Therapy as a system-in-action in Northeastern Tanzania

摘要: Abstract This article is an attempt to find the systematic bases of therapeutic organization in north-eastern Tanzania, based on recent research Galambo, Lushoto District. The whole Tanzania suffered a long period very low investment either health care or public during colonial period. During that time costs reproduction labor were borne countryside, mostly by women and children. Neglect powers left sphere rural autonomy medical matters, which number systems sets ideas fourished side side, with no one tradition establishing effective monopoly. How then socially approved course therapy determined? One possible answer this question—based shared world-view assumptions about causes illness—is rejected. Evidence shows clearly individuals disagree fundamentally theories illness causation. Radical scepticism concerning validity spirit-causation illness, sorcery-explanation, common. boundaries system are shaped power government (among those who Christians) authority church. has decided cholera tuberculosis must be treated within biomedical tradition. chruch tries unsuccessfully limit its adherents use hospital medicines simple herbal therapies. as it works actual practice two principles. First, treatment diagnosis. only way know certainty cause particular treat see if condition improves. In many circumstances therapies tried primarily advance process Some treatments structured so part need initially, for diagnostic purposes, rest completed initial results positive. second principle range determined managers. Therapeutic options supported relative neighbor patient almost never rejected, even other managers assessment theory. Because each individual whose continues over tends wide practitioners.