From the Preface, by Arthur Kleinman:Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research.

Kleinman, a psychiatrist, trained in anthropology, reports on his studies of health care in Taiwan. He describes his observations of clinical interviews between various medical practitioner, folk-healers, temple medicine men, and Chinese-style and Western-style physicians and their patients. He stress the importance of adopting the proper cultural perspective, making ones interpretations within that framework.

Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine, and psychiatry describes observations of clinical interviews between various medical practitioners, namely folk healers, temple medicine men, and Chinese style and Western style physicians, and their patients. It stresses the importance of adopting proper cultural perspectives, making one's interpretations within that framework, and relying on direct observation; and urges an integration of social and cultural methods into the routine training of doctors, so as to enable a more humane and appropriate clinical practice. Medical anthropology is rich with anecdote and description focused on one or another aspect of patients or diseases, practitioners or healing, symbolisms or religion. This book takes us beyond such details and provides an integrating theoretical framework, operational models, and a systematic methodology of study that will allow the clinician and investigator to avoid the quagmires of ethnocentricity and reductionist formulation. The material is based on ten years of comparative cross-cultural research of Chinese medical systems at the National Taiwan University, Harvard University, the University of Washington, and the National Institutes of Health.

One of the most influential and creative scholars in medical anthropology takes stock of his recent intellectual odysseys in this collection of essays. Arthur Kleinman, an anthropologist and psychiatrist who has studied in Taiwan, China, and North America since 1968, draws upon his bicultural, multidisciplinary background to propose alternative strategies for thinking about how, in the postmodern world, the social and medical relate. 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 individual medical problems than interpersonal experiences of social suffering. He argues for an ethnographic approach to moral practice in medicine, one that embraces the infrapolitical context of illness, the responses to it, the social institutions relating to it, and the way it is configured in medical ethics. Previously published in various journals, these essays have been revised, updated, and brought together with an introduction, an essay on violence and the politics of post-traumatic stress disorder, and a new chapter that examines the contemporary ethnographic literature of medical anthropology.

This reader looks at both the biological and cultural aspects of health and healing within a comparative framework. Health and Healing in Comparative Perspective provides both fascinating comparative ethnographic detail and a theoretical framework for organizing and interpreting information about health. While there are many health-related fields represented in this book, its core discipline is medical anthropology and its main focus is the comparative approach. Cross-cultural comparison gives anthropological analysis breadth while the evolutionary time scale gives it depth. These two features have always been fundamental to anthropology and continue to distinguish it among the social sciences. A third feature is the in-depth knowledge of culture produced by anthropological methods such as participant-observation, involving long-term presence in and research among a study population. For medical anthropology, medical sociology, public health, nursing courses.