Medical Anthropology: Illness, Healing, Care
Key concepts for contrasting biomedical and local explanatory models of sickness and treatment.
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Questions Covered in This Set
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Disease (anthropological sense)
The biological abnormality as defined by the clinician — a lesion, viral load, or lab value like a fasting glucose of 180 mg/dL.
Illness
The lived, subjective experience of being unwell: pain, fear, shame, disrupted routine, and the meaning the person and family give it.
Sickness
The social role and macro-level process — who counts as sick, who gets a doctor's note, and how societies label and distribute suffering.
Who developed the disease/illness/sickness distinction and the explanatory model concept?
Arthur Kleinman, with Leon Eisenberg and Byron Good.
What is an explanatory model (EM)?
The set of beliefs any actor — patient, family, healer, or physician — holds about an episode of sickness, answering what is wrong, why now, what course it will take, what it will do, and what treatment is wanted or feared.
Why do anthropologists say 'biomedicine' rather than 'medicine'?
To mark it as one historically specific cultural system among many, with its own assumptions: body as machine, individual as unit of treatment, quantified evidence over narrative, death as technical failure.
Medical pluralism
The reality that most people move among biomedical, herbal, religious, and commercial healing options, choosing pragmatically and often combining them.
Give an example of disease without illness.
Asymptomatic hypertension — 'the silent killer' — hard to treat because the person does not feel sick.
Give an example of illness without demonstrable disease.
Contested conditions like chronic fatigue or fibromyalgia, where patients often struggle to be believed.
What does Anne Fadiman's *The Spirit Catches You and You Fall Down* illustrate?
The collision of a Hmong family's and Californian doctors' explanatory models over a daughter's epilepsy — tragedy driven by mutual illegibility, not malice.