Skip to main content

Culture: Epistemology & Ontology

After reading the work of Darby and Svoboda (2007) on genital mutilation and Hahn and Kleinman (1983) on the connectedness between belief and body, as well as in evaluating the ways in which I’ve been witness to the impact of culture on medical reality, it seems evermore evident to me now the ways in which one’s wider culture can come to profoundly affect what one knows and thinks about health. What does "sickness" mean? How are the mind and body connected in a way that can promote or deter healing? Consequentially, how might my answers to these questions fit into the larger order of power, agency, and resistance present within my cultural environment? It is in the negotiation of a space and appreciation for multiple answers to these questions that a critical-cultural approach to health values.

My personal background as a white female from rural Indiana situates me within a realm of conservative Western medical perspectives. Here, the normality of medicine is often determined by its acceptance within broader social constructions of what is “appropriate” to do with the body that God has graciously given you. In normative fashion, health is standardized such that deviation from any socially-determined “normal” belief or action set forth by a particular community is viewed in a negative light. Female genital mutilation is one example that fits these criteria, as such a “deviant” action would likely show, in this cultural boundary, a lack of appreciation towards the well-crafted body God provided.

In being reflexive, I am able to position myself while also being mindful of the ways in which my culture has and will continue to impact my views of medical reality and the conclusions I draw. These may differ greatly from the views put forward by different cultures. In this, I appreciate how knowing and valuing culture bring richness to understanding health. It is unfortunate that such cultural, epistemological, and ontological perspectives are rarely made explicit, especially in academic spaces.

Popular posts from this blog

Whiteness, NCA, and Distinguished Scholars

In a post made in response to the changes to how my discipline operates made by the Executive Committee of the largest organization of the discipline, the National Communication Association (NCA), one of the editors of a disciplinary journal Rhetoric and Public Affairs (RPA), Professor Martin J. Medhurst, a Distinguished Scholar of the discipline, calls out what he sees as the threat of identity (see below for his full piece published in the journal that he has edited for 20+ years, with 2019 SJR score of 0.27). In what he notes is a threat to the "scholarly merit" of the discipline, Professor Medhurst sets up a caricature of what he calls "identity." In his rhetorical construction of the struggles the NCA has faced over the years to find Distinguished Scholars of colour, he shares with us the facts. So let's look at the facts presented by this rhetor. It turns out, as a member of the Distinguished Scholar community of the NCA, Mr. Medhurst has problems wit...

Upper caste Indian women in the diaspora, DEI, and the politics of hate

Figure 1: Trump, Vance and their partners responding to the remarks by Mariann Edgar Budde   Emergent from the struggles of the civil rights movement , led by African Americans , organized against the oppressive history of settler colonialism and slavery that forms the backbone of US society, structures around diversity, equity, and inclusion (DEI) formed an integral role in forging spaces for diverse recognition and representation.  These struggles around affirmative action, diversity, equity and inclusion were at the heart of the changes to white only immigration policies, building pathways for migration of diverse peoples from the Global South.  The changes to the immigration policies created opportunities for Indians to migrate to the US, with a rise of Indian immigration into the US since the 1970s into educational institutions, research and development infrastructures, and technology-finance infrastructures. These migratory structures into the US were leveraged by l...

The Projection Machine: Epstein's Intellectual Network and the War on Trans People

The anti-transgender activist Posie Parker in Aotearoa NZ An Industry Built on Inversion Anti-transgender hate is an industry. Not a movement, not a moral concern, not an organic uprising of worried parents — an industry, deliberately constructed, lavishly funded, and strategically deployed to protect the interests of the powerful men who finance it. And like most industries built on fear, it requires a credible monster. Transgender people — a community representing roughly one percent of the population, facing disproportionate rates of poverty, violence, suicide, and discrimination — have been selected for that role with remarkable precision. The 2025–2026 release of the Jeffrey Epstein files has made something newly visible that was always structurally present: the men who built the ideological infrastructure of anti-trans politics are, in many cases, the same men — or the direct intellectual descendants of the same men — who moved through the social world of a convicted child sex tr...