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100 MEDICAL

ANTHROFQLOGYQUARTERLY

“knows” it is healed, and in doing so, Peru’s northern coast is famous as a center
Desjarlais goes beyond the symbolic effi- of curanderismo,a folk healing system that
cacy of healing to underscore the role of the blends popular Catholicismwith indigenous
kinesthetic (p. 195). symbolism. In midnight ceremonies held at
The numerous interpretations of Yolmo backyard altars near cities like Tmjillo and
cultural symbols throughout the book, al- Chiclayo,mestizo shamans ingest mescaline
though necessary for definingthe spaces and brews of San Pedro cactus and perform
graces of the body, undermine Desjarlais’s songs, prayers, and ritual cleansings. The
own critique of symbolic theories of ritual setting will be familiar with anyone who has
healing. But he breathes such life into the seen Sharon’s classic film. Eduardo the
body that his critique of postmodem “dis- Healer (1978). about charismatic Eduardo
courses of healing” remains sound and Calderh, who is one of 12 curers examined
intact. in this book.
One weakness in h e book is that Desjar- Sorcery and Shamanism looks at how
lais neglects discussing his apprenticeship shamans and their clients use the discourses
with Meme. Other writers on spiritual of sorcery and curing to cope with economic
healing in the Himalayas have pointed out chaos and gender politics in contemporary
that these relationships are relatively long- Peru. Curanderos work by manipulating
term, arduous, and require multiple trance complementary forces of good and evil,
experiences. Did Meme view him as an right and left, up and down. Joralemon and
apprentice? Also, the narrative emphasis on Sharon structured their text around a similar
body and experience tends to silence the dynamic of examining curanderismo from
people whose emotions we hear relatively two distinct vantage points, reflected in the
little about directly. Indeed, the experienc- book’s two-part organization.Part 1, written
ing body becomes diffusely reified as it mostly by Sharon, with contributions from
shifts from named individuals, to practitio- Joralemon and Donald Skillman,focuses on
ners, to social categories (“women”), to shamans and the symbolism, metaphysics,
spaces of illness and knowledge and things and historical roots of their healing art. Part
in motion, to a cultural body. Nonetheless, 2. written by Joralemon, looks at clients’
the book makes a significantcontribution to experiences and the social impact of curan-
cultural theories of the body and medical derismo from the viewpoint of critical
anthropology and can be used for teaching medical anthropology.
in upper-level undergraduate and graduate- This is collaborative research at its best.
level courses. The text builds on multiple shifts in perspec-
tive, moving between shamans and their
patients, cosmology and political economy,
shamanism as belief system and shamanism
and Shamanism: Curanderos as business. The result is one of the most
and in comprehensive, richly nuanced studies in
Joralemon and Douglas Sharon. Salt Lake the ethomedical literature.
City: University of Utah Press, 1993(cloth). part begins with short chapters on 12
x + 306 pp. curanderos’ life histories and ritual prac-
BETHA. CONKLIN tices. This broad scope is a welcome
Department of Anthropology counterweight to tendencies that have
Vanderbilt Universiry plagued shamanism studies since Eliade’s
search for shamanic archetypes. Joralemon
This remarkable ethnography explores a and Sharon explicitly re&t reductionist
thriving tradition of u h a n shamanism. approaches that represent ethnomedical be-
BOOKREVIEWS 101

liefs as homogeneous systems and exoticize sciousness. His case illustrates the problem
shamans and ethereal metaphysicians. In- of defining “authenticity” in a world of
stead, they emphasize differences in individ- permeable cultural boundaries, where to-
ual curanderos’ practices and show them as day’s local healer may become next year’s
down-toearth men (no female curers are talk show celebrity.
included) concerned with bottom lines and Sharon and Joralemon found the specter
business trips as well as spiritual journeys. of Calder6n’s stardom haunting their work
Accounts of the authors’ relations with with other Peruvian curers, who had become
each shaman are woven through the text. acutely aware of the public-relations bene-
They reveal the frustrations and unforeseen fits of being studied by foreigners. One
events of fieldwork and highlight the special shaman took to starting his curing sessions
problems and responsibilitiesthat come with by loudly announcing the presence of
studying shamanism today. “docton from the great universities of the
While sometimes honored as a national United States.” Foreign researchers’ anen-
folkloric tradition, curanderismo is techni- dance at rituals helped another curer’s
cally illegal in Peru. For centuries shamans clientele grow from just a couple of patients
have faced police harassment, arrests, and to more than 30 in a few months. Joralemon
condemnation from church and civic offi- explores how the ethnographer-research
cials. The curers in this study dealt with subject relationship changes when the “sub-
repression (and hied to get an edge on their jects” begin to use their researchers for their
shamanic competitorsas well) by cultivating own professional purposes.
ties to people of higher standing and by Incorporating foreign ideas and symbols
adopting the trappings of pseudo-official is nothing new in Peruvian shamanism.
status: business cards, framed documents. Diverse cultural influences are evident in
and consultation rooms like those of medical curers’ elaboratemesas (altars) composedof
doctors. Increasingly,curanderos also came numerous ritual objects: preColumbian
to see anthropologists as resources in their artifacts, Catholic icons, military swords,
quest for legitimacy. crystal balls, Amazonian rattles, Buddha
For years anthropologistshave argued for statuettes. The dozen shamans’ mesas are
recognizing the value of traditional medi- analyzed in more detail than most readers
cine. This book explores what happens when will want. Nonspecialists might skim these
that battle is pastially won, though not passages and turn to Sharon’s insightful
exactly in the way academics had in mind. synthesis, which suggests links between
In a provocative discussion of “the re- urban curanderismoand native Andean and
searcher effect,” Joralemon notes that aca- Amazonian cosmologies.
demic attention has been ‘‘good for busi- In part 2 the focus shifts from shamans to
ness” among curanderos (p. 163). In the their clients. The authors. assisted by a team
1980s. documentary films and media cover- of Peruvian and North American re-
age of research on Peru’s folk healers searchers, interviewed 129 individuals who
confened on them a new respectability, consulted four of the curanderos. Case
which was reinforced by the growing regard histories reveal the diverse problems that
for traditional medicine in international lead people to curanderismo and show how
health and development circles. As anthro- different shamans’ curing methods address
pologists’ work brought Eduardo Calder6n patients’ feelings of being at risk.
international renown, he became a guru to The chief condition that curanderos treat
New Age seekers from Europe and North is daiio, or sorcery. Earlier interpretations
America and adopted a new discourse of have seen d d o as an “escape valve” for
power animals, chakras, and planetary con- expressing complaints, suffering, and ag-
102 MEDICAL
ANTHROPOLOGY
QUARTERLY

gressive impulses in a rigidly stratified relations among curanderos, their clients,


society. Joralemon challenges this homeo- and the anthropologists who study them
static model. He points out that shamans do illuminates shamanism’s relevance to con-
not just dissipate social tensions: their temporary lives in a changing world.
sorcery and accusations also intensify con-
flicts. The metaphors of mistrust and suspi-
cion that permeate the discourse of dailo are
instrumental forces in the politics of every-
Mother Father Deaf. Living between
Sound and Silence. Paul Preston. Cam-
day life.
bridge,MA Harvard University Press, 1994
Anthropologists recognize that illness
(cloth and paper). x + 278 pp.
and sorcery accusationscan be mechanisms
of social control, or loci of strategic resis- NORAELLEN GRWE
tance. Joralemon shows how both dynamics School of Public Health
operate simultaneously in dailo. ?he major- Yale University
ity of curanderos’ clients are women. Sha-
mans often attribute female ailments to Paul Preston set out to study hearing
husbands’ abuse or philandering, but dis- children of deaf parents. The result is a book
place ultimate blame onto other women that provides insight on the worlds of both
whose love magic leads men astray. Gossip the hearing and the deaf.
about these diagnoses pressures abusive Deaf individuals in the United States
men to reform. Yet while curanderos’ often share a common set of experiences.
discourses may challenge male domination Ninety percent of deaf children are bom to
of specific women patients, they still rein- hearing parents, most of whom have little
force basic values of machismo and female previous experiencewith deafness. Until the
dependency. “Women gain moral leverage, 1970s. few hearing parents were encouraged
but not control,” Joralemon observes. “Still, to learn sign language. This meant that many
in a social system that only minimally deaf children, now adults, never established
constrains the actions of men in regard to good communications with their families.
women, anything that provides pressure for Links to families were further weakened
moral accountability is a strategic resource . when these children were sent to residential
. .while male authorityperse is not seriously schools. Often separated for months from
challenged,. .. its limits are continually their families, they tended to rely heavily on
tested by the threats and realities of magical deaf peers. Most of them eventually found
aggression” (pp. 268-269). their way into deaf society, where through-
This is an excellent text for teaching out their adult lives, their social networks
shamanism in medical anthropology and supports revolved around their partici-
courses. The clarity of writing and the pation in deaf clubs and associations.
authors’ skill in presenting sophisticated However, what of the children of these
ideas in an engaging manner make it useti11 deaf men and women? In most deaf families,
at both undergraduate and graduate levels. It the probability that children of deaf parents
offers a wealth of information for specialists will be born hearing is very high. The social
interested in ethnomedicine. cosmology, world of these hearing children will be
and ritual. shaped by their parents’ hearing impair-
At a time when New Age romanticism ments. Are these children part of deaf or
often treats shamanism as just anotherexotic hearing culture? Preston is among the first
self-help therapy, this book reminds us that to look systematically at this population. He
shamanism has always been a fundamen- extensively interviewed 150 individuals
tally social practice. Its vivid portrait of from around the country. As the hearing

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