ANTH 227 Lecture Notes - Lecture 2: Psoriasis, Middle Ages, Narrative

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Disease is the problem from the practitioner"s perspective. In the narrow biological terms of the biomedical model, this means that disease is reconfigured only as an alteration in biological structure or functioning. (kleinman) Symptoms over stories: melissa flowers reduced to her hypertension and health problems. The understanding of a disorder in its generic sense across a population in relation to macrosocial (economic, political, and institutional forces). Four levels of illness meanings: symptom as meaning, for members of western societies the body is a discrete entity, a thing, an it. machinelike and objective, separate from thought and emotion. Paradoxical as it sounds, then, there are normal ways of being ill (ways that our society regards as appropriate) as well as anomalous ways. (kleinman) New ways of interacting: cultural significance as meaning. The black death in the middle ages became a symbol of evil. Hysteria in the late 19th century as a disease for women.

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