医学融合的Wixárika实践:人类世健康的本体论建议

J. Gamlin
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摘要

通过了解一个社区的医疗体系,我们可以看到它的身体本体,以及其中的人们如何与世界生活,这是一种历史建构的意识形态立场。现代化和发展重构了土著社区,并贬低了包括医疗系统在内的传统本体。这是一种全球模式,历史权力关系定义了存在的殖民性,并由此定义了与父权和资本主义普遍相关的有组织的医疗、治理和教育。这些社会结构构成了人类世地质时代和地球危机的基础。Wixárika土著社区生活在一个多神社会;他们的医疗系统治疗疾病的精神根源,关注人类、超自然、动植物社会的社会凝聚力。这一体系被占主导地位的生物医学普遍观点所取代,后者将身体与环境和社会分开对待。我把这种认识论上的不平等称为本体论上的人类世。Wixaritari使用对抗疗法和传统医疗系统,遵循对健康的非分层综合理解。对这两个系统给予同等重视,可能是一个对人类健康以外的福祉产生影响的框架。这篇研究文章提出,通过以超越人类的土著社会为中心,我们可以从最广泛的意义上重新认识我们的地球关系。
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Wixárika Practices of Medical Syncretism: An Ontological Proposal for Health in the Anthropocene
By understanding a community’s medical system, we are able to see its body ontology and how the people within it live in relation to the world, a historically constructed ideological position. Modernisation and development have restructured Indigenous communities and devalued traditional ontologies, including medical systems. This is a global pattern, where historical power relationships defined the coloniality of being and from this, organised healthcare, governance, and education in relation to patriarchal and capitalist universals. These social structures underlie the Anthropocene geological epoch and planetary crisis. Wixárika Indigenous communities live a polytheistic sociality; their medical system treats the spiritual origins of illness, attending to social cohesion in a society of humans, the supernatural, flora and fauna. This system is subalternised by dominant universals of biomedicine, which treat the body as separate from the environment and society. I refer to this epistemological inequality as the ontological Anthropocene. Wixaritari use both allopathic and traditional medical systems, following a non-hierarchical syncretic understanding of wellbeing. Giving equal importance to both systems may be a framework with implications for wellbeing beyond human health. This Research Article proposes that by centring Indigenous sociality that is more-than-human we can reconceive our planetary relationships in the broadest sense.
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