Wellness Beyond Words: Maya Compositions of Speech and Silence in Medical Care

Index

241 index achi’l/achi’lab (companion), 45–47, 78–79, 111 against medical advice, 138–40 Ainsworth-Vaughn, Nancy, 30, 34, 46, 101 ajkun/ajkunab’ (healer), 23–24, 93, 95, 102, 119 ajq’ij/ajq’ijab’ (day priest), 8, 17, 81, 86–87, 117 alleged abuse, 132–34, 141 alternative medicine, 117, 136 anonymity (omissions), 2, 14 answering, 93, 150 apologue, 15 authorial voice, ix–xii, 28, 150 Bakhtin, Mikhail, xi–xii, 29, 30, 48 Barthes, Roland, x–xi Basso, Keith, 35, 60 birth control, 19, 134, 142 Bourdieu, Pierre, 61 Bricker, Victoria, 4 Briggs, Charles, 9, 30, 32, 48, 92 Bruneau, Thomas, 57 Bunzel, Ruth, 4, 82 Burns, Allan, 4, 96 Cameron, Deborah, 32, 33 chak (ritual work), 86, 119, 135 ch’ob’onelab’ (seers), 81, 86, 117, 135 clinical attendance, 39, 82, 126 clinical expectations, 23, 73, 86, 90– 95, 101, 111, 149–50 clinical space (configuration and competence), 23, 45 coauthoring (co-composition of illness narratives), 55, 74, 90–91 Coe, Michael, 4 coercion (clinical), 20, 106–44, 151 Coleridge, Samuel, 106 collogue, 59 Colop, Enrique Sam, x communicative silences, 57, 61–62, 64–66, 69–74, 151 competence, 45, 49–50, 77–92, 151 cooperative speaking (participatory structure), 48, 49, 51, 57, 61–62, 65, 68, 101, 152 corn (wa’), 45–46. See also food Cosminsky, Sheila, 4, 39, 80, 117 cultural competence, 23–24, 45–46 curanderos, 118 Danziger, Eve, xiv, 4 Davidson, Brad, 5 demographics of wellness seeking, 80–81 descriptive approach, 13, 14 Díaz-Duque, Ozzie, 5 disappearing Maya, 142 discourse roles of silence, 61–62 dishonorifics, 136 distrust, 18, 105–6, 129, 134 diviner, 7, 81 don, 82, 141 dosage (misunderstanding), 25–26 double consciousness, ix Dubois, W. E. B, ix England, Nora, 4 242 index Epstein, Julia, 136 ethnography of polyphony, ix–xii, 1–3, 27–36 ethnography of speaking, 7 Fischer, Edward, xi Fisher, Sue, 5, 29, 49 food (wa’), 45–46. See also corn Frake, Charles, 49 Fraser, Gertrude, 136 friendship, 45. See archi’l Gaines, Atwood, 210 Garro, Linda, 3 gerundial quality of speaking, 27–32 Goffman, Erving, 34, 83 Gossen, Gary, 4 Grice, H. P., 62 Groce, Stephen, 5, 34, 46, 49 Gumperz, John, 4 Hanks, William, 4, 86 Hart, Thomas, 4, 82, 87, 94, 117 Haviland, John, 4 Hawkins, John, 4, 77, 143 heteroglossia, xi heterologue, xi–xii, 37 Hinojosa, Servando, 39, 81, 118, 135 Hispanophone, 10, 37 Huber, Brad, 39, 77, 136, 141 Hymes, Dell, xii, xiv, 7, 8, 31, 49 Hymes, Virginia, xiv, 88 illness narratives (multi-voiced narratives), 37–57 itzb’al (instruments of evil), 7, 17 iyom/iyomab’, (midwife) 17, 80, 135 Janzen, John, 47 Jaworski, Adam, 60 Jordon, Brigette, 80 k’ayib’al (market), 17, 38, 39 Kleinman, Arthur, 47 Labov, William, 5, 13, 47 Laughlin, Robert, 4 listening: in ethnography and analysis, xi, 15, 77, 88, 107–8 literacy and medical choice, 13, 113, 114, 121 Lock, Margaret, 136 logos, xi, 77, 105 logotheraphy, 94–95 making silence, 36, 59–74 Martin, Emily, 5, 136 Mattingly, Cheryl, 47 Maxwell, Judith, 4 Maya mobile medicine, 16 medical decision making, 22, 39, 110–12, 114, 119, 123–24, 143 medical histories, 55–58 medical interview, 5, 49, 52–54, 88, 90–92, 147–53 medicalization (medical encroachments), 134, 135 medical missions, 22, 132 misunderstandings (medical miscommunication), 25–26, 46– 47, 69, 150 Menchú, Rigoberta, x Mentore, George, 60, 87 metalogue, 77 Metzger, Duane, 4, 87, 93–95 mija/mijo, 136–39 Mishler, Eliot, 5, 29, 30, 31, 49 missionary perceptions, 161 Moerman, Michael, 44, 48, 49, 54 Molesky-Poz, Jean, 4, 86, 87 Montejo, Victor, x multi-voiced (polyphonic) illness narratives, 37–57 naming, 122 Nash, June, 4 Nelson, Diane, 20 Nichter, Mark, 120 Nima’: meaning of the word, 2 noblesse oblige, 82 Ochs, Elinor, 31, 32, 33 Ohnuki-Tierney, Emiko, 47 orthography, 13 patient as social role, 147 index 243 patienthood, 37 personhood, 87, 111, 147 planned parenthood, 19, 26, 134, 142 polyphonic (co-authored) illness narratives, 49, 55, 74, 90–91, 96, 102 polyphonic approach, 29, 59, 65, 146–51 polyphonic score, 33–36 Popol Vuh, x Post, Emily, 46 po’t (handwoven blouse), 16, 24, 143 Pratt, Mary L., x prenatal care, 135–43 prescription (dosage), 26, 120, 139 public health, 17, 37, 105, 115, 129–31, 141–42 pulsing (therapeutic diagnosis), 94 quacks, 118–19 radio (in public health communication), 17, 61, 154 ratified...