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[Causal concepts and health conduct in Indian folk medicine]
Ingeborg Larsen1, Hedda Goverud Andersson
1Nordlys Legesenter Thomasbakken 12 9513 Alta. larseningeborg@hotmail.com
Background:
Norway is an increasingly multicultural society, and cultural diversities are a challenge for doctor-patient-relationships.
Material And Method:
Qualitative and quantitative studies aimed at describing health behaviour and causal concepts, were undertaken in a village in India in July 2003. 13 villagers and 5 local providers of traditional health care were interviewed in a semi-structured way, and questionnaire-based interviews were conducted in 56 (out of 118) households on health behaviour.
Results:
Three main causal concepts were found: balance between the qualities HEAT: and COLD: in the body, DISTHI: (evil eye; witchcraft) and evil spirits. Health behaviour is mainly influenced by the understanding of what causes disease, experience with the provider of treatment and the treatment itself.
Discussion:
Causal concepts, or ways of understanding disease, were common to those found in similar studies. Physician awareness of these concepts will be helpful when communicating with patients from other cultural backgrounds.
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