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Sick Healers

Chronic Affliction and the Authority of Experience at an Ethiopian Hospital

Bibliographic Data

ID2258560
AuthorsAnita Hannig (0000-0003-4733-0392, Department of Anthropology Brandeis University Waltham MA 02453, corresponding author)
Year2015
Volume117
Issue4
Pages640-651
Publication date2015-12-01
Open AccessYes
TypeARTICLE
VenueAmerican Anthropologist (JOURNAL)
Journal identifiersISSN: 0002-7294 • E-ISSN: 1548-1433
PublisherWiley (PUBLISHER • GB)
DOI10.1111/aman.12337
OpenAlexW1926128362
LanguageEN
Citations received3
References cited31

At fistula hospitals in Ethiopia, patients who are not cured of their incontinence are hired as "nurse aides" to perform essential nursing duties in the ward and operating theater. An array of tensions surrounds the work of these women, tensions that are emblematic of their chronic-but secret-patient status. If accidentally disclosed, the women's ongoing illness episodes sabotage their ability to administer treatment, such as injections. In contrast to classic anthropological accounts of wounded healers and therapeutic narratives about the virtues of experience-based care, I argue in this article that illness experience can also have a profoundly delegitimizing effect. Rather than attributing these dynamics to the alleged stigma that surrounds obstetric fistula sufferers, I delineate the various challenges to clinical authority that are epitomized by the figure of the sick healer. Nurse aides' experiences with obstetric fistula proved to be a liability precisely because these experiences had not been resolved. Their chronic injuries raised questions both about their medical training and the efficacy of surgery. Attending to these Ethiopian health practitioners can hone our grasp of the professional dilemmas posed by chronic afflictions and contribute to our understanding of available ideologies at play in the global practice of biomedicine. [chronic illness, experience, healing, obstetric fistula, Ethiopia

Duty · Health care · Ideology · Narrative · Political science · Global Maternal and Child Health · Law · Medicine · Migration, Health and Trauma · Migration, Identity, and Health · Nursing

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Citations per year0.27
Citation span2015 - 2024 (10)
Highly citedNo

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