article

Discourse, power, and the diagnosis of weakness: encountering practitioners in Bangladesh

Medical anthropology quarterly, n.s.11 (3) • Published In 1997 • Pages: 352-374

By: Wilce, James MacLynn.

Abstract
This is a detailed and sometimes theoretical article on the author's experiences as a 'patient' of nonbiomedical practitioners, and an examination of Bangladeshis' encounters with herbalists, exorcists, and diviners which reveal the interactive means by which the diagnostic concept of DURBALATA (weakness ) is constructed in the society. In the cases presented, facing power in the person of the practitioner means losing face.The author argues that '…discursive phenomena above and below the lexical level are responsible. The phenomena described -- (1) interruption or dismissal of the patient's words by practitioners and others present during the clinical encounter, (2) divinatory routines that assign the DURBALATA label to women, and (3) one patient's use of 'creaky' voice quality in a strictly popular sector' (domestic) encounter -- are nonreferential but socially significant semiotic processes that operate, for the most part, beneath the level of discursive awareness. These encounters and their outcomes have more to do with social reproduction than with any unambiguously effective therapeutic outcome' ( p.352).
Subjects
Theoretical orientation in research and its results
Observation in research
Language
Speech
Grammar
Phonology
Conversation
Theory of disease
Shamans and psychotherapists
Medical therapy
Magicians and diviners
culture
Bengali
HRAF PubDate
2002
Region
Asia
Sub Region
South Asia
Document Type
article
Evaluation
Creator Type
Ethnologist
Document Rating
5: Excellent Primary Data
Analyst
John Beierle ; 2000
Field Date
ca. 1991-1992
Coverage Date
ca. 1991-1992
Coverage Place
Matlab village, Bangladesh
Notes
James M. Wilce
Includes bibliographical references (p. 370-374)
LCCN
84643999
LCSH
Bengalis