Of Spineless Babies and Folic Acid : Evidence and Efficacy in Biomedicine and Ayurvedic Medicine  

Oleh:

Naraindas, Harish

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 11 (Jun. 2006), page 2658-2669.
Topik: EVIDENCE; india; evidence; efficiance; science; medicine; alternate; ayurveda

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.4 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The basic premise of the paper is that western medicine's co-opting of specific technologies and materials from other (indigenous) medical traditions, stripped of the original theories underlying their use, has problematic consequences for the practitioners and patients of both source and recipient traditions. The paper begins by illustrating the historical continuity biomedically useful because they work (are efficacious) does not mean that the traditional theories underlying them as seen as correct. The knowledge contained in these traditions is not counted as legitimate, as the emphasis in biomedicine difficulties both for patients when their problems are not provided with a cause that matches their subjective awareness, and for the practitioners of other traditions whose patients have been exposed to biomedicine. The paper goes on to demonstrate using case examples from extended ethnographic fieldwork in southern india, how this is played out in a setting in which an educated insian patient population accepts this form of knowledge as legitimate but espouses ayurvedic therapy. Notions of evidence are shown to be central to the interplay between biomedical and other medical traditions, since objective tests and measures in biomedicine are accepted as the only legitimate evidence of cure, but these do not necessarily accord either with the premises of these other traditions or with patients' subjective perceptions of well being. Returning to an acceptance and practice of other traditions, consequently requires nothing less than a fundamental cognitive shift in the grounds for what constitutes evidence.

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