The dominance of "illness narratives" in narrative healing studies has tended to mean that the focus centers around the healing of the individual. Meza proposes that this emphasis is misplaced and the true focus of cultural healing should lie in managing the disruption of disease and death (cultural or biological) to the individual’s relationship with society. By explicating narrative theory through the lens of cognitive anthropology, Meza reframes the epistemology of narrative and healing, moving it from relativism to a philosophical perspective of pragmatic realism. Using a novel combination of narrative theory and cognitive anthropology to represent the ethnographic data, Meza’s ethnography is a valuable contribution in a field where ethnographic records related to medical clinical encounters are scarce. The book will be of interest to scholars of medical anthropology and those interested in narrative history and narrative medicine.
James P. Meza is Assistant Professor in the Department of Family Medicine and Public Health Science at Wayne State University School of Medicine, USA. He holds a PhD in Cultural Anthropology and is a practising doctor of medicine (MD).
Part I: Methods1. Fieldwork methods2. The theoretical framePart II: The diagnosis narratives3. Entrance into the field4. Who is narrating and what story are they telling?5. Spatial cognitions6. The doctor tells the diagnostic story to the patient7. Joint attention to the diagnostic narrative8. Spatial therapyPart III: Ritual healing in Western medicine9. Ritual theory10. Disease as an existential threat11. Qualifications of a leech12. Healing relationships13. When the healing ritual failsPart IV: The body politic14. The business of medicine15. Overdiagnosis and overtreatmentPart V: Narrative studies on healing reconsidered16. Narrative healing reconsidered17. Theoretical synthesis18. Reflections of a healerAppendix A: Individual patient narrativesAppendix B: Doctors talk about workAppendix C: Codebook and themes