Female sexuality,social reproduction,and the politics of medical intervention in Niger: Kel Ewey Tuareg perspectives

This essay explores connections between political institutions, forms of power, and women's health care concerns from a cultural anthropological perspective. I focus on the roles of different medical establishments among the Kel Ewey Tuareg of Niger—Western-European sponsored, central state, traditional herbalism and Islamic scholarship—in creating, maintaining, and disputing these constructs, through the invention and elaboration of disease categories and through the selective application of medical and reproductive models and technology to women. I also explore women's attempts to manage these forces, as they draw upon a cultural inventory that is alternately supportive and in conflict with their interests.     

Ethnophytotherapeutical research in the high Molise region (Central-Southern Italy)

Background

Interest in ethnomedicine has grown in the last decades, with much research focusing on how local medicinal knowledge can contribute to Western medicine. Researchers have emphasized the divide between practices used by local medical practitioners and Western doctors. However, researchers have also suggested that merging concepts and practices from local medicinal knowledge and Western science have the potential to improve public health and support medical independence of local people. In this article we study the relations between local and Western medicinal knowledge within a native Amazonian population, the Tsimane'.

Methods

We used the following methods: 1) participant observation and semi-structured interviews to gather background information, 2) free-listing and pile-sorting to assess whether Tsimane' integrate local medicinal knowledge and Western medicine at the conceptual level, 3) surveys to assess to what extent Tsimane' combine local medicinal knowledge with Western medicine in actual treatments, and 4) a participatory workshop to assess the willingness of Tsimane' and Western medical specialists to cooperate with each other.

Results

We found that when asked about medical treatments, Tsimane' do not include Western treatments in their lists, however on their daily practices, Tsimane' do use Western treatments in combination with ethnomedical treatments. We also found that Tsimane' healers and Western doctors express willingness to cooperate with each other and to promote synergy between local and Western medical systems.

Conclusion

Our findings contrast with previous research emphasizing the divide between local medical practitioners and Western doctors and suggests that cooperation between both health systems might be possible.     

Bioprospecting the African Renaissance: The new value of <Emphasis Type="Italic">muthi</Emphasis> in South Africa

This article gives an overview of anthropological research on bioprospecting in general and of available literature related to bioprospecting particularly in South Africa. It points out how new insights on value regimes concerning plant-based medicines may be gained through further research and is meant to contribute to a critical discussion about the ethics of Access and Benefit Sharing (ABS). In South Africa, traditional healers, plant gatherers, petty traders, researchers and private investors are assembled around the issues of standardization and commercialization of knowledge about plants. This coincides with a nation-building project which promotes the revitalization of local knowledge within the so called African Renaissance. A social science analysis of the transformation of so called Traditional Medicine (TM) may shed light onto this renaissance by tracing social arenas in which different regimes of value are brought into conflict. When medicinal plants turn into assets in a national and global economy, they seem to be manipulated and transformed in relation to their capacity to promote health, their market value, and their potential to construct new ethics of development. In this context, the translation of socially and culturally situated local knowledge about muthi into global pharmaceuticals creates new forms of agency as well as new power differentials between the different actors involved.     

The Tempering of Medical Anthropology: Troubling Natural Categories

This article reviews an approach in medical anthropology that commenced in the early 1980s and that continues to the present day in which biomedical knowledge and practices are systematically incorporated into anthropological analyses. Discussion then focuses on contributions made by feminists and medical anthropologists to the literature on medicalization and resistance, illustrating how the ethnographic approach has been crucial in critically reconceptualizing and situating these concepts historically and cross-culturally. The concept of local biologies is introduced in the third section of the article in creating the argument that the coproduction of biologies and cultures contributes to embodied experience, which, in turn, shapes discourse about the body. Subjective reporting at menopause provides an illustrative case study of local biologies in action. The final part of the article takes up the question of the moral economy of scientific knowledge. Comparative ethnographic work in intensive care units in Japan and North America reveals how a moral economy is put into practice in connection with brain-dead bodies and the procurement of organs from them. Medical anthropological contributions to policy making about biomedical technologies is briefly considered in closing.     

Crop changes from the XVI century to the present in a hill/mountain area of eastern Liguria (Italy)

Background

Until recently, little attention has been paid to local innovation capacity as well as management practices and institutions developed by communities and other local actors based on their traditional knowledge. This paper doesn't focus on the results of scientific research into innovation systems, but rather on how local communities, in a network of supportive partnerships, draw knowledge for others, combine it with their own knowledge and then innovate in their local practices. Innovation, as discussed in this article, is the capacity of local stakeholders to play an active role in innovative knowledge creation in order to enhance local health practices and further environmental conservation. In this article, the innovative processes through which this capacity is created and reinforced will be defined as a process of "ethnomedicine capacity".

Methods

The field study undertaken by the first author took place in India, in the State of Tamil Nadu, over a period of four months in 2007. The data was collected through individual interviews and focus groups and was complemented by participant observations.

Results

The research highlights the innovation capacity related to ethnomedical knowledge. As seen, the integration of local and scientific knowledge is crucial to ensure the practices anchor themselves in daily practices. The networks created are clearly instrumental to enhancing the innovation capacity that allows the creation, dissemination and utilization of 'traditional' knowledge. However, these networks have evolved in very different forms and have become entities that can fit into global networks. The ways in which the social capital is enhanced at the village and network levels are thus important to understand how traditional knowledge can be used as an instrument for development and innovation.

Conclusion

The case study analyzed highlights examples of innovation systems in a developmental context. They demonstrate that networks comprised of several actors from different levels can synergistically forge linkages between local knowledge and formal sciences and generate positive and negative impacts. The positive impact is the revitalization of perceived traditions while the negative impacts pertain to the transformation of these traditions into health commodities controlled by new elites, due to unequal power relations.     

Anthropology, Kleinian Psychoanalysis, and the Subject in Culture

This essay uses the work of psychoanalyst Melanie Klein to reopen the dialogue between anthropology and psychoanalysis. It argues that Kleinian concepts enhance an anthropology that seeks out both intersubjective and intrasubjective difference and disjuncture, and it demonstrates the uses of major Kleinian concepts for addressing classic anthropological problems, including gender classification and the analysis of persecution in witchcraft and sorcery systems. Applying Kleinian concepts to the analysis of cultural-historical process, it shows how splitting and denial may be central to the reproduction and hegemony of dominant cultural systems through time and addresses the question of how to theorize the relationship among dominant cultural systems, social differentiation, and individual subjectivities.     

Presynaptic neurotoxins: An expanding array of natural and modified molecules

The process of neurotransmitter release from nerve terminals is a target for a wide array of presynaptic toxins produced by various species, from humble bacteria to arthropods to vertebrate animals. Unlike other toxins, most presynaptic neurotoxins do not kill cells but simply inhibit or activate synaptic transmission. In this review, we describe two types of presynaptic neurotoxins: clostridial toxins and latrotoxins, which are, respectively, the most potent blockers and stimulators of neurotransmitter release. These toxins have been instrumental in defining presynaptic functions and are now widely used in research and medicine. Here, we would like to analyse the diversity of these toxins and demonstrate how the knowledge of their structures and mechanisms of action can help us to design better tools for research and medical applications. We will look at natural and synthetic variations of these exquisite molecular machines, highlighting recent advances in our understanding of presynaptic toxins and questions that remain to be answered. If we can decipher how a given biomolecule is modified by nature to target different species, we will be able to design new variants that carry only desired characteristics to achieve specific therapeutic, agricultural or research goals. Indeed, a number of research groups have already initiated a quest to harness the power of natural toxins with the aim of making them more specifically targeted and safer for future research and medical applications.     

Graduate Students and Knowledge Exchange with Local Stakeholders: Possibilities and Preparation

Tropical biologists are exploring ways to expand their role as researchers through knowledge exchange with local stakeholders. Graduate students are well positioned for this broader role, particularly when supported by graduate programs. We ask: (1) how can graduate students effectively engage in knowledge exchange during their research; and (2) how can university programs prepare young scientists to take on this partnership role? We present a conceptual framework with three levels at which graduate students can exchange knowledge with stakeholders (information sharing, skill building, and knowledge generation) and discuss limitations of each. Examples of these strategies included disseminating preliminary research results to southern African villages, building research skills of Brazilian undergraduate students through semester‐long internships, and jointly developing and implementing a forest ecology research and training program with one community in the Amazon estuary. Students chose strategies based on stakeholders' interests, research goals, and a realistic evaluation of student capacity and skill set. As strategies became more complex, time invested, skills mobilized, and strength of relationships between students and stakeholders increased. Graduate programs can prepare students for knowledge exchange with partners by developing specialized skills training, nurturing external networks, offering funding, maximizing strengths of universities in developed and developing regions through partnership, and evaluating knowledge exchange experiences. While balancing the needs of academia with those of stakeholders is challenging, the benefits of enhancing local scientific capacity and generating more locally relevant research for improved conservation may be worth the risks associated with implementing this type of graduate training model.     

Anthropological Knowledge and Scientific Fact

In 1967 Ward Goodenough described two performance-based measures that many of us use to judge the quality of anthropological knowledge. Do we understand events in another community as its members understand them? Can we act there in ways that people will accept as conforming to their expectations? Judged by these standards, the famous hoax that the physicist Alan Sokal published in 1996 in the non-refereed journal Social Text would pass as good anthropology (however shameless). I look at a different—yet similar—scientific controversy, one that began in 1998 at the editorial offices of the British science weekly Nature. This controversy, which I call "The Little Lizard Controversy," and in which I have played a role, may show us how scientists sometimes misunderstand one another and why anthropological knowledge about the practice of science may be crucial in nurturing interdisciplinary research "collaboratories" in the twenty-first century, [science, interdisciplinary, controversies, miscommunication, symbols]     

Quackery versus professionalism? Characters,places and media of medical knowledge in eighteenth-century Hungary

This essay discusses the question of health in the Kingdom of Hungary during the Age of Enlightenment. It explores the relationships and tensions between central theories of medical police and the local expectations of government administrators, as well as those between academic or official knowledge and implicit or alternative knowledge about health. The reigns of Maria Theresia and Joseph II marked the moment at which particular kinds of folk and practical knowledge about healing became visible and above all legible. This is to be seen in the enormous rise in book production, which in itself represented an 'approved knowledge' that found legitimation in new academic and bureaucratic institutions, such as the reformed medical faculty of the University of Vienna, the newly-founded medical faculty at Tyrnau, the establishment of a health department within the Hungarian Statthalterei, as well as in the emission of royal legislation supporting the agendas of the new enlightened science of 'medical police'.     

Prenatal Diagnosis in Postwar Vietnam: Power, Subjectivity, and Citizenship

Across the world, routine pregnancy care is expanding to include ultrasound imaging and other prenatal diagnostic technologies. Yet, despite their global proliferation, hardly any anthropological research has examined how such technologies are employed outside Euro-America. In this article, I investigate how pregnant women in Vietnam's capital, Hanoi, handle the hard choices that ultrasonographies confront them with when a fetal anomaly is detected and a decision must be made to either maintain or terminate the pregnancy. Whereas research conducted in North America, in consonance with the emphasis on individualism in advanced liberal societies, frames prenatal diagnosis in terms of individual "moral pioneering," I show how Vietnamese women turn the choices they have to make into issues of collectivity, kinship, social belonging, and shared responsibility. The general argument advanced is that a comprehensive understanding of individual reproductive actions and intentions necessarily involves close consideration of local configurations of power, subjectivity, and citizenship.     

Egress and Regress: Pentecostal Precursors and Parallels in Northern Mozambique

Based on fieldwork among the Makhuwa of northern Mozambique, this essay explores how non-Pentecostal models of transformation shape a people's manner of relating to Pentecostalism. Radical change has long been constitutive of Makhuwa history and subjectivity. Yet Makhuwa patterns of change, commonly conceived in terms of movement, entail regress as much as egress – circular mobilities that disrupt linear teleologies. State administrators and Pentecostal missionaries attempt to reform local inhabitants by, respectively, ‘sedentarising’ and ‘converting’ them. Deploying their historical proclivity towards mobility, those among whom I worked appear simultaneously eager to partake in resettlement schemes and reluctant to remain settled by them. I argue that their ambivalence towards Pentecostal churches and teachings, in particular, challenges two prevailing assumptions within anthropological studies of Christianity: that discontinuity is definitive, and that it is exceptional to Pentecostalism.     

The Cultural Construction of Mental Illness in Prison: A Perfect Storm of Pathology

Large numbers of individuals in U.S. prisons meet DSM criteria for severe psychiatric disorder. These individuals also have co-occurring personality and substance abuse disorders, medical conditions, and histories of exposure to social pathologies. Based on nine months of ethnographic fieldwork in a U.S. prison, focusing on staff narratives, I utilize interpretivist and constructivist perspectives to analyze how mental health clinicians construct psychiatric disorder among inmates. Discrete categorization of disorders may be confounded by the clinical co-morbidities of inmates and the prison context. Incarcerated individuals’ responses to the institutional context substantially inform mental health staffs’ illness construction and the prison itself is identified as an etiological agent for disordered behaviors. In addition, diagnostic processes are found to be indeterminate, contested, and shaped by interactions with staff. Analysis of illness construction reveals that what is at stake for clinicians is not only provision of appropriate treatment, but also mandates for the safety and security of the institution. Enmeshed in these mandates, prison mental health becomes a particular local form of psychiatric knowledge. This paper contributes to anthropological approaches to mental disorder by demonstrating how local contexts mediate psychiatric knowledge and contribute to the limited ethnographic record of prisons.     

Boom to bust,ashes to (coal) dust: the contested ethics of energy exchanges in a declining US coal market

This essay explores how rank-and-file producers of energy evaluate the ethics of energy exchanges, which sheds light on some of the unexamined assumptions animating anthropological studies of energy and ethics. Exploring how coal miners experience a massive downturn in Wyoming, the centre of US coal production, reveals differing logics of exchange between the producers and consumers of electricity. Most Americans engage with electricity as consumers through a commodity framework, paying utility companies a fee to purchase kilowatt hours that are abstracted from their productive origins. In contrast, the miners experience energy as more of a gift exchange, keeping in view the network of the ultimate consumers of the coal they produce. These differing logics of exchange entail different ethical obligations in the face of the termination of those relationships as the country moves away from coal-fired electricity, helping to explain the outrage that was felt in ‘coal country’ – an outrage that Donald Trump exploited for political purposes during the 2016 US presidential election.     

Review. Understanding kuru: the contribution of anthropology and medicine

To understand kuru and solve the problems of its cause and transmission required the integration of knowledge from both anthropological and medical research. Anthropological studies elucidated the origin and spread of kuru, the local mortuary practices of endocannibalism, the social effects of kuru, the life of women and child-rearing practices, the kinship system of the Fore and their willingness to incorporate outsiders into it, the myths, folklore and history of the Fore and their neighbours, sorcery as a powerful social phenomenon and way of explaining the causation of disease, and concepts of the treatment of disease. Many scientists from different disciplines, government officers and others have contributed to this chapter of medical history but it is the Fore people who have contributed the most, through their suffering, their cooperative and reliable witness to kuru, and their participation, in various ways, in the research process itself.     

Blogging Anthropology: Savage Minds, Zero Anthropology, and AAA Blogs

ABSTRACT  In this review essay, the academic merits of three anthropological blogs ("Savage Minds,""Zero Anthropology"[formerly "Open Anthropology"], and the official blog of the American Anthropological Association) are considered. The review examines differences between group-blog projects (such "Savage Minds"), single-voiced blogs (such as "Zero Anthropology"), and official blogs representing central anthropological institutions (the AAA's blog) and identifies roles and strengths of each of these blog forms.     

Introduction à l’anthropologie clinique

This paper discusses the concept of clinical anthropology. It recounts how an anthropological school of thought emerged in psychiatry and clinical psychology. Nowadays, that school spans the fields of philosophical anthropology, medical anthropology, cultural psychiatry, anthropological psychology, and clinical anthropology. After providing a conceptual and historical definition, we briefly introduce the ideas of the psychiatrist and philosopher, Ludwig Binswanger. In 1930, he became the first to introduce anthropological research into psychiatry, emphasising the a priori difference between homo natura and existence. Finally, we outline the development of phenomenological anthropology in Europe, with reference to the major philosophers and psychiatrists of the second half of the twentieth century.     

Race, Ethnicity, and Racism in Medical Anthropology, 1977–2002

Researchers across the health sciences are engaged in a vigorous debate over the role that the concepts of "race" and "ethnicity" play in health research and clinical practice. Here we contribute to that debate by examining how the concepts of race, ethnicity, and racism are used in medical–anthropological research. We present a content analysis of Medical Anthropology and Medical Anthropology Quarterly , based on a systematic random sample of empirical research articles ( n = 283) published in these journals from 1977 to 2002. We identify both differences and similarities in the use of race, ethnicity, and racism concepts in medical anthropology and neighboring disciplines, and we offer recommendations for ways that medical anthropologists can contribute to the broader debate over racial and ethnic inequalities in health.