Professional Documents
Culture Documents
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GENERAL AND THEORETICAL 937
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938 AMERICAN ANTHROPOLOGIST [82, 1980]
the United
social and economic organization that States, in Belgium, and in the
he pur-
posefully avoids. The final stepCongo-Zaire; (12) offers of sound
conducting and halting
advice for beginners and professionals medical research;
who of wishconducting medical
to improve their writing styles: research
do not while at the same time attempting to
procrasti-
nate but write; identify the audience heal; of being and write
at once a patient and a research
for its level; and use concrete illustrations and subject; of differences between medical systems;
specific incidents. Unfortunately, unlike Robert of the sociocultural etiology of change and
B. Edgerton and L. L. Langness's book evolution in medicine and in medical educa-
Methods and Styles in the Study of Culturetion; of the deep cultural roots of medicine and
(1974), there is little discussion regarding ac-medical ethics; and of the sociology of sociolog-
curacy, efficiency, and credibility at each level
ical and other knowledge. Fox writes, moreover,
of writing. with a literate grace rare in the social sciences.
In a book titled The Ethnographic Interview, To use her own metaphor, Fox weaves a
the reader might expect to find some treatment tapestry.
of unstructured, semistructured, and structured Fox illuminates the inner life, heart and
interviews that deal with nonlanguage factors mind, of the persons and societies she ob-
like technology, economics, and social relation- serves - physicians, patients, sociologists,
ships, but these are absent. Moreover, except Belgians, Americans, non-European Congolese-
from the vantage of taxonomic and thematic
universals, ethnography is treated almost as if it Zaireans--and the premises, values, and emo-
tions which underlie and accompany their lives,
were divorced from ethnology. Because work, and expressions. Many of her subjects are
Spradley's book emphasizes one particular ap- themselves reticent if not actively repressive
proach to one brand of ethnography, its ap- about their inner worlds. Fox is concerned with
plication is limited. the dialectics of conscious and unconscious, in-
dividual and collective.
A probable sign of her insight, Fox's analyses
have received strong responses from some of
those she has studied, for example, from physi-
Essays in Medical Sociology. Renee C. Fox, ed.
cians and from Belgians. Respectful of her sub-
New York: Wiley-Interscience, 1979. viii + 548
jects, Fox reinvests in the capital of their com-
pp. $19.95 (cloth). mon sense, speaking in the language of their ex-
perience, phenomenologically. Hers is a sociol-
Robert A. Hahn ogy of depth, producing analytic insight.
University of Washington Fox demonstrates brilliantly the existential
dilemmas of becoming and being a physician in
Human medicine is the deliberate ministra- the United States, the ways in which knowledge
and uncertainty, detachment and concern,
tion by persons to the relief of personal suffering
healing and researching, are learned and ex-
(e.g., disease) and to the promotion of personal
well-being (i.e., health). It is universally the
perienced in medicine. Her essays, "Training
most vital practice. for Uncertainty" and the previously unpub-
lished, "The Autopsy: Attitude-Learning of
In a society's medicine, we may see the ways
Second-Year Medical Students," describe in
in which its participants think about and other-
wise confront "persons," "society," "well-
vivid detail the unfolding experience of the
being," value and ethics, knowledge andmedical curriculum of the 1950s which allow or
technique, human relations and their contexts,
force incorporation of these dynamic tensions
and the capacities of health, disease, and heal-
inherent in medical work, e.g., between the
ing. We may explore the dynamics of body, detachment required for rational, objective ac-
thought, action, and the manifold environ- tion and the concern which may compel this ac-
ment-their biology, sociology and phenome- tion, and between the uncertainty inherent in
nology. Medicine is an index anthropologicus,(medical)
a knowledge and the compulsion to
syndrome of the body social. know with certainty for the immediate help of a
In this anthology, Professor Fox presents 21
present patient. Fox also describes how the
character of medical students and of medical
essays of penetrating depth on a remarkable
variety of medical issues. Her insightfuleducation have been deliberately changed in
analyses, begun some thirty years ago, delve in-
the past 20 years in ways which, she claims, have
to the inner workings of becoming a doctor uncertain
in outcomes.
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