Education[ edit ] Arthur Kleinman received his A. He did an internship in internal medicine at the Yale School of Medicine and his psychiatric residency at the Massachusetts General Hospital. Career[ edit ] Kleinman is currently the Esther and Sidney Rabb Professor of Anthropology, a position he has held since
The book is an infusion of case histories and anthropological studies of patients and doctors from different cultural backgrounds. What I liked most about the book is the attempt to critique the Western biomedical model from the margins, by bringing perspectives of non-Western doctors and patients.
I say attempt because Kleinman does not get away from his Western bias and at times references to other models of medicine seem fleeting and almost dismissive. They are mentioned without much explanation, though this may be simply betraying his lack of in-depth knowledge of such models.
The fact that Kleinman is a psychiatrist by training means that he is not a doctor proper — he treats the mind not the brain. The subject of the book is suffering and healing, focusing specifically on chronic illnesses, how they are not treated, how they inflict suffering on the individual and its social network.
Suffering meanings What does it mean to have pancreatic cancer, or diabetes, or dementia? The first few chapters of the book are concerned with exploring and deconstructing the various layers of meanings of illness.
Illness is the lived experience of monitoring bodily processes such as respiratory wheezes, abdominal cramps, stuffed sinuses, or painful joints.
Illness involves the appraisal of those processes as expectable, serious, or requiring treatment. Illness problems are difficulties created directly or indirectly as a result of the conditions produced by illness, whether the loss of a job, a partner, or independence.
Illness complaints are what the patients bring to the practitioner, who names and turns them into diseases. The narrow biomedical model is increasingly becoming displaced by a broader biopsychosocial model which situates disease in a network of body, self, and society, where the dynamics of biological, psychological, and environmental processes interact and conflict.
Kleinman introduces a third term, sickness. Sickness describes a disorder in a generic sense as applied to a population or group. Having the same sickness enables biosocial activities e. Sickness to me connotes a feeling of being sick, vomiting, being unwell.
I would have preferred more clarification on how the two differ. A patient does not have to be ill or sick, though they may have a condition which requires medical attention.
They could be an outpatient living with a chronic condition, who is not sick or ill, but could potentially be ill and therefore needs to be monitored. A sick person can only become a patient when there is a doctor; it is a label that comes with the status of being in the institution.
In non-acute illnesses, where the problem nor solution are self-evident or easy to achieve, illness can have significant meanings for the sick person especially.
The trajectory of chronic illness assimilates to a life course, contributing so intimately to the development of a particular life that illness becomes inseparable from life history. Continuities, as well as transformations then lead to the appreciation of the meanings of illness.
Looking for what the illness means necessitates situating the illness within relationships. A physician who sees disease will read and interpret the meaning of symptoms as signs for a signified disease entity. To the physician, symptoms means diagnosis, prognosis, and treatment.
He sees symptoms as meaning. As well as the personal and social, Kleinman identifies cultural significance in the meaning of illness, where meaning is applied to the sick person.
Kleinman gives anecdotes of AIDS patients who have been fired from his job, and disowned by his parents. Those with leprosy in a tribal community may be seen as a carrier of a curse and therefore must be ostracised from society.Writing at the Margin Discourse Between Anthropology and Medicine.
Arthur Kleinman () Abstract This article has no associated abstract. (fix it) Keywords Medical anthropology: Categories Philosophy of Anthropology in Philosophy of Social Science.
Updated world stock indexes. Get an overview of major world indexes, current values and stock market data.
This book seems to be closer to the thinking of a man late in his career. I get the sense that his thinking has changed since his famous paper in the annals of internal medicine where he makes the distinction between illness and disease. Feb 18, · Arthur Kleinman – The Illness Narratives: Suffering, Healing, & the Human Condition Arthur Kleinman is a practising psychiatrist and Professor of Anthropology at Harvard University. The book is an infusion of case histories and anthropological studies of patients and doctors from different cultural backgrounds. Archives and past articles from the Philadelphia Inquirer, Philadelphia Daily News, and skybox2008.com
Writing at the Margin explores the border between medical and social problems, the boundary between health and social change. Kleinman studies the body as the mediator between individual and collective experience, finding that many health problems--for example the trauma of violence or depression in the course of chronic pain--are less.
Archives and past articles from the Philadelphia Inquirer, Philadelphia Daily News, and skybox2008.com Arthur Kleinman is a physician and anthropologist and currently in his 40th year at Harvard.
A graduate of Stanford University and Stanford Medical School, with a master’s degree in social anthropology from Harvard and trained in psychiatry at the Massachusetts General Hospital, Kleinman is a leading figure in several fields, . This book seems to be closer to the thinking of a man late in his career.
I get the sense that his thinking has changed since his famous paper in the annals of internal medicine where he makes the distinction between illness and disease.