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Culture, Medicine, and Psychiatry

, Volume 38, Issue 3, pp 340–368 | Cite as

Knowledge and Skill in Motion: Layers of Tibetan Medical Education in India

  • Laurent Pordié
  • Calum Blaikie
Original Paper

Abstract

This article examines the transmission of Tibetan medical knowledge in the Himalayan region of Ladakh (India), taking three educational settings as ethnographic ports of entry. Each of these corresponds to a different operating mode in the standardisation of medical knowledge and learning processes, holding profound implications for the way this therapeutic tradition is known, valued, applied and passed on to the next generation. Being at the same time a cause and a consequence of intra-regional variability in Tibetan medicine, the three institutional forms coexist in constant interaction with one another. The authors render this visible by examining the ‘taskscapes’ that characterize each learning context, that is to say, the specific and interlocking sets of practices and tasks in which a practitioner must be skilled in order to be considered competent. The authors build upon this notion by studying two fields of transmission and practice, relating to medicine production and medical ethics. These domains of enquiry provide a rich grounding from which to examine the transition from enskilment to education, as well as the overlaps between them, and to map out the connections linking different educational forms to social and medical legitimacy in contemporary India.

Keywords

Taskscapes Education Institutionalisation Tibetan medicine Ladakh 

References

  1. Adams, Vincanne (2001). The Sacred in the Scientific: Ambiguous Practices of Science in Tibetan Medicine, Cultural Anthropology 16(4), 542-575.CrossRefGoogle Scholar
  2. Adams, Vincanne and Fei Fei, Li (2008) Integration or Erasure? Modernizing Medicine at Lhasa’s Mentsikhang. In Tibetan Medicine in the Contemporary World Global Politics of Medical Knowledge and Practice. Laurent, Pordié, ed. London: Routledge.Google Scholar
  3. Adams, Vincanne; Mona Schrempf; Sienna Craig (2011). Introduction: Medicine in translation between science and religion, in Vincanne Adams, Mona Schrempf & Sienna Craig (eds.), Medicine between Science and Religion. Explorations on Tibetan Grounds, Oxford: Berghahn Books.Google Scholar
  4. Alter, Joseph (2005). The politics of culture and medicine, in Joseph Alter (ed.), Asian Medicine and Globalization, Philadelphia: University of Pennsylvania Press.CrossRefGoogle Scholar
  5. Attewell, Guy (2007). Refiguring Unani Tibb: Plural Healing in Late Colonial India, New Delhi: Orient Longman.Google Scholar
  6. Besch, Florian (2007). Making a medical living: Discussing the monetization of Tibetan medicine in Spiti, Northwest India, in Mona Schrempf (ed.), Soundings in Tibetan Medicine. Historical and Anthropological Perspectives, Leiden and Boston: Brill.Google Scholar
  7. Blaikie, Calum (2011). Critically Endangered? Medicinal Plant Cultivation and the Reconfiguration of Sowa Rigpa in Ladakh, Asian Medicine 5(2): 243–72.CrossRefGoogle Scholar
  8. Blaikie, Calum (2013). Currents of tradition in Sowa Rigpa pharmacy, East Asian Science, Technology and Society 7(3): 425-451.CrossRefGoogle Scholar
  9. Blezer, Henk, Olaf, Czaja, Frances, Garrett, Alex, McKay, and Mona, Schrempf 2007 Brief Outlook: Desiderata in the Study of the History of Tibetan Medicine. In Soundings in Tibetan Medicine: Anthropological and Historical Perspectives. Mona Schrempf, ed. Brill: Leiden and Boston.Google Scholar
  10. Bourdieu, Pierre (1982). Les rites d’institution, Actes de la Recherche en Sciences Sociales 43: 58-63.CrossRefGoogle Scholar
  11. Cantwell, Cathy (1995). The Tibetan Medical Tradition and Tibetan Approaches to Healing in the Contemporary World, Kailash 17: 157–184.Google Scholar
  12. Cardi, Francesca 2005 Principles and Methods of Assembling Tibetan Medicaments, Tibet Journal 30(4): 91–108.Google Scholar
  13. Central Council of Tibetan Medicine (2008) Sowa Rigpa: The Tibetan Medical System. Dharamsala: CCTM.Google Scholar
  14. Central Council of Tibetan Medicine 2014 10th Anniversary Report. Dharamsala: CCTM.Google Scholar
  15. Cech, Krystina 1987 The Social & Religious Identity of the Tibetan Bonpos with Special Reference to a North-West Himalayan Settlement. Unpublished D.Phil Thesis, University of OxfordGoogle Scholar
  16. Craig, Sienna (2007). A crisis of confidence: A comparison between shifts in Tibetan medical education in Nepal and Tibet, in Mona Schrempf (ed.) Soundings in Tibetan Medicine: Anthropological and Historical Perspectives, Leiden and Boston: Brill.Google Scholar
  17. Craig, Sienna (2008) Place and Professionalization: Navigating Amchi Identity in Nepal. In Laurent, Pordié, ed., Tibetan Medicine in the Contemporary World Global Politics of Medical Knowledge and Practice. London: Routledge.Google Scholar
  18. Craig, Sienna (2012). Healing Elements: Efficacy and the Social Ecologies of Tibetan Medicine. Berkeley: University of California Press.Google Scholar
  19. Crook, Nigel, ed. (1996). The Transmission of Knowledge in South Asia: Essays on Education, Religion, History, and Politics, Delhi: Oxford University Press.Google Scholar
  20. de Certeau, Michel 1974 La culture au pluriel. Paris: Union générale d’éditions.Google Scholar
  21. Donden, Yeshi; Wallace B. Alan (2000). Healing From the Source. The Science and Lore of Tibetan Medicine, Ithaca, NY: Snow Lion Publ.Google Scholar
  22. Dreyfus, Georges (2003). The Sound of Two Hands Clapping: The Education of a Tibetan Buddhist Monk, Berkeley: University of California Press.CrossRefGoogle Scholar
  23. Farquhar, Judith (1994). Knowing Practice: The Clinical Encounter of Chinese Medicine, Boulder: Westview PressGoogle Scholar
  24. Fassin, Didier 2000 Les enjeux politiques de la santé Etudes sénégalaises, équatoriennes et françaises. Paris: Karthala.Google Scholar
  25. Garrett, Frances 2009 The Alchemy of Accomplishing Medicine (sman sgrub): Situating the Yuthok Heart Essence (Gyu thog snying thig) in Literature and History. Journal of Indian Philosophy 37: 207–230.Google Scholar
  26. Government of India (2010). Department-related Parliamentary Standing Committee on Health and Family Welfare: Forty-Sixth Report on the Indian Medical Council (Amendment) Bill 2010, New Delhi: Government of India.Google Scholar
  27. Gyatso, Janet (2004). The authority of empiricism and the empiricism of authority: medicine and Buddhism in Tibet on the eve of modernity, Comparative Studies of South Asia, Africa and the Middle East 24(2): 83-96.CrossRefGoogle Scholar
  28. Harris, Mark (2007). Introduction: ‘Ways of Knowing’, in Mark Harris (ed.), Ways of Knowing. New Approaches in the Anthropology of Experience and Learning, Oxford: Berghahn Books.Google Scholar
  29. Hofer, Theresia 2008a Socio-economic Dimensions of Tibetan Medicine in the Tibet Autonomous Region, China (Part 1). Asian Medicine 4: 174–200.Google Scholar
  30. Hofer, Theresia 2008b Socio-economic Dimensions of Tibetan Medicine in the Tibet Autonomous Region, China (Part 2). Asian Medicine 4: 492–514.Google Scholar
  31. Hsu, Elisabeth (1999). The Transmission of Chinese Medicine, Cambridge: Cambridge University Press.Google Scholar
  32. Ingold, Tim (1993). The temporality of the landscape, World Archaeology 25(2):152-174.CrossRefGoogle Scholar
  33. Ingold, Tim (2001). From the transmission of representations to the education of attention, in Harvey Whitehouse (ed.), The Debated Mind: Evolutionary psychology versus ethnography. Berg, Oxford.Google Scholar
  34. Janes, Craig R. (1995). The transformations of Tibetan Medicine, Medical Anthropology Quarterly 9(1): 6-39.CrossRefGoogle Scholar
  35. Janes, Craig R. (1999). The health transition, global modernity and the crisis of traditional medicine: the Tibetan case, Social Science & Medicine 48(12): 1803-1820.CrossRefGoogle Scholar
  36. Janes, Craig R. (2001). Tibetan medicine at the crossroads : radical modernity and the social organisation of traditional medicine in the Tibet Autonomous Region, China, in Linda Connor and Geoffrey Samuel (eds.), Healing Powers and Modernity. Traditional Medicine, Shamanism and Science in Asian Societies, Westport, CT: Bergin & Garvey.Google Scholar
  37. Kloos, Stephan (2008). The history and development of Tibetan medicine in exile, Tibet Journal 33(3): 15-49.Google Scholar
  38. Kloos, Stephan 2010 Tibetan Medicine in Exile: The Ethics, Politics and Science of Cultural Survival [PhD thesis]. San Francisco: University of California.Google Scholar
  39. Kloos, Stephan (2013). How Tibetan Medicine in Exile Became a “Medical System’, East Asian Science, Technology and Society 7:1–15.CrossRefGoogle Scholar
  40. Langford, Jean (2002). Fluent Bodies: Ayurvedic Remedies for Post-colonial Imbalance, Durham, NC: Duke University Press.Google Scholar
  41. Lemonnier, Pierre (1992). Elements for an Anthropology of Technology, Ann Arbor: University of Michigan/Museum of Anthropology.Google Scholar
  42. Lemonnier, Pierre, ed. (1993). Technological Choices: Transformation in Material Cultures since the Neolithic, London and New York: Routledge.Google Scholar
  43. Lock, Margaret (1990). Rationalization of Japanese herbal medication: the hegemony of orchestrated pluralism, Human Organization 49: 41–47.CrossRefGoogle Scholar
  44. Marchand, Trevor (2010) Making Knowledge: Explorations of the Indissoluble Relation Between Minds, Bodies, and Environment. Journal of the Royal Anthropological Institute 16:S1–S21.CrossRefGoogle Scholar
  45. Meyer, Fernand 1995 Theory and Practice of Tibetan Medicine. In Oriental Medicine. An Illustrated Guide to the Asian Arts of Healing. Jan, Van Alpen and Anthony, Aris, eds. Chicago: Serindia Publications.Google Scholar
  46. Meyer, Fernand (1997). Le siècle d’or de la médecine tibétaine, In Lhasa, Lieu du divin: la capitale des Dalaï-Lama. Françoise Pommaret, ed. Génève: Olizane.Google Scholar
  47. Meyer, Fernand 1981 [2002] Gso-Ba-Rig-Pa, Le système médical tibétain. Paris: Editions du CNRS.Google Scholar
  48. Millard, Colin 2002 Learning Processes in a Tibetan Medical School. Unpublished, PhD Dissertation, University of Edinburgh.Google Scholar
  49. Norberg-Hodge, Helena (1992). Ancient Futures. Learning from Ladakh, New Delhi, Oxford University Press.Google Scholar
  50. Norboo, Tsering, and Tsering Morup 1997 Culture, health and illness in Ladakh. In Recent Research on Ladakh 6. Henry Osmaston and Ngawang Tsering, eds. New Delhi: Motilal Banardsidass Publishers.Google Scholar
  51. Obeyesekere, Gananath (1992). Science, experimentation, and clinical practice in Ayurveda, in Charles Leslie and Allan Young (eds.), Paths to Asian Medical Knowledge, Berkeley: University of California Press.Google Scholar
  52. Pordié, Laurent (2007). Buddhism in the everyday medical practice of the Ladakhi amchi, Indian Anthropologist 37(1): 93-116.Google Scholar
  53. Pordié, Laurent 2008b Reformulating Ingredients. Outlines of a Contemporary Ritual for the Consecration of Medicines in Ladakh. In Modern Ladakh: Anthropological Perspectives on Continuity and Change. Martijn van Beek and Fernanda Pirie, eds. Leiden and Boston: Brill.Google Scholar
  54. Pordié, Laurent 2013 Les pérégrinations de Dolma Tsering Itinéraire transnational d’un médecin tibétain. In Les nouveaux guérisseurs Biographies de thérapeutes au temps de la globalisation. Laurent Pordié and Emmanuelle Simon, eds. Paris: Editions de l’EHESS.Google Scholar
  55. Pordié, Laurent (2014). Genealogy and ambivalence of a therapeutic heterodoxy. Islam and Tibetan medicine in North-western India, Modern Asian Studies. doi: 10.1017/S0026749X13000085.Google Scholar
  56. Pordié, Laurent, ed. 2008a Tibetan Medicine in the Contemporary World. Global Politics of Medical Knowledge and Practice. London: Routledge.Google Scholar
  57. Sagant, Philippe 1990 Les Tambours de Nyi-shang (Népal), Rituel et centralisation politique. In Tibet. Civilisation et société. Paris: Editions de la Maison des Sciences de l’Homme/Fondation Singer-Polignac.Google Scholar
  58. Samuel, Geoffrey (2001). Tibetan Medicine in Contemporary India: Theory and Practice, in Linda Connor and Geoffrey Samuel (eds) Healing Powers in Contemporary Asia: Traditional Medicine, Shamanism and Science in Asia Societies, Westport, CT: Bergin and Garvey.Google Scholar
  59. Saxer, Martin 2013 Manufacturing Tibetan Medicine The Creation of an Industry and the Moral Economy of Tibetanness. Oxford: Berghahn Books.Google Scholar
  60. Schaeffer, Kurtis (2003). Textual scholarship, medical tradition, and Mahāyāna Buddhist ideals in Tibet. Journal of Indian Philosophy 31:621–641.CrossRefGoogle Scholar
  61. Scheid, Volker (2007). Currents of Tradition in Chinese Medicine 1626–2006, Seattle: Eastland Press.Google Scholar
  62. Schrempf, Mona, ed. 2007 Bon Lineage Doctors and the Local Transmission of Knowing Medical Practice in Nagchu. Soundings in Tibetan Medicine: Anthropological and Historical Perspectives. Leiden: Brill.Google Scholar
  63. Scott, James (1998). Seeing Like a State: How Certain Schemes to Improve the Human Condition Have Failed, London: Yale University Press.Google Scholar
  64. Sperber, Dan (1996). Explaining Culture: A Naturalistic Approach, Oxford: Blackwell.Google Scholar
  65. Spindler, George (2000). 50 Years of Anthropology and Education 1950-2000, Mahwah: Lawrence Earlbaum.Google Scholar
  66. Tso, Drolma (2010). Perspectives and experiences on the training of Tibetan medicine practitioners, in Sienna Craig, Mingji Coumo, Frances Garrett and Mona Schrempf (eds.), Studies of Medical Pluralism in Tibetan History and Society, Bonn: International Institute for Tibetan and Buddhist Studies.Google Scholar
  67. Unschuld, Paul (1985). Medicine in China: A History of Ideas, Berkeley: University of California Press.Google Scholar
  68. van Gennep, Arnold 1981 [1909] Les rites de passages. Paris: Editions Picard.Google Scholar
  69. Wulf, Christoph 2003 Educational Science: Hermeneutics, Empirical Research, Critical Theory. Munster: Waxmann.Google Scholar
  70. Wylie, Turrell (1959). A standard system of Tibetan transcription, Harvard Journal of Asiatic Studies 22: 261-276CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Research Unit on Science, Medicine, Health and Society (Cermes3)National Center for Scientific Research (CNRS)ParisFrance
  2. 2.Institute for Social AnthropologyAustrian Academy of SciencesViennaAustria

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