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Biomedical subjects

D H Weisberg

Publications and source records attributed to D H Weisberg.

6 recordsLinked to original sources
PubMed1984

Physicians' private clinics in a Northern Thai town--patient-healer "collaboration" and the shape of biomedical practice.

Physicians' private clinics in small Northern Thai towns offer the patient the services of official biomedicine's most sophisticated clinical talent, and the physicians themselves an opportunity to significantly supplement their incomes. The clinic form, while familiar to Westerners and Japanese, has been adapted to the Northern Thai medical environment and Northern Thai notions of the therapeutic process. Because of sociocultural constraints and the pressure of the plural medical environment, physicians' private clinics result in a "collaboration" between patient and practitioner in which some prerogatives of each are compromised and others upheld to shape a clinical institution that satisfies the needs of each. This paper discusses three private clinics in a small Northern Thai town from the perspectives of the physicians and the patients, and then describes the "collaboration" that shapes practices within the clinics.

Aged↗
PubMed1984

The practice of 'Dr' Paep: continuity and change in indigenous healing in northern Thailand.

Dr. Paep Plienphleng is an indigenous curer in a rural district in Chiang Mai Province, Northern Thailand, where he is numbered among the group of healers known as mqq mueang ('Northern doctors'). He specializes in curing saan or 'tumors' by combining several techniques: indigenous surgery, herbal curing and supernatural curing. Other aspects of Dr Paep's practice have been due to larger trends in indigenous healing that have affected him and other curers over past decades. This paper describes the practice of Dr Paep and some aspects of his healing, and examines the context of his practice by exploring other categories of indigenous healers found in this area of the North. It is concluded that Northern Thai healing is undergoing a transformation from a stress on general healing to an emphasis on the use of supernatural cures, more specialization among healers and efforts to adapt services to fit the plural system of care found in this rural Northern Thai environment. Thus, we find the skills of indigenous healers and the nature of indigenous Northern Thai medicine allow for creative adaptation to a changing medical environment.

Family Practice↗
PubMed1982

Northern Thai health care alternatives. Patient control and the structure of medical pluralism.

Two distinct features characterize village behavior in dealing with health care alternatives in Northern Thailand. First, the individual strives to preserve a secure social environment by controlling the course and choice of treatment during an illness crisis. Second, there are two spheres of health care discernible beyond any division based solely on type of medical technology, or urban-rural or modern-traditional dichotomies. One sphere, 'officially-sanctioned', is socially distant from the patient and totally dependent on the support, and under the aegis of central authority; the other sphere, 'locally-sanctioned', is socially close to the patient and dependent on the approval and support of only the local population. The nature of each sphere is dependent upon (1) the way in which practitioners are validated and sanctioned; (2) the internal organization of each practitioner group; and (3) the style of interaction between the practitioner and patient and his or her family. The variable success of patients in controlling the course of their treatment is demonstrated by the styles of interaction in the respective spheres. Attempts to manipulate the healer by influencing the context of healing, the amount and terms of payment for services rendered, and the type of therapy given are major parts of this control. The history of the local medical system suggests that patients in the research area became accustomed to these efforts to control quite early. Such attempts have been instrumental in shaping the present form of the medical system; therefore, a connection between those efforts to control the course of healing and the shape of the medical system is postulated and explored here.

Community Health Workers↗
PubMedDate not supplied

Spatio-temporal pattern discrimination in cats with insular-temporal lesions.

Previous studies have demonstrated that cats with bilateral insular-temporal lesions are impaired in their ability to perform temporal pattern discriminations of the general form A--B--A vs B--A--B. This deficit has been seen to occur when A and B are made up of two different auditory, visual, or vibrotractile stimuli. These data suggest that insular-temporal cortex is a multimodal area concerned with the perception of temporal sequences of stimuli. The present study extends these earlier observations by testing insular-temporal lesioned cats on a spatio-temporal pattern discrimination. A spatio-temporal pattern is defined as one in which the same stimulus is presented to the animal sequentially from different spatial locations. The data indicate that insular-temporal lesions disrupt a spatio-temporal pattern discrimination just as they do auditory, visual, or vibrotactile temporal pattern discriminations. Insular-temporal cortex appears to be critical for certain higher order perceptual abilities in the cat.

Animals↗