Traditional Theories of Health and Disease

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Questions and Answers

What term describes the totality of socially transmitted patterns of thoughts, values, meanings, and beliefs?

  • Culture (correct)
  • Superstitions
  • Tradition
  • Mythology

Which of the following is NOT a personalistic view associated with Filipino traditional beliefs?

  • Nakulam
  • Gaba (correct)
  • Nabalis
  • Nabarang

What is the primary goal of achieving cultural competency according to the provided content?

  • Bridging the cultural divide between patient and health professional (correct)
  • Understanding global health issues
  • Enhancing traditional medical practices
  • Promoting personal beliefs in healthcare

Which of the following terms is used to describe 'sakit' in the context of Filipino beliefs?

<p>Pain (D)</p> Signup and view all the answers

What is 'pagtatawas' primarily associated with in Filipino traditional medicine?

<p>Divination or diagnosis (B)</p> Signup and view all the answers

Which of the following best describes 'hilot'?

<p>A technique involving palpation and massage (D)</p> Signup and view all the answers

What cultural belief is associated with the term 'nuno' in Filipino practices?

<p>A mythical creature causing illness (D)</p> Signup and view all the answers

Which of the following statements about cultural awareness is correct?

<p>It is essential for understanding a patient's worldview. (D)</p> Signup and view all the answers

What is the primary role of an albularyo in a community?

<p>Delivering babies and providing prenatal care (C)</p> Signup and view all the answers

How do some albularyos handle payments for their services?

<p>They may accept donations or impose no fee (C)</p> Signup and view all the answers

What modern approach do some albularyos utilize for convenience?

<p>Online consultations (C)</p> Signup and view all the answers

What is a common belief related to the ailments caused by creatures such as na-nuno and na-dwende?

<p>They significantly alter treatment methods like tapal and bulong (C)</p> Signup and view all the answers

What is the significance of umbilical cord care mentioned in the context of delivery in impoverished communities?

<p>Basic knowledge of this care is often shared among friends and relatives (B)</p> Signup and view all the answers

What term describes a healthy person in Filipino?

<p>Malusog (D)</p> Signup and view all the answers

Which of the following terms refers to being ill in Filipino?

<p>May sakit (D)</p> Signup and view all the answers

In Filipino traditional medicine, what condition is associated with the concept of 'pasmado'?

<p>Affecting bodily warmth (C)</p> Signup and view all the answers

What is the implication of calling someone 'payat' in health terms?

<p>They are not fully developed (D)</p> Signup and view all the answers

What does 'kalusugan' mean in Tagalog?

<p>Health (B)</p> Signup and view all the answers

Which of the following describes the Filipino worldview on mental illness?

<p>Possession by a demon (A)</p> Signup and view all the answers

What does the term 'matamlay' imply about a person's health?

<p>They are lethargic (B)</p> Signup and view all the answers

Which of the following is a personalistic cause of illness in Filipino culture?

<p>Gaba (D)</p> Signup and view all the answers

What does the Filipino concept of health emphasize?

<p>Harmony between humankind and nature (C)</p> Signup and view all the answers

Which activity is generally avoided in Filipino culture after childbirth?

<p>Taking a shower (C)</p> Signup and view all the answers

What behavior do tikbalang exhibit that traps victims?

<p>Transforming into familiar faces (A)</p> Signup and view all the answers

What condition is associated with the MYOC gene mutation?

<p>Juvenile-Onset Open-Angle Glaucoma (A)</p> Signup and view all the answers

What is a potential outcome for victims who encounter a tikbalang?

<p>They may return after a few days (A)</p> Signup and view all the answers

What is a primary diet for aswang?

<p>Fetuses and internal organs (D)</p> Signup and view all the answers

What anatomical structure is primarily affected in Juvenile-Onset Open-Angle Glaucoma?

<p>Trabecular meshwork (D)</p> Signup and view all the answers

How do tikbalang and aswang commonly get confused?

<p>Both can shapeshift (D)</p> Signup and view all the answers

What happens to the trabecular meshwork cells in affected individuals with JOAG?

<p>They die due to elongation of protein (B)</p> Signup and view all the answers

What is not a characteristic of a tikbalang?

<p>They are known for their benevolent nature (B)</p> Signup and view all the answers

What is one belief associated with eating ice cream before duty?

<p>It leads to experiencing minimal patients. (B)</p> Signup and view all the answers

Which superstition is related to the activities one engages in the night before duty?

<p>Engaging in 'dirty living' results in a toxic duty the next day. (D)</p> Signup and view all the answers

What does the use of cultural health practices provide to patients?

<p>A perceived sense of control over outcomes. (B)</p> Signup and view all the answers

According to Dr. Chua, what kind of practices does the Bible imply are detestable?

<p>Fortune telling and astrology. (B)</p> Signup and view all the answers

What is NOT mentioned as a reputed consequence of eating pansit or spaghetti during duty?

<p>It guarantees a peaceful duty. (B)</p> Signup and view all the answers

Which verse does Dr. Chua reference to support his perspective on certain health practices?

<p>Deuteronomy 18:9-14. (C)</p> Signup and view all the answers

What is the humorous way group members deal with toxic duty as mentioned?

<p>Asking if someone engaged in 'dirty living'. (B)</p> Signup and view all the answers

Which statement accurately describes compassion in the context mentioned by Dr. Chua?

<p>It should always be accompanied by strong medical knowledge. (C)</p> Signup and view all the answers

What is the belief regarding eating twin bananas?

<p>It can lead to birthing twins. (C)</p> Signup and view all the answers

What is a common explanation for mysterious ailments in Filipino culture?

<p>A supernatural or mystical intervention (B)</p> Signup and view all the answers

What does 'Nuno sa Punso' translate to in English?

<p>Ancestor living in the anthill (D)</p> Signup and view all the answers

What is the behavior of a Manananggal when hunting?

<p>It leaves its lower torso behind. (C)</p> Signup and view all the answers

What is the nature of the Kapre in Filipino mythology?

<p>A tree giant with violent tendencies. (C)</p> Signup and view all the answers

What triggers the Malaligno to exhibit violent tendencies?

<p>When their tree is threatened. (D)</p> Signup and view all the answers

The Tikbalang is characterized by which features?

<p>A man's body and horse's head. (B)</p> Signup and view all the answers

Where is the Nuno believed to inhabit?

<p>Inside caves and trees. (A)</p> Signup and view all the answers

What is the purpose of saying 'tabi-tabi po'?

<p>To ask the Nuno to stand aside. (D)</p> Signup and view all the answers

Why is the Manananggal significant in discussing miscarriages and stillbirths?

<p>It is believed to cause these conditions. (B)</p> Signup and view all the answers

What type of spirit is a Duwende described as?

<p>A playful goblin. (A)</p> Signup and view all the answers

What condition is NOT mentioned as a possible explanation for miscarriages?

<p>Curse from a spirit (A)</p> Signup and view all the answers

What is the primary location associated with the Nuno in folklore?

<p>Anthills and termite mounds (B)</p> Signup and view all the answers

What is one of the key abilities of the Tikbalang?

<p>To transform into a human. (D)</p> Signup and view all the answers

Flashcards

Cultural Awareness

Understanding that cultural differences exist between a patient and a healthcare professional.

Cultural Competency

The ability to effectively provide care to people from diverse cultures.

Albularyo

A Filipino faith healer.

Sakit (Filipino)

In Filipino culture, "Sakit" can mean illness or disease, or pain.

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Disease vs. Illness

While sometimes used interchangeably, disease describes a physical ailment, and illness describes the experience of being unwell, including both physical and emotional aspects.

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Nabalis, Nabuyagan, Nabati

Forms of illness, in Filipino context, that may not be physical. They can be perceived as curses or supernatural.

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Hilot

A Filipino traditional healing practice involving palpation and massage.

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Suob

A Filipino traditional therapy using steam inhalation.

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Albularyo vs. Mangtatawas

While both are traditional healers, Albularyos are focused on healing illnesses while Mangtatawas specialize in spiritual cleansing and protection.

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Payment for Albularyo Services

Albularyo fees can vary widely, from accepting donations to charging high professional fees. Some offer online consultations for convenience.

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Magpapaanak

A traditional birth attendant who assists with prenatal visits and deliveries, typically in impoverished communities.

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Experience vs. Certification

Magpapaanak, while uncertified, have gained experience and expertise through practice and community knowledge.

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Postpartum Care by Magpapaanak

Magpapaanak provides postpartum care, including massages, medicinal herbs, and the 'suob' ritual.

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What's 'kalusugan'?

'Kalusugan' is the Tagalog word for health. It's derived from the root word 'lusog,' meaning 'full development' or 'progressiveness.'

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What does 'malusog' describe?

'Malusog' describes a healthy person, emphasizing their fully developed physical potential.

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What's the opposite of 'malusog'?

'Payat' means thin, indicating a person who hasn't reached their full physical potential. While not ill, they're not considered 'malusog.'

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What do 'mahina' and 'matamlay' describe?

'Mahina' means weak and 'matamlay' means lethargic. Both indicate sickness and an inability to perform physical tasks.

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What's 'may sakit'?

'May sakit' means ill or sick, suggesting someone unable to do physical tasks and needing to rest at home.

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What are 'hallucinations'?

Hallucinations are false perceptions of reality. A person might see, hear, smell or feel things that aren't really there.

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What are 'delusions'?

Delusions are false beliefs that are firmly held even with evidence to the contrary.

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What is 'disorganized thinking?'

Disorganized thinking involves difficulty forming coherent thoughts and expressing them logically.

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What is 'abnormal motor behavior?'

Abnormal motor behavior refers to unusual physical actions. It can include things like restlessness, repetitive movements, or stiffness.

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Naturalistic vs. Personalistic

In Filipino culture, illnesses are explained by either 'naturalistic' causes (e.g., cold/heat imbalance) or 'personalistic' causes (e.g., curses, evil spirits).

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Tikbalang

A mythical creature in Filipino folklore, known for its horse-like appearance, mischievous nature, and ability to lead people astray.

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Tikbalang's Prey

People who are often victims of Tikbalang's mischievous nature, sometimes being led astray and disappearing.

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Tikbalang's Motivation

The Tikbalang enjoys playing tricks and may lose interest in the victim after a while, sometimes releasing them after days, but not always.

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Aswang

A shape-shifting creature in Filipino folklore, often associated with witchcraft and possessing supernatural powers.

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Aswang vs Tikbalang

While both are creatures in Filipino folklore, Aswang is a shape-shifter, known for witchcraft, while Tikbalang is a mischievous horse-like creature.

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JOAG

A rare eye condition, also known as Juvenile-Onset Open-Angle Glaucoma, affecting a specific group of patients.

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JOAG's Cause

A specific gene mutation, affecting the myocilin protein (MYOC), leads to cell death in the eye, ultimately causing glaucoma.

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Myocilin Protein

A protein found in the eye, when affected by a specific gene mutation, can lead to the development of JOAG.

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Traditional Beliefs in Health

These beliefs offer a framework for understanding and coping with illnesses, especially when medical explanations are lacking.

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Rationalization in Illness

Using traditional beliefs to explain a disease or condition when a medical reason is unknown.

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Cultural Health Practices

Traditional practices, rooted in a culture, that are used to address health concerns.

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Control in Illness

Cultural practices help individuals feel a sense of control over their illness and its outcome.

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Biblical Condemnation of Supersitions

Specific Biblical verses, like those in Deuteronomy, reject practices like fortune telling, astrology, and horoscope readings.

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Toxicity in Duty

A belief that certain actions, like “dirty living,” can result in a challenging or “toxic” shift at work.

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Ice Cream as a Remedy

A belief that consuming ice cream before work can ward off a challenging shift.

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Prosperity Bowl Ritual

A New Year's tradition involving a prosperity bowl, reflecting a desire for good fortune.

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Sinapian

A state of being possessed by evil spirits or the devil. This belief is not unique to the Philippines and has historical roots in various cultures, including biblical accounts.

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Namalig

A Filipino belief that a disease or illness is caused by supernatural forces or entities. This concept is used to explain illnesses with unknown or mysterious causes.

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Nuno sa Punso

A mischievous dwarf-like nature spirit in Filipino mythology, believed to reside in anthills, under rocks, or trees. It is considered disrespectful to disturb their home, and they might seek retribution.

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What do Filipinos say when walking past a suspected Nuno location?

They say "tabi-tabi po" (please move aside) to politely ask the Nuno to step aside and avoid upsetting them.

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Duwende

A playful goblin in Filipino mythology known for appearing to children. They enjoy mischief but are generally harmless.

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Manananggal

A mythical creature that can separate its upper torso from its lower body, giving it the ability to fly and hunt at night. Primarily known for feeding on the fetuses of pregnant women.

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How does Manananggal hunt?

The Manananggal uses its long, hollow, and flexible tongue to pierce through the roof of a house and puncture the womb of a sleeping woman.

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What is the Manananggal's connection to miscarriage and stillbirth?

In traditional Filipino medicine, miscarriages and stillbirths were often attributed to the Manananggal's actions. However, modern medicine provides other explanations like chromosomal abnormalities or infections.

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What are modern medical explanations for miscarriages and stillbirths?

Modern medicine explains miscarriages and stillbirths due to various factors such as chromosomal abnormalities, diabetes, or infections caused by certain viruses, bacteria, or parasites.

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Kapre

A giant tree spirit in Filipino mythology. They are muscular, about 7-8 feet tall, and become violent when their dwelling trees are threatened.

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How does a Kapre's personality differ from a Nuno sa Punso?

While both are nature spirits, a Nuno sa Punso is mischievous and can be angered by disturbing their homes, while a Kapre is more aggressive and vengeful when their tree dwelling is harmed.

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What is a common thread among many traditional Filipino beliefs about illness?

Many traditional Filipino beliefs suggest that some illnesses can be caused by supernatural entities or forces, such as spirits or curses, and these beliefs may co-exist with modern medical understandings.

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Study Notes

Traditional Theories of Health and Disease

  • Why Study Filipino Medicine?
    • To improve cultural competency among Filipino physicians, nurses, dentists, and other health professionals
    • WHO recommended integrating traditional medicine into medical education and primary healthcare since 1978
    • World Health Assembly resolutions since 1981 encouraged member states to incorporate traditional medicine
    • Philippine policies support this integration through the Philippine Institute of Traditional and Alternative Health Care (PITAHC, Republic Act 8433, 1997)
    • Patients frequently seek complementary and alternative medicine.

The Philippines

  • Ethnolinguistic groups with distinct cultural identities and health practices
  • Diverse beliefs, traditions, myths, and superstitions impacting healthcare
  • Cultural awareness is essential for effective healthcare

Culture and Cultural Awareness

  • Culture encompasses socially transmitted thoughts, values, meanings, and beliefs (Purnell, 2005)
  • Culture is not limited to ethnicity, location, language, religion, etc., including sexual orientation and socioeconomic status
  • It shapes an individual's worldview and decisions about healthcare.
  • Cultural awareness is a prerequisite to cultural competency.
  • Often a significant cultural divide exists between patient and healthcare provider.

Sakit

  • Sakit can mean disease, illness, or pain
  • Disease refers to abnormalities in body structure/function (Eisenberg, 1977)
  • Illness relates to the patient's subjective experience of being unwell and how those around them perceive it
  • Personal and cultural factors shape the experience and response to illness.

Filipino Terminologies for Illness and Health

  • "Kalusugan" is the Filipino word for health, rooted in "lusog" meaning full development
  • "Mataba" (fat/obese), "malusog" (healthy), "payat" (thin) describe health statuses.
  • "May sakit" (ill) describes someone unable to perform daily tasks, indicating illness.

Filipino Traditional Medicine's Definition of Health and Wellness

  • Health is a state of harmony, balance, and synergy among humankind, the universe, and nature.

Causes of Illnesses in Filipino

  • Naturalistic:
    • Pasma (cold/heat imbalance)
    • Nabinat/Nabughat (excessive fatigue)
    • Namamana (inherited illness)
    • Lihi (pregnancy cravings, pregnancy related illnesses)
    • Dietary prohibitions
  • Personalistic:
    • Nabali/Nabuyagan/Nabati (mishap, misfortune)
    • Binangungot (night terror, nightmares)
    • Nakulam/Nabarang (sorcery)
    • Sinapian (possessed by a malicious entity)
    • Nuno, Duwende, Tikbalang, Kapre, Manananggal (e.g evil spirits)
    • Nagayuma (love potion, charm, spell)
    • Sumpa (curse)
    • Gaba (bad luck, karma)
    • Kaloob ng Diyos (God's will)

Diagnostic Tools, Therapies, and Prevention in Filipino Traditional Medicine

  • Faith Healers (Albularyo):
    • Knowledge of folklore for diagnosis and treatment
    • Often in families, a continuum of ability
    • Use rituals, herbal remedies, prayers to assist healing
  • Pagtatawas:
    • Ritual using various materials to diagnose illness (candles, eggs, mirrors, etc) to determine the root of evil spirits/misfortunes.
  • Hilot:
    • Palpation and massage for musculoskeletal and musculoligamentous ailments
  • Magpapaanak:
    • Traditional midwives, often with experience in delivering babies
  • Suob:
    • Postpartum care ritual involving herbal ingredients and practices
  • Tapal:
    • Practice of placing a cloth with a treatment/prayer on individuals experiencing illness.
  • Red Dot:
    • Kapampangan practice using red dots or red lipstick

Other Filipino Traditions

  • Anting-anting: Charms believed to protect the wearer from evil spirits and hexes
  • Weapons to fight Aswang: Garlic, palm leaves, etc.

Additional Themes

  • Disease vs. Illness: Explains the difference between a medical diagnosis and the subjective experience of illness
  • Explanatory Models of Disease: Highlights how patients' cultural beliefs and explanatory models impact their understanding, treatment decisions, and coping mechanisms.
  • Naturalistic and Personalistic Models: Categorization of illness etiology that is important to understand Filipino Traditional Medicine's etiology and etiology to explain the cause of illnesses
  • Comparisons with Other Traditional Systems: Highlights similarities/differences to other traditional healing systems from different regions in the world, emphasizing that traditional medicinal approaches and belief systems can change depending on culture or region.

Key Points

  • Traditional Beliefs influence health-seeking behaviors
  • Cultural contexts shape understandings of illness/disease
  • Traditional healers play significant roles in rural communities
  • Modern medicine, despite its efficacy, sometimes cannot adequately account for all illnesses.

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