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University of Toronto Scarborough
Laura Sikstrom

Field Report Observations  care vs. competence o demeanor of the healthcare worker o what exactly upset about your incidence?  self-diagnosis o delays between symptoms and going to the hospital  witnessing medical encounters o can translate words, but harder to translate ideas  dr's struggle with competence and care (being sympathetic and knowing their stuff) o reading for this week Healers  Healers in Malawi article Recruitment  can be hereditary or become evident if someone gets sick or dreams  not forced to become a healer  can become one in their 40s  in Canada: doctor recruitment o in their 20s o not hereditary o shapes who can go to study (school is expensive) o tests to become a doctor (many tests, MCAT, boards)  who ends up as doctors shapes the patient-healer relationship Training  sometimes considered a witch doctor, but different kinds of knowledge  like medical dr's, it can take 4-8 years to become a healer  unlike dr's the training is one-on-one, personal o also, can usually pick their teachers o Dr's have a lot of student-to student training, they help each other a lot (that doesn't happen in healer settings) Therapeutic Procedures  med students: o learning is focused on:  what questions to ask (healer is not interested in your opinion about what you're feeling)  learning how to see the body e.g. practicing on dead bodies and distinguishing veins  learning very specific biomedical knowledge  learning how to chart (write down what the patient tells them)  learning how t o present: describe salient issues to their supervisors  learning how to talk about the body, to gaze at it and to figure out what they're supposed to be seeing Rewarded  money o healers charge money and it's very expensive  Dr.'s o well-paid Patient-Healer Interactions  Medical "Gaze": what's wrong to what hurts? o less about the whole person o descartes, autopsies, dissecting and looking for specific problems in the body o assumption that every illness can be traced to one specific place and can be isolated (we have dr.'s who specialize in specific organs) o this "gaze" is about learning how to see the body in certain ways, can be very depersonalizing, inhumane  the medical gaze: hierarchy and molecuralization o disease is put to a more and more molecular level o hierarchy creates an idea that there is a root cause (there isn't a sense that the system works together)  think of root as down to genetics, but what about the holistic lifestyle issues? Medical Gaze  puts people into categories e.g. male and female and decides what is "normal" o there is a lot of variety in sexes (not just male and female), but the idea is so pervasive that when kids are born as neither male or female are often reassigned  Lia gets taken into a foster home (medical authority-coerced)
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