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Russel-Research-Method-in-Anthropology

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528 Chapter 18<br />

had this illness <strong>in</strong> the family before, and they now know of the remedy that benefited<br />

the illness on the previous occasion. What do you th<strong>in</strong>k they are go<strong>in</strong>g to<br />

do? (ibid.:137)<br />

This vignette comb<strong>in</strong>es the condition of a serious illness (level 3 on gravity<br />

<strong>in</strong> tables 18.1 and 18.2), with lack of accessibility (no money), and a known<br />

TABLE 18.1<br />

Young and Garro’s Decision Table Show<strong>in</strong>g How Pichatareños Choose<br />

an Initial <strong>Method</strong> of Treat<strong>in</strong>g an Illness<br />

Rules: 1 2 3 4 5 6 7 8 9<br />

Conditions<br />

gravity a 1 1 1 2 2 2 3 3 3<br />

known home remedy b Y N N Y N<br />

faith c F M (F) F M F M (M)<br />

accessibility d N Y<br />

Choices<br />

self-treatment X X<br />

curer X X X<br />

practicante X X X<br />

physician<br />

a. 1 nonserious, 2 moderately serious, 3 grave<br />

b. Y yes, N no<br />

c. F favors folk treatment, M favors medical treatment<br />

d. Y money and transportation available, N either money or transportation not available<br />

SOURCE: Repr<strong>in</strong>ted by permission of Waveland Press, Inc., from J. C. Young and L. C. Garro, Medical Choice<br />

<strong>in</strong> a Mexican Village, 1981 (reissued 1994), p. 154. All rights reserved.<br />

X<br />

remedy that can be applied at home. Young and Garro used the three levels of<br />

gravity, two possible conditions of know<strong>in</strong>g a remedy (yes and no), and two<br />

possible conditions of accessibility (yes and no) <strong>in</strong> mak<strong>in</strong>g up the vignettes,<br />

which meant that they had to make up eight of them. Each vignette was presented<br />

to each <strong>in</strong>formant for a response. Tables 18.1 and 18.2 show the decision<br />

tables for Young and Garro’s data.<br />

From these qualitative data, collected <strong>in</strong> structured <strong>in</strong>terviews, Young and<br />

Garro developed their decision model, for the <strong>in</strong>itial choice of treatment. The<br />

model, conta<strong>in</strong><strong>in</strong>g n<strong>in</strong>e decision rules, is shown <strong>in</strong> table 18.1. Rule number 1,<br />

for example, says that if the illness is not serious and there is a known home<br />

remedy, then treat the illness yourself. Rule number 9 says that for grave illnesses<br />

there is an implicit understand<strong>in</strong>g that physicians are better (hence the<br />

M <strong>in</strong> parentheses), so if there is money, then go to a physician.<br />

Rule number 9 also says that for the few cases of very grave illnesses where

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