Pain and Discomfort: An Ethnographic Study of Pharmacological, Traditional and Complementary Medicine, (TCM) and Self-Care Models in Quito, Ecuador
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Abstract
The research is framed within the recognition of three contemporary models that modern citizens intermittently turn to when facing the challenges of pain and discomfort: the biomedical model based on medicalization and the use of pharmaceuticals; traditional and complementary medicine (TCM) based on local-indigenous knowledge and the use of plants and natural compounds; the self-care model that combines elements of the first two and adds personal practices. The article presents the results of ethnographies in 265 households in Quito conducted between 2022 and 2023, addressing the questions: What were the main pharmaceuticals in the households? What were the meanings, values, and uses of industrial drugs in the households? Pharmaceuticals kept at home were inventoried, and elements of TCM were also found, demonstrating the combination of models in everyday life. The most striking pharmacological findings were the high concentration and storage in domestic spaces (drawers, countertops, showcases, rooms, bathrooms, among others) of analgesics, gastrointestinal medicines, antibiotics, supplements, and vitamins, and antiallergics. The anthropological meanings of medicinal compounds revolved around safety, trust, and the ease of purchase, use, and access in the household landscape. In pharmacological terms, the study demonstrates the active role of the medicalizing model that positions industrial pharmaceuticals as immediate responses structured around a population's habitus that normalizes their use and consumption. The research allows for a reconsideration of collective health and its contemporary challenges as a multiple, rational phenomenon, with characteristics of therapeutic hybridization and medical plurality.
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References
2. Menéndez E. Medical self-assessment model and subordinate alternative model. In: Campos-Navarro R, ed. Medical Anthropology and interculturality. McGraw Hill Education 2016:297-320.
3. Molina-Aguilar J. Self-care and self-medication: reflections and challenges from the ontology of the social being. Rev Costa Rica Psychol . 2021;40(2):107-129. doi:10.22544/rcps.v40i02.03
4. Breilh J. . The social determination of health as a tool for transformation towards a new public health. Rev Fac National Public Health. 2013;31( suppl 1):13-27.
5. Pérez-Tamayo R. Old diseases and new diseases. 21st Century Editors ; 1985.
6. Hortón R. Offline: COVID-19 is not a pandemic. The Lancet. 2020;396(10255):874. doi:10.1016/s0140-6736(20)32000-6
7. Pazos-Garciandía A. Key concepts of medical anthropology in occupational therapy. Sintesis Publishing House ; 2015.
8. Illich I. Medical nemesis: the expropriation of health. Joaquin Mortiz; 1984.
9. Larrea- Killinger C. The culture of smells: an approach to the anthropology of the senses. Abya-Yala Editions; 1997.
10. Martínez-Hernáez A. Medical anthropology: theories about culture, power and illness. Anthropos Editorial; 2015.
11. Ember C, Ember M, Peregrine P. Anthropology. 10th ed. Pearson-Prentice Hall; 2004.
12. Miller B. Cultural anthropology. 7th ed. Pearson-Prentice Hall; 2016.
13. Bourdieu P. The Practical Sense . Taurus; 1991.
14. Rivas A. Medical Anthropology Course, Faculty of Medicine; 2020.
15. Lévi-Strauss C. Structural anthropology. Paidós; 1995.
16. Giddens A, Sutton P. Sociology. 7th ed. Alliance; 2013.
17. Galárraga AS, Hidalgo SA, Rivas T A. Medicalization and use of analgesics, according to medical school students. A study carried out at the Pontifical Catholic University of Ecuador. Cuad Medico Soc. 2022;61(3):115-126. doi:10.56116/cms.v61.n3.s1.2021.91
18. Foucault M. The birth of the clinic: an archeology of the medical gaze. 21st Century Editors; 2012.
19. Foucault M. History of medicalization. Educ Med Health. 1977;11(1):3-25.
20. Conrad P, Leiter V. Medicalization, markets and consumers. J Health Soc Behav . 2004;45:158 -176.
21. Conrad P. The shifting engines of medicalization. Journal of Health and Social Behavior. 2005;46(1):3-14. doi:10.1177/002214650504600102
22. Conrad P. The Medicalization of Society: On the Transformation of Human Conditions Into Treatable Disorders. JHU Press; 2007.
23. Meneu R. Life medicalization and the recent appearance of “pharmaceuticalization. Soc Espanola Farm Hosp. 2018;42(4):174-179.
24. OMS. Self-care interventions for health. Accedido el 10 de noviembre de 2023. https://www.who.int/es/health-topics/self-care#tab=tab_1
25. Sánchez Vallejo S, Cortacero Almendros M, Pinto Nieto C, Acosta Robles P, Fernández Martín J, Verdejo Reche F F . Classification of Drugs by pharmacological activities. Preparation of a triptych . Hosp Poniente Public Company . 2008.
26. Tayebati SK, Nittari G, Mahdi SS, Ioannidis N, Sibilio F, Amenta F. Identification of World Health Organization ship's medicine chest contents by Anatomical Therapeutic Chemical (ATC) classification codes. Int Marit Health . 2017;68(1):39-45. doi:10.5603/imh.2017.0007
27. Perdiguero E. A reflection on medical pluralism. In: Health and interculturality in Latin America anthropology of health and intercultural criticism. Abya Yala, Spanish Agency for International Cooperation, Publications Service of the University of Castilla-La Mancha, Carlos III Foundation for International Cooperation and Health, Board of Communities of Castilla-La Mancha; 2006:33-49.
28. Young JT. Illness behavior : a selective review and synthesis. Sociol Health Illn . 2004;26(1):1-31. doi:10.1111/j.1467-9566.2004.00376.x
29. Menéndez E. Models of care for illnesses: theoretical exclusions and practical articulations. science amp Saude Collective . 2003;8(1):185-207. doi:10.1590/s1413-81232003000100014
30. Menendez E. Self-care of illnesses and some anthropological imaginaries. Contempts Rev Cienc Soc. 2018;(58):104-113. doi:10.29340/58.1999
31. Martínez Cortés F. Illness and suffering. Science and humanism in medical practice. In: Medical Anthropology and Interculturality. McGraw Hill Education; 2016:247-252.
32. Aveiga Hidalgo MV, Alonzo Pico OM, Villarreal Ger MC. Complications associated with self-medication and its adverse effects in young adults who attend the Huaca health center. Dilemmas Contemp. 2021. doi:10.46377/dilemas.v8i.2813
33. Orueta R, Gómez-Calcerrada RM, Sánchez A. Self-medication. SEMERGEN Medicina Fam. 2008;34(3):133-137. doi:10.1016/s1138-3593(08)71865-3