Abstract
In Sri Lanka, as in India, two formally structured systems of medical service exist side-by-side. While Western-style biomedicine is believed to be useful, Ayurvedic medicine is also well established and commonly used. Underlying one explanation for the existence of plural medical systems is the idea that traditional and Western systems of medicine provide unique treatments for distinct problems, and patients having certain characteristics select them accordingly. A brief review of several studies in Sri Lanka suggests, however, that Western and Ayurvedic physicians practice medicine in similar ways, are selected for treatment of very similar symptoms, and from the patient's point of view are aften indistinguishable from each other. A second structural explanation rests on the fact that, as institutions, Western and Ayurvedic medicine have effectively divided up territory and jobs to the satisfaction of each; this division allows for upward mobility, through medicine, for young people from different segments of society. Thus these medical systems persist, not because each provides something unique for patients, but because they provide access to status and power for the physicians themselves.
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References
AmaraSingham, L. 1980 Movement among Healers in Sri Lanka: A Case Study of a Sinhalese Patient. Culture, Medicine and Psychiatry 4: 72–92.
Brass, P. 1972 The Politics of Ayurvedic Education: A Case Study of Revivalism and Modernization in India. In Education and Politics in India. S. J. Rudolph and L. I. Rudolph (eds.), Cambridge, Mass.: Harvard University Press.
Ceylon Daily News Colombo: Lake House Press.
Chen, P. 1981 Traditional and Modern Medicine in Malaysia. Social Science and Medicine 15A: 127–136.
Colson, A. C. 1971 The Differential Use of Medical Resources in Developing Countries. Journal of Health and Social Behavior 12: 226–237.
De Silva, K. M. 1981 A History of Sri Lanka, Berkeley: University of California Press.
Dore, R. 1976 The Diploma Disease, Berkeley: University of California Press.
Economic Review 1976Health Care Services. Colombo: Peoples' Bank. October, pp. 3–16.
1980 Medical Care and Public Health. Colombo: Peoples' Bank. January, pp. 3–15.
Elling, R. 1981 Relations between Traditional and Modern Medical Systems. Social Science and Medicine 15A: 87–88.
Frankenberg, R. 1981 Allopathic Medicine, Profession and Capitalist Ideology in India. Social Science and Medicine 15A: 115–125.
Gonzalez, N. S. 1966 Health Behavior in Cross-Cultural Perspective: A Guatemalan Example. Human Organization 25: 122–125.
Gould, H. 1965 Modern Medicine and Folk Cognition in Rural India. Human Organization 24: 201–208.
Government of Sri Lanka. 1969 Admin. Report of the Commissioner for Ayurveda for 1967–68.
1970 Admin. Report of the Commissioner for Ayurveda for 1968–69.
Heggenhougen, H. K. 1980 Bomohs, Doctors and Sinsehs — Medical Pluralism in Malaysia. Social Science and Medicine. 14B: 235–244.
Kroeger, A. 1983 Anthropological and Socio-Medical Health Care Research in Developing Countries. Social Science and Medicine 17: 147–161.
Lasker, J. 1981 Choosing among Therapies: Illness Behavior in the Ivory Coast. Social Science and Medicine 15A: 157–168.
Leslie, C. 1973 The Professionalizing Ideology of Medical Revivalism. In Entrepreneurship and Modernization of Occupational Culture of South Asia. M. Singer (ed.), Durham: Duke University Press.
Leslie, C. 1976 The Ambiguities of Medical Revivalism in Modern India. In Asian Medical Systems. C. Leslie (ed.), Berkeley: University of California Press.
Leslie, C. 1980 Medical Pluralism in World Perspective. Social Science and Medicine. 14B: 191–195.
Lock, M. 1980 East Asian Medicine in Urban Japan. Berkeley: University of California Press.
McDonald, C. 1981 Political-Economic Structures: Approaches to Traditional and Modern Medical Systems. Social Science and Medicine 15A: 101–108.
Nichter, M 1980 The Layperson's Perception of Medicine as Perspective into the Utilization of Multiple Therapy Systems in the Indian Context. Social Science and Medicine 14B: 225–233.
Obeyesekere, G. 1976 The Impact of Ayurvedic Ideas on the Culture and the Individual in Sri Lanka. In Asian Medical Systems. C. Leslie (ed.), Berkeley: University of California Press.
Obeyesekere, G. 1977 The Theory and Practice of Psychological Medicine in the Ayurvedic Tradition. Culture, Medicine and Psychiatry 1: 155–181.
Patel, M. 1980 Effects of the Health Service and Environmental Factors on Infant Mortality: The Case of Sri Lanka. Journal of Epidemiology and Community Health 34: 76–82.
Slikkerveer, L. 1982 Rural Health Development in Ethiopia: Problems of Utilization of Traditional Healers. Social Science and Medicine 16: 1859–1872.
Waxler, N. E. 1976 Social Change and Psychiatric Illness in Ceylon: Traditional and Modern Conceptions of Disease and Treatment. In Culture-bound Syndromes: Ethnopsychiatry and Alternative Therapies. W. P. Lebra (ed.), Honolulu: University of Hawaii Press.
Waxler, N. E. 1977 Is Mental Illness Cured in Traditional Societies? A Theoretical Analysis. Culture, Medicine and Psychiatry 1: 233–253.
1983 The Convergence of Ayurvedic and Western Medical Practice in Sri Lanka. Unpublished ms.
Waxler, N. E., W. M. Sirisena, and B. Morrison 1983 Infant Mortality in Sri Lankan Households: A Causal Model. Unpublished ms.
Weerawardena, I. D. S. 1960 Ceylon General Election, 1965. Colombo: Gunasena.
Wirz, P. 1954 Exorcism and the Art of Healing in Ceylon. Leiden: E. J. Brill.
World Health Organization 1975Health Manpower Development: Training and Utilization of Traditional Healers and Their Collaboration with Health Care Delivery Systems. Unpublished document EB57/21 Add. 2. Geneva.
Wriggins, H. 1960 Ceylon: Dilemmas of a New Nation. Princeton: Princeton University Press.
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Waxler, N.E. Behavioral convergence and institutional separation: An analysis of plural medicine in Sri Lanka. Cult Med Psych 8, 187–205 (1984). https://doi.org/10.1007/BF00054615
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DOI: https://doi.org/10.1007/BF00054615