Skip to main content

The Symbolic and the Physiological

Epigastric Patients in Family Medicine in Flanders

  • Chapter
Anthropologies of Medicine
  • 125 Accesses

Abstract

In Flanders, the northern part of Belgium, family physicians estimate that half of the epigastric complaints they face cannot be given a clear biomedical diagnosis. Heyrman (1986) reports that in 75% of the cases complaints are very vague and do not permit an unambiguous definition of their origins. The current psychosomatic approaches do not seem to be able to cope with these problems. Both diagnostically and therapeutically, they offer little to go by (Verdee 1986). I believe that a broader anthropological research may help here. The experience of studying a foreign culture yields new concepts, perspectives and techniques that may prove fruitful to the problem at hand.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • ALEXANDER F. 1950: Psychosomatic Medicine; its Principles and Applications. New York: Norton. Anzieu D. 1974: Le moi-peau.Nouvelle Revue de Psychanalyse 9: 195–208.

    Google Scholar 

  • BIBEAU G. 1978: L’organisation Ngbandi des noms de maladies.Anthropologie et Sociétés 2, 3: 83–116.

    Google Scholar 

  • BOURDIEU P. 1980: Le sens pratique. Paris: Minuit.

    Google Scholar 

  • BONFILS S., HACHE 1L J.-C. and DAMNE O. 1982: L’abord psychosomatique en gastroentérologie. Paris: Masson.

    Google Scholar 

  • CHÂTELET N. 1977: Le corps culinaire. Paris: Seuil.

    Google Scholar 

  • DEGRYSE J. (ed.) 1986: Maagklachten opnieuw bekeken. Leuven: Acco.

    Google Scholar 

  • DEVISCH R. 1981: La mort et la dialectique des limites dans une société d’Afrique Centrale. Archivio di Filosofia (Roma) 2–3: 503–527.

    Google Scholar 

  • DEVISCH R. 1984: Se recréer femme. Manipulation sémantique d’une situation d’infécondité chez les Yaka du Zaire. Berlin: Dietrich Reimer Verlag.

    Google Scholar 

  • DEVISCH R. 1985: Symbol and Psychosomatic Symptom in Bodily Space-Time: The case of the Yaka of Zaire. International Journal of Psychology 20: 589–616.

    Article  Google Scholar 

  • DEVISCH R. 1986: “Ik blijf me raar voelen in de buik”: Een semantisch-antropologische verkenning van bovenbuikklachten in Vlaamse huisartspraktijken. In: Degryse 1986: 61–91.

    Google Scholar 

  • DEVISCH R. 1988: From equal to better: investing the chief among the Northern Yaka of Zaire. Africa 58, 3: 261–290.

    Article  Google Scholar 

  • DEVISCH R. 1990a: The Therapist and the Source of Healing among the Yaka of Zaire. Culture, Medicine, and Psychiatry 14,2: 213–236.

    Google Scholar 

  • DEVISCH R. 1990b: Mediumistic Divination among the Northern Yaka of Zaire: Etiology and Ways of Knowing. In: Peek Ph.M. (ed.), African Divination Systems: Ways of Knowing (pp. 104–123 ). Bloomington: Indiana University Press.

    Google Scholar 

  • DEVISCH R. and GAILLY A. 1985: Dertlesmek: the Sharing of sorrow–A therapeutic self-help group among Turkish women. Psichiatrica e psicoterapia analitica 4, 2: 133–152.

    Google Scholar 

  • DEVISCH R., STUER H. and VERREPT H. 1989: La signification psychoculturelle des plaintes gastriques. Santé, Culture, Health 6, 1: 39–52.

    Google Scholar 

  • DEVISCH R. and VERVAECK B. 1986: Doors and thresholds: Jeddi’s approach to psychiatric disorders. Social Science and Medicine 22: 541–551.

    Article  PubMed  CAS  Google Scholar 

  • DE VRIES M. 1985: Het behoud van Leven. Ziekte en heling in nieuw perspectief. Utrecht/ Antwerpen: Bohn, Scheltma & Holkema.

    Google Scholar 

  • DOUGLAS M. 1978: Cultural bias. London: Royal Anthropological Institute of Great Britain and Ireland.

    Google Scholar 

  • GIARD L. 1980: Faire-la-cuisine. In: Giard L. and Mayol P. (eds.),L’invention du quotidien. Vol. 2: Habiter, cuisiner (pp. 149–234). Paris: Union Générale d’Editions 10/18.

    Google Scholar 

  • GOOD B. 1977: “The heart of what’s the matter”: The semantics of illness in Iran. Culture, Medicine and Psychiatry 1: 25–58.

    Google Scholar 

  • HEYRMAN J. 1986: Huisartsen en patienten met epigastrische klachten. In: Degryse J. 1986: 9–18.

    Google Scholar 

  • HUYGHE B. 1985: Structuration métaphorique du corps et identité dans l’anorexie mentale. The International Journal of Psychology 20: 501–520.

    Article  Google Scholar 

  • JEDDI E. 1977: Ontogenèse du confort thermique et hypothèse théoretique sur sa place dans le développment affectif. In: Durand J. and Raynaud J. (eds.) Thermal comfort–confort thermique. Inserm 75 (Dec.): 101–144.

    Google Scholar 

  • KLEINMAN A. 1980: Patients and Healers in the Context of Culture. Berkeley: University of California Press.

    Google Scholar 

  • KIRMAYER L.J. 1984: Culture, affect and somatization. Transcultural Psychiatry Research Review 21: 159–188, 237–262.

    Google Scholar 

  • LéVI-STRAUSS C. 1966: La pensée sauvage. Paris: Plon.

    Google Scholar 

  • SHELDRAKE R. 1981: A New Science of Life. London: Blond and Briggs.

    Google Scholar 

  • TURNER V. 1968: The Drums of Affliction. Oxford: Clarendon.

    Google Scholar 

  • VERDEE G. 1986: Specificiteit bij psychofysiologische klachten. In: Degryse J. 1986: 55–60.

    Google Scholar 

  • VERDIER Y. 1979: Façons de dire, façons de faire: la laveuse, la couturière, la cuisinière. Paris: Gallimard.

    Google Scholar 

  • WEISS P.A. 1977: The system of nature and the nature of systems: Empirical holism and practical reductionism harmonized. In: Schaefer K.E., Hensek H. and Brady L.(eds.) Toward a man-centered medical science. New York: Futura.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Friedr. Vieweg & Sohn Verlagsgesellschaft mbH, Braunschweig

About this chapter

Cite this chapter

Devisch, R. (1991). The Symbolic and the Physiological. In: Pfleiderer, B., Bibeau, G. (eds) Anthropologies of Medicine. Vieweg+Teubner Verlag. https://doi.org/10.1007/978-3-322-87859-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-322-87859-5_7

  • Publisher Name: Vieweg+Teubner Verlag

  • Print ISBN: 978-3-528-07820-1

  • Online ISBN: 978-3-322-87859-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics