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!