Epistemologies of Healing Series

Notions of magic and healing have been changing over past years and are now understood as reflecting local ideas of power and agency, as well as structures of self, subjectivity and affect. This study focuses on contemporary urban Russia and, through exploring social conditions, conveys the experience of living that makes magic logical. By following people’s own interpretations of the work of magic, the author succeeds in unraveling the logic of local practice and local understanding of affliction, commonly used to diagnose the experiences of illness and misfortune.

Based on several years of ethnographic fieldwork, the book explores life in and around a Luo-speaking village in western Kenya during a time of death. The epidemic of HIV/AIDS affects every aspect of sociality and pervades villagers' debates about the past, the future and the ethics of everyday life. Central to such debates is a discussion of touch in the broad sense of concrete, material contact between persons. In mundane practices and in ritual acts, touch is considered to be key to the creation of bodily life as well as social continuity. Underlying the significance of material contact is its connection with growth – of persons and groups, animals, plants and the land – and the forward movement of life more generally. Under the pressure of illness and death, economic hardship and land scarcity, as well as bitter struggles about the relevance and application of Christianity and ‘Luo tradition’ in daily life, people find it difficult to agree about the role of touch in engendering growth, or indeed about the aims of growth itself.

The HIV/AIDS epidemic in sub-Saharan Africa has been addressed and perceived predominantly through the broad perspectives of social and economic theories as well as public health and development discourses. This volume however, focuses on the micro-politics of illness, treatment and death in order to offer innovative insights into the complex processes that shape individual and community responses to AIDS. The contributions describe the dilemmas that families, communities and health professionals face and shed new light on the transformation of social and moral orders in African societies, which have been increasingly marginalised in the context of global modernity.

Plants have cultural histories, as their applications change over time and with place. Some plant species have affected human cultures in profound ways, such as the stimulants tea and coffee from the Old World, or coca and quinine from South America. Even though medicinal plants have always attracted considerable attention, there is surprisingly little research on the interface of ethnobotany and medical anthropology. This volume, which brings together (ethno-)botanists, medical anthropologists and a clinician, makes an important contribution towards filling this gap. It emphasises that plant knowledge arises situationally as an intrinsic part of social relationships, that herbs need to be enticed if not seduced by the healers who work with them, that herbal remedies are cultural artefacts, and that bioprospecting and medicinal plant discovery can be viewed as the epitome of a long history of borrowing, stealing and exchanging plants.

Since the turn of the century Singapore has sustained a reputation for both austere governance and cutting-edge biomedical facilities and research. Seeking to emphasize Singapore’s capacity for “modern medicine” and strengthen their burgeoning biopharmaceutical industry, this image has explicitly excluded Chinese medicine – despite its tremendous popularity amongst Singaporeans from all walks of life, and particularly amongst Singapore’s ethnic Chinese majority. This book examines the use and practice of Chinese medicine in Singapore, especially in everyday life, and contributes to anthropological debates regarding the post-colonial intersection of knowledge, identity, and governmentality, and to transnational studies of Chinese medicine as a permeable, plural, and fluid practice.

Innovation-making is a classic theme in anthropology that reveals how people fine-tune their ontologies, live in the world and conceive of it as they do. This ethnographic study is an entrance into the world of Buryat Mongol divination, where a group of cursed shamans undertake the ‘race against time’ to produce innovative remedies that will improve their fallen fortunes at an unconventional pace. Drawing on parallels between social anthropology and chaos theory, the author gives an in-depth account of how Buryat shamans and their notion of fortune operate as ‘strange attractors’ who propagate the ongoing process of innovation-making. With its view into this long-term ‘cursing war’ between two shamanic factions in a rural Mongolian district, and the comparative findings on cursing in rural China, this book is a needed resource for anyone with an interest in the anthropology of religion, shamanism, witchcraft and genealogical change.

Focusing on practice more than theory, this collection offers new perspectives for studying the so-called “humoral medical traditions,” as they have flourished around the globe during the last 2,000 years. Exploring notions of “balance” in medical cultures across Eurasia, Africa and the Americas, from antiquity to the present, the volume revisits “harmony” and “holism” as main characteristics of those traditions. It foregrounds a dynamic notion of balance and asks how balance is defined or conceptualized, by whom, for whom and in what circumstances. Balance need not connoteegalitarianism or equilibrium. Rather, it alludes to morals of self care exercised in place of excessiveness and indulgences after long periods of a life in dearth. As the moral becomes visceral, the question arises: what constitutes the visceral in a body that is in constant flux and flow? How far, and in what ways, are there fundamental properties or constituents in those bodies?

Neither power nor morality but both. Moral power is what Sukuma farmers in Tanzania in times of crisis attribute to an unknown figure they call their witch. A universal process is involved, as much bodily as social, which obstructs the patient’s recovery. Healers turn the table on the witch through rituals showing that the community and the ancestral spirits side with the victim. In contrast to biomedicine, their magic and divination introduce moral values that assess the state of the system and that remove the obstacles to what is taken as key: self-healing. The implied ‘sensory shifts’ and therapeutic effectiveness have largely eluded the literature on witchcraft. This book shows how to comprehend culture other than through the prism of identity politics. It offers a framework to comprehend the rise of witch killings and human sacrifice, just as ritual initiation disappears.

There is a growing interest in studies that document the relationship between science and medicine - as ideas, practices, technologies and outcomes - across cultural, national, geographic terrain. Tibetan medicine is not only known as a scholarly medical tradition among other Asian medical systems, with many centuries of technological, clinical, and pharmacological innovation; it also survives today as a complex medical resource across many Asian nations - from India and Bhutan to Mongolia, Tibet (TAR) and China, Buryatia - as well as in Western Europe and the Americas. The contributions to this volume explore, in equal measure, the impacts of western science and biomedicine on Tibetan grounds - i.e., among Tibetans across China, the Himalaya and exile communities as well as in relation to globalized Tibetan medicine - and the ways that local practices change how such “science” gets done, and how this continually hybridized medical knowledge is transmitted and put into practice. As such, this volume contributes to explorations into the bi-directional flows of medical knowledge and practice.

Set in Tanga, a city on the Tanzanian Swahili coast, Dominik Mattes examines the implementation of antiretroviral HIV-treatment (ART) in the area, exploring the manifold infrastructural and social fragilities of treatment provision in public HIV clinics as well as patients’ multi-layered struggles of coming to terms with ART in their everyday lives. Based on extensive ethnographic fieldwork, the book shows that, notwithstanding the massive rollout of ART, providing treatment and living a life with HIV in settings like Tanga continue to entail social, economic, and moral challenges and long-term uncertainties, which contradict the global rhetoric of the “normalization of HIV”.

Expanding our understanding of contagion beyond the typical notions of infection and pandemics, this book widens the field to include the concept of biosocial epidemics. The chapters propose varied and detailed answers to questions about epidemics and their contagious potential for specific infections and non-infectious conditions. Together they explore how inseparable social and biological processes configure co-existing influences, which create epidemics, and in doing so stress the role of social inequality in these processes. The authors compellingly show that epidemics do not spread evenly in populations or through simple coincidental biological contagion: they are biosocially structured and selective, and happen under specific economic, political and environmental conditions. This volume illustrates that an understanding of biosocial factors is vital for ensuring effective strategies for the containment of epidemics.

Sufism is known as the mystical dimension of Islam. Breathing Hearts explores this definition to find out what it means to ‘breathe well’ along the Sufi path in the context of anti-Muslim racism. It is the first book-length ethnographic account of Sufi practices and politics in Berlin and describes how Sufi practices are mobilized in healing secular and religious suffering. It tracks the Desire Lines of multi-ethnic immigrants of color, and white German interlocutors to show how Sufi practices complicate the post secular imagination of healing in Germany.

Based on fieldwork conducted between 2001-2008 in urban East Africa, this book explores who the patients, practitioners and paraprofessionals doing Chinese medicine were in this early period of renewed China-Africa relations. Rather than taking recourse to the ‘placebo effect’, the author explains through the spatialities and materialities of the medical procedures provided why -  apart from purchasing the Chinese antimalarial called Artemisinin -  locals would try out their ‘alternatively modern’ formulas for treating a wide range of post-colonial disorders and seek their sexual enhancement medicines.

Caring for small children and the family in Burkina Faso is hard work. Although the health infrastructure in Burkina Faso is weak and many citizens feel neglected by the state, Fragile Futures shows that the state continues to play an important role in people’s engagements and hopes for a better future. Based on more than twenty years of research engagement with Burkina Faso, it is an ethnography of how rural citizens address ambiguities of sickness and care and try to secure a decent future for themselves and their families.