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Health and Medical Practice in Iran: Traditional Culture and Modern Medicine (Allopathy Goes Native) PDF

226 Pages·2007·1.386 MB·English
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H e a l t h H e a l t h Allopathy is often described as ‘western’ medicine, the antithesis of homeopathy, yet all medical systems are infused with culture-specific values, ideas and beliefs. Agnes Loeffler’s insightful and original book investigates how allopathic knowledge, H theories and practice guidelines come to be understood and applied by practitioners in a non-western context. Based on research amongst doctors in Iran, Loeffler e a n d a a n d describes how the system of allopathic medicine has adapted to local explanations l of health and disease and to the economic, social and religio-political realities t h framing contemporary Iranian life and culture. This approach simultaneously T problematises the view of allopathic medicine as a ‘western’ entity exerting a ra a hegemonic influence over non-western cultures, and provides a rare glimpse of the dn i t M e d icompclexities of moderan Iranian society l– explori ng the interfaces between culture, iod M e d i c a l health and the experience of illness. nal M C ‘A thorough, insightful portrayal ... this volume will appeal both to medical ue anthropologists and to people interested in Iranian culture in general, as well ltud as in modernisation and globalisation in Iran and elsewhere.’ Mary Elaine r ei P r a c tHeglaind, Anthrcopology of the Meiddle East anca P r a c t i c e d Agnes G. Loeffler is Associate Professor at the Department of Pathology and l M Laboratory Medicine, University of Wisconsin School of Medicine and Public P o Health. She completed her PhD in Cultural Anthropology at the University of dr e Illinois, Champaign-Urbana, and received her MD from the same institution. ra n In addition to her contributions to anthropology, she publishes in the allopathic c M i n I r amedical fienld, including the co-edited volume Introduction To Human Disease: t i n I r a n ei Pathophysiology For Health Professionals. dc ice Health and i n ei n I r a Medical Practice n in Iran A g n e Traditional Culture and s G . L Modern Medicine o e f f le r Agnes G. Loeffler Cover design by www.paulsmithdesign.com Loeffler layout 2.0.indd 1 21/02/2017 13:19 Agnes G. Loeffler is Associate Professor at the Department of Pathology and Laboratory Medicine, University of Wisconsin School of Medicine and Public Health. She completed her PhD in Cultural Anthropology at the University of Illinois, Champaign-Urbana, and received her MD from the same institution. In addition to her contributions to anthropology, she publishes in the allopathic medical field, including the co-edited volume Introduction To Human Disease: Pathophysiology For Health Professionals. .d e vre se r sth g ir llA .d e tim iL ,yn a p m o C & siru a T .B .I .7 1 0 2 © th g iryp o C .d e vre se r sth g ir llA .d e tim iL ,yn a p m o C & siru a T .B .I .7 1 0 2 © th g iryp o C Health and Medical Practice in Iran Traditional Culture and Modern Medicine Agnes G. Loeffler Loeffler title page.indd 1 16/06/2016 15:03 New paperback edition first published in 2017 by I.B.Tauris & Co. Ltd London ● New York www.ibtauris.com First published in hardback in 2007 by Tauris Academic Studies An imprint of I.B.Tauris & Co. Ltd Copyright © Agnes Loeffler, 2007 The right of Agnes Loeffler to be identified as the author of this work has been asserted by the author in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. Except for brief quotations in a review, this book, or any part thereof, may not be reproduced, stored in or introduced into a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of the publisher. ISBN: 978 1 78076 044 5 A full CIP record for this book is available from the British Library A full CIP record is available from the Library of Congress Library of Congress Catalog Card Number: available Printed and bound by CPI Group (UK) Ltd, Croydon, CR0 4YY This book is dedicated to Erika Friedl Loeffler Diane Gottheil Aksi Qetrifi .d e vre se r sth g ir llA .d e tim iL ,yn a p m o C & siru a T .B .I .7 1 0 2 © th g iryp o C .d e vre se r sth g ir llA .d e tim iL ,yn a p m o C & siru a T .B .I .7 1 0 2 © th g iryp o C Contents Note on Transliteration ix Acknowledgements xi Chapter 1 Introduction 1 Chapter 2 The Contexts of Fieldwork 16 .d PART ONE e vre IRANIAN CONCEPTUALIZATIONS OF HEALTH AND DISEASE se r sth g Chapter 3 ir llA .d Iranian Explanations for Ill Health 45 e tim iL ,yn Chapter 4 ap Key Concepts: Nature, Purity and Balance m oC in Relation to Health 71 & siru aT Chapter 5 .B .I .71 HInotewr pArelltoepda itnh iDc Kistninocwtllye dIgraen ainand TPrearcmtisc e a r e 87 0 2 © th g iryp o C viii HEALTH AND MEDICAL PRACTICE IN IRAN PART TWO THE CONTEXTS OF MEDICAL PRACTICE Chapter 6 The Economic Context of Allopathic Practice 103 Chapter 7 Roots of Authority: Knowledge 122 Chapter 8 The Relationship of `Elm to Medical Practice 142 Chapter 9 Medical Knowledge and Islamic Ideals 159 Chapter 10 Conclusion 175 Endnotes 185 Bibliography 189 Index 205 .d e vre se r sth g ir llA .d e tim iL ,yn a p m o C & siru a T .B .I .7 1 0 2 © th g iryp o C Note on Transliteration The Farsi words and phrases which appear in this text are transliterated according to the standard of the International Journal of Middle East Studies. It should be noted, however, that I have transliterated speech rather than writing: I make no distinction between the various signs for “s,” “z,” or “t,” nor does the orthography necessarily reflect that of written Farsi. Also, the transliteration of words common to Arabic- influenced languages reflects local pronunciation rather than any conventions of transliteration. .d e vre se r sth g ir llA .d e tim iL ,yn a p m o C & siru a T .B .I .7 1 0 2 © th g iryp o C

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