Talking Health But Doing Sickness

Book excerpt: "... For six months in 1980 and for three months in 1981 I lived in Samoan villages and studied healing practices. I observed and interviewed both traditional healers and western trained health professionals in Western Samoa. Now, based on my experiences both in New Zealand and in Western Samoa, I present some of my insights -- gained from observation, interview, group discussions and reflection -- as they relate to the New Zealand scene ... The book should be read as an introduction to cross-cultureal communication and health as well as to Samoan and to other non-western health practices. Enough information is provided so that western health professionals can have a sensible conversation with their Samoan patients, and vice versa. Some health professionals will, I hope, stop to reflect on the existence of cultural differences in talking health and in doing sickness. Where a western health professional reads this book and reflects on the nature of medical practice and the usage/provision of health care and begins to talk about western ways of doing sickness as only one possible way, a breakthrough will have occurred. This would amount to the recognition that what it means to be sick is culturally defined, that medical treatment and health services are cultural practices and culturally specific forms ..." -- Introduction.