Wednesday, November 14, 2012

Exorcising the Trouble Makers Magic, Science, and Culture Review

Qin Williams

In modern society, a lot of people do not believe in ghosts, but still are afraid of ghosts. Why would people would be afraid of things which they don’t even believe in? Why are there are still many people who believe in rituals? This is a problem worthy of study in the anthropology of religion. In “Exorcising the Trouble Makers: Magic, Science, and Culture”, the very human need for religion and magic as supplements to scientific and technological knowledge is the subject of this work.
 In 1942, author Francis. K. Hsu witnessed a cholera epidemic in a small rural settlement in Yunnan province, China. He found that contrary to anthropological expectations, the Chinese responded to the crisis with a combination of conciliatory rituals and practical hygienic measures. More than thirty years later, he witnessed the elaborate ritualistic preparations for another epidemic in the Shatin sub-division of Hong Kong and found the supernatural and empirical response to be virtually the same as in 1942. The small town XiYue, a settlement of YunNan, is an area with little outside influence. They had limited education, technology and a harsh environment.  That people there have a lot of ghost-related beliefs and ceremony is understandable. In contrast Hongkong in the 1970s is a modern place with a large population, influence from the outside world, and highly educated. It is an area brimming with technology, communications and media. But the concept of ghosts is still popular there. The prevalence of rituals there again seems to be justified.
According to mainstream society, the view in general tends to be that magic and religion is a superstition, just there to fill in the gaps left by science.  It is taboo to use magic and region in modern biomedicine dominated systems. In contrast, Francis Hsu doesn’t think that way. He does a nice job in his book by using multiple data collection methods and research techniques to explore this cultural phenomenon.
Data and analytics seem boring, but good ethnography does not exist in isolation from data. By using case study, Hsu brings it to life. This study took an in-depth look at different groups: educated people, non-educated, the minority of wealthy families, as well as highly populated middle class. Among the ethnographic record, he not only takes field notes and photographs, also makes maps to show the common patterns of people's behavior: It doesn't matter if the person accepts western medicine or not, he or she will still participate in rituals. Through his daily participation and observation, random interviews, and surveys, these data show all observed behavior and describe all symbol-meaning relations. But, still, it is not the data collection techniques or what has been collected to determine whether the study is ethnography. Rather, it is by the lens through which the data are interpreted.  The way how he structures  all of this makes a substantial contribution toward the understanding of ritual as a reflection of the human need for spirituality. They create an aesthetic impact on the readers and express a credible reality. In order to avoid any personal casual explanations, he uses data to represent the point of view of the subjects that biomedicine is helpful but ritual is necessary to them as well.  Through his qualitative and quantitative study, these data not only captures the social meanings and ordinary activities of people in naturally occurring settings like working in the fields, but also give a more personal and in-depth portrait of the informants and the community. 
Yet, it’s unrealistic in ethnography to use work done on a small group and apply the findings to larger population. People may argue that both XiYue and HongKong have same culture background, and they are all Chinese. Nevertheless, Hsu finds common threads through his longitudinal analysis of similar phenomenon in the South Seas, East Africa, Indian and white America. He uses numbers from secondary research and documents around the world to illustrate his point and provide insight into this research topic. By comparison and contrast, the author argues again, in spite of technological and intellectual sophistication, the human psychic need for magic and religion persists. He explains that rituals are not contradictory with science; rather, they are supplements to scientific and technological knowledge.     
Good research is not just about methods. Cultural context is the essential key concept and principle of medical anthropology.  Good ethnography does not exist in isolation from it. Susan Scrimshaw says “Health and illness are defined, labeled, and evaluated, and acted on in the context of culture”. People define ethnography as “a means to… represent in writing, the culture of a people” (Wikipedia). France Hsu gives us the insight to look beyond the obvious. The power of his work is rooted in its ability to get past stereotypes, assumptions, and veneers to the complex inner workings.
For a long period of time, Western anthropologists understood superstition, religion and science through the theoretical framework of social Darwinism (France Hus); representatives such as Malinowski and others made a series of expositions.  Their view is that the difference between magic and religion is that superstition uses utilitarianism as its basis, and certain actions to achieve a specific purpose. It’s part of a culture’s original characteristics. Similarity religion and science are also different; with religion forming a culture’s organized beliefs and fixed values, while science is devoted to the rational and empirical. According to Malinowski and others, magic, religion, and science respectively represent three different forms of societies: primitive society, a civilized society and modern society. Hsu disagrees with this statement. He uses his field notes and analysis show that people’s response to the plague both in the town of West Yunnan in the 1940s or thirty years later in Hong Kong, is the combination of magic, religion and science. Facing an infectious disease, amulets for the expulsion of plague and a soul salvation ceremony came together spontaneously; at the same time, the representations of the scientific and rational drug treatments and quarantine measures are implemented without obstacle. “Every human society has its own shape, its own purposes, its own meanings... [The growth of society] is an active debate and amendment under the pressures of experience, contact, and discovery ... “(Raymond Williams) Hsu argues that there is no actual difference between primitive society, a civilized society and modern society. Rather, people from different places deal with things differently are because they have different experiences and different cultural contexts.  Rituals can be viewed as designed to satisfy the spirit, and exist without detriment to science.
Yes, “People around the world have beliefs and behaviors related to health and illness that stem from cultural forces and individual experiences and perception”. (Susan Scrimshaw)  The theory of ethnography is essentially a cultural context. In the long history of mankind, disease and health as a universal life experience have gone hand in hand. In different cultural backgrounds, people have different interpretations of the causes of disease. And the perceptions of an individual or group can be shaped by information, practicalities of everyday life, and previous experiences. “You cannot just treat diseases, you have to treat bodies, and you cannot just treat bodies unless you understand the lives bodies have become accustomed to living.”(Nitcher) Across cultures, perceptions of health, healthcare, and treatment are very different. Treating people today and tomorrow may become more difficult as climate change, rapid transportation and cross-cultural marriages. All of these can create new challenges for the medical community.  It is interesting to see how “cultural context” leads readers to different interpretations.  This also reminds me the term “cultural relativism”.  Cultural relativism plays an important role in why people act so differently. It provides easy ways to understand why different cultural backgrounds have derived different disease awareness and different etiology interpretation.
Because of the history of Western colonial expansion, missionary efforts, transnational migration, and capital flows, Western medicine treatment methods and ideas have spread around the world. It has become the dominant worldwide health care system. But through the lens of cultural relativism in anthropology, Western medicine itself is a very broad and very vague concept. It actually includes Western faith healing, witchcraft, allopathy, homeopathy, and so on. Contemporary molecular biomedical is just one type of Western medicine. So, instead of "Western" medicine, biomedicine is more appropriate.  Hsu, from a point of deep reflection disagrees with the separation of magic, religion and science. He holds "cultural relativism" reminds us that it’s erroneous to regard Western biomedicine as the correct system. This historical error amounts to a kind of “ethnocentrism” and does little more than pose a barrier, as other cultures are sometimes skeptical of biomedicine. It’s easy to understand why magic, religion and science are sometimes in conflict with each other.
 “Cultural relativism” in anthropology refers to the idea that each culture has developed its own ways of solving the problem.” Examples of this are how we live together, how we obtain the essentials of life, and how we explain phenomena. No one way should be viewed a better or worse; they are just different. The basic argument is that the cultures of different ethnic groups are equal. Every culture has its own cultural logic and cultural significance. Every cultural system is historically formed with its own originality characteristics. Therefore, Hsu suggests one must abandon the concept of science or biomedicine as the center, and learn from the point of view of "cultural relativism" to understand medical culture. In the same way that different cultures cannot be viewed as best, better, or worse, medical knowledge systems should likewise not be categorized the same way.  This kind of cultural supremacy is counterproductive and prejudicial. Therefore, we must particularly stress the necessity of diverse medical and cultural systems, and allow a variety of medical and cultural knowledge systems to coexist.  Only then can we expect the mutual understanding and mutual respect required for successful treatment. 
Hsu is not satisfied with the practice of Western anthropologists completely separating magic and religion.  He believes that the way Fraser, Durkheim and Malinowski pigeonhole magic, religion and science into disparate categories does not withstand the test of field facts, or common phenomena around the world. His conclusion has important significance: culturally competent medicine should not focus strictly on one side of the equation.  The phenomenon of magic, religion and science being used at the same time is not because different cultures lack rational thought, but because people's behaviors are largely influenced by their social organization and beliefs in their cultural systems. The way people think and the pattern of their behavior are established on the basis of their traditional concepts and beliefs.  As anthropologists or ethnographers, the meaning in the context of people’s daily life, and connections between personal experiences is critical. As it turned out, Francis Hsu’s book made for excellent reading on my trip, and did indeed contribute to my understanding of medical   anthropology and the work of ethnography. Seeking to understand the relationship between culture and behavior is the main goal. But more valuable still, the writing of the book brings the topic to light. It fosters many other people like me to have a better understand of ethnography. Cross culturally, there should be no distinct line that separates Magic, religion and science into separate boxes; rather, it’s significant to recognize the importance of diagnosing people, their needs, hungers, and excesses, not just diseases.




Bibliography
1: Frances Hsu. “Exorcising the Trouble Makers: Magic, Science, and Culture”. Greenwood Press, Westport, Connecticut. London, England, 1983.
The very human need for religion and magic as supplements to scientific and technological knowledge is the subject of this work. The phenomenon of magic, religious and science being used at the same time is not because they lack rational, but because of the people's behavior are largely influenced by their social organization and their formation of beliefs in the kind of cultural patterns. The ways of how people think and pattern of how people behavior are established on the basis of their traditional concepts.

2: Nichter, Mark.  Global Health: Why Cultural Perceptions, Social Representations, and Biopolitics Matter. University of Arizona Press, 2008.
 The book provides an excellent review of the last few decades of international health research as well as suggestions for where future research should lead. While the author suggests the importance of perception, he also paints an accurate picture of the current challenges posed to both social scientists and field practitioners for improving public health in the developing world as well as encouraging the field to develop in productive ways.

3: Scrimshaw, Susan C. “Culture, Behavior, and Health”, 2006
Culture permeates everything about how each of us views and approaches health, illness, prevention, and healthcare systems. Everyone—health care provider, patients, families and, community members—brings cultural understanding and experience to their response to health maintenance and illness. In the article, the author gives some key definitions of concepts such as culture, culture change, and ethnicity, and goes on to illustrate the importance of culture influence in health care.

4: Williams, Raymond. Originally published in N. McKenzie (ed.), Convictions, 21958, in class lecture, 2012.

5: Wikipedia, online web, 2012.

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