Abstract
For migrants, maintenance of traditional cultural practices in a new environment may initially ease the transition but subsequently trigger severe conflict. This seems particularly true in two areas, childrearing and medical care, and particularly when migration is from a relatively rural and less technologically-developed setting to an urban one. This chapter will analyze a case example of one such conflict in an American Samoan family who migrated to Honolulu, Hawaii. Six years later, the father, a traditional healer, was charged with ‘noncompliance’ and ‘medical neglect’ of his diabetic daughter, and was threatened with her removal from family custody by the State of Hawaii’s Child Protective Service. While this case represents an extreme example, it illustrates some crucial issues facing many immigrant populations attempting to maintain their cultural identity in the face of social change. Practices which have represented cultural strengths — and which may in the new environment provide a source of social status and a sense of self-efficacy for members of an otherwise low-status and powerless ethnic group — may place their children at high risk. Indeed, the risk may be not only to children’s health but to the integrity of the family unit and the migrant community.
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References
Berlin, Elois Ann and William C. Fowkes 1983 A Teaching Framework for Cross-Cultural Health Care. Application in Family Practice. The Western Journal of Medicine 139(6): 934–938.
Goodman, Richard 1971 Some Aitu Beliefs of Modern Samoans. J. Polynesian Society 80(4): 463–479.
Harwood, Alan,ed. 1981 Ethnicity and Medical Care. Cambridge, MA: Harvard University Press.
Haynes, R.B., D.W. Taylor, and D.L. Sackett 1979 Compliance in Health Care. Baltimore: The Johns Hopkins University Press.
Hughes, D. Michael 1985 When Cultural Rights Conflict with the ‘Best Interests’ of the Child. A View from Inside the Child Welfare System. This volume.
Keene, Dennis T.P. 1978 Houses Without Walls: Samoan Social Control. Unpublished Ph.D. Dissertation, Department of Anthropology, University of Hawaii at Manoa, Honolulu, Hawaii.
Kleinman, Arthur 1980 Patients and Healers in the Context of Culture. Berkeley: University of California Press.
Korbin, Jill 1980 The Cultural Context of Child Abuse and Neglect. Child Abuse and Neglect, Vol. 4: 3–13.
Korbin, Jill 1981 Introduction. In Jill E. Korbin, ed., Child Abuse and Neglect: Cross-Cultural Perspectives. Berkeley and Los Angeles: University of California Press. pp. 1–12.
Korbin, Jill 1982 Steps toward Resolving Cultural Conflict in a Pediatric Hospital. Clinical Pediatrics 21(5): 259–263.
Korbin, Jill 1985 Deviance in Child Rearing: Cross Cultural Issues in Child Abuse and Neglect. This volume.
Metge, Joan and Patricia Kinloch 1978 Talking Past Each Other. Problems of Cross-Cultural Communication. Wellington, New Zealand: Victoria University Press. Office of Comprehensive Health Planning, Department of Medical Services, Government of American Samoa
Korbin, Jill 1974 Samoan Medicinal Plants and their Usage. Unpublished report.
Phillips, Michael R. 1985 Can ‘Clinically Applied Anthropology’ Survive in Medical Care Settings? Medical Anthropology Quarterly 16(2): 31–36.
Ritchie, James and Ritchie 1981 Child Rearing and Child Abuse: The Polynesian Context. In Child Abuse and Neglect: Cross-Cultural Perspectives. Ed. Jill E. Korbin. Berkeley: University of California Press. p. 186–204.
Sankar, Andrea 1985 Out of the Clinic, Into the Home: Control and Patient-Physician Communication. Social Science & Medicine 22 (9): 973–982.
Scott, Clarissa S. 1983 Medical Student Fieldwork in Alternative Healing Systems. Paper presented at the 82nd Annual Meeting of the American Anthropological Association.
Tripp-Reimer, Toni, Pamela J. Brink, and Judith M. Saunders 1984 Cultural Assessment: Content and Process. Nursing Outlook 32(2): 78–82
Trostle, James A., W. Allen Hauser, and Ida Susser 1983 The Logic of Noncompliance: Management of Epilepsy from the Patient’s Point of View. Culture, Medicine and Psychiatry 7: 35–56.
Young, Allan 1983 The Relevance of Traditional Medical Cultures to Modern Primary Health Care. Social Science and Medicine 17(16): 1205–1211.
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© 1987 D. Reidel Publishing Company, Dordrecht, Holland
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Krantzler, N.J. (1987). Traditional Medicine as ‘Medical Neglect’: Dilemmas in the Case Management of a Samoan Teenager with Diabetes. In: Scheper-Hughes, N. (eds) Child Survival. Culture, Illness and Healing, vol 11. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3393-4_16
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DOI: https://doi.org/10.1007/978-94-009-3393-4_16
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