The Subjective Dimension in the Health / Illness / Attention Process: Reflections Involving a Haitian Rural Community

Authors

Keywords:

Haiti, therapeutic pathway, placebo /nocebo, vodou, structural violence

Abstract

The symbolic dimension of the health/illness/care is present in the representation of illnesses differently in each social group In this representation, the etiological conceptualization and healing strategies can include a multiplicity of knowledge, which guide the patient's therapeutic path.  The explanatory model used by the community of Kaydesa, Haiti, reveals a series of symbols and cultural constructions involved in affliction and illness, which highlights the influence of psychosocial perspectives in this process. This article sheds light on the subjective aspect of the health /illness /care process and, from this perspective, reflect theoretical propositions on the placebo and nocebo action mediated by the vodou culture, as well as the position of official medicine in relation to these concepts in the local socio-economic context. Conclusion: from the reflections it is possible to recognize the connection between the placebo and nocebo effect in the health /disease /care process and to identify the influence of structural violence in the public health area in Kaydesa, which manifests itself interfering in the representation of diseases and in the health practices of local residents.

Author Biographies

Fabiane Gioda, Federal University of Santa Catarina

PhD at the Postgraduate Programme in Politic Sociology, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil.

Amanda Faqueti, Federal University of Santa Catarina

PhD candidate at the Postgraduate Programme in Collective Health, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil.

References

Ader, R. (1983). Developmental psychoneuroimmunology. Developmental Psychobiology, (16), pp. 251-267. https://doi.org/10.1002/dev.420160402

Balleiro, E. M., & Balleiro, C. O. (2000). Efeito Placebo e o Efeito Nocebo nos Procedimentos Terapêuticos. Disponível em http://www.cibersaude.com.br/index1.asp

Bateson, G. (1972). Style, Grace and Information in Primitive Art. In G. Bateson (Ed.), Steps to an Ecology of Mind (pp. 128-152). Nova York, NY: Ballantine Books.

Baptista, J. R. de C. (2012). Sè tou melanje: uma etnografia sobre o universo social do vodu haitiano (tese de doutorado). Rio de Janeiro, Brasil: Universidade Federal do Rio de Janeiro.

Brodwin, P. (1996). Medicine and Morality in Haiti: The Contest for Healing Power. Cambridge, Reino Unido: Cambridge University Press. https://doi.org/10.1017/CBO9780511613128

Castiel, L. D. (1991). Psicossomática e eficácia: Além do Princípio do Placebo. Jornal Brasileiro de Psiquiatria, 40(5), pp. 267-272.

Celestino, C, A. (1992). O uso do placebo no tratamento de mulheres climatéricas. Revista Brasileira de Ginecologia e Obstetrícia, 3(1), pp. 105-110.

CIA World Factbook. (2017). Field Listing: Maternal Mortality Rate. Disponível em https://www.cia.gov/library/publications/the-world-factbook/fields/353.html

Colin, J., & Paperwalla, G. (2003). Haitians. In P. S. Hill, J. G. Lipson & A. I. Meleis (Eds.), Caring for Women cross-culturally (pp. 172-187). Philadelphia, PA: F.A. Davis.

Dossey L. (1997). Medicine, meaning and prayer. In L. Dossey et al. (Eds.), The power of meditation and prayer (pp. 4-5). Carlsbad, CA: Hay House.

Evans-Pritchard, E. E. (1976), Brujeria, magia y oráculo entre los azande. Barcelona, Espanha: Anagrama.

Foster, G. (1976). Disease Etiologies in Non-Western Medical Systems. American Anthropologist, (78), pp. 772-782. https://doi.org/10.1525/aa.1976.78.4.02a00030

Freeman, B. C. (1998). Third-World Folk Beliefs and Practices: Haitian Medical Anthropology. Port-au-Prince, Haiti: La Presse Evangélique.

Galtung, J. (1969). Violence, Peace, and Peace Research. Journal of Peace Research, 6(3): pp. 167-191. https://doi.org/10.1177/002234336900600301

Gioda, F. R. (2017). Agentes, saberes e práticas no processo saúde/doenças no Haiti (tese de doutorado). Florianópolis, Brasil: Universidade Federal de Santa Catarina.

Hernáez, A. M. (2008). Antropología médica: teorías sobre la cultura, el poder y la enfermedad. Barcelona, Espanha: Anthropos.

Hurbon, L. (1987). O Deus da Resistencia Negra – O vodu Haitiano. São Paulo, Brasil: Paulina.

Kleinman, A. M. (1980). Patients and Healers in the context of culture. Berkeley: University of California Press.

Kleinman A. M., & Good, B. J. (1985). Culture and Depression. Studies in the Anthropology and Cross-Cultural Psychiatry of Affect and Disorder. Berkeley: University of California Press.

Langdon, E. J. (2014). Os diálogos da antropologia com a saúde: contribuições para as políticas públicas. Ciência & saúde coletiva, (19), pp. 1019-1029. https://doi.org/10.1590/1413-81232014194.22302013

Maia, Â. (2002). Emoções e sistema imunológico: um olhar sobre a psiconeuroimunologia. Psicologia: Teoria, Investigação e Práctica, (2), pp. 207-225.

Menéndez, E. L. (2009). Modelos de atención de los padecimientos: de exclusiones teóricas y articulaciones prácticas. Ciência & saúde coletiva, (8), pp. 185-207. https://doi.org/10.1590/S1413-81232003000100014

Michel, C. (2002). ¿El vudú haitiano es un humanismo? CUYO. Anuario de filosofía argentina y americana, (18/19), pp. 123-144.

Minn, P. (2001). Water in Their Eyes, Dust on Their Land: Heat and Illness. Journal of Haitian Studies, 7(1), pp. 4-25.

Métraux, A. (1972). Le vaudou haitien. Paris, França: Gallimard.

Nicolas, G., Desilva, A. M., Subrebost, K. L., Breland-Noble, A., Gonzalez-Eastep, D., Manning, N., & Prater, K. (2007). Expression and treatment of depression among Haitian immigrant women in the United States: clinical observations. American journal of psychotherapy, 61(1), pp. 83-98. https://doi.org/10.1176/appi.psychotherapy.2007.61.1.83

Pereira, D. A., & Farnese, C. (2004). Efeito placebo, efeito nocebo e psicoterapia: correlações entre os seus fundamentos. Universitas: Ciências da Saúde, 2(1), pp. 69-90. https://doi.org/10.5102/ucs.v2i1.524

Roberto G. L. (2004). Espiritualidade e saúde. In E. F. B. Teixeira, M. C. Müller, & J. D. T. da Silva (Eds.), Espiritualidade e qualidade de vida (pp. 151-163). Porto Alegre, Brasil: Edipucrs.

Rossi, E. L. A. (1997). Psicobiologia da Cura Mente-Corpo: Novos Conceitos de Hipnose Terapêutica. Campinas, Brasil: Psy.

Selye, H. (1976). The stress of life. Nova York: McGraw-Hill.

Silva, V. G. D. (2007). Neopentecostalismo e religiões afro-brasileiras: Significados do ataque aos símbolos da herança religiosa africana no Brasil contemporâneo. Mana, 13(1), pp. 207-236. https://doi.org/10.1590/S0104-93132007000100008

Sterlin, C. (2006). Pour une approche interculturelle du concept de santé. Ruptures : revue transdisciplinaire en santé, 11(1), pp. 112-121.

Stephen, M. D. (2002). Remissão Espontânea e Efeito Placebo. Disponível em https://www.oocities.org/quackwatch/placebo.html

Thomas-Stevenson, B. (1991). Ozarkian and haitian folk medicine. Disponível em http://faculty.webster.edu/corbetre/haiti/misctopic/medicine/ozark.htm

Tosta, C. E. (2004). Prece e cura. In E. F. B. Teixeira, M. C. Müller, & J. D. T. Silva (Eds.), Espiritualidade e qualidade de vida (pp. 105-124). Porto Alegre, Brasil: PUCRS.

Yap, P. M. (1965). A culture-bound despersonalization syndrome. The British Journal of Psychiatry. 111(470), pp. 43-50. https://doi.org/10.1192/bjp.111.470.43

Published

2020-06-30