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How Public health could benefit
     from anthropology?




          DIS - 21. November 2011, Nikolaj Darre
Learning objectives
• Discusswhat anthropology is about andhowit
  can be useful when working at the arena of
  Public Health.




                  DIS - 21. November 2011
Overview
1. Can we catch a cold?
2. Methodology
3. Theory




                  DIS - 21. November 2011
Anthropology
• The study of humankind (Anthro[p] = human,
  ology = the study of)
• Social and cultural aspect of humankind
• Medical anthropology = health, sickness and
  treatment.




                  DIS - 21. November 2011
Catching a cold is your own fault
                   by David Aldridge

• A example of how people from different
  contexts offering different diagnosis and
  different advice.
• Therefore decisions in health care practice are
  made according to different meanings and
  cultural contexts.



                    DIS - 21. November 2011
Different reasons for cold

• the dust from decorating the house (wife)
• neglects (mother) Nothing to do with
  bacterial.
• Hayfever or stress. (work)




                   DIS - 21. November 2011
Different treatments:
• Consume alcohol
• Go home and go to bed

     The point: “…different explanations exist
     concurrently according to our own world
     views, and the ‘patient’ does not always
    reflect the epistemological position of the
                 observers” (p.129)


                   DIS - 21. November 2011
Agreed sickness
• Our experience of being ill needs to be
  validated by someone else – in that way it is
  ‘negotiable’, not fixed and open to change
  (p.131).
• The doctor can invalidate the patients
• Shared meaningis important.



                    DIS - 21. November 2011
Methodology in Anthropology



    Qualitative Vs. Quantitative




             DIS - 21. November 2011
Fieldwork




 DIS - 21. November 2011
Participate observation



Captures not just what you say –
                   But also what you do!




                DIS - 21. November 2011
Interview




 DIS - 21. November 2011
Implication using Qualitative methods


         Validation and verification
                  requires
Transparency, transparency and transparency




                 DIS - 21. November 2011
Theory in Anthropology
• Helps us understand real life
• But, it is also a certain viewpoint in which we
  look at things.
• Theory is empirically imbedded




                    DIS - 21. November 2011
Tough athlete or cripple?




         DIS - 21. November 2011
Relativism and



The social fabric of health




         DIS - 21. November 2011
Medical traditions
• Chinese medicine, Indian Ayurvedic medicine,
  medical traditions of Africa, Western
  biomedicine etc.

• Medical pluralism




                  DIS - 21. November 2011
Views and ideas

•   Balance between elements (Asia, Africa)
•   Body fluids (Humoral system, Greece)
•   Soul loss (Shamanism, America, Africa)
•   Dualism between body/soul (Biomedicine)




                    DIS - 21. November 2011
Ethnocentrism
• People are experts on their own life, therefore
  try to understand people in their own context
  – use a emicperspective.

• Be aware of contexts (physical, social,
  temporal)



                    DIS - 21. November 2011
Holism

• Try to see things in a bigger perspective

• Remember patients are much more than their
  sickness




                    DIS - 21. November 2011
Theory is Empirical founded




               




         DIS - 21. November 2011
Interdisciplinary
• Not like monotheistic religions, but more like
  polytheistic

• Claude Levy-Strauss and Structuralism
  – Semiotics have form and substance
  – Signifier/Signified
  – Social praxis/underlying meaning


                    DIS - 21. November 2011
Summing up
• Health is everywhere culturally particular and
  varied (Janzen 2002:52)
• Se heath, sickness and treatment in a bigger
  perspective
• Include context
• Don’t be ethnocentric
• Use qualitative methods if your looking for a
  deeper understanding.
• Be reflexive

                     DIS - 21. November 2011
The end




DIS - 21. November 2011

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How Public Health Could Benefit From Anthropology

  • 1. How Public health could benefit from anthropology? DIS - 21. November 2011, Nikolaj Darre
  • 2. Learning objectives • Discusswhat anthropology is about andhowit can be useful when working at the arena of Public Health. DIS - 21. November 2011
  • 3. Overview 1. Can we catch a cold? 2. Methodology 3. Theory DIS - 21. November 2011
  • 4. Anthropology • The study of humankind (Anthro[p] = human, ology = the study of) • Social and cultural aspect of humankind • Medical anthropology = health, sickness and treatment. DIS - 21. November 2011
  • 5. Catching a cold is your own fault by David Aldridge • A example of how people from different contexts offering different diagnosis and different advice. • Therefore decisions in health care practice are made according to different meanings and cultural contexts. DIS - 21. November 2011
  • 6. Different reasons for cold • the dust from decorating the house (wife) • neglects (mother) Nothing to do with bacterial. • Hayfever or stress. (work) DIS - 21. November 2011
  • 7. Different treatments: • Consume alcohol • Go home and go to bed The point: “…different explanations exist concurrently according to our own world views, and the ‘patient’ does not always reflect the epistemological position of the observers” (p.129) DIS - 21. November 2011
  • 8. Agreed sickness • Our experience of being ill needs to be validated by someone else – in that way it is ‘negotiable’, not fixed and open to change (p.131). • The doctor can invalidate the patients • Shared meaningis important. DIS - 21. November 2011
  • 9. Methodology in Anthropology Qualitative Vs. Quantitative DIS - 21. November 2011
  • 10. Fieldwork DIS - 21. November 2011
  • 11. Participate observation Captures not just what you say – But also what you do! DIS - 21. November 2011
  • 12. Interview DIS - 21. November 2011
  • 13. Implication using Qualitative methods Validation and verification requires Transparency, transparency and transparency DIS - 21. November 2011
  • 14. Theory in Anthropology • Helps us understand real life • But, it is also a certain viewpoint in which we look at things. • Theory is empirically imbedded DIS - 21. November 2011
  • 15. Tough athlete or cripple? DIS - 21. November 2011
  • 16. Relativism and The social fabric of health DIS - 21. November 2011
  • 17. Medical traditions • Chinese medicine, Indian Ayurvedic medicine, medical traditions of Africa, Western biomedicine etc. • Medical pluralism DIS - 21. November 2011
  • 18. Views and ideas • Balance between elements (Asia, Africa) • Body fluids (Humoral system, Greece) • Soul loss (Shamanism, America, Africa) • Dualism between body/soul (Biomedicine) DIS - 21. November 2011
  • 19. Ethnocentrism • People are experts on their own life, therefore try to understand people in their own context – use a emicperspective. • Be aware of contexts (physical, social, temporal) DIS - 21. November 2011
  • 20. Holism • Try to see things in a bigger perspective • Remember patients are much more than their sickness DIS - 21. November 2011
  • 21. Theory is Empirical founded  DIS - 21. November 2011
  • 22. Interdisciplinary • Not like monotheistic religions, but more like polytheistic • Claude Levy-Strauss and Structuralism – Semiotics have form and substance – Signifier/Signified – Social praxis/underlying meaning DIS - 21. November 2011
  • 23. Summing up • Health is everywhere culturally particular and varied (Janzen 2002:52) • Se heath, sickness and treatment in a bigger perspective • Include context • Don’t be ethnocentric • Use qualitative methods if your looking for a deeper understanding. • Be reflexive DIS - 21. November 2011
  • 24. The end DIS - 21. November 2011