Abstract
Applied anthropologists in clinical settings are involved in a crusade for a pluralistic world view. Anthropologists, by training, have a belief structure opposed to ethnocentrism and its professional offspring, medicocentrism. Medicocentrism is a world view that filters experience through medical filters in which the medical view is reality (cf. Kleinman 1978; and Green et al. 1977). Anthropologists as culturally oriented people perceive clinical encounters as examples of world view conflicts: to the patient, uncertainty about the course of his or her problem is part of the illness; to the physician, organic pathology (disease) is most valuable. The physician searches for objectified symptoms of disease in a medical territory where environmental design reinforces disease as the central object. The patient experiences discomfort, “my illness,” and not a biomedical term, a disease (cf. Bryan 1979; Kleinman 1978). Thus, the anthropologist tries to understand the patient's perception of clinical reality, while the physician tries to fit patient experiences into objectified symptoms so that the transformation allows him/her to make appropriate clinical decisions in the biomedical realm.
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References
Bandler, Richard and John Grinder 1975 The Structure of Magic, Vol. I, II. Cupertino, California: Meta Publications.
Barbour, Allen B. 1975 Humanistic Patient Care: A Comparison of the Disease Model and the Growth Model. In Dimensions of Humanistic Medicine. S. Miller, N. Remen, A. Barbour, M. Nakles, S. Miller, D. Garell, eds. San Francisco: Institute for Humanistic Medicine.
Becker, Marshall H. 1976 Sociobehavioral Determinants of Compliance. In Compliance with Therapeutic Regimens. David L. Sackett and R. Brian Haynes, eds. pp. 40–50. Baltimore: Johns Hopkins University Press.
Bryan, James E. 1979 View from the Hill. American Family Physician 19:239–247.
Carlton, Wendy 1979 In Our Professional Opinion … The Primacy of Clinical Judgement Over Moral Choice. Notre Dame, Indiana: University of Notre Dame Press.
Charney, Evan 1972 Patient-Doctor Communication. Pediatric Clinics of North America 19(2):263–279.
Davis, M. S. 1971 Variations in Patient’s Compliance with Doctor’s Orders: Medical Practices and Doctor-Patient Interaction. Psychiatry in Medicine 2:31–54.
Donnelly, Julie C. 1979 The Internship Experience: Coping and Ego Development in Young Physicians. Unpublished Ph.D. dissertation. Harvard University.
Drossman, Douglas A. 1978a The Problem Patient, Evaluation and Care of Medical Patients with Psychosocial Disturbances. Annals of Internal Medicine 88:366–372.
1978b Can the Primary Care Physician be Better Trained in the Psychosocial Dimensions of Patient Care? International Journal of Psychiatry in Medicine 92:169–184.
Eddy, Elizabeth and William Partridge, eds. 1978 Applied Anthropology in America. New York: Columbia University Press.
Engel, George L. 1977 The Need for a New Medical Model: A Challenge for Biomedicine. Science 196 (4286):129–136.
Fabrega, Horacio 1975 The Position of Psychiatry in the Understanding of Human Disease. Archives of General Psychiatry 32:1500–1512.
Favazza, Armando 1978 Overview: Foundations of Cultural Psychiatry. American Journal of Psychiatry 135(3):293–303.
Fink, D. L. 1976 Tailoring the Consensual Regimen. In Compliance with Therapeutic Regimens. David L. Sackett and R. Brian Haynes, eds. pp. 110–118. Baltimore: Johns Hopkins University Press.
Gazda, G. M., R. P. Walters, and W. D. Childers 1975 Human Relations Development: A Manual for Health Sciences. Boston: Allyn and Bacon.
Goodenough, Ward H. 1961 Comment on Cultural Evolution. Daedalus 90:521–528.
Green, Lawrence W., Stanley Werlin, Helen Schauffler, and Charles Avery 1977 Research and Demonstration Issues in Self-Care: Measuring the Decline of Medicocentrism. Appendix D. In Consumer Self-Care in Health. National Center for Health Services Research, Research Proceedings Series. DHEW, HRA 77-3181. pp. 20–36.
Hall, Edward T. 1976 Beyond Culture. New York: Anchor Press.
Harwood, Alan n.d. Communicating about Disease: Clinical Implications of Divergent Concepts among Patients and Physicians. Personal communication, manuscript.
1971 The Hot-Cold Theory of Disease: Implications for Treatment of Puerto Rican Patients. Journal of the American Medical Association 216:1153–1155.
Ingelfinger, Franz J. 1978 Medicine: Meritorious or Meretricious. Science 200(6):942–946.
Janis, I. L. 1958 Psychological Stress. New York: Wiley.
Keesing, Roger M. 1979 Linguistic Knowledge and Cultural Knowledge: Some Doubts and Speculations. American Anthropologist 81(1):14–36.
King, Lewis M. 1978 Social and Cultural Influences on Psychopathology. Annual Reviews in Psychology 29:405–433.
Kleinman, Arthur 1978 Clinical Relevance of Anthropological and Cross-Cultural Research: Concepts and Strategies. American Journal of Psychiatry 135(4):427–431.
Kleinman, Arthur, Leon Eisenberg, and Byron Good 1978 Culture, Illness, and Care. Annals of Internal Medicine 88:251–258.
Korsch, B. and Negrete, V. F. 1972 Doctor-Patient Communication. Scientific American 227:66–74.
Lander, Louis 1978 Defective Medicine: Risk, Anger and the Malpractice Crisis. New York: Farrar, Straus and Giroux.
Lazurus, R. S. 1966 Psychological Stress and the Coping Process. New York: McGraw Hill.
Lipowski, Z. J. 1970 Physical Illness, the Individual, and the Coping Process. Psychiatry in Medicine 1 (April):91–102.
Lipowski, Z. J., Don Lipsett and Peter Whybrow, eds. 1977 Psychosomatic Medicine. New York: Oxford University Press.
Lowy, Frederick H. 1977 Management of the Persistent Somatizer. In Psychosomatic Medicine. Z. J. Lipowski, Don Lipsett and Peter Whybrow, eds. pp. 510–522. New York: Oxford University Press.
Mawardi, Betty H. 1979 Satisfactions, Dissatisfactions, and Causes of Stress in Medical Practice. Journal of American Medical Association 241(14):1483–1486.
Pfifferling, John-Henry 1975 Some Issues in the Considerations of Western and Non-Western Practices as Epidemiologic Data. Social Science and Medicine 9:655–658.
n.d. Present Medical Education is Obsolete. Mimeograph, Dept. of Anthropology, University of North Carolina, Chapel Hill.
1977 Records and Revitalization: The Problem-Oriented Medical Record System in a Clinical Setting. Ph.D. dissertation. The Pennsylvania State University. No. 7808408. Ann Arbor: University Microfilms International.
Pattison, E. Mansell 1977 Psychosocial Interpretations of Exorcism. Journal of Operational Psychiatry VIII, No. 2:5–21.
Roter, Debra L. 1977 Patient Participation in the Patient-Provider Interaction: The Effects of Patient Question Asking on the Quality of Interaction, Satisfaction and Compliance. Health Education Monographs 5(4):281–315.
Sackett, David L. and R. Brian Haynes, eds. 1976 Compliance with Therapeutic Regimens. Baltimore: Johns Hopkins University Press.
Sigerist, Henry E. 1952 Living Under the Shadow. In When Doctors Are Patients. Max Pinnel and Benjamin Miller, eds. New York: Norton.
Somers, A. R., et al. 1976 Preventive Medicine USA: Health Promotion and Consumer Health Education. New York: Prodist.
Spiegel, John P. 1959 Some Cultural Aspects of Transference and Countertransference. In Individual and Family Dynamics. Jules Masserman, ed. pp. 160–182. New York: Grune and Stratton.
1976 Cultural Aspects of Transference and Countertransference Revisited. Journal of the American Academy of Psychoanalysis 4(4):447–467.
Wallston, Kenneth A., and Barbara S. Wallston 1978 Health Locus of Control. Health Education Monographs 6(2):101–170.
Weed, Lawrence L. 1978 Your Health Care and How To Manage It. Vermont: Essex Publishing.
Zborowski, Mark 1969 People in Pain. San Francisco: Jossey-Bass.
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© 1981 D. Reidel Publishing Company, Dordrecht, Holland
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Pfifferling, JH. (1981). A Cultural Prescription for Medicocentrism. In: Eisenberg, L., Kleinman, A. (eds) The Relevance of Social Science for Medicine. Culture, Illness, and Healing, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8379-3_9
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DOI: https://doi.org/10.1007/978-94-009-8379-3_9
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