Culture, Medicine and Psychiatry

, Volume 1, Issue 1, pp 25–58 | Cite as

The heart of what's the matter The semantics of illness in Iran

  • Byron J. Good
Article

Abstract

Our understanding of the psychosocial and cultural dimensions of disease and illness is limited not merely by a lack of empirical knowledge but also by an inadequate medical semantics. The empiricist theories of medical language commonly employed both by comparative ethnosemantic studies and by medical theory are unable to account for the integration of illness and the language of high medical traditions into distinctive social and symbolic contexts. A semantic network analysis conceives the meaning of illness categories to be constituted not primarily as an ostensive relationship between signs and natural disease entities but as a ‘syndrome’ of symbols and experiences which typically ‘run together’ for the members of a society. Such analysis dirests our attention to the patterns of associations which provide meaning to elements of a medical lexicon and to the constitution of that meaning through the use of medical discourse to articulate distinctive configurations of social stress and to negotiate relief for the sufferer. This paper provides a critical discussion of medical semantics and develops a semantic network analysis of ‘heart distress’, a folk illness in Iran.

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References

  1. Basso, Keith H. 1972 Semantic Aspects of Linguistic Acculturation. In Culture and Cognition. J.P. Spradley, ed. San Francisco: Chandler; pp. 344–354.Google Scholar
  2. Beeman, William O. 1976 The Meaning of Stylistic Variation in Iranian Verbal Interaction. Ph.D. Dissertation. University of Chicago: Department of Anthropology.Google Scholar
  3. Bürgel, Christoph J. 1976 Secular and Religious Features of Medieval Arabic Medicine. In Asian Medical System: A Comparative Study. C. Leslie, ed. Berkeley: University of California Press; pp. 44–62.Google Scholar
  4. Currier, Richard L. 1966 The Hot-Cold Syndrome and Symbolic Balance in Mexican and Spanish-American Folk Medicine. Ethnology 5:251–263.Google Scholar
  5. Engelhardt, H. Tristram 1974 Explanatory Models in Medicine: Facts, Theories, and Values. Texas Reports on Biology and Medicine 32:225–239.Google Scholar
  6. Fischer, Michael M.J. 1973 Zoroastrian Iran Between Myth and Praxis. Ph.D. Dissertation. University of Chicago: Department of Anthropology.Google Scholar
  7. 1975 Complementary But Equal: On Changing the Concept and Position of Persian Women. Unpublished Ms.Google Scholar
  8. Foucault, Michel 1965 Madness & Civilization: A History of Insanity in the Age of Reason. New York: Random House.Google Scholar
  9. 1970 The Order of Things: An Archaeology of the Human Sciences. New York: Vintage Books.Google Scholar
  10. 1973 The Birth of the Clinic: An Archaeology of Medical Perception. New York: Vintage Books.Google Scholar
  11. Fox, James J. 1975 On Binary Categories and Primary Symbols: Some Rotinese Perspectives. In Interpretation of Symbolism. Roy Willis, ed. New York: Halstead; pp. 99–132.Google Scholar
  12. Frake, C.O. 1961 The diagnosis of disease among the Subanum of Mindanao. American Anthropologist 63:113–132.Google Scholar
  13. Galen 1968 On the Usefulness of the Parts of the Body (De usu partium). Margaret May Tallmadge, tr. Ithaca, New York: Cornell University Press.Google Scholar
  14. Givner, David A. 1962 Scientific Preconceptions in Locke's Philosophy of Language. Journal of History of Ideas 23:340–354.Google Scholar
  15. Good, Byron J. 1976a The Heart of What's the Matter; The Structure of Medical Discourse in a Provincial Iranian Town. Ph.D. Dissertation. University of Chicago: Department of Anthropology.Google Scholar
  16. 1976b Medical Change and the Doctor-Patient Relationship in an Iranian Provincial Town. In The Social Sciences and Problems of Development. Khodadad Farmanfarmaian, ed. Princeton: Princeton University Programs in Near Eastern Studies.Google Scholar
  17. Greenberg, Joseph H. 1964 Linguistics and Ethnology. In Language in Culture and Society. Del Hymes, ed. New York: Harper and Row; pp. 27–31.Google Scholar
  18. Harrison, Bernard 1972 Meaning and Structure: An Essay in the Philosophy of Language. New York: Harper and Row.Google Scholar
  19. Heisel, J.S. et al. 1973 The Significance of Life Events as Contributing Factors in the Disease of Children. Journal of Pediatrics 83:119–123.Google Scholar
  20. Ibn, Sina 1930 The Canon of Medicine. In A Treatise on The Canon of Medicine of Avicenna. O. Cameron Gruner, ed. London: Luzac & Co.Google Scholar
  21. Izutsu, Toshihiko 1964 God and Man in the Koran: Semantics of the Koranic Weltanschauung. Tokyo: Keio Institute of Cultural and Linguistic Studies.Google Scholar
  22. Kleinman, Arthur M. 1973 Medicine's Symbolic Reality: On a Central Problem in the Philosophy of Medicine. Inquiry 16:206–213.Google Scholar
  23. 1975 Explanatory Models in Health Care Relationships: In National Council of International Health: Health of the Family. Washington, D.C.: National Council for International Health; pp. 159–172.Google Scholar
  24. Kleinman, Arthur, Leon Eisenberg and, Byron Good 1976 Culture, Illness and Care: Clinical Lessons from Anthropological and Cross-Cultural Research. Forthcoming in Annals of Internal Medicine.Google Scholar
  25. Leslie, Charles, ed. 1976 Asian Medical Systems: A Comparative Study. Berkeley: University of California Press.Google Scholar
  26. Levey, Martin 1967 Medical Ethics of Medieval Islam with Special Reference to Al-Ruhawi's ‘Practical Ethics of the Physician’. Transactions of the American Philosophical Society 57: Part 3;1–100.Google Scholar
  27. Levi-Strauss, Claude 1966 The Savage Mind. Chicago: University of Chicago Press:Google Scholar
  28. Lienhardt, Godfrey 1961 Divinity and Experience: The Religion of the Dinka. Oxford: Clarendon Press.Google Scholar
  29. May, Margaret Tallmadge 1968 Introduction to Galen, On the Usefulness of the Parts of the Body. Ithaca, New York: Cornell University Press; pp. 1–64.Google Scholar
  30. Minuchin, Salvador, et al. 1975 A Conceptual Model of Psychosomatic Illness in Children. Archives of General Psychiatry 32:1031–1038.Google Scholar
  31. Nasr, Seyyed Hossein 1967 Islamic Studies. Beirut: Librairie du Liban.Google Scholar
  32. 1968 Science and Civilization in Islam. Cambridge, Massachusettes: Harvard University Press.Google Scholar
  33. Palmer, F.R. 1976 Semantics: A New Outline. Cambridge: Cambridge University Press.Google Scholar
  34. Percy, Walker 1975 The Message in the Bottle: How Queer Man is, How Queer Language is, and What One Has To Do with the Other. New York: Farrar, Straus and Giroux.Google Scholar
  35. Polanyi, Michael and Harry Prosch 1975 Meaning. Chicago: University of Chicago Press.Google Scholar
  36. Schachter, Stanley 1971 Emotion, Obesity, and Crime. New York: Academic Press.Google Scholar
  37. Schneider, David M. 1969 American Kin Terms and Terms for Kinsmen: A Critique of Goodenough's Componential Analysis of Yankee Kinship Terminology. In Cognitive Anthropology. Stephen A. Tyler, ed. New York: Holt, Rinehart and Winston, Inc; pp. 288–310.Google Scholar
  38. Schwartz, L.R. 1969 The Hierarchy of Resort in Curative Practices: The Admiralty Islands, Melanesia. Journal of Health and Social Behavior 10:201–209.Google Scholar
  39. Shaw, James R. 1972 Models for Cardiac Structure and Function in Aristotle. Journal of the History of Biology. 5:355–388.Google Scholar
  40. Siegel, Rudolph E. 1968 Galen's System of Physiology and Medicine. Basel: S. Karger.Google Scholar
  41. Turner, Victor 1967 The Forest of Symbols: Aspects of Ndembu Ritual. Ithaca, New York: Cornell University Press.Google Scholar
  42. 1975 Revelation and Divination in Ndembu Ritual. Ithaca, New York: Cornell University Press.Google Scholar
  43. Valins, Stuart 1970 The Perception and Labeling of Bodily Changes as Determinants of Emotional Behavior. In Physiological Correlates of Emotion. Perry Black, ed. New York: Academic Press; pp. 229–243.Google Scholar
  44. Wagner, Roy 1975 The Invention of Culture. Englewood Cliffs, New Jersey: Prentice-Hall, Inc.Google Scholar
  45. Wartofsky, Marx W. 1975 Organs, Organisms and Disease: Human Ontology and Medical Practice. In Evaluation and Explanation in the Biomedical Sciences. H.T. Engelhardt, Jr. and S. F. Spicker, eds. Dordrecht: D. Reidel Publishing Co; pp. 67–83.Google Scholar
  46. Watt, William Montgomery 1953 The Faith and Practice of al-Ghazali. London: G. Allen and Unwin.Google Scholar
  47. Waxler, Nancy E. 1974 Culture and Mental Illness A Social Labelling Perspective. Journal of Nervous and Mental Disease 159:379–395.Google Scholar
  48. Waziri, Rafiq 1973 Symptomatology of Depressive Illness in Afghanistan. American Journal of Pyschiatry 130:213–217.Google Scholar
  49. Wilson, Leonard G. 1959 Erasistratus, Galen, and the Pneuma. Bulletin of the History of Medicine 33:293–314.Google Scholar

Copyright information

© D. Reidel Publishing Company 1977

Authors and Affiliations

  • Byron J. Good
    • 1
  1. 1.University of CaliforniaDavis

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