Abstract
An interpretive perspective offers a counterpoint to the behavioral orientation in the social scientific literature on pain. The present paper develops a meaning-centered approach which focuses on three interconnected aspects of the experience of suffering: (l) the cultural construction of pain sensation; (2) the semiotics of pain expression; (3) the structure of pain's causes and cures. These connections are explored through a variety of linguistic and semiotic forms, including metaphors, etymologies, gestural codes, taxonomies, and semantic networks. The study of metaphor has special value in revealing the cultural construction of pain, especially its sensory qualities, such as temperature, weight, and movement. The concept of semantic network provides a complementary tool for understanding pain experience; the analysis makes pain sensation the center of the network and argues that multiple meanings attach to this sensory core.
The paper examines these perspectives in the context of North Indian culture and medicine, specifically Unani Tibb, or Greco-Arab medicine. Pursuing questions of the “fit” between everyday belief and traditional medicine, the essay traces continuities in the “language of pain” in North Indian culture, classical Unani Tibb, and contemporary Unani clinical practice.[/ p]
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References
Ali, Ahmed 1966 Twilight in Delhi. Bombay: Oxford University Press.
Bates, Maryann 1987 Ethnicity and Pain: A Biocultural Model. Social Science and Medicine 24(1):47–50.
Brena, Steven F. and Stanley L. Chapman 1983 Management of Patients with Chronic Pain. New York: Spectrum Publications.
Browne, E.G. 1962 Arabian Medicine. Cambridge: Cambridge University Press.
Chaturvedi, Mahendra and Bhola Nath Tiwari 1982 A Practical Hindi-English Dictionary. New Delhi: National Publishing House.
Daniel, E. Valentine 1984 Fluid Signs: Being a Person the Tamil Way. Berkeley: University of California Press.
Egnor, Margaret Trawick 1983 Death and Nurturance in Indian Systems of Healing. Social Science and Medicine 17(14):935–945.
Elgood, Cyril 1970 Safavid Medical Practice. London: Luzac.
Engel, George L. 1959 Psychogenic Pain and the Pain-Prone Patient. American Journal of Medicine 26:899–918.
Fabrega, Horacio, Jr. 1974 Disease and Social Behavior: An Interdisciplinary Perspective. Cambridge: MIT Press.
Fabrega, Horacio, Jr. and Stephen Tyma 1976 Language and Cultural Influences in the Description of Pain. British Journal of Medical Psychology 49:349–371.
Fagerhaugh, Shizuko Y. and Anselm Strauss 1977 Politics of Pain Management: Staff-Patient Interaction. Menlo Park: Addison-Wesley.
Fordyce, W.E. 1983 Behavioral Conditioning Concepts in Chronic Pain. In John J. Bonica et al. (eds.). Proceedings on Pain. Pp. 781–788. New York: Raven Press.
Futehally, Zeenuth n.d. Zohra. Bombay: Hind Kitabs.
Ghalib 1977a Ghazaliyat-e-Ghalib. New Delhi: Ghalib Institute.
Ghalib 1977b Urdu Ghazals of Ghalib. Yusuf Husain, tr. New Delhi: Ghalib Institute.
Good, Byron J. 1977 The Heart of What's the Matter: The Semantics of Illness in Iran. Culture, Medicine and Psychiatry 1(1):25–58.
Good, Byron J. and Mary-Jo DelVecchio Good 1981 The Meaning of Symptoms: A Cultural Hermeneutic Model for Clinical Practice. In Leon Eisenberg and Arthur Kleinman (eds.). The Relevance of Social Science for Medicine. Pp. 165–196. Dordrecht: D. Reidel.
Government of India 1981 Indian Systems of Medicine and Homeopathy. New Delhi: Ministry of Health and Family Welfare.
Hameed, Hakim Abdul n.d. Physician-Authors of Greco-Arab Medicine in India. New Delhi: Institute of History of Medicine and Medical Research.
Helman, Cecil 1978 ‘Feed a Cold, Starve a Fever’ — Folk Models of Infection in an English Suburban Community. Culture, Medicine and Psychiatry 2:107–138.
Helman, Cecil 1984 Culture, Health and Illness. Bristol: Wright.
Hoch, Erna 1960 A Pattern of Neurosis in India. American Journal of Psychoanalysis 20(1):8–25.
Hosain, Attia 1979 Sunlight on a Broken Column. New Delhi: Arnold-Heinemann.
Ibn Rushd (Averroes) 1980 Kitab-ul-Kulliyat [The Book of the Whole]. New Delhi: Central Council for Research in Unani Medicine.
Ibn Sina (Avicenna) 1930 The Canon of Medicine. In O.C. Gruner (ed.). A Treatise on the Canon of Medicine of Avicenna. London: Luzac.
Jaggi, O.P. 1981 Medicine in Medieval India. Delhi: Atma Ram.
Kakar, Sudhir 1981 The Inner World: A Psychoanalytic Study of Childhood and Society in India. Delhi: Oxford University Press.
Kakar, Sudhir 1982 Shamans, Mystics, and Doctors. New York: Alfred Knopf.
Kleinman, Arthur 1980 Patients and Healers in the Context of Culture. Berkeley: University of California Press.
Kleinman, Arthur 1986 Social Origins of Distress and Disease: Depression, Neurasthenia, and Pain in Modern China. New Haven: Yale University Press.
Kotarba, Joseph A. 1983 Chronic Pain: Its Social Dimensions. Beverly Hills: Sage Publications.
Lakoff, George and Mark Johnson 1980 Metaphors We Live By. Chicago: University of Chicago Press.
Leslie, Charles 1976 The Ambiguities of Medical Revivalism in Modern India. In Charles Leslie (ed.). Asian Medical Systems. Pp. 356–367. Berkeley: University of California Press.
Lipton, James A. and Joseph J. Marbach 1984 Ethnicity and the Pain Experience. Social Science and Medicine 19(12):1279–1298.
Markandaya, Kamala 1954 Nectar in a Sieve. New York: New American Library.
Marriott, McKim 1980 The Open Hindu Person and Interpersonal Fluidity. Paper presented at the meetings of the Association for Asian Studies, Washington, D.C., March 21, 1980.
Melzack, Ronald and W.S. Torgerson 1971 On the Language of Pain. Anesthesiology 34(1):50–59.
Melzack, Ronald and Patrick Wall 1982 The Challenge of Pain. Harmondsworth: Penguin Books.
Nichter, Mark 1981 Negotiation of the Illness Experience: Ayurvedic Therapy and the Psychosocial Dimension of Illness. Culture, Medicine and Psychiatry 5:5–24.
Obeyesekere, Gananath 1976 The Impact of Ayurvedic Ideas on the Culture and the Individual in Sri Lanka. In Charles Leslie (ed.). Asian Medical Systems. Pp. 201–226. Berkeley: University of California Press.
Platts, John T. 1982 A Dictionary of Urdu, Classical Hindi, and English. Oxford: Oxford University Press.
Premchand 1962a Miss Padma. In Norman H. Zide et al. (eds.). A Premchand Reader. Pp. 58–66. Honolulu: East-West Center Press.
Premchand 1962b Kafan [The Shroud]. In Norman H. Zide et al. (eds.). A Premchand Reader. Pp. 99–109. Honolulu: East-West Center Press.
Premchand 1966 Burhi Kaki [Old Aunt]. In Mansarovar. Part 8. Pp. 147–156. Allahabad: Sarasvati Press.
Pugh, Judy F. 1983 Astrology and Fate: The Hindu and Muslim Experiences. In Charles F. Keyes and E. Valentine Daniel (eds.). Karma: An Anthropological Approach. Pp. 131–146. Berkeley: University of California Press.
1984 Concepts of Person and Situation in North Indian Counseling: The Case of Astrology. In E. Valentine Daniel and Judy F. Pugh (eds.). South Asian Systems of Healing. Contributions to Asian Studies 18:85–105.
Rosaldo, Michelle 1980 Knowledge and Passion: Ilongot Notions of Self and Social Life. Cambridge: Cambridge University Press.
Sargent, Carolyn 1984 Between Death and Shame: Dimensions of Pain in Bariba Culture. Social Science and Medicine 19(12):1299–1304.
Scheper-Hughes, Nancy and Margaret M. Lock 1987 The Mindful Body: A Prolegomenon to Future Work in Medical Anthropology. Medical Anthropology Quarterly (New Series) 1(1):6–41.
Schimmel, Annemarie 1976 Pain and Grace: A Study of Two Mystical Writers of Eighteenth Century Muslim India. Leiden: E.J. Brill.
Sternbach, Richard A. 1974 Pain Patients: Traits and Treatment. New York: Academic Press.
Szasz, Thomas S. 1959 Language and Pain. In S. Arieti (ed.). American Handbook of Psychiatry, Vol. I. Pp. 982–999. New York: Basic Books.
Turner, Victor W. 1967 The Forest of Symbols. Ithaca: Cornell University Press.
Verma, R.L. and N.H. Keswani 1974 Unani Medicine in Medieval India — Its Teachers and Texts. In N.H. Keswani (ed.). The Science of Medicine and Physiological Concepts in Ancient and Medieval India. Pp. 127–142. Delhi: All-India Institute of Medical Sciences.
Wadley, Susan S. 1975 Shakti: Power in the Conceptual Structure of Karimpur Religion. Chicago: University of Chicago, Department of Anthropology.
Wadley, Susan S. 1983 The Rains of Estrangement: Understanding the Hindu Yearly Cycle. Contributions to Indian Sociology 17(1):51–85.
Wittgenstein, Ludwig 1968 Philosophical Investigations. 3rd edition. New York: Macmillan.
Wolff, B. Berthold and Sarah Langley 1968 Cultural Factors and the Response to Pain: A Review. American Anthropologist 70:494–501.
Zborowski, Mark 1952 Cultural Components in Response to Pain. Journal of Social Issues 8(4):16–30.
Zborowski, Mark 1969 People in Pain. San Francisco: Jossey-Bass.
Zimmermann, Francis 1978 From Classic Texts to Learned Practice: Methodological Remarks on the Study of Indian Medicine. Social Science and Medicine 12:97–103.
Zimmermann, Francis 1980 Rtu-satmya: The Seasonal Cycle and the Principle of Appropriateness. Social Science and Medicine 14B:99–106.
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My research on Unani medicine in India was funded by a Senior Fellowship from the Shastri Indo-Canadian Institute from January to August 1983. An earlier version of this paper was prepared for the Ninth European Conference on Modern South Asian Studies, Heidelberg University, July 9–12, 1986, for a panel organized by Dr. Beatrix Pfleiderer on “The Cultural Context of Health Care in South Asia.” I am grateful to Dr. Patricia Jeffery of the University of Edinburgh for presenting the paper for me. I would like to thank Mohammed Sultan Yar Khan and his family, Hakim Mohammed Razzack and Hakim Umul Fazl of the Central Council for Research in Unani Medicine, and Hakim Abdul Hameed of the Institute for History of Medicine and Medical Research, for their aid and advice in India. I would also like to acknowledge Arthur Kleinman for his comments on the paper, and Vandana Goswami, Vasavi Gowda, and Khalida Zaki for our discussions about “pain” in South Asia.
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Pugh, J.F. The semantics of pain in Indian culture and medicine. Cult Med Psych 15, 19–43 (1991). https://doi.org/10.1007/BF00050826
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DOI: https://doi.org/10.1007/BF00050826