Interactions between local medical systems and the biomedical system: a conceptual and methodological review in light of hybridization subprocesses.

Autor: Abreu MB; Programa de Pós-Graduação em Etnobiologia e Conservação da Natureza, Universidade Federal Rural de Pernambuco, Rua Dom Manuel de Medeiros, s/n - Dois Irmãos, Recife, PE, 52171-900, Brazil.; Laboratório de Investigações Bioculturais no Semiárido, Universidade de Pernambuco, Campus Petrolina, Rodovia BR 203, Km2, s/n - Vila Eduardo, Petrolina, PE, 56328903, Brazil., Ferraz TSO; Laboratório de Investigações Bioculturais no Semiárido, Universidade de Pernambuco, Campus Petrolina, Rodovia BR 203, Km2, s/n - Vila Eduardo, Petrolina, PE, 56328903, Brazil., Albuquerque UP; Laboratório de Ecologia e Evolução de Sistemas Socioecológicos, Departamento de Botânica, Universidade Federal de Pernambuco, Recife, PE, 50670-900, Brazil., Ferreira Júnior WS; Laboratório de Investigações Bioculturais no Semiárido, Universidade de Pernambuco, Campus Petrolina, Rodovia BR 203, Km2, s/n - Vila Eduardo, Petrolina, PE, 56328903, Brazil. kba.bio@hotmail.com.
Jazyk: angličtina
Zdroj: Journal of ethnobiology and ethnomedicine [J Ethnobiol Ethnomed] 2023 Dec 13; Vol. 19 (1), pp. 60. Date of Electronic Publication: 2023 Dec 13.
DOI: 10.1186/s13002-023-00637-w
Abstrakt: Local medical systems (LMSs) are complex and dynamic, encompassing local perceptions of diseases, prevention and treatment strategies, and evaluations of therapeutic responses. These systems are not isolated and interact with other medical systems, such as the biomedical system. The interaction between these systems creates a "contact zone", which some authors refer to as intermedicality, involving both competitive and complementary interactions. However, there is limited discussion in the literature regarding the complexity of these interactions. Some studies seek to understand this interaction through the lens of hybridization, a concept introduced to ethnobiology by Ana Ladio and Ulysses Albuquerque. The authors conceptualize hybridization as "discrete structures and practices coming together to form a new practice not necessarily implying homogenization." They discuss hybridization in the context of medicinal plants used in urban settings and propose seven hybridization subprocesses to gain a deeper understanding of this phenomenon. In this study, we update these hybridization subprocesses, expanding the concepts to comprehend the specific interaction of resources from LMS and biomedical systems known and used by different human groups. In this context, we propose a new subprocess and have made adjustments to the existing subprocesses to encompass the diversity of possible interactions between medicinal plants and pharmaceuticals, providing evidence from the literature demonstrating interactions that can be classified within the proposed subprocesses. Furthermore, we discuss, from a theoretical standpoint, how these subprocesses may have implications for the resilience of medical systems. Moreover, we propose a flowchart that can be utilized to identify these hybridization subprocesses in intermedicality contexts in future studies. These classifications are crucial because they enable us to comprehend the complexity of interactions between medicinal plants and pharmaceuticals, as well as the impacts that these different interactions can have on the resilience of LMSs.
(© 2023. The Author(s).)
Databáze: MEDLINE
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