Andrea Arriaga ASAN 600S Fall 05 Complexities of Maintaining Balance and Harmony Within the Balinese System of Healing -Abstract: The purpose of this paper is to explore how the Balinese define and interpret concepts of health and wellness. In doing so, I will attempt to expose how the Balinese act within a specific ideological framework to maintain balance and harmony on the island, in the community, in the home, and within the body. My research rests on the premise that the concept of wellness within the traditional Balinese system is based on the maintenance of balance and harmony between dynamic and co-existing forces. Eiseman, whose work focuses on the concepts of the seen and unseen forces of Bali discusses how sickness in Bali is a state of disharmony between the individual and his environment, stating “ in this sense illness is no different from various other kinds of forces” (1989: 135). The concept of illness presented by Eiseman and conceptualized by the Balinese is what I will be referring to as illness in the context of this paper. I will attempt to show examples of methods of traditional healing within the Balinese system that are based upon maintaining balance and harmony between interactive and often opposing forces within the environment, community, family, and the individual, in order to prevent illness and chaos. I have found that these methods and structures of healing, as well as healers themselves, act as bridges between the worlds of the seen and unseen, which in the Balinese construct of reality exist as one. The intent of my research is not to deconstruct the Balinese system of traditional healing, rather it is to understand the Balinese concept of wellness through an anthropological and historical perspective, as it is my belief that holistic and cross-cultural perspectives lead to deeper awareness that can then be integrated with and applied to non-traditional methods and concepts for more holistic practices. This paper thus views traditional and modern medicines as cooperative and complimentary. The focus of this research is to look at traditional concepts and practices of healing in Bali, it will also attempt to demonstrate how traditional Balinese forms of healing may viewed as both valuable and effective. A Description of Bali -Topography and Geology: The tropical climate, lush environment, exotic allure, friendly locals, and easy access to the island, have enticed millions of tourists, scholars, and residents to place themselves on Bali’s fertile land. Since the 1930’s the occurrence of modernization and globalization have led the Balinese to witness a huge increase in the influx of tourism and foreign concepts (Shavit, 2003: 21-60). Bali has been exposed to modernization through the influence of both the east and west (Shavit, 2003: 1-60). Despite access to and application of modern scientific thought and practices, the Balinese islanders remain devout practitioners of traditional methods of healing (Conner & Asch, 1986: 13, 31-2). Methods of healing within the Balinese tradition are based upon maintaining balance and harmony between interactive and often opposing forces within the environment, community, family and the individual (Hobart, 2003: 1-27). Unlike traditional western concepts that view illness on a linear and fixed scale, focusing on direct physical correlations, the traditional Balinese concepts of wellness and illness involve the worlds of both the physical and supernatural, which includes the dynamic cyclical inter-play of man and spirit, light and dark, seen and unseen. (Werner, 1993: 11-25). Methods and structures of healing, as well as healers themselves, act as bridges between the seen and unseen, functioning to bring, maintain, and restore, harmony and balance to the world of the Balinese and to the Balinese themselves. The Balinese cosmology is deeply rooted in the natural physical environment and historical context in which they are embedded (Hobart, 2003: 1-24). The Baliaga, Bali’s original people, are believed to have inhabited Bali since the Stone Age (Mabbett, 1995: 25). The picturesque island of Bali is geographically located in the Indonesian archipelago, it lies 8 degrees south of the equator at a longitude of 114 degrees east (Conner & Asch, 1986: 11). The island of Bali is one of over 15,000 islands that comprise the 3,500-mile chain that makes up the archipelago currently known as Indonesia (Conner & ash, 1986: 11). Bali is in the middle of the archipelago, located just east of the larger island of Java, which has some of the densest population concentration in the world, and west of less populated island of Lombok (Conner & Asch, 1986: 11). Bali’s capital, the urban city of Denpasar, lies near the southern tip of the island. Bali’s forests are lush and tropical, and the beaches are a mecca for sun worshippers and surfers. Encircled by coral reefs and beautiful beaches, Bali separates the Indian Ocean from the Java Sea. The island of Bali is over 5,688 square kilometers (Suryani & Jensen, 1993: 8). Bali extends 50 miles from north to south and 93 miles from east to west (Conner & Asch, 1986: 11). Bali is a mountains island where volcanic peaks can be seen floating amidst tropic clouds. The temperature in Bali ranges from 32 to 36 degrees Celsius year round, with a rainy season ranging from October to March (Shavit, 2003: 3-4). The volcanic soils of the island along with the seasonal rains, aid in creating rich and productive fertile soils and the lush landscape that are crucial factors in sustaining the islanders (Conner & Asch, 1986: 11-19). Bali is divided into northern and southern portions by a range of volcanic mountains. Four sacred mountains compromise the range; Gunung 2 Agung, Batur, Batukao, and Abang (Conner & Asch, 1986: 11-15). Crater lakes within the volcanoes are the islands main source of water (Hobart, 2003: 9). The aboriginal peoples of Bali believe that Gunung Batur is the holiest (Mabbett, 1995:13). Gunung Batur is near Bali’s Lake Batur and is associated with the goddess of the lake, Dewi Danu (Shavit, 2003: 3-4). The 4240-acre fresh-water Lake Batur is sacred as well, and revered by farmers and priests as being the ultimate source of water throughout central rural Bali (Shavit, 2003: 3-4). The goddess is a provider of irrigation water (Shavit, 2003; 3-4). Natural springs froth forth on the mountains slopes. The water flows through the island in the form of rivers and streams, connecting the intricate rice terraces in a beautiful design which integrate man, nature, and spirit in a harmonious balance (Hobart, 2003: 9-11 and Conner & Asch, 1986: 11-9).. The highest and most sacred volcano on the island of Bali is the revered Gunung Agung. Gunung Agung is considered Bali’s holiest mountain to the island’s Hindus, and is identified as a supreme manifestation of Shiva (Eiseman, 1989: 3). Gunung Agung is an active volcano and the highest peak on the island, standing over 10,000 feet tall (Eiseman, 1989: 3). The Balinese believe that mountains are homes to the gods and places to be respected and revered (Conner & Asch, 1986: 11). To many Balinese, Gunung Agung is the center of the universe and is described as “the navel of the world” (Eiseman, 1989: 11). The Balinese have a story that the mountain of Gunung Agung was raised up by the gods to be a lookout spot for watching the life below (Conner & Asch 1986: 74-6). To the Balinese the sacred exists within all structure, form, and formlessness. The created structures of life, such as temples, as well as those that are believed to be creative forces themselves, such as the sea or the gods, all play an important role in the Balinese conception of self, and thus wellness; through looking at a the historical background and cultural context of the Balinese the importance of both the form and formless worlds begin to merge and become better understood. -Religious History and Structure: Most Balinese are animistic Hindus who regard spirit to exist in all things (Conner & Asch, 1986: 23-7). Concepts of being, wellness, and health are deeply embedded in historical, cultural, spiritual, and religious practices and concepts in Bali as well as globally (Suryani & Jensen, 1993: 2-3). Indonesia is home to the world’s largest Moslem community; ninety-percent of Indonesians are Moslems, yet the majority of Balinese practice a variant form of Hinduism generally known as Bali-Hindu (Hobart, 2003: 9-10). Only 5 percent of Balinese are Moslem, while over 90 percent of the Balinese are Hindus (Conner & Asch, 1986: 13). .Bali’s unique form of Hinduism is a blend of Hindu, Buddhist, and pre-existing animistic beliefs (Suryani & Jensen, 1993: 7-8). The remaining percent of Balinese practice religions such as Buddhism, Catholicism, Protestantism, or other indigenous religions (Hobart, 3 2003: 9-10). Despite the differences in religious practice throughout the island the general belief in embedded spirit remains constant (Suryani & Jensen, 1993: 6-8). The idea of spirit in all things most likely stems from indigenous traditions, yet is woven into the greater religious traditions, such as Hinduism and Buddhism (Conner & Asch, 1986: 23-7). Hindu and Buddhist influences mark Bali’s early history (Suryani & Jensen, 1993: 15-18). Hindu and Buddhist influences were most likely first brought to Bali from India between the fifth and ninth centuries A.D. through the Sumatran maritime empire of India, Srivijaya (Conner & Asch, 1986: 13). Strong Hindu and Buddhist influences also came from the neighboring island of Java, where the tremendous Buddhist monument of Burbador was built in the by eighth- and ninth- century dynasties (Conner & Asch, 1986: 13). Although the roots of the Balinese Hindu tradition stem from India, the greatest Hindu influence in Bali is believed to have spread from the neighboring island of Java (Suryani & Jensen, 1993: 11-6). Although historical evidence is somewhat weak, texts and artistic sources represent Java’s historical cultural and political influence on the island of Bali (Hobart, 2003: 11-24). In the late 10th century political unity between Java and Bali was established by the marriage of Bali’s king Udayana and the Javanese princess, Queen Mahendradatta (Conner & Asch, 1986: 16). The Queen and King’s son, the eleventh century king Erlangga, installed Javanese priest and warriors to rule over Bali (Conner & Asch, 1986: 16). To this day the union of the Balinese king and Javanese Queen are celebrated in performance and art, while poetry, art, and theater also reflect the influence of the eleventh century ties between Bali and Java under the rule of their son King Erlangga (Hobart, 2003: 11-27). Today, the Javanese Hindu kingdom of Majapahit is recognized by most Balinese as being the most important contributor of Hinduism to the island of Bali (Conner & Asch, 1986: 13). The kingdom is renowned for its long standing contribution to politics, literature, arts, and cosmology (Hobart, 2003: 10). The Hindu kingdom of Majapahit flourished somewhere between the late thirteenth and sixteenth centuries (Conner & Asch, 1986: 13, 16, 180). In the middle of the fourteenth century Bali fell under the rule of the Majapahit, and since then the ruling peoples of Bali have claimed a Javanese ancestry to the kingdom (Barth, 1993: 18-20). Between the fifteenth century and sixteenth centuries the kingdom of Majapahit began to weaken (Conner & Asch, 1986: 16). Islamization in Java began to occur as the Islamic elite began to take political control over Java (Barth, 1993: 18-20). Bali unlike neighboring Java did not convert to Islam, and devote Buddhist and Hindus fled to the island (Barth, 1993: 18-20). Artist, intellectuals, priests and nobles from the last Hindu courts of Java took refuge in Bali, bringing with them metaphysical texts, epic narratives, poems, and performance theater (Hobart, 2003: 9-11). Currently Bali is home to the largest population of 4 Hindus in the world outside of Java, and is known for its rich cultural heritage and practices (Conner & Asch, 1986: 13). Almost all Balinese currently practice the unique form of Hinduism that incorporates Buddhist and tantric ideas as well as animism, ancestor, and spirit worship that are characteristic of the traditional and Malay culture (Hobart, 2003). -Political History and Hierarchy: Balinese religion, cosmology, and concepts of wellness are not only tied to historical and cultural events, they are bound to a social and political hierarchy as well (Hobart, 2003: 10-16). The system of stratification is based on the Indian caste system (Suryani & Jensen, 1993: 9). The three high castes of Bali are thought to be descendant from the kingdom of Majapahit (Ramseyer, 1977: 56-59). Although the traditional caste system from India that includes the untouchable or outcast class was not adopted by the Balinese, a modified version was (Eiseman, 1989: 32). The adopted caste system stemming from the Hindu tradition was originally based on a member’s role within the community and today is generally of most importance only during ceremonial activity (Ramseyer, 1995: 267-284). The three high castes of Bali included the Bahamans who were the highest of the castes being the priestly caste; the Satriyas, and the Wesias (Hobart 2003, 11-23). Today’s caste system is mainly used for inheritance and ceremonial purposes (Hobart, 2003:161-162). Modern day priests and healers may be from ancestrally lower casts, yet priests remain extremely powerful within the structure of Balinese society no matter what their ancestral lineage is (Hobart, 2003; 130-133). A small and powerful elite group of courtly scholars and priests have been integral in reinforcing and spreading religious and cultural trends throughout the island (Hobart, 2003: 15-17). Although peasant religion is not a separate form of religion than that of the elite community, it does tend to include more animistic beliefs and practices such as magic and sorcery (Werner, 1993: 11-17). The peasant and illiterate population of Bali have historically had no access to scholarly and metaphysical text (Hobart, 2003: 16). They are therefore dependent on local priests and religious officials for transcribed information, which can be correlated to a limited position of power within the community (Conner & Asch, 1986: 11-21). Western scholars and researchers have most often recorded the elites concepts of religious and cultural traditions within Bali as it has generally been easier for western scholars to communicate with and gain access to other scholars and their knowledge (Hobart, 2003: 11-16). This has placed a bias on western knowledge of the Balinese worldview as religious beliefs and practices that rely heavily on magico-animism have most likely been left out of westernbased research. Although the west has also played a large role in Bali’s history, western religious practices and ideas of place, time, and being have not displaced the 5 traditional cosmological view of the Balinese (Conner & Asch, 1986: 11-30 and Suryani & Jensen, 1993: 2-3). The Balinese Hindu religion has continued to prosper while islands such as Java have experienced intense Islamization and Westernization, which over time have dramatically changed the Javanese worldview (Conner & Asch, 19866: 17). In 1816 the Netherlands declared the East Indies a colony (Conner & Asch, 1986: 17). Bali was spared from colonial influence unlike the larger islands such as Java, as Bali was thought too small for large-scale plantation production and lacked the rich spice groves found on neighboring eastern islands ((Conner & Asch, 1986: 17).. In the mid nineteenth century the British Empire began to threaten Dutch power in the region, it was during this period that the Dutch turned their focus to the smaller islands, such as Bali, as well (Conner & Asch, 1986: 16-20). In 1846 the Dutch took control of the northern part of Bali, by 1908 the Dutch had gained complete control over the Island. Colonialism in Bali did not affect the indigenous economy, practices, and beliefs, as it had on other islands previously occupied by the Dutch (Shavit, 2003: 5-13). During the time of Dutch control in Bali the Netherlands officially endorsed native advancement and social welfare through the Ethical Policy (Conner & Asch, 1986: 17-18). “The Netherlands government accorded Bali the status of a huge native reservation and intended it to be seen as testimonial to the benevolence of imperial rule…” (Conner & Asch, 1986: 18). The Dutch forces of power and missionaries who occupied Bali at the time, were not successful or did not put much effort into converting Balinese beliefs or practices, as occurred on neighboring islands (Shavit, 2003: 5-13) . The Japanese succeeded the Dutch in occupying Bali in 1935, and were eventually defeated in 1945 (Conner & Asch, 1986: 18). In 1949 Bali gained its independence and after five years of prolonged violence and strife Bali became a province of the newly united Republic of Indonesia (Conner & Asch, 1986: 18). From the Second World War through the revolution of the mid-1960’s Bali experienced extreme social unrest and intense violence (Hobart, 2003: 19-21). The violent and dynamic political and cultural history of Bali is relevant to the context of healing as it demonstrates how the forces of both good and evil, and the concepts of light and dark work interactively, and ultimately in balance to maintain the and create the island paradise of Bali. Most recently Bali has experienced a series of terrorist bombings, which although affect the islands economy in terms of tourism, do seem to have altered the cosmology or practices of the Balinese. Despite the infiltration of Bali by western and foreign political powers, in terms of beliefs and practices the Balinese have remained somewhat independent as they have kept their unique form of Hinduism intact (Hobart, 2003: 19-21). -Socioeconomic and Family Structure: Although many changes have occurred in Bali in the last few decades, 6 the socio-economic and family structures of the Balinese have also remained generally unchanged (Vickers, 1996: 1-35). Bali is home to nearly three million individuals, that compromise two percent of Indonesia’s population (Suryani & Jensen, 1993: 6). Despite the fact that over fifty percent of the tourists who visit Indonesia go to Bali and many Balinese have began to work in the service industry in the cities and tourist areas, over four-fifths of the islands population still lives in rural areas (Shavit, 2003: 5). The island of Bali is composed of eight districts, and within each district exist community groups called banjars (Conner & Asch, 1986: 15 and Suryani & Jensen, 1993: 15). The banjars function as organizational units within the Balinese communities (Suryani & Jensen, 1993: 7-8). There are over four thousand banjars that govern the community at large and play an active role in the social structure of the villages, and island as a whole (Mabbett, 1985: 38-40). The banjars are made up of community members, they work together to interpret laws, pass judgment on the unlawful, and keep the community functioning smoothly and effectively (Suryani & Jensen, 1993: 7-8). The members of each banjar are also responsible for village ceremonies and festivities that are crucial in maintaining balance and harmony in the community (Mabbett, 1985: 38-40). The community member’s primary work focus and responsibility outside of the home is to the banjar. Sometimes a member must miss work for weeks if they are needed to do a job or act within the banjar (Suryani & Jensen, 1993: 8). The banjar also functions as an intermediary between the government and the individual community members (Suryani & Jensen, 1993: 7-9). Members of the banjar must work collectively thus creating an intensified sense of unity that is useful in the maintenance of harmony amongst the villagers within each community and collectively as Balinese. Also important in collective responsibility and cooperation are smaller functional groups known as sekas (Suryani & Jensen, 1993: 8). The sekas are groups within the villages that are allotted various specific tasks and roles that are important to the villagers, such as specific forms of art or performance. The sekas are responsible for tasks within the community such as a specific forms of art, or specific cultivation (Suryani & Jensen, 1993: 7-9). The practices that are preformed by the sekas are necessary for community and individual wellbeing. Another important groups that maintains balance and wellness within the community is the irrigation group known as the subak (Covarriubas, 1987). The subak is also a small functional group existing within the larger community, promoting integration and cooperation among individuals, homes, and villages ((Barth, 1993: 64-75). The subaks are led by high priest and are believed to be overseen by the goddess of rice, Sri (Mabbett, 1985: 4143). The subaks are composed of village members whose responsibility is to determine the distribution of irrigation water, which flows down and through the island (Suryani & Jensen, 1993: 9-10). The subak is also responsible for 7 making decisions about planting and other important irrigation practices, including ceremonial planning which is an essential to the growth and harvest of crop and the prosperity of the community.(Geertz, 1966). Geertz points out that a village is not just one unit bounded together it is an interplay of complex and dynamic levels of organization, including the family, that together create a community (1996). Although all groups that compose the Balinese society are important, one of the most important functional groups within the Balinese society is the family. Over eighty percent of the Balinese live in extended family units (. The family group in Bali is known as dadia. The dadia includes the extended family and all of the ancestors (Suryani & Jensen, 1993: 8). According to Suryani and Jensen, “…family members periodically band together in one place for ceremonies dedicated to the worship of God: at the house shrine (sanggah or marjan) for the immediate family, or at the temple (pura) for the extended family” (1993: 8). Ceremonies and communal living situations within the family help to tighten family ties and create strong foundations for unified beliefs, and continual traditional practices within the family and home. Through the complex and dynamic community units, members of the various organized groups cooperate collectively in the daily tasks necessary for wellness. Religious concepts and organizations are foundations of social organization, creating a tightly knit and interconnected sense of unity amongst individuals and groups. Most every Balinese Hindu must function effectively as a community and family member in order to attain balance and create optimal wellbeing for the self and others. The Balinese community is rich in unity and beauty despite its economic position in the world. The majority of Balinese live in the central lowlands and southern coastal plains areas, near the most fertile irrigated lands and the major centers of tourism (Conner & Asch, 1986: 13). Most Balinese live in rural households and over fifty percent work in some type of farming practice, many involved in rice agriculture, the ancient staple that has supported the Balinese for centuries (Conner & Asch, 1986: 19). The remaining percent are artists, government employees, small-scale industrial workers, or are a part of the ever-growing service industry geared towards tourism (Suryani & Jensen, 1993: 7). Over fifty percent of visitors to Indonesia go to Bali, yet the flow of foreign money has done little to increase the national average wage of the Balinese (Suryani & Jensen, 1993: 7). In 1993 the per capita income averaged less than five hundred U.S. dollars (Suryani & Jensen, 1993: 10). Although this number has surly grown in the last decade the Balinese are no doubt economically poor people. Despite the level of poverty the quality of life of the average Balinese is very good when compared with others in developing countries. There are very few homeless or hungry people in Bali, as food is plentiful and cheap, and family and community structures and support are generally very strong and highly functional (Suryani & Jensen, 1993; 10). 8 History of the Indigenous Medical System: -The Early Period: The island of Bali has long cultural history, having been inhabited since early prehistoric times. Human fossils that date back to 250,000 years ago have been found on neighboring Java; while stone tools and earthenware believed to be around 3,000 years old have been discovered on Bali (Reuter, 2002: 3). Although there is evidence of a cultural history dating back over 2,000 years, little is known about the long early period before the 12th century and the indigenous medical history that is related to the early era (Hobart, 2003: 11-12). There is much that remains to be questioned with the possibility for discovery, and there is no doubt that the complex historical background has left an imprint on current concepts of health and wellness, within the Balinese system of healing. Although much of the historic evidence for the indigenous medical practices and beliefs in Bali are non-tangible, a look into specific known historic texts, events, and artifacts during the era of the Balinese Kingdom and beforehand may help to highlight the influences that have a bearing on the current traditional system of healing. There are wide gaps and inconsistencies that exist in Bali’s historical record, yet much of the information related to Bali’s early history may be derived in the form of text, temples, ceremonial practices, story-telling, performance, and other works of art that are both historic and current. The modes of historic representation and inquiry may be dynamic and diverse, yet they are valuable in that to some extent they represent the collective memory and heritage of the Balinese, which are important factors in comprehending notions of self and wellness. -Religious and Spiritual Influences of the Traditional Medical System: As is noted in the history of religion in Bali, within the context of the indigenous medical system there is a strong influence of Hinduism, Buddhism, and Tantric ideas that intertwine with pre-existing indigenous customs related to magic, animism, shamanism, sorcery, ancestor and spirit worship (Hobart, 2003: 12-19 and Lovric, 1987a: 64). According to Conner and Asch, “the Balinese word balian has generally been translated as ‘traditional healer’ in ethnographic literature, but the significance of balians activities extends beyond this sphere…” (1986: 21). There is evidence of the existence of balians, associating them the royal courts, that dates back to the 19th century (Hobart, 2003: 11-14). The balians, for whom there is historic evidence and representation, were mostly elite literate males of the Brahmanic priestly caste ((Conner & Asch, 1986: 22). Although the historic record is limited for illiterate and peasant healers surly they existed before and during the 19th century and played an integral role in the lives and wellness of villagers and their communities. Existence of early healers who 9 were not noted in historic texts can be inferred through various mediums of the arts (Conner, 1982). Artistic representations of men and women give insight into the historic roles they played and the archetypes to which they are or have previously been associated with. Representations of female balians are generally associated with the Hindu goddess of the underworld and destruction, Durga (Conner & Asch, 1986: 22). Female images are often portrayed as witchlike and exist beyond the boundaries of patrilineal-based scholarly and literate knowledge, while historic artistic representations of male balians differ in that the images are more diverse in their representation (Conner & Asch, 1986: 22-23). Male balians are depicted as both helpful and harmful and may exist within or on the outskirts of orthodox and scholarly knowledge (Vickers, 1980: 1-47). Artistic representation of the past allows us to more fully understand the complex history and structure of healers’ roles within Balinese society. Relics of the past also indicate that ancestors and spirits were venerated in Bali’s early history (Stutterhiem, 1935: 7). The practice of ancestor and spirit worship is widespread today in Bali. It is believed that when the ancestors, Gods, and demons are dissatisfied due improper treatment and the lack of proper offerings and rituals bestowed upon them, illness and misfortune will surly manifest amongst the descendants of the ancestor and within the individuals of any given family or village who have not properly satisfied the demon or God (Hobart, 2003: 37-88). In understanding the relationship between the Balinese and the spirit world it is important to take into account the history of Tantric ideas in Bali. The Tantras themselves are a specific set of Indian text that are numerous and obscure, they often require a teacher to fully comprehend (Hobart, 2003: 12). The word Tantra itself is literally defined as, ”any of a comparatively recent class of Hindu or Buddhist religious literature written in Sanskrit and concerned with powerful ritual acts of body, speech, and mind” (www.dictionary.com, 2005). In Hinduism Tantric teachings involve popular aspects of religion and healing such as spells, rituals, and symbols, while Buddhist Tantric teachings deal with a broader array of practices (Snellgrove, 1897: 203-204). Both Buddhist and Hindu Tantric teachings are part of the Balinese cosmology. The common thread of the Tantric texts and concepts utilized in Bali is the focus on a cosmic sexuality (Hobart, 2003: 12). The union of the divine female and male can be viewed as a historic symbolic representation for the culmination and union of opposing forces in the universe. This divine union is expressed in the literature and arts of Bali and is a representation of the harmonious balance that can be achieved through the uniting and intertwining of opposing forces (Hobart, 2003). The influence of Tantric ideas on the Balinese system of wellness, stress the seemingly contrary or paradoxical nature of Tantrism as well as those of the Balinese concepts of wellness. Loverick states: “The twin themes of horror and hilarity, of the lurid and the lucid, of invoking 10 extremes and of dialectical reversals, demonstrably features of the Balinese magicomedical tradition, are all characteristic of Tantric rites. (1987a: 426) Tantric ideas of balance and harmony through movement, interaction, and intercourse are heavily drafted into the notion of healing within the conceptual framework of the Balinese. Poems, statues, and stories, tell of a history in which Hindu and Buddhist cults merged, both carrying with them a foundation of Tantric beliefs and practices (Fontein 1990: 49-55). Along with the historical representations of Tantric practices, today small groups of Balinese Buddhist priests known as Brahmans exist on the island (Hobart, 2003: 13). They are specialist in Tantric text, and continually reinterpreted and reintegrate Tantric practices and beliefs into Balinese culture, especially in the metaphysical healing realms of sorcery and magic (Hobart, 2003: 1214). The continual integration of Tantric values and the practice of indigenous belief are tools the Balinese use to keep balanced mentally and physically and to understand and experience the dynamic world and bodies in which they live. Philosophies that deal with the balance of nature, man and spirit, have been passed, integrated, and implemented in Bali. Tantric texts that are influential in Bali often distinguish between the culmination and balance of a right and left hand path, otherwise known as a yoga (Hobart, 2003: 12). The goal of the individual is to create a path that is balanced, thus utilizing cosmic power to its full potential, transforming and restoring vitality and optimal wellness within the individual and community. When the right and left paths are followed in a balanced manner, harmony is thought to be achieved as the lotuses or charkas within the body awaken and open, allowing energy to flow freely through the body (Judith, 2005: 9-41). Once the seven charkas are open and clear the free and powerful energy of the universe is though to move in accordance through the body, eventually leading to a blossoming of knowledge, consciousness, and optimal health and wellness. -Ancient Manuscripts and Ayurvedic Values: The Tantric belief in the seven charkas, or energy centers in the body, stems from the Ayurvedic medical knowledge of India (Judith, 2005: 9-13). Other Eastern concepts of healing and energy that are practiced in Bali such as the Chinese meridian points are very similar to Ayurvedic charka theory (Judith, 2005: 13-16). When the body is out of balance, there is thought to be a blockage of energy resulting in disease (Judith, 2005: 16-30). The ancient tantric Ayurvedic beliefs, such as those related to the charkas or kundalini are very important foundations for the practices of Balinese healers (Hobart, 2003: 11-17). Some traditional healers in Bali are illiterate or do not have access to the traditional text while others are highly regarded healers who specialize in reading, interpreting and using the ancient text (Hobart, 2003: 59-61). The 11 Lontar usada are manuscripts containing metaphysical information of magic, mysticism, and medicine (Nala, 1993: 18). The Ancient palm leaf manuscripts texts are known as lontar usada, and are derived from the Sanskrit word for healing ausada (Nala, 1993: 18). The lontar usada were originally written in the ancient Indian language of Sanskrit, which was generally only comprehensible to the literate and scholarly elite yet many of the concepts found in the lontar texts have been filtered into the villages and to those who do not have access to them through art and performances (Hobart, 2003: 15). Some of the lontar texts are transcribed into Old Javanese (Kawi), even though originally they are derived from India (Hobart, 2003: 15). The metaphysical lontar text are thought to have first arrived in Bali from east Java during the eleventh century, brought by the courtly priest Mpu Kuturun (Nala 1993: 18). The lontar usada are also suspected to have been brought to Bali during the reign and fall of the Javanese kingdom of Majapahit (Hobart, 2003: 15). The manuscripts fall into three groups; the first group is referred to as tutur and are metaphysical, cosmological, and mystical in nature, the wariga is the second group which are more divinatory and magical in orientation, this group also contains information on medicinal plants, the third group defines and discusses various illnesses and diseases and how to diagnose them (Hobart, 2003: 60-61). The palm leaf manuscripts are dried, treated, and bound, then put to use by healers who traditionally give advice, medicine, charms, and instructions for offerings and ceremonial procedures (Hobart, 2003: 59-61). Scholarly priests who have been historically linked with royalty, to give personal and political advice, also used the lontar usada (Hobart, 2003: 1513).. The fifteenth century Javanese Brahaman priest Nirartha, is revered in Balinese history for his poetry and historic recording (Ramseyer, 1977: 59). He is also known as being the first scholarly priest of the high courts to encourage and engage villagers to participate in courtly arts and healing, promoting the mergence of classic texts with folk traditions in Bali (Ramseyer, 1977: 59). Nirartha was a distinguished scholar on the Tantric based usada that focused on ideas of Kundalini-Sakti Yoga (Lovric 1987a: 317-325). Kundalini text and practices also focus on the Ayurvedic notion of clearing the charkas for increased power and vitality (Judith, 2005: 35-41). Kundalini is also known as serpent power, it is the idea that energy sits like a coiled serpent in the first or root charka at the base of the spine, as the charkas open through meditation, breath, and yoga (the yoking of the mind and body), the serpent energy uncoils passing through the seven charkas or energy points of the body; consciousness is then awakened and the body begins to balance and vibrate harmoniously with the energy of the universe (Judith, 2005: 35-41). Present day priests and scholarly healers in Bali are aware of Kundalini-Sakti theory and believe that energy can be harnessed as power, through meditation, awareness and education, and can then be used in the context of wellness to heal or harm others and the self (Hobart, 2003: 12 17). -Progress and Modernization: Notions and historic beliefs of the Balinese and their societal roles as healers and maintainers of harmony have remained, despite the political and global changes that have occurred through the centuries (Suryani & Jensen, 1993: 2-4). Colonial rule, globalization and post independence through the twentieth century brought progress, modernization, and western biomedical concepts to Bali (Hobart, 2003: 19-23). The Dutch introduced schools and hospital into urban districts yet generally ignored the role of traditional healers and rural communities (Hobart, 2003: 21). Not until the mid 1950’s after Bali gained its independence did the greatest changes in health care practices occur; with government aide, community and health care centers focusing on infectious diseases, maternal, and pediatric health were established, and disease such as small-pox was eradicated (Conner & Asch, 1982: 51). From the 1960’s through the 1980’s international agencies such as the WHO, UNICEF, and national agencies such as the U.S. AID, and Indonesia’s IGGI helped in the promotion and funding of programs to establish low-cost basic health care to citizens of Indonesia, including those in rural and urban Bali (Conner & Asch, 1986: 34). In 1986 the National Health Conference implemented the plan for Community Health Care Centers that was intended to increase community involvement in rural areas through training, participation, and the establishment of health centers (Conner & Asch, 1986: 34). Many of these programs focused on creating access to medical care in rural communities and educating community members on public health services, giving them the skills to service themselves (Conner & Asch, 1986: 35). These practices and programs, which are based on modern western concepts of health and scientific thought, may have influenced the physical wellness of the Balinese, but have not diminished the practice or usage of traditional healers (McCauley, 1979: 1-20). Conner states, Many doctors inherited the prevalent Dutch attitude that literate medical practitioners who used classical medical text were to be admired whereas the illiterate midwives, spirit mediums, and other healers were to be despised for their primitive practices” (1986: 35). Despite this statement researchers, such as Boedhihartono, conclude that modernization has not changed Balinese attitudes towards traditional or indigenous healing practices, and traditional medicine has not experienced a decrease in popularity in either rural or urban areas (1982: 33). It may be assumed that factors such as transportation, access, economics, and education are crucial in the medical choices that the Balinese make, yet McCauley proves that these social conditions are not determinants of the health care that the Balinese seek, as both traditional and modern care are 13 used by most Balinese. (1979: 1-20). The programs intended to increase public health care, did not diminish the value of traditional healers, in fact they ultimately may be viewed as having had encouraged the value and use of traditional healers. One outcome of the health care service program was the systemization and coordination of traditional scholarly medical texts and practices, exemplified by the publication of the book Usada Bali, published in 1993 by Nala. Traditional midwifes were also given training in health care centers, which supplemented their traditional knowledge and experience (Muninjaya, 1982: 40). Throughout Bali village midwifes are given delivery kits and supported by government run health care centers and policies (Muninjaya, 1982: 40). Alternative practices such as acupuncture and Ayurvedic medicine are now legalized and recognized in Indonesia, the legitimization of foreign forms of traditional medicine in Indonesia has helped bring greater validity and respect to traditional Balinese healers and the Balinese indigenous medical traditions (Boedhihartono, 1983: 33). Although traditional healers in Bali still do not constitute on officially recognized instituted body, unlike Ayurvedic practitioners and acupuncturists they are still regarded by the Balinese as being skilled and valued practitioners of healing (Conner & Asch, 1986: 22). Concepts of Wellness, Health and Being -Life in Balance and Flux Within Time and Space: As is evident, the traditional Balinese healing system and concepts of wellness are a mesh of Buddhist, Hindu, Tantric, and indigenous customs and beliefs, woven together by a common thread. The Balinese are part of a wondrous whole of cycles and systems, not separate from nature. Within the context of healing the common thread is the maintenance of harmony and balance found at different structural levels. The Balinese believe that all things are dynamic; this belief is paradoxical to its nature, as the belief itself remains a constant. It is the job of the healer, family, and community to maintain balance at all levels in order to maintain harmony and wellness. As Obeyesekere says, definitions of wellness and healing are culturally constructed concepts that ‘are intricately locked into larger cultural and philosophical issues and problems of meanings’ (1989: 235). It is thus necessary to look at different and complex cultural beliefs, practices, and structures to understand how the Balinese go about maintaining balance and harmony. One mode of representation that helps to explain the Balinese worldview and thus gives a deeper understanding of notions of being, balance and wellness is the Balinese calendar system and construction of time. To the Balinese all things in nature and space are dynamic and cyclical, even time is nonlinear (Mabbett, 1985: 56-59). According to the film, Bali, Beyond Good and Evil, the Balinese believe that only demons walk in straight lines. Balinese view time as cyclical and see life as a co-existence of ancient and 14 modern. The Balinese place importance on the repetitive rhythms of growth in the natural world, recognizing that cycles endlessly repeat, and that the past is never really gone (Mabbett, 1985: 56-60). There are two different calendars used in Bali, the lunar calendar (saka), and the 210-day wuku calendar (Eiseman, 1989: 172). Balinese calendars, unlike western, mark the intersection of cycles. The Balinese calendars can keep track of cycles up to 10,000 years, to the Balinese the gods have powers over certain days, and certain homage must be paid to appease these gods, if balance and harmony are to be maintained, and illness or misfortune to be prevented (Mabbett, 1985: 56-60). Temples and calendars are used in Bali to keep track of the rhythmic and temporal cycles (Eiseman, 1989: 172-192). Along with the concept of time and movement, several other major Bali Hindu beliefs are keys to understanding Balinese cosmology, culture and cognitive construction; therefore they are important factors in comprehending Balinese construction of self, balance, and harmony. These beliefs include and are not limited to the idea of a supreme god, eternal soul, karma, reincarnation, and unity with God (Suryani & Jensen, 1993: 18). They spiritual concepts also include the idea of maintaining harmony and balance between the supernatural, man, and his environment, and acknowledging the important role unseen guardians and connections have in maintaining harmony, health, daily life, protection and wellness 9Conner & Asch, 1986: 21-30). Spirituality and notions of place and being within the Balinese cosmology extend to all of nature and the universe, including seen and unseen aspects. Traditional healers and community members use number of methods structures, techniques and remedies to maintain harmony and cure illness through the restoration and maintenance of balance. -Desa Kala Patra (Place, Time, Rules and Customs): To the Balinese cycles of time are functional in bringing the three worlds of Bali together and important in maintaining harmony. The three worlds consist of the world of the gods and ancestors, the world of man, and the world of the demons, or underworld (The Three Worlds of Bali). To the Balinese these worlds not only coexist side by side in the same time and space, they dynamically interact in a balanced flux moment by moment. One example of the importance of the concept of time that is integral to maintaining balance and harmony in Bali is “Desa Kala Patra”, translated as “place, times, rules and customs” (Muninjaya 1982: 38). Desa Kala Patra carries the meaning that every action should be carried out at the appropriate place and time, and should be followed by appropriate rules and customs. The Balinese will gain advice from priests, healers, and scholarly text on dates and times important decisions, projects, and actions should be taken and stared, for example, through consulting the Balinese calendar or local priestly advice, proper auspicious days are determined for rice planning and harvesting (Suryani & Jensen, 1993: 50). There are even malevolent days 15 for birth, if a child is born on one of these days special offerings must be made to appease the gods in order to save the individual from a life of suffering and misfortune (Suryani & Jensen, 1993: 15-16). When customs and rules of conduct are not followed or are done at inappropriate times, members of the family, whole families, and even communities may become ill or experience extreme misfortune . Another example of the Balinese belief in Desa Kala Patra is exemplified by the volcanic eruption of Gunung Agung in 1963 (Mabbett, 1985: 73). Every one hundred years the purification ceremony, known as Eka Desa Rudra, intended to restore harmony and balance in people and all of nature, is held (Conner & Asch, 1986: 74-76). The ceremony lasts over a month and is attended by all Balinese (Eiseman, 1989: 235). During the reign of President Sukarno the ceremony was held sixteen years ahead of the completion of the one hundred year cycle because Sukarno wanted to impress a group of western travel agents (Eiseman, 1989: 235). During the untimely event the sacred Gunung Agung began its most violent eruption in over 600 years (Mabbett, 1985: 73). To the Balinese it may have been viewed as hell on Earth as fire and smoke consumed the area killing almost two thousand people and destroying almost ninety thousand homes, miraculously Pura Beskiah, the great and most sacred temple which is located on Gunung Agung, was spared by the lava that flowed around it (Eiseman, 1989: 236). The Hindus prayed to the gods to forgive them for defying custom, attributing the misfortune to anger of Shiva and their defiance of Desa Kala Patra (Eiseman, 1989: 236). The Balinese view humans as neither good nor evil, the human world is the middle ground in between the heavens and the earth (Bali: Beyond Good and Evil). It is the job of the humans to maintain harmony and balance by appeasing demons, ancestor, gods, and spirits with appropriate offerings, sacrifice, prayer, ritual, ceremony, and action. Through right action the Balinese not only appease the gods, they maintain wellness, and beautify the land in which they live with temples, shrines, and offerings. For the Balinese the eradication of evil is not possible, for all things exist as one; both evil and good must be fed, and balance between forces maintained so that wellness and harmony prevail and manifest, rather than illness or chaos. -Panca Srada (Five Principles of Life): Another term, which expresses the Balinese philosophy of life, is Panca Srada (Suryani & Jensen, 1993: 15). Panca Srada refers to the five principles of life and important beliefs of the Balinese. The Panca Srada is derived from the Buddhist and Hindu beliefs that influence the Bali-Hindu religion (Geertz and Geertz, 1975: 11). According to Suryani and Jensen, the five beliefs, which compromise the Panca Srada, are: (1) (2) (3) The existence of a supreme God (Sang Hyang Widi Wasa) The existence of an eternal soul (atman) The conviction that every deed has reward (karma pala) 16 (4) (5) Reincarnation (punarbawa) Eventual unity with God (moksa) (1993: 15) The Panca Srada, combined with pre-existing traditions and values, are determinants of Balinese behavior and influential in Balinese daily life and the importance that the Balinese place on maintaining harmony (Muninjaya, 1982: 36). By acting virtuously and appeasing gods in the present life the Balinese may pay off karmic debt accumulated from past lives, enabling the possibility for a more rewarding next life while simultaneously creating wellness and balance within their current lives (Suryani & Jensen 1993: 15). -Tri Hita Karana (Three Balancing Factors of Harmony): The Balinese believe in 3 dynamic factors that interact and have significant value in the maintenance of harmony, balance, wellbeing, and health. The three main entities that must relate to one another in balance and are regarded extremely important by traditional healers in order to achieve a harmonious state are collectively known as Tri Hita Karana (Muninjaya, 1993: 37). The three factors that the Balinese strive to keep in equilibrium on a daily basis include: (1) sanghyang jagat karana: supernatural powers or sang hyang widi wasa: God; (2) bhuana agung: the macro cosmos, the total physical environment of man; including the universe; (3) bhuana alit: the micro cosmos, man him or herself; including bodily needs, thoughts, feelings, and the soul (Suryani & Jensen 1993: 16). Disharmony or disturbance between the supernatural powers or god, man, and his environment is believed to result in disease, chaos, and disharmony. In order to maintain this balance on a daily basis ritual prayer and offerings are ceremoniously preformed. In living, work, and public spaces there are shrines and small temples so that the individuals within the Balinese community may maintain a balanced self and environment, through appeasing and venerating gods and ancestors (Hobart, 2003). The Balinese believe that all three elements of Tri Hita Karana are involved in illness and wellness and if all are not regarded or in balance, physical and mental illness and chaos in the family or community will result (Suryani & Jensen 1993: 16). -Kanda Empat (Four Spirit Siblings): Anther important foundational concept in Bali is the idea of the four spirit siblings, kanda empat (Hobart, 2003: 22). Every individual is believed by the Balinese to have four spirit siblings (Conner & Asch, 1986: 28-30). Certain rites and ceremonies are preformed before and after birth to ensure that the spirit siblings will protect the child from illness and misfortune (Conner & Asch 1986: 28-30). If the siblings are not properly venerated the fetus is believed to become impure and fetus and infant will have health problems or the future person will manifest the impurities incurring illness and misfortune in a variety of possible forms. (Hobart, 2003: 57). The four spirit siblings unite the individual with macrocosm and the realm of the 17 supernatural, thus the importance of nurturing the kanda empat through ritual is considered as important as nurturing the child and mother with food and shelter (Conner & Asch, 1986: 28). The kanda empat are considered as important as biological siblings, many childhood rites of passage are preformed in which they are recognized(Conner & Asch, 1986: 28-30). They are often called upon in ritual by traditional healers and remain an important part of an individual’s life and welfare throughout the life-cycle (Conner & Asch, 1986: 29). Types of Illness and Diagnosis: The Balinese believe that all illnesses, be they physical or mental have specific causes (Hobart, 2003: 53-56). Traditional biomedical concepts of the west believe that causes of illness stem from biophysical realities that can be seen, examined, and understood with proper knowledge and technology (Werner, 1993: 11-25). Meanwhile, the Balinese believe western concepts to be true within the context of certain illnesses, yet as in other great civilizations, the Balinese also believe that illness or misfortune may have moral dimension in which the causes may be understood even if they are unable to be seen on the physical plane (Brandt & Rozin, 1997: 15). Within Bali all illness and misfortune are determined by a combination of natural and moral, seen and unseen causes, thus the job of the Balinese healer becomes to act as bridge between the worlds of the visible and invisible in order to bring balance and harmony to a middle ground. The Balinese concepts of illness and wellness, rely on the concept that a seen and unseen reality exist side by side and interact, this results in two basic categories for defining types of illnesses in Bali. The two categories used to define illness also help to understand the type of healer an individual will choose. -Sekala (Illnesses from the Visible World): The first category of illness is what westerns traditionally conjure up when they word illness is placed in mind. This category can be referred to as sekala, and is defined as illness from the seen world (Hobart, 2003: 54). These types of illnesses are known to arise from natural self-evident causes. Sekala are generally minor physical illnesses that have obvious direct physical causes, causes include infection, age, and poor health habits (Hobart, 2003: 54). Physical illnesses in the category of sekala are often caused by disharmony, especially between the internal state of an individual and the state of the external world in which they live, examples include colds from changes in weather, food poisoning, imbalances from improper diet, or problems with aging such as eye-sight (McCauley, 1979: 5). For most Illnesses in the sekala category individuals will go to modern doctors or nurses or may visit healers known for their knowledge of herbs and homeopathic cures (McCauley, 1979: 4-9). Generally natural diseases are those accompanied by symptoms like pain, fever, or rashes, and they respond 18 effectively to modern medical treatment, when physical symptoms are not responsive to modern medical treatment patients often suspect that the natural disease was caused by a supernatural being and will go to a traditional healer to find out what has caused the disease and what offerings, sacrifices, or practices must be done to appease the supernatural force of causation in order to regain wellness and harmony within the body (McCauley, 1979: 6-8). Despite the type of healer that Individual chooses the intent of the treatment is restore balance in the body and bring it back to a harmonious state. -Niskala (Illness from the Invisible World): The second category of illness is unique to the general western-based concepts of medicine. This category can be referred to as niskala, and is defined as illness resulting from the unseen world (Hobart, 2003: 54). Supernatural causes are like the wind playing on a rice terrace in Bali, they themselves are unseen, yet the effects may be seen and felt. These types of illnesses are believed to stem from invisible supernatural forces, such as the gods, nature or ancestral spirits (Muninjaya, 1983: 35). Illness may result as punishment from angry gods or ancestor due to a lack of proper veneration, ritual, or offerings (Conner & Asch, 1986: 70-74). The Balinese also believe that illness may result from neglect of demon spirits (Hobart, 2003: 54). Although the Balinese do not worship demon spirit they do leave them offerings that are thought to distract the demons from causing harm, illness, or misfortune. The neglect of spirit siblings may also result in illness, or illness and misfortune may result from laws of karmic cause and effect (Hobart, 2003: 54). Supernatural and unseen causes may also result in illness and misfortune due to the disruption of balance between natural forces, for example illness may result after a death or crime in a village, or after childbirth or during menstruation. It is believed that the village becomes impure or imbalanced when natural forces are disrupted and the individuals or community must undergo purification rituals, as impurities are believed to lead to a weakened and imbalanced state causing individuals and communities to be susceptible to evil forces and illnesses (Gunawan, 1983: 55). Although causal forces are unseen, to the Balinese this is not significant in the acceptance of recognizing cause. Many illnesses that result from invisible cause are believed to have deliberate human causes such as black magic, revenge, or spells (Hobart, 2003: 54). During the rainy season there is an increase in disease and illness, although this is acknowledged to be in part due to natural causes, supernatural causes too are believed to greatly affect illness during the wet season (Gunawan, 1983: 56). The Balinese believe that the increase in illness during the rainy season is due to demonic influences as the rainy season is a time of year when black magic practitioners are believed to transform themselves into various forms known as leyak, bringing illness 19 and misfortune to those they encounter (Gunawan, 1983: 56). When the leyaks transform themselves, the physical body is believed to stay in bed asleep in human form, while the leyaks transformed shape will manifest as a physical reality of the night (Eiseman, 1989: 129). Leyak are believed to be actual community members who have they ability to transform into many things including animals, light, or the strongest form of leyak being wind (Covarrubias, 1937: 322-5). Leyak gain their abilities by birth, spell, or amulet and it is believed that some leyak have secret knowledge of the lontar manuscripts, which they spend years studying to use for black-magic or malevolent purposes (Eiseman, 1989: 128). Some people are able to sense leyak in their human or transformed form and are considered more susceptible to illness, harm, or even death that the leyak may cause (Suryani & Jensen, 1992: 322-5). The leyak are one example of a form of malignant witchcraft or sorcery in Bali, many other examples of Balinese witches and demonic forces that cause illness or suffering can be given. On the island of Bali witchcraft is associated with the Hindu goddess of destruction and the underworld, Durga (Hobart, 2003: 108-112). Witches are thought to be uncivilized, jealous, greedy, and obnoxious, they are opposed to the ways of benevolent gods and righteous citizens. They are considered opposite of all that is normal and decent, and are believed to enjoy things that ordinary Balinese find morally outrageous, revolting and disgusting (Howe, 1984: 212-217). Although sorcery and witchcraft are spoken of within the Balinese communities as strong and widespread cosmic forces, actual accusation of witchcraft is rare; leading to a disjunction between belief and practice (Howe, 1984: 213). Based on the disjunction between belief and accusation the concept rather than the action of witchcraft itself may play a functional role in maintaining balance and harmony within the individual and the community. Sociological theories include such well-worn hypotheses as those which state that fear of accusation prevents people from behaving in antisocial ways likely to provoke the anger of a witch or sorcerer, or that people are persuaded not to act like witches lest they themselves be accused of being one (Ellen, 1993: 18). The theory of the conceptual function of witchcraft and sorcery is also noted by Conner and Asch who discuss how individuals in the Balinese community who are eccentric and display social deviance may be accused of witchcraft (1986: 68). When sorcery or other forces of the supernatural are thought to be affecting the wellness and balance of a person or group, a balian is sought to restore harmony and balance (Hobart, 2003: 54). -Choices of Care: Illnesses caused by supernatural forces may result in physical disease, yet most often they are manifested as mental illness. Individuals who experience illnesses believed to be caused by unseen supernatural power generally visit traditional healers in order to be healed (McCauley, 1979: 4-9). Most often healing of supernatural causes involves sorcery and contact with 20 the spirit world, frequently the balian will go into a trance state to allow for direct communication with the supernatural cause of illness (Conner & Asch, 1986: 21-33). The Balinese believe that balians are capable of treating natural illness as well as supernatural while modern doctors are only capable of treating natural illnesses; this gives the balians increased credibility as they are able to help patients achieve equilibrium in regards to the concept of tri hita karana (Suryani & Jensen, 1993: 17) There are a variety of types of balians a patient will visit dependent on the perceived illness (Conner & Asch, 1986: 30-39). Many Balinese choose to go to both balians and modern doctors, and it is rare that a Balinese will visit a modern doctor only, as modern doctors cannot fully recover a patient since they tend to disregard the supernatural powers and macrocosm which are necessary elements to the Balinese for truly retaining a harmonious state of being (McCauley, 1979: 120). Balians are unlike western doctors in that they generally do not search for a direct physical cause of, or correlation to illness (Hobart, 2003: 54-61). Balians make their diagnosis’s by noting the history of the patients complaint, examining the body, examining the patients relationship with family and community members, and examining the patients relationship to gods, spirits, and ancestors (Conner & Asch, 1986). In view of the Balinese conception of health and wellness, balance and health cannot be maintained by modern medicine alone, so despite socio-cultural factors affecting health care practices traditional healers are crucial to the wellness of the Balinese and their communities. -Dynamic Worlds of Bali: All members of the Balinese communities, whether they are defined as traditional healers or not, have important roles in the system of Balinese healing, in that all community members function in some way to establish balance and harmony within the body, home, or village. Balinese act to maintain balance between the three worlds of Bali, which collectively exist as one. The three worlds of the Bali include the spirit world, the human world, and the underworld (Eiseman, 1989: 5-6). The Balinese are all important in the Balinese context of healing as they act to maintain balance between the worlds, with the human world being regarded as the middle ground. The individual, family, and community that exist on the middle ground are all important factors in the biophysical and conceptual realities of the Balinese. When an individual is ill, the family and community not only may play contributing roles in the imbalances or illness, they may also function to restore equilibrium and balance not only by physically nurturing the ill individual but also by such acts as ceremonial attendance, ritual offering and performance (Conner, 1984). The idea of the three worlds of Bali, like the concept of tri hita karana, is a foundational concept upon which Balinese beliefs of wellbeing are built, it is impossible to discuss, diagnose, or heal from an emic cultural perspective without recognizing the role of the larger 21 environment of man in his or her wellbeing. The dynamic key concepts of balance and imbalance, harmony and chaos, purity and impurity, dark and light, good and evil, are not truly forces of distinction rather they all exist in dependency to the other and it is the responsibility of all healers and community members to maintain these forces in a harmonious balance in order to ensure individual and communal welfare. Acquiring Healing Power: -Innate and Inherited Powers: There are various ways in which individual’s within the Balinese communities acquire the skills or power to heal by traditional methods. As has been discussed, all Balinese are born into a system in which they are required as functional community members to performing healing acts, either through ritual, ceremony, performance, or other forms of art (Hobart, 2003). Power can be hereditary or innate, achieved through training, meditation or asceticism (Hobart, 2003: 59-61). In discussing acquisition of healing power I will be referring specifically to those individuals who are recognized by fellow community members as tradition healers, balians. According to Kapferer, in the context of healing, sorcery, and witchcraft, kasktian (power) is best interpreted as being simultaneously creative and destructive (1997). Inborn ability is very rarely recognized as a mode of acquisition of healing power among the Balinese (Boedhihartono, 1982: 24). After a healer has experience, they may develop intrinsic or intuitive powers known as ilmu tetenger, allowing the healer to experience a form of psychic vibration in the client or in their own body as they perform healings (Muninjaya, 1983: 35) Although innate and intuitive powers of healers are believed rare, healers within the Balinese community may acquire their healing powers through inheritance. Skill may be passed down from elder family members to children or younger relatives. Healers that gain power through inheritance may include, but are not limited to scholarly healers (balian usada), bone setters (balian tulang), masseuses (balian apun, balian uat), midwifes (balian manak), homeopathic specialists (balian paica) and various other types of traditional healers who demonstrate a wide array of therapeutic skills (Conner & Asch, 1986: 25). -Nyantrik (Education and Apprenticeships): All types of healers who fall under the category of having inherited powers may also be placed with those healers who gain their power through education or apprenticeships. In further discussing acquisition of power through education and apprenticeship here, I will focus on those who learn and study under trained literate scholarly healers, balian usada (Conner & Asch, 1986: 24). The practice of learning and serving under an established scholarly healer in order to gain medical knowledge and skill is traditionally referred to as nyantrik (Boedhihartono, 1982: 26). Those who train to become scholarly healers (balian usada) study the ancient palm leaf manuscripts 22 known as the usada. Only men are allowed to study the usada and must study under a trained master for years (Hobart, 2003: 60). -Tirakatan, Nglakoni, Mesu Raga, and Mesu Brata (Meditation and Denial of Bodily Desire): Individuals who wish to gain healing powers may also due so through meditation and suffering (Boedhihartono, 1992: 25-26). Usually the individual who chooses this route will deny all pleasurable bodily desires and isolate themselves in a holy place while they fast and meditate with the intention of acquiring spiritual strength (Boedhihartono, 1992: 25-26). Through spiritual cleansing and suffering the participant will try to commune with the sacred and ask the spirit to grant them powers to heal and cure (Boedhihartono, 1992: 25-26). The actions of meditation and suffering to gain healing powers are known as triakatan, nglakoni, mesu raga, or mesu brata (Boedhihartono, 1992: 25-26). -Tiban and Wahyu (Sudden Miracles and Blessed Madness): There are some individuals such as Jero Tapakan, who Conner researches and interviews, that acquire miraculous healing powers that occur after a period of suffering and psychological trauma, this type of acquisition is known as blessed madness (Conner & Asch, 1986: 6, 248-9). Those who experience blessed madness may display behavior and experiences that appear as though they are crazy or mad, this may be accompanied by vision and voices and may continue until the spirits divine them to become healers (Conner & Asch, 1986: 6, 248-9). Once the individuals who experience blessed madness begin to put their healing powers to practice in the community they often take the role of spirit mediums, and act as vessels for spirits to enter to communicate directly with the human world (Conner & Asch, 1986: 240-255). In most cases of blessed madness or miraculous acquisition of power, the recipient of power is usually not previously seeking it, nor do they have prior intention of becoming a healer, rather they come to their calling by a process of divine inspiration and power which is gifted to them by supernatural cosmic forces (Boedhihartono, 1982: 26). -Perewangan (Possession): Another mode of acquisition that is directly related to blessed madness in which healing powers can be acquired without being directly sought is through possession, is referred to as perewangan; the word perewangan stems from the word for servant, rewang (Boedhihartono 1982: 26). The healer who experiences perewangan may enter a possession state to perform healing through trance or during non-altered states of consciousness (Boedhihartono 1982: 26). Suryani and Jensen describe a woman who became possessed, when first possessed she would act mad and was able to communicate directly with the gods (1993: 61-63). The gods told her to pray 23 and sacrifice (Suryani & Jensen: 1993, 61-9). She followed the orders of the gods and would move in and out of states of possession until eventually she became an established balian during her states of possession (Suryani & Jensen: 1993, 61-9). When performing as a balian her personality and demeanor would change to that of an old man, usually she would not remember her role or actions when performing healing, and when her healing work was completed she would revert back from being possessed to her normal self (Suryani & Jensen: 1993, 61-9). Types of Traditional Healers: The type of healer an individual chooses to visit may be dependent on one or a combination of factors including; the imbalance, problem, or illness the individual client or group are dealing with, the convenience of accessing a specific healer, the amount of power the healer is perceived to have, or the healer’s reputation (McCauley, 1979: 1-20). It has been estimated that there are over 1000,000 traditional healers in Indonesia, with an average of more than one per every 1,500 persons (Boedhihartono 1982: 21). There are a wide array of types of healers in Bali, and the three categories for which I have chosen to distinguish them are not necessarily fixed, as each individual may have one specific specialty or may have healing techniques and skills that place them in multiple categories. Other systematic classification can be found in the works of Geertz (1962), Suparlan (1978), Koentjaraningrat (1979), Conner (1986), Boedhihartono (1982), Muninjaya (1982) and Hobart (2003). -Balian Usada (Scholarly Healers): Of all the diverse healers in Bali, scholarly healers are the most revered. According to Muninjaya, about 42% of the healers in Bali are balian usada (1982: 39). The balian usada are known for their elite knowledge of the ancient medical manuscripts, usada, and their potent powers. The authority and status of the balian usada within the community is increased and supported by the fact that they usually come from the elite high ranking castes and the fact that all are males (Hobart, 2003: 59-60). Even if a woman wanted to become a scholarly healer it would be very difficult for her since menstruation is deemed as impure and would thus be an obstacle in pursuing the life of a literate healer which requires fasting, meditation, and studying that often takes place in sacred spaces where purity must preside (Ruddick, 1989: 38). Also if a woman is seen out at night alone or frequenting powerful magical or sacred sites, practices which are often necessary if one is to become a scholarly healer, she may be accused of witchcraft (Howe, 1984: 212-217). The scholarly healers must spend years in training and preparation before they are able to exert their power in the community as healers. The scholarly healer generally inherits the right to become an apprentice through their patrilineal heritage (Hobart, 2003: 23), while those 24 who do not have children may teach others who are not related to them in order to pass on their healing skills; as continuing the tradition through passing on medical knowledge is deemed as extremely important to the balian usada (Muninjaya, 1982: 38-9). Medical knowledge is passed on and must be learnt to become a literate medical specialist, yet ironically not all balian usada are literate. “For some the main qualification is the possession of the medical texts rather than the ability to read them” (Conner & Asch, 1986: 24). While most balian usada are literate elites, some peasant balians also base their practices of healing on the lontar texts, although formal training is important it is not absolutely necessary. Even if an individual has studied the usada extensively they will not necessarily be well venerated or respected, as true power as a healer comes from the cosmos and the best way to gain legitimization as a balian is based on divine omens or communication with the deities (Conner & Asch, 1986: 25). -Balian Takson (supernatural Healers): Supernatural healers are termed balian takson; placed in this category are spirit mediums (balian taksu or balian tapakan) (Hobart, 2003: 60). Spirit mediums act as direct bridges between the spirit and the physical worlds, the word taksu means to be a witness of the gods, while tapak means to enter (Conner & Asch, 1989: 261). Unlike scholarly healers, spirit mediums are usually female, and come from lower castes Conner & Jensen, 1986: 30-33). The spirit mediums receive their power as healers through divine inspiration, after an illness or accident or through blessed madness (Hobart, 2003: 23). Although spirit mediums may achieve influence and increased status in the community, they are usually less respected than scholarly healers or sorcerers since their role as healers requires no training and they have not intentionally acquired elite knowledge or power to aid in the wellness of other human beings, these reasons for limited social status when compared with balian usada are compounded by the fact that spirit mediums are usually unmarried and childless women (Hobart, 2003: 88). Also unlike scholarly healers who have community ties and relationships to their clients, clients usually travel outside of their villages to visit spirit mediums who they do not know personally; this practice may be due to a desire of the client to keep some sense of privacy at home as “spirit mediums are at the center of client networks based on ties of kinship, friendship, and economic relations” (Conner & Asch, 1986: 25) Spirit mediums often gain clientele through reputation as seen in the film A Balinese Trance Séance; community members may choose a spirit medium outside of their village based on the recommendations from neighbors, friends, or relatives. Spirit mediums although not usually literate, do have knowledge about customary laws and rituals that should be preformed and they play a large 25 role in helping the community to maintain balance and harmony as they give advice on ritual, offering, and action that should be taken (Conner & Asch, 1986: 26). Spirit mediums act in a variety of ways to bring balance and wellness to individuals and the community, they act as village priests, perform séances and trance performances, contact and act as vessels for spirits, deities, and ancestors to communicate with humans, and give medicinal advice, amulets, tonics, massage, and blessings to the their clients (Conner & Asch, 1986 and Hobart, 2003). Spirit mediums play an important role in the cosmology of the Balinese as they are bridges who allow clients to communicate with the supernatural world, bringing together the seen and unseen dimensions of life, supporting a clients concept of reality, and possibly helping them to reconstruct immediate notions of reality so that clients may feel capable of bringing peace and balance to themselves under times of stress, through understanding and harmonizing with the forces that surround them and exist within them. -Therapeutic Healers: The last classification of healers I will present, are therapeutic healers, these healers are most often illiterate and do not have access to the ancient lontar palm leaf manuscripts (Conner & Asch, 1986: 25) Therapeutic healers include “bone setters (balian tulung), masseurs (balian apun, balian uat), (and) midwifes (balian manak)” (Hobart, 2003: 23). Balian apun and balian tulung are able to set bones, relieve pain, heal sprains, and correct dislocations, this is done with massage and physical manipulation of the body and may be combined with “supernatural manipulation of mystical forces through mantras and offerings” (Suryani & Jensen, 1993: 49). Therapeutic healers do not necessarily need formal education or apprenticeship although most skills preformed must be learnt, it is possible to receive information and skill for therapeutic techniques through possession, visionary experience, divine inspiration or directly from the gods (Suryani & Jensen, 1993: 79). Aside from the power to heal, the status and validity of a therapeutic healer may be further increased if they learn their skills through inheritance and are descendant of a well regarded healer (Conner & Asch, 1986: 25). Most therapeutic healers practice their skills on clients within the villages in which they live. The therapeutic healers gain their reputation through successful practice and will be extremely popular if they gain a reputation for miraculous healing techniques and cures (Suryani & Jensen, 1993: 71-8). Traditional Structures and Methods Involved in the Maintenance of Harmony and Balance: In conjunction with the array of types of traditional healers in Bali, there are a wide variety of traditional methods and structures involved in the maintenance of harmony and balance within the Balinese system of healing. 26 -Ceremony: Ceremonies in Bali occur almost daily, and like other traditional Balinese concepts and aspects of life involved in healing, have remained relatively unchanged in value and form despite globalization and modernization (Suryani & Jensen, 1998: 11). The ceremonies in Bali are methods of great importance within the Balinese system of healing. The function of ceremony is to maintain harmony and balance within and between man and the material and spiritual aspects of his or her environment. Balinese beliefs are expressed, manifested, and reconciled by the ceremonial involvement in their daily lives. Muninjaya states, “… ceremonies show how they worship their God, how they recognize and honor the spirits surrounding them and how they live together in their community and family compound” (1982: 37). Muninjaya describes five general types of ceremonies collectively referred to as Panca Yanda, the five duties of life (1982: 37). These Panca Yanda include: (1) (2) (3) (4) (5) Dewa Yadnya, the worshiping of God and his manifestations. The main activities are seen during temple ceremonies. Pitra Yadnya, the purification of the soul after death. These ceremonies are conducted after cremation of the body. Buta Yadnya, the ceremonies for earthly spirits. For example every morning after cooking housewives put simple offerings on the left side of the door and in the middle of the house compound so as to maintain harmony between man and his spirit environment. Resi Yadnya, priesthood ceremonies. These are the offerings of thanks to a priest after he has taken part in ceremonies. Manusi Yadnya, life cycle ceremonies. These start with the first movement of the fetus in the womb, mark birthdays, include tooth filing and wedding ceremonies, and finish with cremation. (Muninjaya, 1982: 37) Many scholars have given detailed descriptions of various ceremonies and festivals that fall under different categories within the Panca Yanda, these include but are not limited to those that are dedicated to spirits, gods, and goddesses, to a specific form of art such as woodcarving, fasting, retreating, and purifying ceremonies, ceremonies for the dead, harvest festivals, and ceremonies and festivals held to commemorate special anniversaries (Belo, 1953; Boon, 1977; Conner 1986; Covarrubias, 1937; Hobart, 2003; Hooykas, 1977; and Suryani & Jensen 1993). The various ceremonies form and support collective rituals and beliefs, which aid in the establishment and practice of communal and individual daily customs and activities. Ceremonies serve to bring the community together as they usually include the participation of a number of people who must cooperate and have specific roles to play; ceremonies may include the family, banjar, or all Balinese as the ceremony of panca wali krama does (Suryani & Jensen, 1993: 11). Ceremonies all serve in bringing individuals and their environments together in different ways. Temporal and spatial factors are very important in ceremonies, as place and time are key factors in the success and meaning of the various ceremonies that have been described by numerous scholars (Belo, 1953; Boon, 1977; Conner 1986; Covarrubias, 1937; Hobart, 2003; Hooykas, 27 1977; and Suryani & Jensen 1993). The ceremonies function to bring man together with the supernatural and macrocosmic spheres of life. The numerous types of ceremonies are important parts of rites of passage and necessary for maintaining harmony in the Balinese as individuals and within collective units, as they serve to establish a sense of identity and place in time and space, and aid in bringing the three worlds and forces of life in Bali together in balance. Ceremonies are extremely important within the Balinese system of healing. According to Hobart, within the Balinese context ceremonies are necessary for social health and can be viewed as a form of medicine since they are therapeutic and healing in their nature (2003: 167-8). It is also expressed by Hobart that the Balinese fear anger and that chaos may erupt within the body, family, or community as a resultant cause of anger. (2003: 28-37). Ceremonies are also functional in the context of healing as they may act as cathartic stages for the healthy release of anger, pressure, fear, and rage which could otherwise be manifested as chaos within the family or community or as illness in the body (Littlewood, 1992: 46). Ceremonies not only function as rites of passage helping to establish mental health through supporting healthy psychological individual and group activity and identity, they also function as preventative medicine as they are believed to protect against demonic influences and other supernatural forces through pleasing gods and spirits who may otherwise cause illness or chaos (Obeyesekere, 1991: 118-30). All ceremonies in Bali are important in the daily lives of the Balinese and relevant to the context of healing much could be written about each ceremony that is held in Bali. One of the many extremely important ceremonies in Bali is Galungan (Hobart, 2003: 167-207). Galungan is temporal in nature, it celebrates the creation of the world in relation to time according to the Balinese calendar (Suryani & Jensen, 1993: 12-3). It is and is held on the eleventh week 210 day cycle (Suryani & Jensen, 1993: 12-3). Galungan can be placed under the ritual categories of dewa yadnya and buta yadnya, as the festival is given for the purpose of appeasing demonic spirits and paying homage to gods, spirits, and ancestors (Hobart, 2003: 203). One Balinese villager states, “Galungan is like medicine for it soothes and gives pleasure” (Hobart, 2003: 167). During the festival all gods, including the supreme deity come down to earth to be honored and to receive offerings and praise (Hobart, 2003: 167-204). Galungan celebrates the whole of the cosmos and represents through performance how the forces of dharma (goodness) are manifested over evil; the festival is important in merging the spiritual and physical worlds of the Balinese and in manifesting concepts of balance, as both forces of light and dark, visible and unseen are venerated and balanced to achieve and maintain harmony (Hobart, 2003: 167-203). -Temples, Shrines, and Offering: 28 Spatial location and areas of worship, ceremony, and ritual are also extremely important in the Balinese system of healing and the maintenance of balance and harmony. There are more than 10,000 temples in Bali, although nature is also revered as a sacred space where worship may occur, most ceremony and ritual take place in temples or at shrines and there are even festivals called odalan that celebrate a temples founding (Suryani & Jensen, 1993: 11). All temples in Bali welcome all community members regardless of socio-economic status, age, race, gender, or religion (Suryani & Jensen, 1993: 11). Within each village there are many temples, each may serve a specific purposes in group or individual worship (Hobart, 2003: 30-1). Each temple within the community and the home has shrines embedded within them (Hobart, 2003: 31-3). Shrines may also have specific purposes and may be dedicated to certain entities such as a certain spirit or god, a specific aspect of nature such as the sea, or a specific created space such as the village or home (Bali: Beyond Good and Evil). Temples, shrines, and holy places must always be kept pure as they are spaces traditionally used for healing and communion with the supernatural world (Muninjaya, 1982: 43). Temples and shrines are used by healers and individuals as spaces to commune with the supernatural through prayer and offering; thus they are structural manifestation within space and time of humankind’s relationship with the supernatural. Offerings are seen from restaurants to street corners, as they are placed all around the island of Bali. Conner and Asch recognize offerings as being integral in uniting the Balinese people with the world of the supernatural as they “…form one of the main elements of worship and supplication, exorcism and propitiation” (1986: 70). As is showed in the ethnographic film on the Balinese healer, Jero Tapakan, offerings are relevant to the Balinese system of healing as they can be made to reestablish wellness in times of illness, to appease spirits who are causing chaos, and to prevent illness or chaos from occurring. Although men do make offerings, daily offerings for the family are usually done by the women, some of whom spend their whole lives learning about ritual offerings and may practice healing through teaching and advising others on proper ritual action regarding offerings (Conner & Asch, 1986: 71). Daily offerings are made to ancestors, demons, spirits and gods, they are generally small and usually consists of plant and food materials (Conner & Asch, 1986: 71) Most all offerings and prayer are accompanied by lit incense; in the film, The Three Worlds of Bali, incense is described as a doorway for spirits to enter and leave, the smoke of the incense brings the essence of the offering or prayer to the heavens and the spirits whom reside there. The spirits are not believed to desire the material essence of the offering, rather they seek the essence of the art, beauty, and care that was placed into the creation of each offering (Bali: Life in Balance). More elaborate offerings are given at ceremonies and festivals, where village members spend up to weeks creating the beautiful gifts to the gods, after the essence of the offering is 29 consumed by the goods the offerings may be taken home and the material remains maybe consumed by the humans (Conner, & Asch 1986: 71-72). Offerings are used by traditional healers and community members to interact with the supernatural realm in order to maintain or reestablish harmony and wellness on both individual and collective levels. -Trance and Séance: Offerings and Prayer are not the only ways to communicate with the supernatural, in Bali trance and séance also act as methods of healing that allow for direct communion between the human and spirit world. Unlike western concepts of trance and possession, the Balinese view possession as positive and welcome spirits into their live, homes and bodies; unless they are considered to be malevolent spirits (Suryani & Jensen 1986: 174-7). In the film on Jero Tapakan, Jero Tapakan: Balinese Healer, Jero is showed going into a trance state, the state allows the healer to act as a vessel of communion, allowing her clients to communicate directly with the spirit worlds, in order to heal and to prevent misfortune from occurring. The Balinese do not use mind altering or hallucinogenic drugs to enter trance states although according to research they do experience mind altering states and may have hallucination when in trance (Suryani & Jensen, 1986: 28-30). The altered state of consciousness during trance in Bali is referred to as nadi; nadi allows individuals to enter into other realms of being and communicate with deities, ancestors, and spirits (Hobart, 2003: 88-100). Trance is not only used by traditional healers it may also be used be community members who participate in performance, ritual, or religious activity (Suryani & Jensen, 1986). Balinese also may enter into trance states during the performance and creation of sacred dance, music and art; these states allow for divine inspiration and performance once again reestablishing the connection between the sacred and profane and bringing balance, beauty and harmony to the Balinese (Suryani & Jensen, 1986: 108-28). -Arts: The Balinese have no word for art; it may be implied that this is so due to the engrained nature of art in everyday life and the possibility that to the Balinese, life is art and there is no distinction for created matter such as the term art implies, since in the Balinese cosmology creation is constant. The arts of Bali such as dance, music, mask making, and shadow puppetry are also modes of healing. Within the arts of ceremonial craftsmanship and performance community cooperation is necessary. The importance of cooperation functions to unite individuals on a collective community based level thus aiding in maintaining harmony within the group structures. Examples of dance, theater, mask-making and puppetry show the importance of myths in maintaining a sense of self making them extremely important in the construction of the Balinese cosmology and system of healing (Hobart, 2003). Through performance theater and art, myths become a lived reality, gods and spirits are manifested through art and human consciousness on a 30 collective and individual level is increased as creation and performance involve imagination, cooperation, integration, and ritual (Hobart, 2003: 124). The healing performances and art of Bali combine the worlds of the seen and unseen and light and dark, and aid in the transformation and creation of physical and mental realties, which are foundations upon which the definitions of self and wellness are built. -Pakas (Amulets and Drawings and Holy Water): Along with material objects such as ceremonial masks, tangible objects such as amulets, drawings, and holy water may actualize vital cosmic energy, bringing power and healing benefits to individuals and groups. These tools used by healers to gain kasaktian (power) are referred to as pakas (Hobart, 2003: 62-3). There are many types of amulets used by healers. The amulets are infused with power through sacred drawings and symbols that are placed on them or through sacred syllables that are breathed onto the amulet as specific mantras are chanted by the healer (Hobart, 2003: 63). When clients come to healers with problems or needs, the healer will give them an amulet for specific healing purposes to be carried, worn or placed in a sacred space (Hobart, 2003: 79). Sacred stones and coins are also worn as amulets by healers, the healers gain power through these amulets and use the acquired power as well as the amulets themselves on patients during healing practices (Werner, 1993: 274). The amulets bring powers of healing to both the healer and the client. Drawings too can be viewed as an extension of the healer’s powers and are powerful in their innate nature, as they are composed of sacred symbols (Hobart, 2003: 63). There are 100’s of sacred drawings used in Balinese healing practices, the majority of drawings are used for protection and may be placed on specific points of the body, on paper, or on some other material form (Hobart, 2003: 62-72 and Werner, 1993: 274-8). When drawings are made on material form other than the body, they are wrapped in paper and tied with a string, the recipient is not able to examine the drawings or they will loose their power (Hobart, 2003: 63-72). Drawings and sacred symbols unite humans to the supernatural as they are related to religion, myth, and magic, and act as healing agents bringing power and beneficial rewards of wellness and prosperity to the recipient. Holy water unlike amulets and drawings does not function so much as to bring power to a person or place, rather it is used to purify, cleanse, and prevent evil forces from polluting a body or space (Eiseman, 1989: 51). They function of holy water promotes aspects that are necessary for the maintenance of wellness. Water has a central place in the Balinese religion and all water is sacred to some degree in daily life (Hooykas, 1973: 11). There are different types of holy water are used by priests and healers for purification purposes. Holy water is commonly referred to as toya and when it comes from a high priest, is made holy through an extremely sacred ritual 31 or mantra, or is derived from a potent sacred source it is classified as tritha (Eiseman, 1989: 52) any water can be made holy by qualified Balinese who place it in a clean container and then in a sacred space, such as a temple or shrine, and imbues it with pure and reverent thoughts (Eiseman, 1989: 54). When more potent holy water is desired individuals will travel to sacred sites in nature, sacred structures, of revered priests and healers to get the water (Eiseman, 1989: 58-60).Holy water is sprinkled on a site or being to cleanse or impart a sense of sacredness to the being or area (Hobart, 2003: 76). Holy water is a critical component of Balinese daily life. All the uses for holy water are extensive in number as it Holy is involved in all ceremonies, and most rituals,; one of the most severe punishments within Bali is to be denied access to holy water (Eiseman, 1989: 51-62). Sacred objects used in healing (pakas) are instruments used to purify and center the patient, space, and healer involved in the specific context. As objects become sacred in space through the passing of time, ritual, and meaning they not only serve as agents of power and balance they also bring a sense of cosmic power and unity to the human sphere. The Balinese System of Healing in the Global Context and what can be Concluded? The goal of this research was not to deconstruct Balinese values or question Balinese concepts of healing, health, and identity, rather it was to understand the historical context through which the Balinese derived their notions of self in relation to issues of health and harmony. This research does not conclude that traditional or modern methods of healing are conflicting, as both are utilized by the Balinese and viewed as effective and valuable (McCauley, 1979). Despite modernization, globalization, scientific methods, and technologies, traditional healers and methods of healing remain important bridges between the three worlds of Bali, and are integral in maintaining balance, harmony, and health amongst the Balinese. Although modern medicine may prove through science to have better results in the treatment and diagnosis of illness, the approaches of traditional healers and methods of healing within Bali are necessary in order to maintain the Balinese cosmology and traditional concepts of self and being, and are therefore valuable regardless of scientific evidence. Modern scientific medicine can learn from Balinese traditional healing practices and the holistic approaches they take in viewing the patient beyond the physical realm. In taking a more holistic approach to medicine and looking at a patients beliefs, social relationships, spiritual health, and embedded environment along with their physical being, surely healers will derive more thorough diagnosis and optimal methods of treatment. Within the Balinese cosmology the human cannot be separated from their embedded socio-cultural environment. In the context of the Balinese the state of being includes the family and village, nature, the physical and spiritual cosmic 32 forces of the universe, and the supreme God. The Balinese system of healing thus refers to the concepts, structure, and methods of health and wellness that correspond to the complexities of maintaining balance and harmony within the Balinese cosmology. Master’s List Adimihardja, K., M. Clemens, et al. (1999). Proceedings indigenous knowledge systems and development: proceedings [sic] of a workshop held at the Indonesian Resource Centre for Indigenous Knowledge (INRIK-UNPAD), September 14th, 1998 in cooperation between Leiden University and Padjadjaran University. Bandung, UPT. INRIK-UNPAD. Abbott, Sally (1984). ‘The implications of shamanism for a modern age ethic', Proceedings of the International Conference of Shamanism, St. Sabina Center, San Rafael, California. 239-44. Abram, D. (1982). 'Making magic and experience with magic and shamanism in Indonesia', Parabola-Myth Tradition and the Search for Meaning, Vol. 7 (3): 58-64. Abrams, I., and J.S. Lansing (1981). The Three World of Bali, (Watertown, Mass.: Documentary Educational Resources. Adler, L. L. and B. R. Mukherji (1995). Spirit versus scalpel: traditional healing and modern psychotherapy. Westport, Conn., Bergin & Garvey. Agoes, A. (1978). 'Traditional medicine and public health', Symposium on Traditional Medicine Services, Jakarta. Air Mancur. (no date). A booklet of Indonesian traditional medicines for health maintenance and beauty care. Air Mancur. Solo, Indonesia. Asch, T., P. Asch, et al. (1985). The Medium is the masseuse: a Balinese massage. Watertown, Mass., Documentary Education Resource. 33 Atkinson, J. M. (1992). 'Shamanism today,' Annual Review of Anthropology, Vol. 21: 307-30. -(1989). The art and politics of Wana shamanship. Berkeley, University of California Press. -(Jun 1987). 'The effectiveness of shamanism in an Indonesian ritual', American Anthropologist, Vol. 89 (2): 342-55. -(1979). 'Paths of the spirit familiars a study of Wana shamanism', Stanford University, vii, 419 leaves. Bambang, K. (1987). 'Jamu, herbal cosmetics and concoctions for beauty and health care', Indonesia Magazine, (Jakarta), Vol. 17 (1): 29-33. Bannermann, R.H. (1979). ‘Traditional Medicine and the WHO Programme’, Children of the Tropics, No. 122. Paris, International Children’s Centre, Chateau de Longchamp. -(1979). ‘Traditional medicine, current patterns of usage: strengths and deficiencies’, Presented at the 1st International Conference on Traditional Medicine in Canberra, Australia. Barbier, C. and C. Courvoisier (1980). An approach of the traditional uses of medicinal plants in Java, Academie de Montpellier, Universite des Sciences et Techniques du Languedoc, 1980.: 64, 14 leaves. Barth, Fred. (1993). Balinese Worlds. Chicago, University of Chicago Press. Bateson, G. (1976). Balinese culture & shamanism. Tiburon, CA, Big Sur Tapes,. Bateson, G., M. Mead, et al. (1991). Trance and dance in Bali. University Park, PA, Distributed by Audio-Visual Services, Pennsylvania State University. Belo, J. (1960). Trance in Bali. New York, Columbia University Press. Benor, Daniel, J. (1984). ‘Psychic healing as an important factor in shamanistic practices’, Proceedings of the International Conference of Shamanism, St. Sabina Center, San Rafael, California. 216-18. Bhugra, D., De Silva, and Padmal, (2001). 'Hinduism and Buddhism: Ayurveda and mental health', Haque, Amber, ed. Mental health in Malaysia. Kuala 34 Lumpur, University of Malaya Press, 262: 243-262. Blair, L., L. Blair, et al. (1990). Ring of fire. Montauk, NY, Mystic Fire Video. Boedhihartono. (1982). ‘Current state and future prospects of traditional healers in Indonesia’, Indonesian medical traditions: bringing together the old and the new, Melbourne, Monash University. 21-34. Borins, M. (1990). 'Traditional healing around the world', Human Medicine, Vol. 6, No. 3: 213-16. Brakel, L.F. (Jun 1979). ' Hamza Pansuri: notes on Yoga practices, Lahir dan Zahir, the Taxallos, punning, a difficult passage in the Kitab 'al Muntahi, Hamza's likely place of birth and Hamza's imagery', Journal of the Malaysian Branch, Royal Asiatic Society, Kuala Lumpur, 52, pt.1: 73-98 Brandt, A.M. and Rozin, P. (1997). Morality and health. London, Rutledge. British Broadcasting Corporation. Television Service. and Xerox Films. (1972). The Miracle of Bali: Trance and ritual in Bali. [Motion picture]. London,, BBC Television Edited and released in the U.S. by Xerox Films Made by John Coast and David Attenborough. Buckman, R. and K. Sabbagh (1995). Magic or medicine? : an investigation of healing & healers. Amherst, NY, Prometheus Books. Charno, J. and P. M. Cook (1997). Shaman, Jhankri & N'ele: Music healers of indigenous cultures. Roslyn, NY, Ellipsis Arts. Chou, Cynthia (2003). Indonesian Sea Nomads: Money, Magic and Fear of the Orang Suku Laut. New York, New York, Routledge Curzon. Connor, L. (1999). Staying Local in the Global Village: Bali in the Twentieth Century, Honolulu University of Hawaii Press. -(Jun 1995). 'Inquiring invisible strength: a Balinese discourse of harm and well being', Indonesia Circle, London, No. 66: 124-53. -(1982). 'Ships of fools and vessels of the divine: mental hospitals and madness, a case study', Social Science and Medicine, Vol. 16 (7): 78394. 35 Connor, L. and G. Samuel (2001). Healing powers and modernity: traditional medicine, shamanism, and science in Asian societies. Westport, Conn. London, Bergin & Garvey. Connor, L., and P. Asch, et al. (1986). Jero Tapakan, Balinese healer: an ethnographic film monograph. Cambridge [Cambridgeshire]; New York, Cambridge University Press. -(1984). ‘The unbound self: Balinese therapy in theory and practice’, in A.J. Marcella and G.M. White (eds.), Cultural Conceptions of Mental Health and Therapy, Dordecht: D. Reidel Publishing Company, pp. 251-67. -(1983). ‘Healing as women’s work in Bali’, L.Manderson, ed., Women’s Indonesia, Malaysia and Singapore, Canberra: Development Studies Center, Australian National University, pp. 53-57. -(1982). ‘Psychiatry and traditional therapies in Bali, complementary or collision?, Indonesian medical traditions: bringing together the old and the new, Melbourne, Monash University. 47-54. -(1978). A Balinese trance séance. Watertown Mass., Documentary Educational Resources. Covarrubias, M. (1987). Island of Bali. New York, Oxford University Press. Crelin, J. K. and J. Philpott, (1989). Herbal Medicine: Past and Present. (2 vols). Durham, NC: Duke University Press. Currie, A. (1992). 'Traditional health and herbal medicine in primary health care', Major paper submitted to the faculty of environmental studies. York University. Darling, J. and L. Blair (1980). Lempad of Bali, Australian Broadcasting Commission at Berkeley, and Australian National University Library. Dean, S. R. and Thong, D. (Jul 1972). ' Shamanism versus psychiatry in Bali, 'Isle of the Gods': some modern implications', American Journal of Psychiatry, Washington, DC, Vol. 129 (1): 59-62. Demetrio, Fransisco, S.J. (1977). ‘The shaman as psychologist’, Asian Folklore Studies, 55-73. 36 Djajakusumah, A. A. (1995). 'The indigenous conception and management of bebainan in Batubulan Village, Bali', Kusanaka Adimihardja, et al., eds. Adaptation and development: interdisciplinary perspectives on subsistence and sustainability in developing countries. S.l.: Indonesian Resource Centre for Indigenous Knowledge, 525: 492-497. Dove, M. (1988). The Real and imagined role of culture in development: case studies from Indonesia. Honolulu, University of Hawaii Press. Dow, J. (1986) ‘Universal aspects of symbolic healing; a theoretical synthesis’, American Anthropologist, 88: 56-69. Easthope, G. (1986). Healers and alternative medicine: a sociological examination. Aldershot, Hants, England; Brookfield, Vt., Gower Pub. Co. Eby, D. (1998). 'Traditional healing and allopathic medicine: issues at the interface', International Journal of Circumpolar Health, Vol. 57 (Suppl. 1): 62-6. Elegant, S. and Juniartha, W. (Nov 11th, 2002). 'Bali's ritual cleansing', Time Europe, Vol. 160 (20): 27. Eiseman, Fred. (1989). Bali: sekala & Niskala. California, Periplus Editions. -(1981) 'Indonesia's billion-dollar herbal tonic', Asia, Nov./Dec.: 28-31, 46. Ellen, R. (1993). Understanding witchcraft and sorcery in Southeast Asia. Honolulu, University Of Hawaii Press (1-25). Ellen, R. F., P. Parkes, et al. (2000). Indigenous environmental knowledge and its transformations: critical anthropological perspectives. Amsterdam, Harwood Academic. Esche, D. (Jan 1990). 'Apotik hidup, the use of medicinal plants in Indonesian primary health care', Wolffers, Ivan, ed. The role of traditional medicine in primary health care: papers presented at a workshop at the Third International Conference on Traditional Asian Medicine, Bombay, India. Amsterdam: VU University Press, Vol. 76: 65-76. Ferzacca, S. (2001). Healing the modern in a Central Javanese city. Durham, N.C., Carolina Academic Press. Finkler, Kaja (1994). ‘Sacred healing and biomedicine compared’, Medical 37 Anthropology Quarterly, 8(2): 178-97. Fontein, J. (1990). The sculptures of Indonesia. Washington, National Gallery of Art. Fountain, H. (Jan 1st, 2000). 'Now the ancient ways are less mysterious', New York Times, Vol 149 (51283): section 4: 5. Franklin, S. (1991). 'Traditional leaders lead biologist to biologically active plants', An interview with ethnobotanist Michael J. Balick, Ph.D.. Oncology Times, Vol. 13, No. 2: 1. Frey, K. S. (Mar 1992). 'The mbok and her mystical basket [traditional healer]', Inside Indonesia, (Melbourne) Vol. 30: 23-26. Garo, Linda, C. (1986). ‘Intracultural variation in folk medical knowledge: a comparison between curers and noncurers’, American Anthropologist, 88: 351-70. -(1982). ‘Introduction: the ethnography of health care decisions’, Social Science and Medicine, 16: 1451-52. Gde Muninjaya, A. A. (1982). ‘Balinese traditional healers in s changing world’, Indonesian medical traditions: bringing together the old and the new, [Melbourne], Monash University. 35-45. Geertz, C. (1966). Person, time and conduct in Bali. New Haven, Yale Southeast Asian Studies. Geertz, H. and Geertz, C. (1975). Kinship in Bali. Chicago, Universtiy of Chicago Press. Goodman, F. D. (1990). Where the spirits ride the wind: trance journeys and other ecstatic experiences. Bloomington, Indiana University Press. Grace, J., (1996). ‘Healers and modern health services: antenatal, birthing, and postpartum care in rural East Lombok, Indonesia’, Maternity and Reproductive Health in Asian Societies, P.L. Rice and L. Manderson, eds., Amsterdam: Harwood Academic. 145-67. Grange-Piovesan, F. (1995) ‘Therapeutic recourses in Bali: a case study in the choice of medical practitioners’, Indonesia Circle, No. 66, Oxford, Oxford University Press: 109-23. 38 Grenier, L. and International Development Research Centre (Canada) (1998). Working with indigenous knowledge: a guide for researchers. Ottawa, International Development Research Centre. Grossinger, R. (1982). Planet medicine: from Stone Age shamanism to postindustrial healing. Boulder [New York], Shambhala; Distributed by Random House. Gunawan, Tuti (1982). ‘Curing the community, ritual responses to epidemic disease’, Indonesian medical traditions: bringing together the old and the new, Melbourne, Monash University. 55-68. Hamid, A. and D. Sitepu, (1990). 'An understanding of native herbal medicine in Indonesia', Industrial. Crops Res. J., Vol. 3, No. 1: 11-17. Hand, Wayland D. (1971). ‘The folk healer: calling and endowment’, Journal of the History of Medicine, 26: 263-75. Hartley Film Foundation. Sacred trances of Java and Bali. Cos Cob, Conn., Hartley Film Foundation. Hay, M. C. (2001). Remembering to live: illness at the intersection of anxiety and knowledge in rural Indonesia. Ann Arbor, University of Michigan Press. Heinze, R. I. (1997). Trance and healing in Southeast Asia today. Bangkok, Thailand, White Lotus Co. -(1984). ‘The issue of urban shamanism’, Proceedings of the International Conference of Shamanism, St. Sabina Center, San Rafael, California. 230-37. - (1982). ‘Shamans or mediums, towards a definition of different states of consciousness’, Journal of Transpersonal Anthropology, Phoenix, Vol. 1-2: 25-42. Hobart, A. (2003). Healing performances of Bali: between darkness and light. New York; Oxford, Berghahn Books. -(1994-1995) ‘A note on a Balinese sorcerer’s talismans’, British Medical Anthropology Review, Vol 2, No 2:18-27. Hooykas, C. (1973). Religion of Bali. Leiden, Brill. Howe, L. (1984). Gods, people, spirits and witches: the Balinese 39 system of person defintion. Bijdragn tot de Taal-, Land-en Volkenkunde 140: 193-222. Hughes, D.J. and Melville, N.J. (1990). ‘Changes in brain wave activity during trance channeling: A Pilot Study’, Journal of Transpersonal Psychology, 22: 175-89. Hull, T.H., Sarwonon, S.W., and Widyantoro N. (1993). 'Induced abortion in Indonesia',Demography Program, Australian National University. Jul-Aug, Vil. 24 (4): 241-51. Hull, V. J. (1979). Women, doctors, and family health care: some lessons from rural Java. Yogyakarta, Indonesia, Population Studies Center, Gadjah Mada University. Jacob, T. (1984). 'Holistic approach in traditional and modern medicine', Proceedings of the second international congress on traditional asian medicine. Organized by Airlangga University, Surabaya, Indonesia. September 2-7, 1984. Jaspan, M. A. (1976). ‘The social organization of indigenous and modern medical practices in southwest Sumatra’, Asian Medical Systems: A Comparative Study, C. Leslie, ed., Berkeley: University of California Press. 227-42. Jilek, Wolfgang. (1971). ‘From crazy witch doctor to auxiliary psychotherapist – the changing image of the medicine man’, Psychiatria Clinica, Vol 4: 200-20. Joralemon, D. (1986). 'The performing patient in ritual healing', Social Science & Medicine, Vol. 23 (9): 841-45. Jordaan, R. E. (1985). Folk medicine in Madura (Indonesia). Leiden, [R.E. Jordaan], Rijksuniversiteit te Leiden, xiii, 381. Jundai, P. PhD. (1987). The effect of village modernization and the family planning & nutrition program on household knowledge and behavior in east Java and Bali, indonesia, UNIVERSITY OF MICHIGAN: 1-204. Judith, Anodea Ph.D. (2005). Wheels of life: a user’s guide to the chakra system. Minnesota, Llewellyn Publications. Kalangie, N. S. (1980). 'Contemporary health care in a West Javanese village: the roles of traditional and modern medicine.' 40 Kaptchuk, T. J. and M. Croucher (1987). The healing arts: exploring the medical ways of the world. New York, Summit Books. Lang, D. PhD. (1990). 'The impact of verbal and nonverbal expressiveness on health. A positive view and a new concept: The Eulyssic Domain', THE UNION INSTITUTE: 1-521. Lee, J. H. Phd. (2001). 'Traditional medicine, modern medicine, and Christianity: A study on the realities of sickness as described by Balinese Christians in the Gereja Kemah Injil Indonesia in Bali', TRINITY EVANGELICAL DIVINITY SCHOOL, 1-272. Leimbach, B. and T. Dutton (1978). Balinese Surfer, Palm Beach, New South Wales: Survival films. Lemelson, R. B. (March 2004). 'Traditional Healing and its discontents: efficacy and traditional therapies of nueropsychiatric disorders in Bali', Medical Anthropology Quarterly, Vol. 18 (1): 48-76. Leslie, C. M., A. Young, et al. (1992). Paths to Asian medical knowledge. Berkeley, University of California Press. Levinson, D. and L. Gaccione (1997). Health and illness: a cross-cultural encyclopedia. Santa Barbara, Calif., ABC-CLIO. Lewis, G. A. (1972). The recognition of sickness and its causes: a medical anthropological study of the Gnau, West Sepik District, New Guinea. Lindsay, C. and R. Schefold (1992). Mentawai Shaman, keeper of the rain forest: man, nature, and spirits in remote Indonesia. New York, New York, Aperture. Littlewood, R. (1992). Intercultural therapy: themes, interprtiaions and practice. Oxford, Blackwell Scientific Publications. - (1989) ‘Science, shamanism, and hermeneutics’, Anthropology Today, Vol 5, No 1, London, Royal Anthropological Institute: 5-11. Long, Joseph, K. (1984). ‘A psychic healer as shaman’, Proceedings of the International Conference of Shamanism, St. Sabina Center, San Rafael, California: 221-26. 41 Lovric, B. (1987a). Rhetoric and reality: the hidden nightmare, myth and magic as representations and reverberations of morbid realities. Sydney, Ph.D. thesis. -(1987b). 'Bali: myth, magic and morbidity', Owen, Norman G., ed. Death and disease in Southeast Asia: explorations in social, medical and demographic history, Singapore: Oxford University Press, Vol. 288: 117-141. -(1986) ‘The art of healing and the craft of witches in a “hot earth” village’, Review of Indonesian and Asian Affairs, Vol. 20, No. 1: 68-99. Lyon, M. L. (Jul-Sep 2003). 'Jamu for the ills of modernity? Jamu is evolving to meet modern needs [herbal medicines]', Inside Indonesia, (Melbourne) Vol. 75: 14-15. Mabbett, Hugh. (1985). The Balinese. New Zealand, Jan Books. McCauley, A. P. (1988). 'Healing text and healing techniques in indigenous Balinese medicine', Social Science and Medicine, New York, Vol. 27 (8): 779-87. -(1984). ‘Healing as a sign of power and status in Bali’, Social Science and Medicine, Vol. 18(2): 167-72. -(1984). The cultural construction of illness in Bali. University Microfilms International. PhD Cornell University. Ann Arbor, Michigan. -(1979). Preliminary report on a study of the use of modern and traditional medicine in a Balinese village. Department of Anthropology: University of California Berkeley, California. McDonald, J. H. (2002). The applied anthropology reader. Boston, Allyn and Bacon. Mc Lean, Ken (1982). ‘Western Medicine for the Indonesian villager’, Indonesian medical traditions: bringing together the old and the new, Melbourne, Monash University. 15-19. Michele, S. and Suryani, L. K. (Mar 2000). 'Shamanism, psychosis, and autonomous imagination', Culture, Medicine, and Psychiatry, Vol. 24 (1): 3438. Mitchell, D. (1982). ‘Folk medicine in Sumba, a critical evaluation’, Indonesian medical traditions: bringing together the old and the new, Melbourne, Monash University. 1-13. 42 Nala, N. (1993). Usada Bali. Denpasar, Bali, Upada Sastra. Narby, J. and F. Huxley (2001). Shamans through time: 500 years on the path to knowledge. New York, J.P. Tarcher/Putnam. Nettheim, Anna (Jun 1994). 'Balinese healers', Inside Indonesia, Melbourne, No. 39: 20-21. Noll, R. (1989), ‘What has really been learned about shamanism?’, Journal of Psychoactive Drugs, 21: 47-50. Obeyesekere, G. (1989) [1982] ‘Science and psychological medicine in the Ayurvedic tradition’, in A.J. Marcella and G.M. White (eds), Cultural Conceptions of Mental Health and Therapy, Dordrecht, reidel: 235-48. O'Neill, R. (1978). 'Spirit possession and healing rites in a Balinese village', Unpublished M.A. Thesis, Department of Indian Studies and Department of Indonesian and Malay Studies, University of Melbourne. Padoch, C., T. C. Jessup, H. Soedjito, and K. Kartawinata. (1991). 'Complexity and conservation of medical plants: anthropological cases from Peru and Indonesia', in Akerele, O, V. Heywood and H. Synge (eds.) The Conservation of Medical Plants. Proceedings of an International Consultation. March 2127, 1988 Chiang Mai, Thailand. Cambridge University Press. Panji T. and I.G.R. (2001). 'Between traditional medicine and antibiotics', Ramseyer, Urs; Panji Tisna, I Gusti Raka, eds. Bali living in two worlds: a critical selfportrait. Basel: Museum der Kulturen, Vol. 192: 105-115. Perkumpulan Keluarga Berencana Indonesia. (1971). Report on the study of dukuns in Central Java. Jakarta, Indonesian Planned Parenthood Association. Rachmananta, D. P., D. Isyanti, et al. (1993). National bibliography on Indonesian ethnobotany. Jakarta, National Library of Indonesia. Ramseyer, U. (1995) Farwell to paradise. Basel, Museum fur Volkerkunde. -(1977). The art and culture of Bali. Oxford, oxford University Press. Reuter, Thomas. (2002). The house of our ancestors: precedence and dualism in highland Balinese Society. Nrtherlands, KITLV Press. 43 Rice, D. (Jun 1994). 'Massage and other remedies', Inside Indonesia, Melbourne, Vol. . 39: 29-30. Ruddick, A. (1989) ‘Parallel Worlds: Healers and Witches in a Balinese Village’ in J. Chee Kiong and A.L. Shiller (eds) Contributions to Southeast Asian Ethnography; Between Worlds; Studies of Sacred Elites, Contributions to Southeast Asian Ethnography, No. 8:25-42. Sachs, M. (2000). 'Observations on traditional healers of Indonesian aborigines', Zentralblatt Fur Chirurgie, Vol. 125 (5): 471-76. Salan, R. and Maretzki, T. (1983). 'Mental-health-services and traditional healing in Indonesia-are the roles compatible', Culture Medicine and Psychiatry, Vol. 7 (4): 377-412. Santa, I. G. P. (1990), 'Medical plants of Bali and Java', Proceedings of the international congress on traditional medicine and medical plants. Denpasar, Bali. October 15, 1990. Seeland, K. (1997). Nature is culture: indigenous knowledge and socio-cultural aspects of trees and forests in non-European cultures. London, Intermediate Technology Publications. Shaara, L. and Strathern, A. (March 1992). 'A preliminary-analysis of the relationship between altered states of consciousness, healing, and social structure', American Anthropologist, Vol. 94 (1): 145-60. Shibuya Shavit, David. (2003). Bali and the tourism industry. North Carolina, McFarland Company and Inc. Shibuya, H. and Kitagawa, I. (Dec 1996). 'Chemical study of Indonesian medical plants', Yakugaku Zasshi-Journal of the Pharmaceutical Society of Japan, Vol. 116 (12): 911-27. Shiva, V. (1997). Biopiracy: the plunder of nature and knowledge. Boston, MA, South End Press. Siebert, R. (1990). 'Herbs versus pills: traditional medicine and commercialized illness in Indonesia', Development and Cooperation, Vol. 4: 9-11. Sinha, V. (1999). Colonial encounters: transplanting "western medicine", ousting "traditional" healing. Singapore, Dept. of Sociology, National University of Singapore. 44 Sich, D. and W. Gottschalk (1994). Acculturation and domination in traditional Asian medical systems. Stuttgart, F. Steiner Verlag. Silverman, Julian. (1967). ‘Shamans and acute schizophrenia’, American Anthropologist, Vol 69: 21-31. Slaats, H. M. C., and M. K. Portier. (1989) 'Upholders of law and practitioners of magic: A social and legal problem in Indonesia', Insonesia Circle, nos. 4748:29-36. Slikkerveer, L. J. and Slikkerveer, M. K.L. (1995). 'Taman obat keluarga (TOGA): indigenous Indonesian medicine for self-reliance', Warren, D. Michael; Slikkerveer, L. Jan; Brokensha, David, eds. The cultural dimension of development: indigenous knowledge systems. London: Intermediate Technology Publications, 582 (IT studies in indigenous knowledge and development.): 13-34. Snyder, C. R. PhD. (1990). 'Indonesian civil service physicians and private medical practice: Incentives and disincentives for physician-delivered health care in the public sector', University of Michigan: 1-248. Snellgrove, D.L. (1987). Indo-Tibetan Buddhism. London, Serendia Publications. Stewart, G. (1990). Alternative healing: opposing viewpoints. San Diego, Calif., Greenhaven Press. Strathern, A. and P. J. Stewart (1999). Curing and healing: medical anthropology in global perspective. Durham, N.C., Carolina Academic Press. Struthers, R. (2004). 'Traditional indigenous healing: part I', Complementary Therapies in Nursing and Midwifery, Aug, Vol. 10 (3): 141-49. Stutterhiem, W.F. (1956). Studies in Indonesian archeology. The Hague, Martinus, Nijhoff. -(1935). Indian influences in old Javense art. London, The India Society. Subekti, (Dec 1979). 'The relationship between traditional healing and modern medicine', paper presented to the ASEAN Forum Teaching Seminar on Mental Health and Traditional Medicine, Jakarta. 45 Sukanta, P. O. (Jul-Sep 2003). 'Solution or problem? The regulation of traditional medicine has had unintended consequences', Inside Indonesia, Melbourne, No. 75: 16. Sullivan, G. W. Phd. (1998). 'Bali as it might have been known: Margaret Mead, Gregory Bateson, Wolfgang Weck, schizophrenia and human agency', University of Virginia: 1-568. Suparlan, P. (1991). The Javanese dukun. Jakarta, Peka Publications. Suryani, L.K. (Spring 2004). 'Balinese women in a changing society', American Academy Psychoanal Dyn Psychiatry, Psychiatry Department, Medical Faculty, Udayana University, Denpasar, Bali, Indonesia. Vol. 32 (1): 213-30. -(1992). ‘Traditional Healers in Bali, thee relationship with psychiatrists’, Paper presented at the Third International Ayurvedic Conference, Denpasar, Bali, 4 September. -(1984) ‘Culture and mental disorder: the case of Bebainan in Bali’, Culture, Medicine, and Psychiatry, 8: 95-113. Suryani, L. K. and G. D. Jensen (1993). Trance and possession in Bali: a window on Western multiple personality, possession disorder, and suicide. Singapore; New York, Oxford University Press. -(1991) ‘Psychiatrist, traditional healer and culture integrated in a clinical practice in Bali’, Medical Anthropology, 13: 301-14. Thatte, D. g. (1988). 'Acupuncture marma and other Asian therapeutic techniques', Varanasi: Chaukhambha Orientalia, Jaikrishnadas Ayurveda Series, No 73: 132. Thong, D., B. Carpenter, et al. (1993). A psychiatrist in paradise: treating mental illness in Bali. Bangkok; Cheney [Wash.], White Lotus. -(1976). ’Psychiatry in Bali’, Australian and New Zealand Journal of Psychiatry, 10(1): 95-7. Toshiyuki Kurihara, MD, Motoichiro Kato, MD, Shinji Sakamoto, Ph D, Robert Reverger MD and Toshinori Kitamura. (2000.). 'Public attitudes towards the mentally ill: A crosscultural study between Bali and Tokyo', Psychiatry and Clinical Neurosciences, Vol. 54 46 (5): 1440-819. Tugby, D., E. Tugby and H. G. Law (1976). ‘The attribution of mental illness by rural Balinese,’ Australian and New Zealand Journal of Psychiatry, 10 (1): 99-104. Tumbelaka, W. A. F. J. (1981). 'Viewpoint of Indonesia', J.P.O.G., Vol. 7 (2): 9-10. Turner, N. (Feb 2004). 'Balians: traditional healers of Bali', Library Journal, Vol. 129 (2): 102. United States, (1985). Indonesia. Background notes series. United States, department of State, Bureau of Public Affairs. Dec, 1-7. Universitas Gadjah Mada. Fakultas Kedokteran. (1981). Seminar Anthropology, 22 Agustus 1981, Yogyakarta, Fakultas Kedokteran, Universitas Gadjah Mada. [Yogyakarta], Fakultas Kedokteran, Universitas Gadjah Mada. Van Uchelen, Collin, P. (1984). ‘Trance healing in Indonesia: the practice observed’, Proceedings of the International Conference of Shamanism, St. Sabina Center, San Rafael, California. 174-84. Vickers, Adrian. (1996). Being modern in Bali: image and change. Conneticut, Yale University Southeast Asian Studies. -(1980). Artistic manifestations of change in Bali. Netherlands, Rima. Wadhwa, B. K., (1994). The sustainable utilization of Indonesian medicinal plants: a study of conservation initiatives within the Indonesian traditional medicine community. [Jakarta], University Consortium on the Environment. et al. University of Waterloo, 1994: xiii, 141. Waldram, J. B. (Dec 2000). 'The efficacy of traditonal medicine: current theoretical and methodological issues', Medical Anthropology Quarterly, Vol. 14 (4): 60325. Ward, C. A. (1989). Altered states of consciousness and mental health: a crosscultural perspective. Newbury Park [Calif.], SAGE Publications. Watson, L. (1991). Gifts of unknown things: a true story of nature, healing, and initiation from Indonesia's "Dancing Island". Rochester, Vt., Destiny Books. Werner, Roland (1993). Transcultural Healing: The Whole Human. Kuala Lumpur, University of Malay Press. 47 - (1978). ‘Traditional medicine and modern medicine – contradiction or symbiosis?’, Ooffentliches Gesundheitswesen, Stuttgaart, Thieme. 41. Wickham, T. W. M.A. (1993). 'Farmers ain't no fools: Exploring the role of participatory rural appraisal to access indigenous knowledge and enhance sustainable development research and planning. A case study of Dusun Pausan, Bali, Indonesia' University of Waterloo, Canada: 1-232. Wikan, U. (Mar 1989). 'Illness from fright or soul loss: a north Balinese culture-bound syndrome?', Culture, Medicine and Psychiatry, Dordrecht, Netherlands, Vol. 13 (1): 25-50. Winkelman, M. (2000). Shamanism: the neural ecology of consciousness and healing. Westport, Conn.; London, Bergin & Garvey. World Health Organization. Centre for Health Development. (2001). WHO Centre for Health Development International Symposium on Traditional Medicine: better science, policy and services for health development: Awaji Island, Hyogo Prefecture, Japan, 11-13 September 2000: proceedings. Kobe, Japan, World Health Organization. -(1990). 'The Use of Traditional Medicine in Primary Health Care', Manual for Health Workers in South-East Asia. Regional Office for South-East Asia Health Paper, No. 19. New Delhi. Yampolsky, P. (1998). Kalimantan Dayak ritual and festival music. Washington, DC, Smithsonian Folkways Recordings. Yayasan, Taksu. (2000). Bali echo presents Nadi, trance in the Balinese art. Bali, Taksu Foundation. Zuhud, E. A. (1992). 'Sustainable use of the tropical rainforest medicinal plants in Indonesia', Media Konservasi, Vol. 3, No. 4:1-8. (2005). www.dictionary.com 48 49