The emergence of new medical pluralism

The case study of Estonian medical doctor and spiritual teacher Luule Viilma

Bibliographic Data

ID18964264
AuthorsMarko Uibu (0000-0003-2120-0768, University of Tartu, corresponding author)
Year2021
Volume28
Issue4
Pages445-460
Publication date2021-10-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAnthropology and Medicine (JOURNAL)
Journal identifiersISSN: 1364-8470 • E-ISSN: 1469-2910
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13648470.2020.1785843
PMID32854514
OpenAlexW3082277052
LanguageEN
Citations received4
References cited22

Rather than the harmonious coexistence of different therapeutic practices and meaning systems, medical pluralism involves the contestation of norms and meanings related to legitimacy and authority. The implicit cultural norms that shape local understandings of health and legitimate healing methods become more during periods of social and cultural change. This paper demonstrates the contested nature of medical pluralism based on the case study of one significant figure, Estonian gynaecologist and spiritual teacher Luule Viilma. Well-known to the public as a trailblazer and prominent spokesperson for medical pluralism since the 1990s, Viilma's trajectory from doctor to healer reveals some implicit characteristics and mechanisms of power struggles as evidenced by the 'boundary work' carried out by biomedical specialists. By uniting and bridging biomedicine and spiritual self-help, Viilma became a figure whose presence and teachings gave responsibility and power to individuals and helped to legitimize pluralism in health practices. She had the ambition to redefine, in a fundamental way, perceived norms of legitimacy and authority, as well as the patient's position. From interviews with people who have used Viilma's teachings and material from internet discussion forums, it is apparent that the emergence of new forms of medical pluralism has brought several changes in health-related norms and understandings, including more active personal involvement in health-related information seeking and decision-making

Epistemology · Legitimacy · Legitimation · Political science · Politics · Public relations · Sociology · Law · Religious Studies and Spiritual Practices

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