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| Situated Knowledge in Classical Tibetan Medicine: Psychiatric Aspects | ||
| 作者 | Jacobson, Eric Emil (著) |
|---|---|
| 出處題名 | Dissertation Abstracts International |
| 卷期 | v.61 n.9 Section A |
| 出版日期 | 2000 |
| 出版者 | ProQuest LLC |
| 出版者網址 | https://www.proquest.com/ |
| 出版地 | Ann Arbor, MI, US [安娜堡, 密西根州, 美國] |
| 資料類型 | 期刊論文=Journal Article |
| 使用語言 | 英文=English |
| 學位類別 | 博士 |
| 校院名稱 | Harvard University |
| 系所名稱 | Medicine, Chinese Traditional — Tibet |
| 指導教授 | Good, Byron J. |
| 畢業年度 | 2000 |
| 附註項 | 687p |
| 關鍵詞 | Situated knowledge; Tibetan; Medicine; Psychiatric; Buddhism |
| 摘要 | This study provides (i) an analytic description of the methods by which classical Tibetan physicians and their patients produce situated medical knowledge, i.e. knowledge of specific, immediately experienced instances of illness and therapy, and (ii) textual and ethnographic material descriptive of classical Tibetan medicine in general. Methods include the original translation of portions of the tradition's central classic, ethnographic observation of several hundred clinical encounters between classical physicians and their patients in contemporary northern India, and semi-structured interviews with patients on their life history, illness history, symptomatology, explanatory discourse and narrative styles. A discussion of the training of classical physicians covers its ethical, religious, intellectual and practical dimensions. The analysis is framed in terms of the interdigitation of a deliberative rationality which is applied to clinical examination, diagnosis and treatment planning on the one hand with iconographic elements and ritualized activities which constitute a mode of “participation” in transcendental healing powers on the other. This is supplemented by descriptions of the historical, ethnographic, bureaucratic, architectural and religious contexts within which the clinical encounter and illness experience occur. A model is given of the “script” which enables physician and patient to collaborate in the efficient execution of the clinical encounter's medical tasks. Other more variable aspects of clinical encounters are also described. Next discussed is a series of case studies of patients who were diagnosed by their physicians as suffering from “life-wind,” an illness in which psychiatric symptoms are prominent, and who had also been observed in clinical encounters. Results include the relative frequencies and significance of the subjects' own testimony in the following areas: (i) Distressing events identified as causes of their illness, (ii) symptomatology, (iii) modalities of treatment, (iv) etiological, pathomechanical and therapeutic explanations, and (v) the “narrative style” of the subjects' testimony. In addition to this an extended narrative of an exemplary case is given. The final chapter summarizes the features of classical Tibetan medicine and the methods of situated knowledge production which the study has documented. Appendices include (i) selected materia media, (ii) selected formulary, and (iii) five additional case study narratives. |
| ISBN | 0599961856; 9780599961852 |
| 點閱次數 | 429 |
| 建檔日期 | 2005.09.23 |
| 更新日期 | 2022.03.25 |
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