Mohan Dutta: Culture-Centered Approach

My take home message from this week's readings was that in many instances focussing on "adapting behaviors" would do much good than focussing on "prevention". Of course, ideally, we should work on prevention behaviors but there are situations in which culture, structure and agency make it difficult to display the preventive behaviors. In such circumstances, an adaptive behavior makes sense.  Lifeskills training, training to negotiate, skill building on taking the optimum decisions within the context are ways in which we promote "adaptive behaviors". Of course I am trying to connect culturally situated approaches with the "behavioral" approaches. Focussing on adaptive behaviors also has a good match with the "prediction" objective; as they are more efficient and achievable.  Consider the oft discussed case of vegetable and fruit consumption as a cancer prevention behavior being advised to the inner city population. Here, we would not...

In a previous posting, I talked to some extent about a teacher I had in school who died of breast cancer. She never sought biomedical treatment for her disease. She was afraid. She never tried local/ alternative health care in terms of homeopathy or Ayurveda. She went for the religious healing that did not help her save her life. People subscribe to different ideologies and practices for their health outcomes. Their reasons are as varied as the ways they choose. But still, to a large extent the biomedical model has come to dominate the most of the world. As this week's readings elaborate more on this, we find out about the Flexner Report. The Flexner Report (also called Carnegie Foundation Bulletin Number Four) is a book-length study of medical education in the United States and Canada, written by the professional educator Abraham Flexner and published in 1910 under the aegis of the Carnegie Foundation. Many aspects of the present-day American medical profession stem from the Flexn...

After going through this forest of pages, I am at a loss as to where to anchor my BLOG post and how do I articulate so that I am able to talk about many of the things I have read.  In the readings about Indian Ayurveda, dominant and erased cosmologies, local politics with global connections, Chinese geomancy, KFD as a disease of development, commodification of medicines, health services, identities.....what comes across is the complexities, the dimensions and their constant movement. Achieving a healthy status is a complex exercise. In our normal day to day lives, we unconsciously/ consciously perform a set of actions located within our culture, structure and agency and lay claim to our "health". The understanding of the complexity is important to us as health practitioners when we strive to improve the health of others through our campaigns, theories, arguments and other contritions.  Dutta (2008) in his "pathways to curing and healing" chapter lays down such case ...

The different narratives of a situation by the different people involved in it reminded me of a movie very close to my heart, Rashomon . As Connelly (2002) succintly puts it, the decision to retell a story will depend on the personal reasons/ motivations of the reteller. In today's world of health communication we have so many competing narratives. The search for the "real" or "right" narrative is not important but what's important is not to ignore these stories. Narratives provide us invaluable insights into a human beings life, suffering, existence, surrounding, health. In many ways it provides us a ground to move ahead, take decisions.  In emergency response, in the first 48 hours, usually teams do not find much records or information as most records are affected and the normal information channels are in a disarray and non functional. So, the way the response team moves ahead is by collecting narratives: "so please tell us how did the flood waters c...

Quintus Horatius Flaccus, (Venosa, December 8, 65 BC - Rome, November 27, 8 BC), known in the English-speaking world as Horace, was the leading Roman lyric poet during the time of Augustus. Horace said that literature should at once teach and delight. Narratives, as part of literature should do the same. Narratives "capture [an] incredible tangle of necessity and freedom in human life, and plot enacts it in the selection and ordering of events and in the quasi-casula implications of its telling" (Chambers and Montgomery, 2002, p.77). They argue the necessity of choice in our moral lives, but that our predispositions and options are always conditioned by our past and history. Russian formalists distinguish 'story' from 'plot', defining the first as actual set of events and the latter as the teller's viewpoints. Chambers and Montgomery further argue that there can never a story without a plot, and plots vary from situation to situation and thus also influenc...

Wilkins (1999) says that "development communication refers to the strategic application of communication technologies and processes to promote social change" (p. 197) and that all future trends in this field needs to focus on the issues of power - both in theory and in practice. Wilkins says that power as a variable should be central to policy developments, and that it is imperative to understand how the power framework effects social change. Using Simmel (1986) and Foucault (1986), Wilkins says that "power is unevenly held but established through interaction within existing networks" (p. 198) and institutional discourse helps promote agency in people and cannot be apolitical. Governments and other agencies try to promote social changes using political, economic and ideological power and institutions. However, such policies/programs look at interventions in a sort of us versus them way. It is more of a foreigner perspective on things local. This links well with the ...

I am often asked what I am studying here at Purdue University. Upon hearing Health Communication, I am always asked what might that be. So I tell them that in easy terms, I study the interaction between doctors, patients, hospitals, governments, and other policy-making agencies. I then have to look into the person’s expressions and follow my answer up with an example. “Think of a time you went to a doctor and had a really bad experience with him/her,” I tell them. “And now think of a time when you really liked your doctor.” “What changed? What influenced your experiences? To a big extent, this is what I study.” I use the above explanation not only to share in an easy way what I study but also to remind myself what got me interested in this field. Reading some of this week’s contents reminded me the practicality of such explanations. Teal & Street (2008) shares in a simple yet insightful way about the need to have a cultural competency in a doctor patient relationship, treatment, a...