Browsing by Author "Crentsil, Perpetual"

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  • Crentsil, Perpetual (Helsingin yliopisto, 2007)
    This is a study of crises caused by HIV/AIDS among the Akan of Ghana. It creates more awareness about the epidemic and has indicated other possible paths for campaign strategies. The pandemic has many devastating consequences; yet new infections are recorded daily despite campaigns against the disease. The search for therapy often sees the use of multiple outlets, which expresses Ghana's pluralistic medical system based on Kleinman's sector analytical model involving Western medicine, self-therapy, and folk healing. But it also leaves individuals and kin members in financial quandary. The fieldwork for this study is mainly through participant observation lasting 13 months (February 2003 to March 2004) among the Akan; in addition, some archival materials have been used. The Akan people live in the coastal south and forest zone of Ghana. Every Akan village or town is made up of corporate lineages, and social organisation is based on matrilineal descent. The society is holistic because the matrilineages seek the welfare of all their members. Meyer Fortes, R. S. Rattray and others on the Akan noticed this encompassing nature in the lineage organisation; but they did not make it salient (or failed to notice it) during illness, efforts for healing, and the care of the sick member. HIV/AIDS is an illness which shows the encompassing nature of the Akan matrilineage. It also reveals many contradictions in the group, viz. stigmatisation, abandonment, and attitudes that do not express altruism in a group expected to be closely-knit based on members' belief that they are of the 'same blood'. The crises have been analyzed in the total social system because the disease creates breaches at various levels of social interaction. An analysis of crises in a group is not far-fetched; Victor Turner has shown the way among the Ndembu and has revealed the contraditions in the seemingly uneventful life in the group. This study has identified that in dealing with HIV/AIDS patients and crises about the disease we are dealing with 'holistic' patients. Their cases produce many changes in the matrilineal structure--many orphans are being created and the care of patients is increasingly falling on the elderly. HIV/AIDS also challenges Akan cosmology because, for example, an AIDS death in local notions is a 'bad' demise which fails to produce ancestors who reproduce the society through reincarnation. Campaigns could emphasize this notion. The study begins with a description of the holistic nature of Akan matriliny, and the patients have been described as 'holistic' because their crises affect other people in the holistic society. Chapter 2 discusses the importance of ancestors as the starting points for social order who are constantly revered (in rites invoving the chief, Chapter 4). Chapter 3 focuses on funerals as an important social performance for the welfare of the dead and the living. Chapter 5 concentrates on HIV/AIDS as an illness threat marked by dominant discourses such as poverty, sexuality, migration, and condom use. Chapter 6 analyzes the attempts for therapy, and traditional healers' claims to have a cure. The efforts for therapy continues with spiritual church healing in Chapter 7, and chapter 8 is devoted to care of the patients and its inherent crises. Chapter 9 analyzes the effects of HIV/AIDS afflictions and AIDS deaths on the matrilineal group and in society. The study ends with a short part, devoted to Recommendations based on the findings in this investigation.
  • Crentsil, Perpetual (2001)
    This thesis studies medical beliefs and practices in Ghana. Its aim is to analyse the kind of social interaction/social relations inherent in informal communication in health-seeking behaviours. The primary aim, however, is to look for people's social meaning of illness-- what sense they make of illness-- in the interplay between informal communication and health-seeking activities. The study is based in Twuim, a rural fishing village in Ghana. It is descriptive, exploratory, and largely ethnographic in approach. The ethnographic data is based on more than five months of participant observation fieldwork and unstructured ethnographic interviews with 33 respondents. Social relations and interaction are important in informal communication in the quest for therapy. The family emerges as the unit for therapy communication and social relations. Thus, three case studies are presented as part of the analysis of the family and therapy discussions. This study shows that people make sense of illness through known relationships with people such as family members and care providers, and known cultural categories such as witchcraft/oracles and biomedical health care promotion. Through these mechanisms, the people derive their social meaning of illness largely from both natural and supernatural ideas about illness. The analytical focus follows Arthur Kleinman's model of sector analysis of medical systems, which uses the structuralist approach. The other framework is the analysis of discourse, following Michel Foucault. One of the main conclusions is a suggestion for the integration of biomedicine and traditional medicine in Ghana as a way to expand the country's health care resources.