Clinically Applied Anthropology Anthropologists in Health Science Se

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CULTURE, ILLNESS, AND HEALING

Studies in Comparative Cross-Cultural Research

Editor-in-Chief: ARTHUR KLEINMAN

University o/Washington, Seattle, Washington, U.S.A.

Editorial Board: LEON EISENBERG

Harvard Medical School, Boston, Massachusetts, U.S.A. NUR YALMAN

Harvard University, Ozmbridge, Massachusetts, U.S.A. MORRIS CARST AIRS

Postgraduate Institute 0/ Medical Education and Research, Chandigarh, India

VOLUME 5

CLINICALLY APPLIED ANTHROPOLOGY Anthropologists in Health Science Settings Edited by NOEL J. CHRISMAN University of Washington, Seattle

and THOMAS W. MARETZKI University of Hawaii, Honolulu

D. REIDEL PUBLISHING COMPANY DORDRECHT: HOLLAND / BOSTON: U.S.A. LONDON:ENGLAND

Library of Congress Cataloging in Publication Data Main entry under title: Clinically applied anthropology. (Culture, illness, and healing ; 5) Includes index. 1. Social medicine. 2. Medical anthropology. 3. Medicine and psychology. I. Chrisman, Noel J., 1940II. Maretzki, Thomas. III. Series. [DNLM: 1. Anthropology. 2. Medicine. WI CU445 v. 5/ GN 296 C641] RA418.C64 1982 362.1'042 82-12301 ISBN-13: 978-90-277-1419-0 DOl: 10.1007/978-94-010-9180-0

e-ISBN-13: 978-94-010-9180-0

Published by D. Reidel Publishing Company, P.O. Box 17, 3300 AA Dordrecht, Holland. Sold and distributed in the U.S.A. and Canada by Kluwer Boston Inc., 190 Old Derby Street, Hingham, MA 02043, U.S.A. In all other countries, sold and distributed by Kluwer Academic Publishers Group, P.O. Box 322, 3300 AH Dordrecht, Holland. D. Reidel Publishing Company is a member of the Kluwer Group.

All Rights Reserved Copyright © 1982 byD. Reidel Publishing Company, Dordrecht, Holland Softcover reprint of the hardcover 1st edition 1982 No part of the material protected by this copyright notice may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording or by any informational storage and retrieval system, without written permission from the copyright owner

T ABLE OF CONTENTS

PREFACE NOEL J. CHRISMAN and THOMAS W. MARETZKI I Anthropology in Health Science Settings

W 1

SECTION I. CLINICALLY APPLIED ANTHROPOLOGY TEACHING ROBERT C. NESS I Medical Anthropology in a Preclinical Curriculum

35

HOWARD F. STEIN I The Ethnographic Mode of Teaching Clinical Behavioral Science

61

ARTHUR KLEINMAN I Clinically Applied Anthropology on a PsychiatriC Consultation-liaison Service

83

NOEL J. CHRISMAN I Anthropology in Nursing: An Exploration of Adaptation

117

CHERYL RITENBAUGH I New Approaches to Old Problems: Interactions of Culture and Nutrition

141

IRWIN PRESS I Witch Doctor's Legacy: Some Anthropological Implications for the Practice of Clinical Medicine

179

SECTION II: CLINICALLY APPLIED ANTHROPOLOGY RESEARCH HAZEL HITSON WEIDMAN I Research Strategies, Structural Alterations, and Clinically Relevant Anthropology

201

ATWOOD D. GAINES I Knowledge and Practice: Anthropological Ideas and Psychiatric Practice

243

MARY-JO DEL VECCHIO GOOD and BYRON GOOD I Patient Requests in Primary Care Clinics

275

DAN BLUMH