This Photo Essay explores my experience with cancer and healing using Indigenous traditional medicines. I use Photo First Voice, a form of auto-ethnography, to story my ‘living’ experience with cancer, which includes getting in touch with and honouring my Indigenous roots (Algonquin/French) attending healing ceremonies, and becoming an Oshkaabewis (a healer’s helper) myself. I integrate photographic images into this essay to illustrate my experiences and to enhance the meaning of the words I have committed to these pages. Each image represents a different aspect or level of knowledge and healing. These images and text are followed by a discussion in which I weave fragments of experience together to narrate a living (inter)relationship with the earth, towards a more balanced whole. Indigenous medicines set in motion major changes in my life, which are fundamental to my ongoing healing. In this context, the term ‘medicine’ refers to Indigenous knowledges that contribute to healing, healing ceremonies, teachings, and plant medicines (mainly Ojibwe).
这篇摄影文章探讨了我使用土著传统药物治疗癌症的经历。我使用“照片第一声音”(Photo First Voice)，一种自动人种志的形式，来讲述我与癌症的“生活”经历，其中包括与我的土著根(阿尔冈昆/法国)取得联系并尊重我的土著根(阿尔冈昆/法国)，参加治疗仪式，并成为一名Oshkaabewis(治疗师的助手)。我将摄影图像整合到这篇文章中，以说明我的经历，并增强我在这些页面中所承诺的文字的含义。每幅图像都代表了知识和治疗的不同方面或水平。这些图像和文字之后是一个讨论，在这个讨论中，我将经历的片段编织在一起，讲述与地球的生活(内部)关系，走向一个更平衡的整体。土著药物使我的生活发生了重大变化，这对我正在进行的治疗至关重要。在这种情况下，“医学”一词指的是有助于治疗、治疗仪式、教义和植物药物(主要是Ojibwe)的土著知识。
{"title":"Turning Cancer into Medicine: Storying Healing through Imagery","authors":"C. Fournier","doi":"10.17157/mat.10.1.7035","DOIUrl":"https://doi.org/10.17157/mat.10.1.7035","url":null,"abstract":"This Photo Essay explores my experience with cancer and healing using Indigenous traditional medicines. I use Photo First Voice, a form of auto-ethnography, to story my ‘living’ experience with cancer, which includes getting in touch with and honouring my Indigenous roots (Algonquin/French) attending healing ceremonies, and becoming an Oshkaabewis (a healer’s helper) myself. I integrate photographic images into this essay to illustrate my experiences and to enhance the meaning of the words I have committed to these pages. Each image represents a different aspect or level of knowledge and healing. These images and text are followed by a discussion in which I weave fragments of experience together to narrate a living (inter)relationship with the earth, towards a more balanced whole. Indigenous medicines set in motion major changes in my life, which are fundamental to my ongoing healing. In this context, the term ‘medicine’ refers to Indigenous knowledges that contribute to healing, healing ceremonies, teachings, and plant medicines (mainly Ojibwe).","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42602090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This research article seeks to understand how the cultural context of tuberculosis (TB) care in Ukraine influences healthcare workers’ perception of their patients and the choices they make in offering TB treatment. Specifically, we aim to explore healthcare workers’ predilection towards inpatient treatment of TB in Ukraine in lieu of other, evidence-based treatment approaches. Based on qualitative research with TB care providers in Ukraine, we argue that a preference for inpatient treatment instead of the standard outpatient regimen is rooted in the care workers’ assessment of the patient’s desire to get well. In other words, the preferred treatment modality is not based on any biological characteristic of TB infection; instead, it is based on the perceived strengths and weaknesses of patients’ psychology.
{"title":"Shifting Stigma: Why Ukrainian Health Care Workers Favor a High Barrier Treatment Modality for Tuberculosis","authors":"M. Villar, J. Carroll","doi":"10.17157/mat.10.1.6521","DOIUrl":"https://doi.org/10.17157/mat.10.1.6521","url":null,"abstract":"This research article seeks to understand how the cultural context of tuberculosis (TB) care in Ukraine influences healthcare workers’ perception of their patients and the choices they make in offering TB treatment. Specifically, we aim to explore healthcare workers’ predilection towards inpatient treatment of TB in Ukraine in lieu of other, evidence-based treatment approaches. Based on qualitative research with TB care providers in Ukraine, we argue that a preference for inpatient treatment instead of the standard outpatient regimen is rooted in the care workers’ assessment of the patient’s desire to get well. In other words, the preferred treatment modality is not based on any biological characteristic of TB infection; instead, it is based on the perceived strengths and weaknesses of patients’ psychology.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45296621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Youth mental health interventions in the UK increasingly use goal-setting procedures to shape services and measure outcomes in ways that are intended to be meaningful to service users. This research article questions this premise, departing with the ethnographic observation that many young people do not seem to welcome the invitation or requirement to direct their therapeutic aims and set the terms for service evaluation in the form of goals. I will show that goal-setting procedures are examples of a broader field of complex ethico-political dilemmas navigated by mental health service staff. While wanting to enable young people to be healthy agents, staff are simultaneously critically aware of the risk of imposing normative, unrealistic and unfair expectations onto young people. I propose that these staff are engaged in a specific form of ethico-political practice, which I call ‘nested ethics’. I use this term to describe instances where staff ethically evaluate their own conduct in line with the capacity to enable the ethical life of another person (youth, in this case). Viewing goal-setting processes as an example of an uneasy politics of nested ethics enables a new perspective from which to advance debates about the enablement of service user choice within care provisions.
{"title":"Nested Ethics: The Management of Young People’s Goals in Alternative UK Mental Health Services","authors":"Rosie Jones McVey","doi":"10.17157/mat.10.1.6764","DOIUrl":"https://doi.org/10.17157/mat.10.1.6764","url":null,"abstract":"Youth mental health interventions in the UK increasingly use goal-setting procedures to shape services and measure outcomes in ways that are intended to be meaningful to service users. This research article questions this premise, departing with the ethnographic observation that many young people do not seem to welcome the invitation or requirement to direct their therapeutic aims and set the terms for service evaluation in the form of goals. I will show that goal-setting procedures are examples of a broader field of complex ethico-political dilemmas navigated by mental health service staff. While wanting to enable young people to be healthy agents, staff are simultaneously critically aware of the risk of imposing normative, unrealistic and unfair expectations onto young people. I propose that these staff are engaged in a specific form of ethico-political practice, which I call ‘nested ethics’. I use this term to describe instances where staff ethically evaluate their own conduct in line with the capacity to enable the ethical life of another person (youth, in this case). Viewing goal-setting processes as an example of an uneasy politics of nested ethics enables a new perspective from which to advance debates about the enablement of service user choice within care provisions. ","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45987185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irritable bowel syndrome (IBS) constitutes an irritating and embarrassing problem for an estimated 11–16% of the Danish population. Based on long-term ethnographic fieldwork, this article explores how young and middle-aged people diagnosed with IBS attend to, experience, and manage gut trouble in a Danish welfare context. It asks how we may understand the relation between IBS, irritation, and attention. Drawing on conceptualisations of ‘dys-appearance’ (Leder 1990) and ‘attentional pulls’ (Throop and Duranti 2015), I explore how afflicted individuals’ attention is pulled towards unwanted and unexpected gut sensations in everyday life, and how a Danish welfare context, manifesting itself in notions of ‘faring well’ (Langer and Højlund 2011) and moral imaginings of ‘good lives’ (Mattingly 2014), may contribute to this. Furthermore, I show how people are impelled to experiment with consciously paying attention to the gut and deciphering its signals to try to alleviate gut trouble. I suggest that irritation may not only be an empirical focal point, but also a heuristic tool for troubling and refining concepts.
据估计，11-16%的丹麦人患有肠易激综合征(IBS)，这是一个令人恼火和尴尬的问题。基于长期的民族志田野调查，本文探讨了在丹麦福利背景下，被诊断为肠易激综合征的年轻人和中年人是如何处理、体验和管理肠道疾病的。它询问我们如何理解肠易激综合症、刺激和注意力之间的关系。借鉴“外表异常”(Leder 1990)和“注意力拉拽”(Throop and Duranti 2015)的概念，我探讨了受折磨的个人的注意力是如何被拉到日常生活中不想要的和意想不到的直觉上的，以及丹麦的福利背景如何表现在“过得好”(Langer and Højlund 2011)和“美好生活”的道德想象(Mattingly 2014)中，这可能会导致这种情况。此外，我还展示了人们是如何被迫进行实验，有意识地关注肠道并破译其信号，以试图减轻肠道问题。我认为，刺激可能不仅是一个经验焦点，也是一种启发工具，用于困扰和提炼概念。
{"title":"Irritating Bowels: Attention and Everyday Management of Gut Trouble in Denmark","authors":"Camilla Brændstrup Laursen","doi":"10.17157/mat.10.1.6998","DOIUrl":"https://doi.org/10.17157/mat.10.1.6998","url":null,"abstract":"Irritable bowel syndrome (IBS) constitutes an irritating and embarrassing problem for an estimated 11–16% of the Danish population. Based on long-term ethnographic fieldwork, this article explores how young and middle-aged people diagnosed with IBS attend to, experience, and manage gut trouble in a Danish welfare context. It asks how we may understand the relation between IBS, irritation, and attention. Drawing on conceptualisations of ‘dys-appearance’ (Leder 1990) and ‘attentional pulls’ (Throop and Duranti 2015), I explore how afflicted individuals’ attention is pulled towards unwanted and unexpected gut sensations in everyday life, and how a Danish welfare context, manifesting itself in notions of ‘faring well’ (Langer and Højlund 2011) and moral imaginings of ‘good lives’ (Mattingly 2014), may contribute to this. Furthermore, I show how people are impelled to experiment with consciously paying attention to the gut and deciphering its signals to try to alleviate gut trouble. I suggest that irritation may not only be an empirical focal point, but also a heuristic tool for troubling and refining concepts.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136319559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This Review essay discusses three recent historical works about Mao-era public health, dealing with mass vaccination, anti-parisitic disease campaigns, and cholera epidemic response. The review identifies two key themes that cross-cut these works: the importance of pharmaceutical technology within the Mao-era, despite common assumptions that science and technology were repressed or declined during this period; and how new administrative reforms that reordered Chinese society after the Communist Revolution intersected with public health governance. Tracing how Maoist forms of state governance emerged in and through the response to epidemic disease, the review essay suggests that we can also examine China’s COVID-19 response as a crucible for implementing new forms of governing.
{"title":"Epidemic States: Reading China’s Mao-era Public Health after Zero-COVID","authors":"L. Fearnley","doi":"10.17157/mat.10.1.7123","DOIUrl":"https://doi.org/10.17157/mat.10.1.7123","url":null,"abstract":"This Review essay discusses three recent historical works about Mao-era public health, dealing with mass vaccination, anti-parisitic disease campaigns, and cholera epidemic response. The review identifies two key themes that cross-cut these works: the importance of pharmaceutical technology within the Mao-era, despite common assumptions that science and technology were repressed or declined during this period; and how new administrative reforms that reordered Chinese society after the Communist Revolution intersected with public health governance. Tracing how Maoist forms of state governance emerged in and through the response to epidemic disease, the review essay suggests that we can also examine China’s COVID-19 response as a crucible for implementing new forms of governing. ","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46717411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this Field Note, I share my experiences of an immersive period of ethnography undertaken with river swimmers in and along the River Beane and River Lea in the county town of Hertford, South-East England, from July 2020 until January 2021. As well as my personal experiences of being a swimmer, I include insights and observations from those I swam alongside to reflect on the feeling of wellbeing that river swimming instills in those dipping, swimming, and ‘dwelling’ in their local rivers. I use these insights to expand the notion of therapeutic landscapes, noting not only their temporality during a pandemic period of uncertainty and disconnection but also their minerality. I explore how therapeutic connections and closer relations between humans, non-humans and rivers, all watered by the same chalk aquifer, might be framed through the connective substance of chalk.
{"title":"River Swimming Through Uncertainty: Pandemic Immersions in a Therapeutic Chalkscape","authors":"M. Pearson","doi":"10.17157/mat.10.1.7045","DOIUrl":"https://doi.org/10.17157/mat.10.1.7045","url":null,"abstract":"In this Field Note, I share my experiences of an immersive period of ethnography undertaken with river swimmers in and along the River Beane and River Lea in the county town of Hertford, South-East England, from July 2020 until January 2021. As well as my personal experiences of being a swimmer, I include insights and observations from those I swam alongside to reflect on the feeling of wellbeing that river swimming instills in those dipping, swimming, and ‘dwelling’ in their local rivers. I use these insights to expand the notion of therapeutic landscapes, noting not only their temporality during a pandemic period of uncertainty and disconnection but also their minerality. I explore how therapeutic connections and closer relations between humans, non-humans and rivers, all watered by the same chalk aquifer, might be framed through the connective substance of chalk. ","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41364837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jonathan Yahalom, Sheila Frankfurt, Alison B. Hamilton
This Research Article deploys the frameworks of moral injury and moral agency to explore the experiences of veteran men who completed group therapy for military sexual trauma (MST). The article analyses ethnographically how veteran men with MST experience psychological growth via a replenishment of their sense of moral agency, thereby blending psychological theory about moral injury with anthropological theory about moral agency. It highlights how broader cultural experience can intersect and contribute to shame around MST, then depicts the ways that veterans recovered from a life characterised by pervasive shame, isolation, and compromised identity—psychological signs of moral injury—and made gains toward a life characterised by greater self-acceptance, an ability to tell one’s own story, and intimacy with others—signs of moral agency. In so doing, the article highlights the social and moral dimensions that can constitute psychological injury, and the way that addressing these dimensions can promote moral agency and thus mental health recovery.
{"title":"Between Moral Injury and Moral Agency: Exploring Treatment for Men with Histories of Military Sexual Trauma","authors":"Jonathan Yahalom, Sheila Frankfurt, Alison B. Hamilton","doi":"10.17157/mat.10.1.6876","DOIUrl":"https://doi.org/10.17157/mat.10.1.6876","url":null,"abstract":"This Research Article deploys the frameworks of moral injury and moral agency to explore the experiences of veteran men who completed group therapy for military sexual trauma (MST). The article analyses ethnographically how veteran men with MST experience psychological growth via a replenishment of their sense of moral agency, thereby blending psychological theory about moral injury with anthropological theory about moral agency. It highlights how broader cultural experience can intersect and contribute to shame around MST, then depicts the ways that veterans recovered from a life characterised by pervasive shame, isolation, and compromised identity—psychological signs of moral injury—and made gains toward a life characterised by greater self-acceptance, an ability to tell one’s own story, and intimacy with others—signs of moral agency. In so doing, the article highlights the social and moral dimensions that can constitute psychological injury, and the way that addressing these dimensions can promote moral agency and thus mental health recovery.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136273300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Behind the Scenes at MAT: Labour at an open access journal","authors":"Mat Editorial Collective","doi":"10.17157/mat.9.3.7396","DOIUrl":"https://doi.org/10.17157/mat.9.3.7396","url":null,"abstract":"\u0000Editorial to the September issue of 2022. \u0000 \u0000","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47206145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
‘Breathing trouble’ refers both to a biopolitical process and a metaphor for the current global condition. This Position Piece draws inspiration from the ‘universal right to breathe’ frame suggested by Joseph-Achille Mbembe (2021a) to discuss pandemic inequalities in Kolkata (India) from a location in the global north, Berlin (Germany), where the author currently lives and works. Drawing from the circumstances surrounding the interruption of my fieldwork in urban India, I argue how the border-crossing pandemic and the choking politics of the ruling governments in India and Germany are entangled in the production of pandemic inequalities. The coeval discussions of lived experiences and political grievances ‘there’ (India/Kolkata) and the critical questioning of the image of India from ‘here’ (Germany/Berlin) invite an understanding of breathing beyond its purely biological function to what we have in common, as the universal right to breathe. Such framing may help anthropologists to reattune to spatial, temporal, and ethical dimensions of excess empirical events in the constantly changing yet simultaneous pandemic realities.
{"title":"The Politics of Breathing Troubles in COVID-19: Pandemic Inequalities and the Right to Breathe across India and Germany","authors":"N. Selim","doi":"10.17157/mat.9.3.5750","DOIUrl":"https://doi.org/10.17157/mat.9.3.5750","url":null,"abstract":"‘Breathing trouble’ refers both to a biopolitical process and a metaphor for the current global condition. This Position Piece draws inspiration from the ‘universal right to breathe’ frame suggested by Joseph-Achille Mbembe (2021a) to discuss pandemic inequalities in Kolkata (India) from a location in the global north, Berlin (Germany), where the author currently lives and works. Drawing from the circumstances surrounding the interruption of my fieldwork in urban India, I argue how the border-crossing pandemic and the choking politics of the ruling governments in India and Germany are entangled in the production of pandemic inequalities. The coeval discussions of lived experiences and political grievances ‘there’ (India/Kolkata) and the critical questioning of the image of India from ‘here’ (Germany/Berlin) invite an understanding of breathing beyond its purely biological function to what we have in common, as the universal right to breathe. Such framing may help anthropologists to reattune to spatial, temporal, and ethical dimensions of excess empirical events in the constantly changing yet simultaneous pandemic realities.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67460624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Following Ann Stoler’s (2016) idea of colonial and (post)colonial history as recursive, a history which folds back upon itself, emerging in new shapes and forms yet still carrying the formations that they are folded into, and Achille Mbembe’s argument that in the (post)colony the ‘past and present are entangled in hydra-headed ways’ (Mbembe and Hofmeyr 2006), this Review essay puts into conversation three recent publications: Marrku Hokkanen’s Medicine, Mobility and Empire (2017), Simukai Chigudu’s The Political Life of an Epidemic (2020), and Luke Messac’s No More to Spend (2020). I argue that these books help elucidate the transitions from colonial to postcolonial biomedicine in Africa and show what has endured. Focusing on books that look at a small part of south-eastern Africa, the essay examines how detailed historical analysis of the colonial creation of the medical world in the region can allow a temporally entangled understanding of medicine in the (post)colony. In particular, I observe how these three books highlight the impact of colonial logics of spatiality on African medical and healthcare worlds and suggest that paying careful attention to the colonial entanglements of African health worlds is crucial to understanding their contemporary shapes and forms.
{"title":"Colonial Entanglements and African Health Worlds","authors":"T. Cochrane","doi":"10.17157/mat.9.3.6991","DOIUrl":"https://doi.org/10.17157/mat.9.3.6991","url":null,"abstract":"Following Ann Stoler’s (2016) idea of colonial and (post)colonial history as recursive, a history which folds back upon itself, emerging in new shapes and forms yet still carrying the formations that they are folded into, and Achille Mbembe’s argument that in the (post)colony the ‘past and present are entangled in hydra-headed ways’ (Mbembe and Hofmeyr 2006), this Review essay puts into conversation three recent publications: Marrku Hokkanen’s Medicine, Mobility and Empire (2017), Simukai Chigudu’s The Political Life of an Epidemic (2020), and Luke Messac’s No More to Spend (2020). I argue that these books help elucidate the transitions from colonial to postcolonial biomedicine in Africa and show what has endured. Focusing on books that look at a small part of south-eastern Africa, the essay examines how detailed historical analysis of the colonial creation of the medical world in the region can allow a temporally entangled understanding of medicine in the (post)colony. In particular, I observe how these three books highlight the impact of colonial logics of spatiality on African medical and healthcare worlds and suggest that paying careful attention to the colonial entanglements of African health worlds is crucial to understanding their contemporary shapes and forms. ","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45306269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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