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In pursuit of health

Pragmatic acculturation in everyday life

Bibliographic Data

ID3664465
AuthorsStella R Quah (0000-0003-4564-833X, National University of Singapore, corresponding author)
Year2008
Volume17
Issue4
Pages419-422
Publication date2008-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Sociology Review (JOURNAL)
Journal identifiersISSN: 1446-1242 • E-ISSN: 1839-3551
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.5172/hesr.451.17.4.419
OpenAlexW2094371051
LanguageEN
Citations received6
References cited5

When disease strikes the most immediate reaction is to seek a solution: How to stop this? How to get well again? Then comes the intriguing part: How did I get this problem, and why me? Research findings in medical sociology and anthropology over the past five to six decades show these to be virtually primordial questions, irrespective of geographical location, lifestyle, and ethnic, religious, linguistic or other background. While the questions tend to be the same, the answers vary widely, as they are fashioned precisely by people's location, way of life, socio-cultural, religious, linguistic, and other differences. More importantly, amidst the rainbows of healing options and solutions, one trend predominates: people do cross cultural boundaries in search of a cure or in their quest for the proverbial fountain of youth. Conceptually, this phenomenon is pragmatic acculturation, that is, the borrowing of ideas, ways of thinking or ways of doing things from a culture that is not your own, for the purpose of solving a particular problem. As the borrower, you choose procedures or remedies you consider helpful in solving your problem without necessarily adopting the conceptual paradigm or cosmology of the healing system from which you are borrowing (Quah 2005).Five interrelated premises are particularly relevant to the sociological analysis of people's pursuit of health across healing systems:* First, pragmatic acculturation as defined above is common, normal behaviour in everyday life, everywhere.* Second, given the commonness of pragmatic acculturation, the most adequate research designs for the study of trends in the use and provision of healing options involve multicultural samples and cross-national comparisons.* Third, countries with homogenous or singlesystem healthcare are becoming the exception rather than the rule. Trade globalisation and large waves of immigration promoting the growth of ethnic diasporas around the world have transformed the market of healing services in most countries: today you find a wide range of options along a continuum of scientific sophistication from biomedicine to quasiscientific or mock 'biomedical' options, to traditional healing practices and remedies from ancient healing systems such Chinese, Indian, and Arabic traditions, to less systematic and multihued folk and tribal beliefs and healing rituals.* Fourth, given this wide and complex array of alternatives, sociological research on healing options and people's choices requires clarity of concepts and analytical tools that can identify trends while reflecting the rich variations in agency and structure.* And fifth, pragmatic acculturation is observed at the macro-level involving healing systems and structures, as well as at the micro-level involving agency among healthcare users and providers.The first three premises or arguments (that crossing cultural borders in search of healing is part of our daily life; that to identify meaningful trends sociologists should address not only local but also international or global trends; and that the practice of pragmatic acculturation is facilitated by the wide variety of healing options available in most societies today) do not require much elaboration as they are amply documented by medical sociology research over the past three decades1 and by findings reported in most of the articles in this issue. But more attention must be given to the fourth and fifth arguments: the need for suitable analytical tools and the importance of identifying differences, similarities and trends at four distinct levels of analysis: at the macro-level, bio-medical and non-biomedical healing systems; and at the micro-level, the users and providers of healing services.The conceptual challengeRegarding the fourth argument on analytical tools to study social phenomena, the first requirement is clarity of concepts. It is unfortunate that the discussion of healing options in the social science literature has incorporated terms from the mass media and introduced new labels without rigorous scrutiny of their meaning and consistency

Acculturation · Aesthetics · Epistemology · Ethnic group · Everyday life · Phenomenon · Social science · Sociology · Anthropology · Cultural Competency in Health Care · Global Public Health Policies and Epidemiology · Obesity and Health Practices · Psychology · Social Psychology

  • Pragmatic Acculturation

    Open Access•Stella R Quah•The Blackwell Encyclopedia of…•2015

  • Ficto‐Primitive Capital

    Open Access•Catherine D Tan•British Journal of Sociology•2026

  • Epistemological challenges to integrative medicine

    Daniel Hollenberg, Linda Muzzin•Health Sociology Review•2010

  • Revisiting Medicalization

    Open Access•Tiago Correia•Frontiers in Sociology•2017

  • Consumer Approach to Acculturation and Complementary/Alternative Medication

    Open Access•Roberto Cancio•Hispanic Journal of Behavioral…•2021

  • Choosing Ayurveda as a healthcare practice in Argentina

    Open Access•Betina Freidin, Matías Salvador Ballesteros•Current Sociology•2015

  • Trials and tribulations on the road to implementing integrative medicine in a hospital setting

    Ian Coulter, I D Coulter et al.•Health Sociology Review•2008

  • Traditional healing systems and the ethos of science

    Open Access•Stella R Quah•Social Science & Medicine•2003

  • The impact of co-option on herbalism

    Judy Singer, Kath Fisher•Health Sociology Review•2007

  • The problematic nature of conflating use and advocacy in CAM integration

    Philip Tovey, Alex Broom et al.•Health Sociology Review•2008

Unique citing works6
Citations per year0,38
Citation span2010 - 2026 (17)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 6

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