Montreal), Duška Kneževič (ZRC SAZU Ljubljana), Borut Telban (ZRC SAZU Ljubljana), Majda Černič Istenič (ZRC SAZU Ljubljana), Barbara Potrata (University of Manchester), Margot L. Lyon (Australian National University Canberra). EMOTION, EMBODIMENT AND AGENCY: IMPLICATIONS FOR UNDERSTANDING HEALTH, ILLNESS, AND HEALING LECTURER: Prof. dr. Margot L. Lyon 1 Duration 6 meetings: each meeting will comprise part lecture and part seminar-style discussion. 2 Aims To provide an analytical framework for the study of concepts of embodiment and agency, and to explore its implications for the understanding of the social foundations of health and illness. The course includes discussion of the central role of an explicitly social understanding of emotion in the explanation of agency including its bodily dimensions, and thus how a social conception of emotion can facilitate the understanding of ‘social facts' as embodied phenomena. 3 Content Through an immense variety of interlocking bodily, socio-cultural and psychological processes, human agents act to both reproduce and transform social structural formations. Using specific examples that will be introduced through readings and lectures as well as video clips (and I hope from students’ own experience), the course will explore particular dimensions of these embodied processes. A series of analytical perspectives will be brought to bear on our examples, drawn from sources in philosophical biology, neurobiology and psychology, as well as from anthropology and sociology with particular reference to the study of emotion. The relevance of these for the understanding of health and illness, normality and pathology, as well as human subjectivity will be considered. 4 Connection to other courses The course is closely connected to other courses within the anthropology module as well as particular courses within other modules in the program. 5 Selected background readings Freund, P. E. S. 1990. The Expressive Body: A Common Ground for the Sociology of Emotions and Health and Illness. Sociology of Health and Illness 12(4):452-477. Lenson, David. 1995. On Drugs. Minneapolis: University of Minnesota Press. Lyon, Margot L. 1993 Psychoneuroimmunology: The Problem of the Situatedness of Illness and the Conceptualization of Healing. Culture, Medicine and Psychiatry 17(1):77-97. Lyon, Margot L. 1994 Emotion as Mediator of Somatic and Social Processes: The Example of Respiration. Social Perspectives on Emotion Volume 2:83-108. Greenwich, Conn.: JAI Press. 1994. [William M. Wentworth and John Ryan, eds.] Lyon, Margot L. 1995 Missing Emotion: The Limitations of Cultural Constructionism in the Study of Emotion. Cultural Anthropology 10(2):244-263. Nichter, M. and N. Vuckovic. 1994. Agenda for an Anthropology of Pharmaceutical Practice. Social Science and Medicine 39(11):1509-1525. Sheets-Johnstone, Maxine. 1990. The Roots of Thinking. Philadelphia: Temple University Press. 6 Student obligations Written examination. CONTEXTUALISING HEALTH AND ILLNESS IN SOUTH ASIA LECTURER: Prof. dr. Gabriele Alex 1 Duration 5 meetings 2 Aims The aim of this course is to provide students with an understanding of the medical landscape in South Asia. The students will get acknowledged with the different medical systems of South Asia and learn about their socio-cultural context. Foci will include among others: Medical Pluralism, concepts of the body and ritual and religious healing. Furthermore students will get introduced to some of the most prevalent burning health issues which South Asia faces today. The role and the scope of applied medical anthropology will be discussed among other more general concepts and theoretical approaches within Medical Anthropology. 3 Content The following topics will be investigated: 1. South Asian medical systems, 'traditional' and 'modern' ways of creating health. 2. HIV/Aids in South Asia, problems, contexts and solutions 3. Reproductive health in its socio-cultural context 4. International Health in South Asia and the role of the Medical Anthropologist in it. 4 Connection to other courses The course is closely connected to other courses within the anthropology module as well as particular courses within other modules in the program. 5 Study literature Beck, Brenda. 1976. The symbolic merger of body, space and cosmos in Hindu Tamil Nadu CIS 10: 213-243. Daniel, Valentine E.. and J. F. Pugh (eds.). 1984. South Asian Systems of Healing (Contributions to Asian Studies18). Brill. Farmer, Paul. 1997. AIDS and anthropologists: ten years later. Medical Anthropology Quarterly 11 (4) 516-525. Fuller, C. J. 1992. The Camphor Flame. Popular Hinduism in India (Ch.10: Rituals of Misfortune). Princeton: Princeton University Press. Leslie, Charles. (ed.). 1976. Asian Medical Systems. Berkeley: University of California Press. Nichter, Mark and Mimi Nichter. 1996. Anthropology and International Health. Asian Case Studies. Gordon and Breach Publishers. Nichter, Mark and Margaret Lock. 2002. New Horizons in Medical Anthropology. London: Routledge. Pigg, Stacy Leigh. 2001. Languages of Sex and AIDS in Nepal: Notes on the Social Production of Commensurability. Cultural Anthropology (Theme Issue “Anthropology and/in/of Science”) 16(4):481-541. 6 Student obligations Group work. Written examination. PRODUCTION KNOWLEDGE IN MEDICAL SYSTEMS LECTURER: Prof. dr. Allan Young 1 Duration 5 meetings 2 Aims The goal of this course is to provide an analytical framework for investigating knowledge production in traditional and contemporary medical systems. 3 Content The course is organized around the concept of ‘epistemic cultures’. This notion is based on the ideas and empirical work of anthropologist Edward E. Evans-Pritchard, physicianresearcher Ludwik Fleck, the author of classical studies of medical science Origin and Genesis of a Scientific Fact, and the contemporary philosopher of science Ian Hacking. The content of the course is heavily weighted to subjects of psychiatric interest, including ‘human nature’/ ‘mind-brain-culture’ triad; ‘mental disorders’; ‘emotions’; ‘evidence’; and ‘efficacy’. The lectures will articulate five perspectives: ethnographic, clinical, epistemological, historical and evolutionary. A wide range of psychiatric conditions will be considered, including culture-bound syndromes, with an emphasis on ‘trauma’ and ‘post-traumatic stress disorder’ (PTSD), seen as historical products, ethnographic objects and clinical phenomena. 4 Connection to other courses The course is closely connected to other medical anthropology courses and courses concerned with the history of wars and man's history from the cultural viewpoint. 5 Study literature Evans-Pritchard, E. E. 1937. Witchcraft, Oracles and Magic among the Azande. Oxford: Clarendon Press. Hacking, Ian. 1999. The Social Construction of What? Cambridge: Harvard University Press. Littlewood, Roland. 2002. Pathologies of the West: An Anthropology of Mental Illness in Europe and America. Ithaca: Cornell University Press. Tambiah, Stanley. 1990. Magic, Science, Religion, and the Scope of Rationality. Cambridge: Cambridge University Press. Young, Allan. 1995. The Harmony of Illusions: Inventing Posttraumatic Stress Disorder. Princeton: Princeton University Press. 6 Student obligations Written examination. ZDRAVJE, BOLEZEN IN SMRT V MELANEZIJI NOSILEC: Prof. dr. Borut Telban 1 Obseg 5 predavanj 2 Cilji Ker je Melanezija v marsičem eno izmed najbolj raznolikih področij v svetu (množica jezikovnih skupin in kultur, razgibano ekološko in geografsko okolje, ki skupnosti majhnega obsega prej ločuje kot pa združuje itd.) in ker je igrala pomembno vlogo v zgodovini antropologije, bodo študentke in študenti skozi konkretne primere, prakse, kozmologije, konceptualizacije življenjskega sveta in različne teoretične pristope antropoloških študij vpeljani v problematiko zdravja, bolezni, zdravljenj in smrti v tem pacifiškem področju. Študentke in študenti bodo spoznali, kako se univerzalni problemi rešujejo v specifičnih lokalnih, kulturnih in nacionalnih okoljih ter kako se ustvarja razumevanje družbene reprodukcije zdravja v različnih zgodovinskih, kulturnih, družbenih in političnih kontekstih. 3 Vsebina Pri predmetu bodo študentke in študenti s pomočjo komparativne analize različnih melanezijskih skupnosti in stalne refleksije, ki bo usmerjena v njim bolj domača evropska področja, seznanjeni z mnogimi antropološkimi tematikami, ki so tesno povezane z zdravjem posameznikov kot tudi skupnosti: s kozmologijami, z družbenimi in kulturnimi vidiki bolezni ter z vsebinami, simboliko in pomeni ritualov (zdravilci, tabuji, iniciacijski obredi, divinacije, posmrtni obredi itd.). Čeprav je trpljenje eksistencialna podlaga človekove izkušnje, pa se bolezen ne doživlja zgolj kot individualna izkušnja, pač pa je v svoji interpretaciji, simbolni logiki ter tesni čustveni povezanosti med ljudmi zelo socialna, saj črpa iz družbenih in kulturnih pomenov in jih hkrati tudi ustvarja. Terapevtski odgovori ponudijo specifične predstavitve vednosti/znanja določene skupnosti in zdravilcev, medtem ko je tisti, ki trpi, umeščen v kontinuiteto lokalnih ekspresij in praks, ki so pri konstrukciji zdrave skupnosti in zdravja posameznikov tesno povezane s kulturnimi in družbenimi temelji. Poleg poudarka na kozmologijah in interpretacijah različnih zdravstvenih sistemov bodo obravnavane sledeče teme: zdravje v povezavi z okoljem in prehrano, rodnost in smrtnost, konceptualizacija telesa in osebe v različnih kulturnih okoljih, spol in zdravje, pomen sorodstvenih vezi in družbene organiziranosti za zdravje posameznikov in skupnosti, iskanje vzrokov bolezni, konflikti, nasilje in borbe za prestiž v povezavi z zdravjem, duhovi, čarovništvo in magija, etnomedicina, medicinski pluralizem, medkulturna psihiatrija, biomedicina v očeh neevropskih skupnosti, vplivi kolonializma, postkolonializma in globalizacije na spremembe v načinih življenja in posledično na zdravje ter obolevanje, staranje, umiranje in smrt. 5 Študijska literatura 5.1 Temeljna Damon, Frederick, Roy Wagner, ur. 1989. Death Rituals and Life in the Societies of the Kula Ring. DeKalb: Northern Illinois University Press. Forge, Anthony. 1970. Prestige, Influence, and Sorcery: A New Guinea Example. V: Douglas, M., ur. Witchcraft, Confessions and Accusations. London: Tavistock, 257–275. Frankel, Stephen. 1986. The Huli Response to Illness. Cambridge: Cambridge University Press. Frankel, Stephen, Gilbert Lewis, ur. 1989. A Continuing Trial of Treatment: Medical Pluralism in Papua New Guinea (Culture, Illness, and Healing). Kluwer Academic Publishers. Herdt, Gilbert, ur. 1982. Rituals of Manhood: Male Initiation in Papua New Guinea. Berkeley: University of California Press. Lewis, Gilbert. 1975. Knowledge of Illness in a Sepik Society. London: Athlone Press. Lindenbaum, Shirley. 1979. Kuru Sorcery: Disease and Danger in the New Guinea Highlands. Mayfield. Stephen, Michele, ur. 1987. Sorcerer and Witch in Melanesia. Melbourne: Melbourne University Press. Telban, Borut. 1988. The role of medical ethnobotany in ethnomedicine: a New Guinea example. Journal of Ethnobiology 8(2): 149–169. Telban, Borut. 2001. Andaypa: eseji o smrti v novogvinejski skupnosti. Maribor: Obzorja. 5.2 Dopolnilna Battaglia, Debbora. 1990. On the Bones of the Serpent: Person, Memory, and Mortality in Sabarl Island Society. Chicago: The University of Chicago Press. Counts, Dorothy A., David R. Counts, ur. 1985. Aging and Its Transformations: Moving Towards Death in Pacific Societies. Pittsburgh: University of Pittsburgh Press. Fortune, Reo. 1963 (1932). Sorcerers of Dobu: The Social Anthropology of the Dobu Islanders of the Western pacific. London: Routledge and Kegan Paul. Iteanu, André. 1990. The concept of the person and the ritual system: an Orokaiwa view. Man (N. S.) 25: 35–53. Lewis, Gilbert. 1980. Day of Shining Red: An Essay on Understanding Ritual. Cambridge: Cambridge University Press. Mimica, Jadran. 1996. On dying and suffering in Iqwaye existence. V: Jackson, Michael, ur. Things as They Are: New Directions in Phenomenological Anthropology. Bloomington: Indiana University Press, 213–237. Patterson, Mary. 1974–75. Sorcery and Witchcraft in Melanesia. Oceania 45: 132–60, 212– 34. Rivers, W. H. R. 1912. The Primitive Conception of Death. The Hibbert Journal 10: 393–407. Telban, Borut. 1998. Dancing through Time: A Sepik Cosmology. Oxford: Oxford University Press. PREDSTAVITVE PREDAVATELJEV (2005/2006, 2006/2007) Prof. dr. Gabriele ALEX Dr. Gabriele Alex is Assistant Professor in the Department of Anthropology at the South Asia Institute, University of Heidelberg. She graduated at Berlin University and completed her M.Sc. in Medical Anthropology at Brunel University, London. She received her doctorate also from Brunel, with a thesis on childhood in rural Tamil Nadu, South India. She is currently working on the healing practices and the health resource usage of a peripatetic community in South India. Izbor iz bibliografije 2004. Integration – eine zweiseitige Angelegenheit. In: Tauber, Elisabeth (ed.), Sinti und Roma – eine Spurensuche.Arunda 67 Löwenzahn. 2005. Sex and the Body, Ethnologische Perspektiven zu Sexualität, Körper und Geschlecht. Gabriele Alex and Klocke-Daffa (eds.), S. Transcript Verlag: Bielefeld. 2006. Integration und Parallelgesellschaften am Beispiel von Tamilen. In: Brosius, C. and U. Goel (ed.) Masala.de. menschen aus Südasien in Deutschland, Draupadi: Heidelberg. Dr. Majda ČERNIČ ISTENIČ Docentka na Biotehniški fakulteti in znanstvena sodelavka na Inštitutu za medicinske vede ZRC SAZU. Doktorirala je na Fakulteti za družbene vede leta 1994 in pridobila naziv doktorice socioloških znanosti. Izbor iz bibliografije 2000. Moč in uveljavljenost norme odgovornega starševstva v Sloveniji. V: Mandić, Srna, ur. Kakovost življenja: stanja in spremembe. Ljubljana: Fakulteta za družbene vede, 29– 42. 1998. Proces oblikovanja družine v Sloveniji. Družboslovne razprave 14 (27/28): 157–170. 1994. Rodnost v Sloveniji. Ljubljana: Znanstveno in publicistično središče. Prof. dr. Duška KNEŽEVIĆ HOČEVAR Znanstvena sodelavka na Inštitutu za medicinske vede ZRC SAZU. Doktorirala je leta 1998 na Fakulteti za podiplomski humanistični študij – ISH v Ljubljani in pridobila naziv doktorice zgodovinske antropologije. Terensko delo opravlja med domačini zahodnega Žumberka in doline spodnje Kolpe, v grškokatoliških in pravoslavnih skupnostih. Izbor iz bibliografije 2003. Medijska govorica o nacionalni reprodukciji v postsocialistični Sloveniji. Teorija in praksa 40 (2). 2000. Studying International Borders in Geography and Anthropology: Paradigmatic and Conceptual Relations. Geografski zbornik 40: 81–98. 1999. Družbena razmejevanja v dolini zgornje Kolpe. Domačinska zamišljanja nacije in lokalitete. Ljubljana: Založba ZRC. Prof. dr. Margot L. LYON Dr. Margot L. Lyon is a member of the School of Archaeology and Anthropology in the College of Arts and Social Sciences at the Australian National University in Canberra. Following undergraduate work in science at Cornell University, she obtained her doctorate in anthropology from the University of California, Berkeley. She has done fieldwork in Java, initially on a religio-political movement that developed in the wake of the ascension to power of the Soeharto regime, and more recently on how changing economic and social conditions come to be embodied in new social and bodily forms and practices and thus implicated in new forms of subjectivity and action. At ANU she has developed teaching programs in critical medical anthropology, the anthropology of emotion, and the anthropology of pharmaceuticals. She also authored an integrated program on the social foundations of medicine that is a required component in the curriculum of the ANU Medical School. Her theoretical interests are primarily focused on the study of social approaches to emotion, particularly in regard to how social-emotional processes constitute a crucial axis in the relationship between social and bodily domains. In this work she seeks to explore how, through social-emotional processes, particular social forms are actively embodied and thus how such processes are inherently agential. Izbor iz bibliografije 2003. Immune’ to emotion: The relative absence of emotion in PNI, and its centrality to everything else. In: J. Wilce, ed. Social and Cultural Lives of Immune Systems. London: Routledge. Pp.82-104. 1997. The material body, social processes, and emotion: ‘Techniques of the body’ revisited. Body and Society 3(1):83-101. 1996. C. Wright Mills meets Prozac: The relevance of ‘social emotion’ to the sociology of health and illness. In V. James and J. Gabe, eds. Health and the Sociology of Emotion. [Sociology of Health and Illness Monograph Series]. Oxford: Blackwell. Pp. 55-78. 1995. Missing emotion: The limitations of cultural constructionism in the study of emotion. Cultural Anthropology 10(2):244-263. 1994. Emotion as mediator of somatic and social processes: The example of respiration. Social Perspectives on Emotion Vol.2: 83-108. Greenwich, Conn.: JAI Press. 1993. Psychoneuroimmunology: The problem of the situatedness of illness and the conceptualization of healing. Culture, Medicine and Psychiatry 17(1):77-97. Dr. Barbara POTRATA Doktorirala je leta 2002 s delom Work of the Self: Spiritual Economy of New Age Practitioners in Post-socialist Slovenia na oddelku za socialno antropologijo na Cambridge University v Veliki Britaniji. Po doktoratu je bila znanstvena sodelavka na Centru za preučevanje svetovnih religij na Harvardu (ZDA) kjer je sodelovala pri raziskavi z naslovom Raziskava učinkovitosti zdraviteljskih modalitet za bolnice z rakom na prsih. Potem ko je nekaj let delala v The School of Healthcare Studies, University of Leeds, trenutno deluje kot raziskovalka v School of Nursing, Midwifery and Social Work, Christie Hospital NHS Trust in na Univerzi v Manchestru. Njene znanstvene in strokovne publikacije so v pripravi. Izr. prof. dr. Borut TELBAN Višji znanstveni sodelavec v ZRC SAZU. Po diplomi iz farmacije na ljubljanski univerzi je več kot tri leta raziskoval na Papui Novi Gvineji. Po doktoratu na oddelku za antropologijo, Research School of Pacific and Asian Studies, Australian National University, je bil Leach/RAI Fellow na oddelku za socialno antropologijo na Univerzi v Manchestru, gostujoči raziskovalec na Avstralski nacionalni univerzi v Canberri, predavatelj in predstojnik oddelka za antropologijo na FHŠ Koper, gostujoči profesor na dunajski univerzi in Fulbrightov štipendist na kalifornijski univerzi v San Diegu. Je član upravnega odbora European Society for Oceanists. Izbor iz bibliografije 2004. The People of the Lower Arafundi: Tropical Foragers of the New Guinea Rainforest. Ethnology XLIII (2): 93-115 (soavtor: Roscoe, Paul). 2002. The role of a personal character in a New Guinea ritual. Journal of the Finnish Anthropological Society 27(4): 2–18. 2001. Temporality of post-mortem divination and divination of post-mortem temporality. The Australian Journal of Anthropology 12(1): 67–79. 2001. Andaypa: eseji o smrti v novogvinejski skupnosti. Maribor: Obzorja. 1998. Dancing through Time: A Sepik Cosmology. Oxford: Oxford University Press. 1997. Being and »non-being« in Ambonwari (Papua New Guinea) ritual. Oceania 67(4): 308– 325. 1988. The role of medical ethnobotany in ethnomedicine: a New Guinea example. Journal of Ethnobiology 8(2): 149–169. Prof. dr. Allan YOUNG Profesor antropologije na Univerzi McGill v Kanadi. Je predstojnik oddelka za družbene študije medicine in je hkrati vključen tudi v oddelek za antropologijo in oddelek za psihiatrijo. Doktoriral je leta 1970 na Univerzi v Pennsylvaniji. Najbolj zgodnje etnografske raziskave je opravljal v begemderskem področju etiopskega visokogorja. Temu so sledile raziskave v katmandujski dolini v Nepalu. Financirala jih je Svetovna zdravstvena organizacija z željo, da bi uvedli ayurvedsko medicino v vladne biomedicinske zdravstvene postaje. Njegova knjiga The Harmony of Illusions je bila nagrajena z Wellcome Medal for Research in Anthropology as Applied to Medical Problems. Izbor iz bibliografije 2002. The self-traumatized perpetrator as a “transient mental illness”. Evolution Psychiatrique 67: 630–650. 2001. Our Traumatic Neurosis and its Brain. Science in Context 14: 661–683. 1995. The Harmony of Illusions: Inventing Posttraumatic Stress Disorder. Princeton: Princeton University Press. 1982. The anthropologies of illness and sickness. Annual Review of Anthropology. B. J. Siegel, ur. Palo Alto: Annual Reviews, 257–285. 1981/1982. When rational men fall sick: An inquiry into some assumptions made by medical anthropologists. Culture, Medicine and Psychiatry 5: 317–335; 6: 21–34. 1976. Some implications of medical beliefs and practices for social anthropology. American Anthropologist 78: 5–24.