Monday, November 26, 2012

Brief Thoughts on Medical Pluralism


Medical pluralism is, by my interpretation of the readings, a fairly broad concept involving agency, incorporation, and cross-fertilization of medical discourses and practices. Lacking in a theoretical background and with only two readings, I am having difficulty drawing significant conclusions and connections this week.

To what degree have we seen medical pluralism in other readings this term? In Kelm’s two pieces that we have studied this term, medical pluralism is central. Medical pluralism is hinted at, though not as explicitly discussed or named or named as such, in a few of the readings. For example, Keith Carlson, touching on pluralism more generally, indicates that “Native ideas, like Native history, could change to account for new information and new historical experiences without ceasing to be Aboriginal in nature”[1] and cites John Lutz, who described a “moditional” response to change, which used modern activities for traditional purposes.[2] Suzanne Alchon briefly describes how indigenous peoples of the Americas acknowledged their own religions and those of the colonizers in their religious responses to new diseases.[3] From my admittedly cursory search through my notes for such themes in the readings from previous weeks, it appears that medical pluralism is a silent undercurrent through much of the relevant historiography, with few scholars giving it voice.


[1] Carlson, 60
[2] Lutz, cited in Carlson, 163.
[3] Alchon 112

Monday, November 19, 2012

Cannibalism?


Warwick Anderson’s Collectors of Lost Souls: Turning Kuru Scientists into Whitemen read, to me, as a lesson in how not to do research about indigenous peoples. Of course, the scientist Gajdusek’s practices of obtaining specimens for research, and even adopting indigenous children into his own overseas home, are ethically suspect – however, Anderson’s own work was, to me, problematic as well. Anderson introduced the idea that, in obtaining specimens such as blood and brains for his research, Gajdusek was, metaphorically, exocannibalistic. Exocannibalism, eating one’s enemies, can be distinguished from endocannibalism, which is eating one’s kin. There is no evidence that Gajdusek actually participated in literal cannibalism alongside the community in which he researched. However, his obsession with obtaining research specimens beyond the amount he needed, partly to trade them with other scientists and boost his status in the scientific community, is, frankly, creepy as fuck.[1] As a reader, I was almost expecting Anderson’s monograph to conclude with Gajdusek developing kuru, which is spread through cannibalism. It did not end this way, but the allegations of sexual abuse which resulted in Gajdusek’s arrest in the United States was sufficiently disturbing.
In some way, Gajdusek perhaps attempted to reframe his work as endocannibalistic, rather than exocannibalistic. He did not, however, seem to try to get beyond the metaphor of cannibalism by adjusting his practices, and continued in his lust for specimens beyond a point where it would be appropriate, even to his contemporaries in a research context with different standards than we have today. He may have attempted to redefine his identity such that he was a member of the Fore community he was studying. This can be seen in his adoption of a Fore-sounding name, Kaoten, for himself, and his eventual adoption of several Fore boys. He thus became a father in the community, rather than an outsider, and used this trust to gain access to the specimens he desired. His reluctance to shed an association to cannibalism is linked to how he romanticized the practice, questioning in his journal whether he was metaphorically a cannibal, and even dissecting the brains of Fore people on his dining table by candlelight. While this unfortunate location for dissections may be simply due to lack of infrastructure—he was joined in these dissections by other scientists who were more mainstream in their views of their own research—Gajdusek was the only member of his team to persist in gathering Fore brains and bodily fluids beyond a point of scientific relevance.
While Gajdusek’s research is admittedly a dramatic example of poor research practice, I have spent the week considering whether all research that is performed without sufficient regard to ethics is, to some extent, a sort of academic exocannibalism. Writing about one’s own community without the proper checks and balances might be endocannibalistic – still potentially unsettling for an external observer, but accepted by the peoples being researched. For those of us who do not identify as part of the communities we are researching, we risk crossing a yet more challenging boundary, in which our work “eats” individuals and communities who are not our kin – or, at least, consumes, digests, and incompletely regurgitates the experiences and voices of a marginalized group. Herein lies the importance of culturally sensitive research.
Based on this disturbingly extended metaphor, Anderson’s writings about Gajdusek’s research, and the presentation of his monograph were, to some extent, similarly concerning. All of the readings this month were lacking in indigenous perspectives; however, I found that DeJong and Ishiguro were more self-conscious in laying out the limitations of their research, while Anderson was less clear about whom he aimed to portray. Ultimately, he included the voices of only very specific community members, focusing instead on members of the scientific community. DeJong and Ishiguro carefully noted their plans to study institutions and infrastructure affecting health, while Bocking’s work was very theoretical and worked with discourses more than voices. Anderson, however, examined responses to a particular disease, kuru, without undertaking much research into how the Fore people experienced the disease and the scientists working in their community. In Anderson’s monograph, Fore people are seen but not heard: photographs of Fore women and children, suffering from kuru and partially nude by Western standards of dress, can be seen on an overwhelming number of pages. Anderson does not seem to problematize his use of these photographs, instead using images of indigenous peoples as a sort of artifact, repeatedly portrayed throughout the text. Rather than hearing Fore voices, as readers, we see their exposed bodies in a perverse form of colonial display, vulnerably positioned, and almost carnal.


[1] Pardon my French – but it is. Also, just checking to see who actually reads this!

Monday, October 22, 2012

Burnett/Lux




Burnett relies on Lux and other historians for her oral history, attributing this to her significant difficulties in gaining access to sources due to current controversies over residential schools. Her focus on a single treaty area avoids some of the repetition that occurs throughout Lux’s work; it also makes her monograph more persuasive and coherent, in my opinion. As Lux focuses on the role of constructions of race and class in providing medical care, thus offering less treatment of gender relations and the role of women, reading these texts together is valuable.

Both Burnett and Lux offer allude to the current situation of Canada’s Aboriginal peoples. Burnett’s difficulties in obtaining sources, particularly relating to residential schools, is particularly relevant for beginning researchers, as the apprehension of churches to open their archives and risk further condemnation is not unlikely to continue. Lux concludes by urging self-determination, pointing out that despite the challenges faced by current Aboriginal leaders, they cannot do worse than Euro-Canadian bureaucrats already had.[1]

I was struck by the extent to which authorities experimented on Aboriginal adults and children in institutional settings, ranging from the often deadly “social experiment” of residential schools to the ethically circumspect BCG trials. Many elders alleged that people were subject to experiments during hospital stays, bolstering the reputation of hospitals as places of death and suffering.[2] This reminded me of the experimentation on children with disabilities in the Provincial Training School in Red Deer, Alberta, later in the twentieth century,[3] showing a long-ranging trend in using institutions as a venue for unethical experiments on marginalized people.

Peculiarly, while both authors comment on women’s and men’s roles as healers, and women’s roles as patients, there is little discussion of Aboriginal men as patients, either in traditional healing or Euro-Canadian hospitals. How is the role of the patient gendered in the relationship between settlers and Aboriginal peoples on the prairies?

In both monographs, Aboriginal history is framed and practiced very differently from, for example, Carlson’s work. Where Carlson’s text can be accurately described as an indigenous history, despite being produced by an historian of Euro-Canadian origin, both Lux and Burnett focus on the impacts of colonization, such that their works are narrated in terms of contact between Aboriginal peoples and Europeans. Neither is written with the explicit self-consciousness that pervades Carlson’s work. That said, both authors consider Aboriginal agency in their analyses, with Burnett particularly showing an extent of reciprocal relationships between Aboriginal women and settlers, and Lux noting resistance to Euro-Canadian medical regimes through the persistence of ceremonial dances, incorporation, and petitions to authorities. Incorporation was clearly practiced by Aboriginal peoples on the prairies, who used Euro-Canadian medicines in culturally specific ways due to difficulties in obtaining their own medication; Lux indicates that this was of great concern to doctors.[4] Notably, while incorporation enabled Nisga’a peoples in British Columbia to minimize disruption to their culture from Euro-Canadian medical infrastructure,[5] this was not the case for Aboriginal communities on the prairies, for whom Euro-Canadian economic and medical intervention was far more damaging and intrusive.

Both monographs show themes in the provision of medical care that were also apparent in mid-northern Ontario during the same approximate period, fueling my speculation that the economic and religious goals highlighted by Burnett and Lux were likely widespread nationally, though Euro-Canadian concern and the related medical infrastructure—or, in some cases, the lack thereof—was more prominent in areas with a denser Aboriginal population.


[1] Lux 225
[2] Lux 180
[3] Wahlsten, Douglas. “Leilani Muir versus the Philosopher King: Eugenics on Trial in Alberta.” Genetica 99 (1997), 190.

[4] Lux 174
[5] Kelm 338

Tuesday, October 9, 2012

Waldram/Herring/Young/Alchon/etc?


[WHY = Waldram, Herring, Young]

The demographic impact of European colonialism in the Americas has been a matter of significant academic debate, popularized, to an extent, by Charles C. Mann’s widely-available works 1491 and 1493. These books are among several which problematize the history of colonial contact in the Americas. Suzanne Alchon, in A Pest in the Land, argues for a balanced perspective considering the impacts of both colonial violence and epidemic diseases. However, this is undermined by the structure of her book; she devotes the majority of her monograph to discussing the demographics of various regions and the impacts of several epidemics on indigenous populations of the Americas, to a degree obscuring her own argument of the importance of violent, marginalizing colonial policies.

How can historians researching issues other than pre- and post-contact demography respond to the controversy over the post-1492 decline in indigenous populations in the Americas? This is where Alchon’s appendix breaks with the traditions of either “high-counting” or “low-counting” demographic historians, arguing that the static totals are ultimately unimportant compared to the dynamics of population decline (172). While this may be suitable for studies of the Americas as a broad, intercontinental region, more specific figures would be useful for considering individual indigenous groups.


Geographical scope – Alchon’s work vs. other demographic studies. Sylvia Wargon emphasizes the importance of region in the history of demography (8), while Alchon combines regions, making her argument based on pre-contact demographics and incidences of disease in more densely populated areas of the Americas, and devoting less attention to the nuances of contact in North America.

Link with Carlson – key role of pre-contact systems; cannot see history of indigenous peoples as starting with contact

Conflation between medicine and religion; WHY indicate that academic focus is on the supernatural aspects of Aboriginal medicine (129); Alchon shows that it’s not just an indigenous thing, and that pre-contact Amerindian and European understandings of health and illness were based on similar premises.

Various overlaps in geographic and temporal scope; WHY temporally surpasses Alchon’s work.

I can't quite pull things together this week!