Illness and Culture in Contemporary Japan: An Anthropological View

Front Cover
Cambridge University Press, Jun 29, 1984 - Medical - 242 pages
Health care in contemporary Japan - a modern industrial state with high technology, but a distinctly non-Western cultural tradition - operates on several different levels. In this book Emiko Ohnuki-Tierney provides a detailed and historically informed account of the cultural practices and cultural meaning of health care in urban Japan. In contrast to most ethnomedical studies, this book pays careful attention to everyday hygienic practices and beliefs, as well as presenting a comprehensive picture of formalized medicine, health care aspects of Japanese religions, and biomedicine. These different systems compete with one another at some levels, but are complementary in providing health care to urban Japanese, who often use more than one system simultaneously. As an unequalled portrayal of health care in a modern industrial, but non-Western, setting, it will be of widespread interest to scholars and students of anthropology, medicine, and East Asian studies.
 

Contents

Japanese germs
21
Illness etiology and the source of healing power
31
Purity and impurity in the contemporary Japanese world view and ethos
34
The early Japanese world view and ethos
35
outside opposition and the classification of people
39
Further interpretations
46
My very own illness Illness in a dualistic world view The concept of jibyo
51
Cancer and suicide
60
Overview
143
Medical roles of Japanese religions A historicalsymbolic interpretation
145
Occupational specializations of Japanese supernaturals
149
Medical specializations of deities and buddhas in historical perspective
153
Individual deities and buddhas with medical specializations
159
Symbolic interpretation of medical specializations
164
Doctors and outpatients Biomedicine I
167
Past and present
169

Discussion
67
Physiomorphism somatization An aspect of the Japanese illness etiology
75
Nonpsychological illness etiology
76
Lack of interest in psychotherapy
81
Emphasis on physiological treatment
83
Discussion
84
Medical pluralism
89
Kanpo Traditional Japanese medicine of Chinese origin
91
Comparison with biomedicine
92
Increased recognition of kanpo
102
Multiple levels
107
Overview
121
Medical roles of Japanese religions A descriptive overview
123
Temples and shrines in contemporary urban Japan
124
Ishikiri Shrine and its role in surgery
126
Its role in obstetrics gynecology and pediatrics
138
Visiting a doctor
175
Pregnancy and childbirth
181
Hospitalization Biomedicine II
189
Introduction to a doctor
190
Length of hospitalization
191
The patient role
194
Hospitalization as a human drama
208
Discussion
210
Medical pluralism
212
Biomedicine in culture and society
213
A descriptive summary
219
Summary
224
References
226
Index
239
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Page 15 - We dissect nature along lines laid down by our native languages. The categories and types that we isolate from the world of phenomena we do not find there because they stare every observer in the face; on the contrary, the world is presented in a kaleidoscopic flux of impressions which has to be organized by our minds — and this means largely by the linguistic systems in our minds.
Page 3 - In yet others. however. it is used for any object. act. event. quality. or relation which serves as a vehicle for a conception - the conception is the symbol's 'meaning' - and that is the approach I shall follow here.
Page 3 - The alternatives in this venerable conflict between utilitarianism and a cultural account may be broadly phrased as follows: whether the cultural order is to be conceived as the codification of man's actual purposeful and pragmatic action; or whether, conversely, human action in the world is to be understood as mediated by the cultural design, which gives order at once to practical experience, customary practice, and the relationship between the two.
Page 13 - Estate, and multiple faculty summer research grants awarded by the Research Committee of the Graduate School at the University of Wisconsin, Madison.

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