Abstract
“Air (aire, also aigre) in the body” is a frequent explanation of illness according to the traditional medical beliefs in Mexico. Anthropologists have generally scrutinized aire in the context of other common folk illnesses treated by traditional healers (curanderas). However, drawing on my research in the communities of Northern Oaxaca I suggest that aire occupies a more distinct position in the folk medical cosmology than it has usually been credited with. This distinction rests on the notion’s exceptional ambivalence and openness to multiple interpretations. “Air” is recurred to as the cause of illness mainly in situations where every other explanation, either “traditional” or “biomedical,” seems to be inadequate. The physical properties of air—its transparency, invisibility, apparent immateriality, near omnipresence, and virtual “nothingness”—render it a suitable explanation of the last resort. Local understandings of what aire “is” are often vague and elusive, and in many respects the term functions in folk medical discourse as an “empty signifier.”
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Notes
A concise overview of ethnomedical research conducted in Oaxaca during the second half of the twentieth century can be found in Rubel and Browner (1999).
The percentage of Oaxacan population identifying with an indigenous group is actually much higher. For example, many people in the Sierra Juárez who consider themselves Zapotec are, in fact, monolingual Spanish speakers. It is also important to note that the concept of “indigeneity” is contested and its usage as an identity label in contemporary Oaxaca is rather complex, extending beyond the dichotomy of indigenous/non-indigenous, as Norget (2010) clearly demonstrates.
The label “Zapotec” covers a variety of languages and dialects that can be mutually unintelligible. The Zapotec of the Sierra Norte often refer to themselves also as “serranos.”
The role of traditional midwives in rural Oaxaca and the relationship between different models of reproductive care have been discussed in detail by Sesia (1996).
I use the word ‘Protestant’ (protestante) as a cover term for members of all non-Catholic Christian churches, obviously a very heterogeneous group. Not all denominations advocate a clear split with traditional beliefs and practices, including folk medicine, but since these differences remain beyond the scope of this paper, I am using a generalizing label for the sake of simplicity and clarity.
This survey, based on a random sample of 100 inhabitants of Capulálpam, focused on a variety of demographic indicators, as well as on religious and social attitudes.
Although healers are a heterogeneous group and anthropological literature often distinguishes between parteras (midwives), sobadoras (manual therapists), yerberos (herbalists), and various other subcategories (e.g. Rubel and Browner 1999:89), I am using the generalizing concept “curandera”/“healer” throughout the article, because this was the only term that my informants themselves used.
The method is used in many parts of Latin America. Foster (1953:209) claims that the origin of the egg cure is one of the “mysteries of folk medicine,” assuming that it is probably of European origin.
Of course, in its most original form this argument can be traced back to Frazer’s association of breath and spirit.
I am opting for “empty” instead of “floating signifier” here simply for the sake of consistency although both terms are appropriate for my argument.
Ohnuki-Tierney actually uses the term “zero signifier.”
An eloquent although not very recent example is the study by Clark (1970), who describes Mexican–American tuberculosis patients’ fear of the treatment called pneumothorax because it entails the pumping of air into the patient’s chest cavity to restrict the movement of the diseased lung. However, when the word “air” used in the treatment description was substituted by “oxygen,” the confusion with mal aire was avoided.
References
Adams, Richard N., and Arthur J. Rubel 1967 Sickness and Social Relations. In Handbook of Middle American Indians, Volume IV. Manning Nash, ed., pp. 333-356. Austin: University of Texas Press.
Alatorre Frenk, Gerardo 1998 La empresa social forestal y sus asesores: avances y dificultades en la construcción de la democracia, la eficiencia y la sustentabilidad. (Doctoral Thesis in Anthropology). México, D.F.: UNAM.
Barabas, Alicia M. 1998 Reorganización etnopolítica y territorial: caminos oaxaqueños para la autonomía. In Autonomías étnicas y estados nacionales. Miguel A. Bartolomé, and Alicia M. Barabas, eds., pp. 343–366. México, D.F.: INAH.
Bartoli, Paolo 2005 Esperando al doctor? Reflexiones sobre una investigación de antropología médica en México. Revista de Antropología Social 14: 71-100.
Cartwright, Elizabeth 2007 Bodily Remembering: Memory, Place, and Understanding Latino Folk Illnesses among the Amuzgos Indians of Oaxaca, Mexico. Culture, Medicine, and Psychiatry 31(4): 527-45.
Castaldo, Miriam 2004 Susto o espanto: en torno a la complejidad del fenómeno. Dimensión Antropológica 32(3): 29-67.
Clark, Margaret 1970 Health in the Mexican-American Culture: A Community Study. Berkeley: University of California Press.
Csordas, Thomas J. 1993 Somatic modes of attention. Cultural Anthropology 8(2): 135–156.
Csordas, Thomas J., and Arthur Kleinman 1990 The therapeutic process. In Medical Anthropology: Contemporary Theory and Method. Thomas Johnson and Carolyn Sargent, eds., pp. 11-25. Westport: Praeger.
Currier, Richard L. 1966 The Hot-Cold Syndrome and Symbolic Balance in Mexican and Spanish-American Folk Medicine. Ethnology 5(3): 251-263.
De la Fuente, Julio 1977 Yalálag: una villa zapoteca serrana. México, D.F.: INI.
DeWalt, Kathleen Musante 1977 The Illnesses No Longer Understand: Changing Concepts of Health and Curing in a Rural Mexican Community. Medical Anthropology Newsletter 8(2): 5-11.
Douglas, Mary 2002 [1966] Purity and Danger: An Analysis of Concept of Pollution and Taboo. London: Routledge.
Eisenstadt, Todd A., and Jennifer Yelle 2012 Participación y representación en Oaxaca, elecciones por usos y costumbres: debates normativos y lecciones para el multiculturalismo latinoamericano. In Nuevas instituciones de democracia participativa en América Latina: La voz y sus consecuencias. Maxwell A. Cameron, Eric Hershberg, and Kenneth E. Sharpe, eds., pp. 273-308. México, D.F.: FLACSO.
Finkler, Kaja 1994 Sacred Healing and Biomedicine Compared. Medical Anthropology Quarterly 8(2):178-197.
Foster, George M. 1953 Relationships between Spanish and Spanish-American Folk Medicine. Journal of American Folklore 66: 201-217.
Foster, George M. 1987 On the Origin of Humoral Medicine in Latin America. Medical Anthropology Quarterly 1(4): 355-393.
Frankenberg, Ronald 1986 Sickness as Cultural Performance: Drama, Trajectory, and Pilgrimage Root Metaphors and the Making of Disease Social. International Journal of Health Services 16(4): 602-626.
Ghosh, Nandita 2005 Gandhi as Floating Signifier: The 1980s, India, and the Story of Development. Journal of Commonwealth and Postcolonial Studies 12(1): 63-85.
Gross, Toomas 2006 The Other Side of Custom: Reinterpreting usos y costumbres in Rural Mexico. Journal of the Finnish Anthropological Society 31(3/4): 21-36.
Gross, Toomas 2009 Farewell to Fiestas and Saints? Changing Catholic Practices in Contemporary Rural Oaxaca. Journal of Ethnology and Folkloristics 3(1): 3-19.
Hatch, E. Leroy 1969 Home Remedies Mexican Style. Western Folklore 28(3): 163-168.
Higgins, Cheleen Mahar 1974 Integrative Aspects of Folk and Western Medicine Among the Poor of Oaxaca. Anthropological Quarterly 48(1): 31-37.
Hunt, Linda Lee Mergentime 1992 Living with Cancer in Oaxaca, Mexico: Patient and Physician Perspectives in Cultural Context. Ph.D. dissertation, Harvard University.
INEGI 2011 Panorama de las religiones en México 2010. Aguascalientes: INEGI.
Ingham, John M. 1970 On Mexican Folk Medicine. American Anthropologist 72(1): 76-87.
Kearney, Michael 1969 Los conceptos de aire y susto: Representaciones simbólicas del ambiente social y geográfico percibido. América Indígena 29(2): 431-449.
Kearney, Michael 1971 Los vientos de Ixtepeji. México, D.F.: Instituto Indigenista Interamericano.
Kearney, Michael 2004 [1969] The Concept of Aire and Susto: Symbolic Representations of Perceived Social and Geographic Environment. In Changing Fields of Anthropology: From Local to Global. Michael Kearney, pp. 27-40. Oxford: Rowman and Littlefield.
Kiev, Ari 1968 Curanderismo: Mexican-American Folk Psychiatry. New York: Free Press.
Kleinman, Arthur 1978 Concepts and a Model for the Comparison of Medical Systems as Cultural Systems. Social Science and Medicine 12(2b): 85-93.
Kleinman, Arthur 1980 Patients and Healers in the Context of Culture: An Eploration of the Borderland Between Anthropology, Medicine, and Psychiatry. Berkeley: University of California Press.
Koechlin, Lucy 2013 Corruption as an Empty Signifier: Politics and Political Order in Africa. Leiden: Brill.
Krajewski-Jaime, Elvia R. 1991 Folk-Healing Among Mexican-American Families as a Consideration in the Delivery of Child Welfare and Child Health Care Services. Child Welfare 52(2): 157-167.
Laclau, Ernesto 1989 Politics and the Limits of Modernity. Social Text 21: 63-82.
Laclau, Ernesto 1996 Why do Empty Signifiers Matter to Politics? In Emancipation(s). Ernesto Laclau, pp. 36-46. London: Verso.
Laclau, Ernesto, and Chantal Mouffe 2001 [1985] Hegemony and Socialist Strategy: Towards a Radical Democratic Politics. London: Verso.
Lévi-Strauss, Claude 1950 Introduction à l’oeuvre de Marcel Mauss. In Sociologie et Anthropologie. Marcel Mauss, pp. ix-lii. Paris: Les Presses Universitaires de France.
Lewis, Ioan M. 1989 [1971] Ecstatic Religion: An Anthropological Study of Spirit Possession and Shamanism. London: Routledge.
Lopez, Rebecca A. 2005 Use of Alternative Folk Medicine by Mexican American Women. Journal of Immigrant Health 7(1): 23-31.
Low, Setha M. 1985 Culturally Interpreted Symptoms of Culturebound Syndromes. Social Science and Medicine 21(2): 187-196.
Madsen, William 1955 Shamanism in Mexico. Southwestern Journal of Anthropology 11: 48-57.
Maldonado-Duran, J. Martin, Manguia-Wellman Maria, Lubin, Sari, and Teresa Lartigue 2002 Latino Families in the Perinatal Period: Cultural Issues in Dealing with the Health-Care System. Great Plains Research 12: 75-100.
Mendoza Zuany, Rosa G. 2008 Dealing with Diversity in the Construction of Indigenous Autonomy in the Sierra Norte of Oaxaca. Bulletin of Latin American Research 27(3): 351–367.
Menéndez, Eduardo L. 1992 Autoatención y automedicación. Un sistema de transacciones sociales permanentes. In La antropología médica en México, vol. I. Roberto Campos Navarro, ed., pp. 141-185. Mexico City: UAM.
Meyer, Birgit 1998 “Make a Complete Break with the Past.” Memory and Post-Colonial Modernity in Ghanaian Pentecostalist Discourse. Journal of Religion in Africa 28(3): 316-349.
Montes García, Olga 1995 Los conflictos religiosos en Oaxaca: una aproximación a su estudio. In ¿Persecución religiosa en Oaxaca? Enrique Marroquín Zaleta, ed., pp. 23-70. Oaxaca: Instituto Oaxaqueño de las Culturas.
Nader, Laura 1990 Harmony Ideology: Justice and Control in a Zapotec Mountain Village. Stanford: Stanford University Press.
Nichter, Mark 1981 Idioms of Distress: Alternatives in the Expression of Psychosocial Distress. Culture, Medicine, and Psychiatry 5: 379-408.
Nichter, Mark 2010 Idioms of Distress Revisited. Culture, Medicine, and Psychiatry 34: 401-416.
Norget, Kristin 2006 Days of Death, Days of Life: Ritual in the Popular Culture of Oaxaca. New York: Columbia University Press.
Norget, Kristin 2010 A Cacophony of Autochthony: Representing Indigeneity in Oaxacan Popular Mobilization. The Journal of Latin American and Caribbean Anthropology 15(1): 116-143.
Ohnuki-Tierney, Emiko 1994 The Power of Absence: Zero Signifiers and Their Transgressions. L’Homme 34(2): 59-76.
Oths, Kathryn S. 1999 Debilidad: A Biocultural Assessment of an Embodied Andean Illness. Medical Anthropology Quarterly 13(3): 286-315.
Pollock, Donald 1996 Personhood and Illness among the Kulina. Medical Anthropology Quarterly 10(3): 319-341.
Recondo, David 2007 La política del gatopardo: Multiculturalismo y democracia en Oaxaca. Mexico, DF: CIESAS/CEMCA.
Rekdal, Ole Bjørn 1999 Cross-Cultural Healing in East African Ethnography. Medical Anthropology Quarterly 13(4): 458-482.
Rubel, Arthur J., and Carole H. Browner 1999 Antropología de la salud en Oaxaca. Alteridades 9(17): 85-94.
Ruiz Velasco Márquez, María Eugenia, and Verónica Alvarado Tejeda 2010 La “pérdida del alma”: subjetividad y orden social. In Anuario de Investigación, pp. 545-569. Mexico City: UAM-Xochimilco.
Salazar, Cindy Lynn, and Jeff Levin 2013 Religious Features of Curanderismo Training and Practice. Explore 9: 150-158.
Sanabria, Harry 2007 The Anthropology of Latin America and the Caribbean. Boston: Allyn and Bacon.
Santino, Jack 1985 On The Nature of Healing as a Folk Event. Western Folklore 44(3): 153-167.
Sesia, Paola 1992 La obstetricia tradicional en el Istmo de Tehuantepec: marco conceptual y diferencias con el modelo biomédico. In Medicina tradicional, herbolaria y salud comunitaria en Oaxaca. Paola Sesia, ed., pp. 17-54. Oaxaca: Gobierno del Estado de Oaxaca.
Sesia, Paola 1996 “Women Come Here on Their Own When They Need to”: Prenatal Care, Authoritative Knowledge, and Maternal Health in Oaxaca. Medical Anthropology Quarterly 10(2): 121-140.
Stebbins, Kenyon 1982 Does Access to Health Services Guarantee Improved Health Status? The Case of a New Rural Health Clinic in Oaxaca, Mexico. In Encounters with Biomedicine: Case Studies in Medical Anthropology. Hans A. Baer, ed., pp. 3-29. New York: Gordon and Breach.
Stebbins, Kenyon 1993 Constraints on Successful Public Health Programs: A View from a Mexican Community. In Health and Health Care in Developing Countries. Peter Conrad and Eugene B. Gallagher, eds., pp. 211-227. Philadelphia: Temple University Press.
Stoner, Bradley P. 1986 Understanding Medical Systems: Traditional, Modern, and Syncretic Health Care Alternatives in Medically Pluralistic Societies. Medical Anthropology Quarterly 17(2): 44-48.
Uzzell, Douglas 1974 Susto Revisited: Illness as Strategic Role. American Ethnologist 1(2): 369-378.
Viesca-Treviño, Carlos 1992 Medicina Preshispánica de México. Mexico City: Panorama.
Winzeler, Robert L. 1995 Latah in South-East Asia: The History and Ethnography of a Culture-bound Symbol. Cambridge: Cambridge University Press.
Wolf, Margery 1990 The Woman Who Didn’t Become a Shaman. American Ethnologist 17(2): 419-430.
Young, Allan 1982 The Anthropologies of Illness and Sickness. Annual Reviews in Anthropology 11: 257-285.
Young, Allan 1980 A Model of Illness Treatment Decisions in a Tarascan Town. American Ethnologist 7: 106-31.
Young, James C. and Linda C. Garro 1982 Variation in the Choice of Treatment in Two Mexican Communities. Social Science and Medicine 16: 1453-1465.
Young, James C. and Linda C. Garro 1994 Medical Choice in a Mexican Village. Prospect Heights: Waveland Press.
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This research was funded by the European Union through the European Regional Development Fund (Center of Excellence CECT), and the Estonian Science Foundation (Grant No 8335).
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Toomas Gross declares that he has no conflict of interest.
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Gross, T. Letting the Air Out: Aire as an Empty Signifier in Oaxacan Understandings of Illness. Cult Med Psychiatry 40, 707–725 (2016). https://doi.org/10.1007/s11013-016-9501-z
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DOI: https://doi.org/10.1007/s11013-016-9501-z